Interpersonal rhythms disrupted by a history of trauma: An in-depth case study of analytical music therapy

Item

Title
Interpersonal rhythms disrupted by a history of trauma: An in-depth case study of analytical music therapy
Identifier
d_2009_2013:74a17430e781:11148
identifier
11600
Creator
Auf der Heyde, Tanja Maud Christine,
Contributor
Steven Tuber
Date
2012
Language
English
Publisher
City University of New York.
Subject
Clinical psychology | Music | interpersonal rhythms | music therapy | trauma
Abstract
This dissertation project is a phenomenological study of interpersonal rhythms within the music therapy treatment of a client with a history of cumulative trauma. An attempt was made to explore whether and how rhythmic interactions within musical improvisations facilitate the repair of ruptures in such rhythms. Towards this aim, the rhythmic interactions between the two participants were analyzed to find evidence for bi-directional rhythmic co-regulation and loose mid-range coordination. Furthermore, this study tracked shifts in the client's mental state by applying a moment-to-moment analysis of the music with four Improvisation Assessment Profiles (IAPs).;It was found that musical improvisation allows for ample opportunities for bi-directional co-regulation and loose mid-range coordination. Most of the mental state ratings were within the "optimal arousal state," suggesting that music does, in fact, facilitate regulation on both intrapsychic and interpersonal levels. However, this study also uncovered the importance of spontaneous and planned disruptions in rhythmic interaction, which find their musical expression in syncopations, polyrhythms, and a-rhythmic sections. These experiences are deeply embedded in the body. Thus, they provide the opportunity not only for reconnecting with one's own rhythms, and for reconstructing a disrupted expectation system within an improvisation, but also for finding agency in the playful thwarting of expectations, and for exploring the continuum of separation and connectedness in a musical relationship. In this sense, music acts as a transitional phenomenon, creating an intermediate space between inner and outer worlds. In this "third" area of experiencing, both participants align with patterns that go beyond the sum of their contributions; when this state of flow is reached, one can feel that one is played by the music as much as one is playing it.;The results of this study indicate that a close rhythmic analysis of improvised interactions can help music therapists to assess the client's level of trauma as well as to tailor interventions to move them out of the repetitious rhythms of hyper- and hypoarousal. For verbal psychotherapists and psychoanalysts, the implication is that rhythmically aware, embodied listening can open up new dimensions of transference and countertransference phenomena. To this end, clinicians should pay special attention to rhythmic shifts in affect, speech, and bodily gestures.
Type
dissertation
Source
2009_2013.csv
degree
Ph.D.
Program
Psychology