Notifications
No Notifications

Welcome to the Neuroarts Resource Center!

Our team will periodically post updates in this space to keep you informed on how the platform is evolving. Thank you for being part of the neuroarts community.

7-9-25: We have launched a new quick tips series to help familiarize NRC community members with the platform's offerings. Click here to watch a short video on how to share NRC content to your social feed!

From searching a growing library of research and programs to engaging directly with peers on the social feed, the Neuroarts Resource Center is designed to help you find inspiration, collaborators, and tools that drive your work forward.

Alliance building in music therapy for forensic psychiatric patients with schizophrenia. An exploratory case study research design

October 27th, 2020
Denmark, Denmark
Britta Frederiksen, Hanne Mette Ochsner Ridder, Liselotte Pedersen
Forming therapeutic alliance with forensic patients with schizophrenia is challenging, and there is a gap in knowledge about the dynamics in the initial phase of psychotherapy and how collaboration and trust is developed. The continua model may contribute to the conceptualization of the developmental dynamics in the initial phase of psychotherapy with forensic patients with schizophrenia.
Nordic Journal of Music Therapy
DOI: https://doi.org/10.1080/08098131.2020.1827452
Posted bySimran Dang

Abstract/Description

Introduction: Forming therapeutic alliance with forensic psychiatric patients with schizophrenia is challenging, and there is a gap in knowledge about the dynamics in the initial phase of psychotherapy and how collaboration and trust is developed. Music therapy is described as a motivating approach enhancing the forensic psychiatric patient's ability to engage in a relationship. The purpose of the study was to explore and identify dynamics in the process of forming therapeutic alliance in music therapy for forensic psychiatric patients with schizophrenia.

Method: The study adopted an exploratory case study design with data from multiple perspectives providing thick descriptions. Four patients with schizophrenia from a medium secured unit at a forensic psychiatric hospital were offered weekly music therapy sessions for six months. An inductive process based on a hermeneutic phenomenological epistemology and a nine step procedure for the analysis led to a final abductive synthesis.

Results: Each of the following themes formed a continuum of dynamic interactional processes within the development of therapeutic alliance with forensic psychiatric patients with schizophrenia in music therapy and were presented as a condensed continua model; (a) Control, (b) Closeness/distance, (c) Structure, (d) Process/product, (e) Focus of attention, (f) Interaction, and (g) Verbal dialogue. A case example is provided.

Discussion: The continua model may contribute to the clarification and conceptualization of the developmental dynamics in the initial phase of psychotherapy with forensic psychiatric patients with schizophrenia, and hereby contribute to a recognition of the importance of treatment efforts specifically concerned with relational and musical competencies.

Associated Authors

Associated Organizations

Associated Journals/Periodicals