Melbourne Conservatorium of Music - Theses

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Start date: 2020 × End date: 2021 × Type: PhD thesis × Subject: music therapy × Subject: borderline personality disorder ×

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    Musico-relational competencies: Examining the convergence of musical and relational competencies in improvisational group music therapy for people with borderline personality disorder
    Kenner, Jason Ronald ( 2020)
    This thesis details an emergent, qualitative study on music therapy process resulting in the new concept of musico-relational competence. The project began with an exploration of music processes in the context of outpatient adult psychiatry. Seven participants, a cofacilitator and a music therapist (also the researcher) took part in an improvisationally based group music therapy program over eight weeks. All sessions were recorded on video and analysed to explore how music process influenced therapeutic process. The emergent design allowed for discovery and adjustments along the way. This led to taking an ethnographic and ethnomusicological approach to the analysis of the video data (including music analysis), focusing on the meaning making process of participants in the study. There are a few studies suggesting that music therapy is of benefit to people who experience Borderline Personality Disorder (BPD) (Hannibal, 2014; Plitt, 2014; Schmidt, 2002; Strehlow & Lindner, 2015), yet very little written on music process, or music therapy with groups of people who live with BPD. Therefore, this study utilised an emergent methodology with the aim of beginning to understand music therapy processes in this context. Findings from this study are presented as five perspectives on musical competence orientation. They include Musical Structure, Musical Language Competencies, Musical Interaction Competencies, Knowledge and Experience of Group Improvisation, and Changes in Feeling States that Accompany Improvisation. A new theory on competency orientation was developed to explain the phenomena examined in this study complemented by the existing theories of group process (Tuckman, 1965; Yalom, 2005), alliance rupture and repair (Safran, Crocker, McMain, & Murray, 1990; Safran & Kraus, 2014) and implicit relational knowing (Bruschweiler-Stern et al., 2010; Trondalen, 2016). The main finding that emerged from the analysis were the musico-relational competency orientation of participants and the influence of this orientation on relational cycles in group improvisation. The relational cycle in improvisational music therapy is enacted via musical connection, disconnection and reconnection as experienced in musical ‘limbo’ periods. Over time, via repeated experience and changing competency orientation, negative emotionality experienced by participants decreased, contributing to therapeutic process in sessions. The main therapeutic process enacted was tolerating the dynamics of implicit relational knowing during group improvisation. The implications of this finding are relevant to music therapists practicing group music therapy in adult psychiatry, and potentially in other contexts. The importance of the musico-relational competency orientation, in addition to working with limbo phases of improvisation can influence program design, evaluation and interpretation of music therapy process. With further investigation of this phenomena, I hope that group methodologies utilising these principles will become more widely practiced in music therapy.