• Elisabeth Vestergaard Lundin
4. semester, Musikterapi, Kandidat (Kandidatuddannelse)

Aim: The aim of this thesis is to investigate the significance of framework development in music therapy and its importance in supporting client presence in a course of therapy with a student with mental, behavioral and neurodevelopmental disorders.

Background: The course of therapy, of which the framework development is explored in the present thesis, takes place at a non-residential school for students with mental, behavioral and neurodevelopmental disorders. The studied case is a young woman (19yrs old) with “severe disabilities, autistic tendencies, epilepsy, cerebral palsy and mental retardation”. The course of therapy consists of 12 sessions of music therapy structured around repeatable and easily recognizable musical activities, supported by pictograms. The therapeutic framework is developed continuously through minute changes in routine from one session to another. This framework, the way it changes and the effects of the changes made to it, are the themes around which this thesis revolves.

Method: The subjects of interest are investigated through a qualitative case study.
A macroanalysis of personal notes and session footage is performed, which identifies four distinct changes in the therapeutic framework of a particular musical activity, of interest to this investigation. From there, coding of the selected data into relevant themes elucidates interaction and initiative as points of interest for further investigation. These findings form the basis of a microanalysis of video footage from the moments where the actual changes occur, inspired by the ethnographic and descriptive approach of U. Holck (2007).

Result: The microanalysis unfolds the causes of the aforementioned changes to the therapeutic framework, and reveals the extent to which these changes are initiated by the client, and in turn merely supported by the therapist. This finding accentuates the importance of initiative as a key theme in furthering presence in the therapy setting. Henceforth, the themes initiative and presence are scrutinized, and through this process a deeper understanding of the changes to the therapeutic framework is reached.

Keywords: Presence, initiative, music therapy, case study, microanalysis, framework development

Udgivelsesdato31 maj 2022
Antal sider69
ID: 471779410