Music Therapy: Insights from a World-Renowned Expert

Speaker's Expertise and Background

  • The speaker is a world-renowned expert in how music reflects the psyche and aids mental health.

  • They trained directly with Mary Priestley, a prominent figure in music therapy.

  • Their career as a music therapist in New York has been long and distinguished.

Training and Influences

  • The speaker completed an internship with Mary Priestley, who frequently provided education in Germany and trained students there.

  • Mary Priestley's lectures in Germany are documented in a book titled "The Heredge Lectures."

  • Mary Priestley was highly regarded as a trainer, person, and writer.

  • The speaker undertook two internships in analytical music therapy and two in Nordoff Robbins music therapy.

  • Analytical music therapy felt most comfortable and aligned with the speaker's approach.

  • The speaker appreciated the flexibility of analytical music therapy, allowing clients to work with: dreams, conflicts, shortcomings, needs, wants, and daydreams.

Internship Experience with Mary Priestley (St. Bernard's)

  • The speaker's internship with Mary Priestley in London was a profound experience.

  • Mary Priestley worked in a very large, old psychiatric institution called St. Bernard's.

  • The institution had limited privacy, with many patients in each room.

  • Mary Priestley conducted her sessions in a small porta cabin located on the hospital grounds.

  • She worked with a diverse range of diagnoses, including: bipolar disorder, psychotic conditions, depression, and suicidal ideation.

  • The patients' initial conditions were often very severe.

  • Despite the challenging conditions, Mary Priestley significantly helped her clients within the porta cabin.

Structure of Mary Priestley's Music Therapy Sessions

  • The porta cabin contained a large grand piano and chairs arranged along the sides for clients.

  • Sessions began with psychodynamic movement:

    • This involved tensing up and releasing the body.

    • Breathing exercises were incorporated to encourage deep, slow breathing.

    • The aim of these exercises was to decrease the mental and physical intensity and tempo of the client.

  • Client-selected music:

    • Clients were asked to choose music from options provided by Mary Priestley.

    • The group would then move to the selected music.

    • Following the music, a processing session (discussion) would occur.

  • Improvised music:

    • Clients could improvise on various instruments provided.

    • A theme for improvisation was collaboratively elicited by the group with Mary Priestley's guidance.

    • After improvisation, another discussion (talk) session took place.

  • Deep relaxation:

    • Clients would sit in their chairs, close their eyes, and listen to live piano music played by Mary Priestley on the grand piano.

    • The music could be either improvised or a classical piece, such as a slow and beautiful Debussy composition.

    • Sometimes, guided imagery was used, for example, "floating down the river in a boat," with minimal instructions, allowing the music to transport the individual to a relaxed state.

    • At the end of the relaxation, each person, upon returning to the room, would express their experience with a single word.

Core Approaches Utilized

  • Listening to client-preferred music.

  • Free improvisation as a means of self-expression, without needing prior musical knowledge or talent.

  • Processing and discussing the meaning and implications of the music created or experienced.

  • Using live music played by the therapist for relaxation, allowing for flexible adjustment of tempo and dynamics to suit the client's relaxation process.

Accessibility of Music Therapy

  • Music therapy is accessible to anyone, regardless of musical background or talent.

  • Most of the speaker's clients in the hospital had no prior musical experience beyond listening to the radio.

  • No special flair or interest in music is required to engage with and benefit from music therapy.