Listening, Improvisation, and the Therapeutic Relationship in Music Therapy: A Self-Inquiry

The purpose of this self-inquiry is to gain insight into the listening process I employ as a therapist through improvising with my clients, and also to better understand how the listening process influences the therapeutic relationship. Data was collected from two selected videotaped sessions of two clients (for a total of four videos). The sessions were transcribed and moments of improvisational music making were analyzed. Five areas were highlighted: client\u27s responses, therapist\u27s process, therapist\u27s responses, therapist\u27s reflection, and type of clinical listening. Adapted from Lee\u27s six levels of clinical listening, four types of listening were identified: explorative listening, perceptive listening, grounded listening, and spiritual listening. Results demonstrate the listening during the session can be a different process than listening while reviewing session videos. In addition, the therapist\u27s listening tendencies: explorative listening, perspective listening, and grounded listening are revealed. The influence of clinical listening on the therapeutic relationship has proved to be significant. The adaptation and application of these listening types are discussed, and conclusions and implications for training and practice are presented