A book chapter, a presentation, and an interview

Whew! What a fascinating and busy few months it's been! 

Aside from my usual and intense immersion in work, there have been some nifty things happening. Here's what's been up:

First, I am extremely honored to be a part of a new book, edited by Sue Hadley, who is one of the people I greatly appreciate and admire, because she's willing to talk about the stuff nobody else talks about. This time she's talking about race and culture in terms of how it's experienced by music therapists. Here's the description of the book from Barcelona Publishers:

Experiencing Race as a Music Therapist: Personal Narratives is a compilation of critically engaging narratives that grew out of conversations with 17 music therapists living in different parts of the world, from various “racial” groups, about their experiences of their racialized identities in the therapy setting. The music therapists describe the raced and cultural contexts in which they were born and describe the racial demographics of the places they have lived at various times in their lives. The countries in which the individual music therapists spent their formative years include Australia, Canada, Iran, Japan, Korea, New Zealand, Puerto Rico, South Africa, the United Kingdom and the United States, with many of them also having traveled to other countries. The music therapists discussed their specific experiences of their racialized identities when they were studying music therapy and how they experienced their racialized identities in their professional lives. Many of them also described the differences they were aware of in terms of how they experienced themselves as raced or how they experienced the therapeutic relationship when they were working with people of their own “race” compared with working with people who were from a different “race.” From these narratives, we can see that our life experiences shape how we understand ourselves and others, our assumptions and biases, and the effort with which we form relationships with different groups of people. The music therapists in this book have shared their experiences in the hope that we can learn how to sit in our discomfort, without judgment, lowering our defenses, in order to learn more about ourselves and others, so that we can deepen our understandings and our relationships across racialized lines.

I've been slowly reading through the narratives, and they are engaging and thought-provoking. I encourage you to check out this book. It is a wonderful invitation to deeper reflection and conversation about a topic that does not generally come up in our field.

Second, I spent a lot of time trying to organize a presentation I did for the most recent Mid-Atlantic Regional music therapy conference, "Countertransference Songs: Another Way to Listen" (you know- countertransference- one of my favorite topics!). Here is how I described the session:

Far from simply being a means by which to convey skills and the general expression of feelings, music can be used on another level to better understand our clients- especially those who don’t use speech as their main communication modality. Paying attention to the music that emerges in sessions- for example, the sounds we typically use in response to particular clients, or songs that suddenly pop into our minds as we work intensely with someone - can offer us another avenue by which to understand what is going on within the therapy relationship.

Starting from the premise that the therapy relationship is the healing element, the focus and, more significantly, the work of dynamically oriented music therapy is to look at and explore the relationships that develop between the therapist, client and music.

As active participants in the therapeutic relationship, music therapists experience a range of countertransference responses when working with clients, some of which are explored in supervision and some in personal therapy. In this presentation we will start  from the assumption that countertransference includes all of the feelings, reactions, fantasies, thoughts and ideas the therapist experiences in relation to clients, either in response to how a client/group is perceiving him/her, or based on the therapist’s own personal history. Of course, one of the ways countertransference may be expressed within a music therapy relationship is through the music.

Two case studies will be presented, the first of which will describe how musical countertransference became apparent within the context of the type of music improvised in a client’s sessions. The second will follow a lengthy series of countertransference-generated songs that emerged as a part of the therapy relationship. In both cases, exploring the therapist’s musical responses moved the therapeutic process toward deeper understanding of the clients’ internal worlds.

I actually only ended up presenting one case study (since it had all the elements I described). The biggest challenge was trying distill many years worth of therapy (and tons and tons of examples) into 90 minutes! 

As often happens, in the process of reviewing the (volumes of) notes and the songs and the music that came out of this man's sessions, I gained a lot of insight into some of the ways my countertransference reactions caused me to miss some aspects of what may have been going on with him at various points in the therapy. 

Honestly, there was just so much, and it's such a complex topic, I'm wanting to present this material again within a longer context (meaning, maybe a CMTE proposal is in order). 

Meanwhile, the third exciting thing was being a guest on the music therapy world's answer to The View- yes, I got to chat with the lovely ladies of The Music Therapy Roundtable! I mean, look! They even have their very own mug (and, see, they sent me one too). How cool! Heck, how organized! 

I got to blather on and on with Rachel Rambach (of Listen & Learn Music fame) and Michelle Erfurt (the original Boom Tote designer herself!) - their third partner, Kimberly Sena Moore was in transit so she couldn't join us - about one of my other favorite topics: professional clinical supervision! And you'll be thrilled (I'm sure) to know that I discovered I have a shocking tendency to rely on the word "um" while being interviewed. Oy.

And, if you've taken it to the next level and you're a Music Therapy Pro subscriber, you can listen to yet more of my incessant chatter on their Pro podcast. 

So that's what's been happening in my land. I'd love to hear what's going on in yours! 

Grateful

On this quiet Thanksgiving day, it seems right to reflect on the many aspects of being a music therapist for which I'm grateful. 


Since I've just returned from a trip to Atlanta where I participated in the national music therapy conference, it's one of the things that's very  much on my mind (oops! That was very "Georgia On My Mind" there, wasn't it?). To that end, I'm sending out a big thank you to all the folks at the American Music Therapy Association (AMTA) as well as the conference chair-people and numerous volunteers for the huge amount of work that went into putting together a conference of this size! It was a great conference, and I truly enjoyed being there.


I'm also appreciative of the fact that I had the opportunity to meet many of the large collection of music therapists I've gotten to know through their blogs, tweets and list-serv postings in person. Even though I've been a part of this field for quite a long time, it was a comfort to be a part of an already existing online community, many of whom would be at the conference.  Now I can imagine all of your faces and voices as I read your online thoughts! Yay!


A particularly cool element of all that was having the opportunity to be a participant in a social media as music therapy advocacy tool panel, conceived by Kimberly Sena Moore, and joined by Michelle Erfurt, Michelle Strutzel, Matt Logan, Kat Fulton, Sarah Sendlbeck, Meryl Brown, Rachel Rambach, and Bill Matney. What a joy to be with this articulate and energetic group of professionals!


The renegade jam session (for those of us who can not function after 11 PM) was a lot of fun, and we sang and played our collective hearts out in a quieter corner of the giant hotel. 


As I gradually transition back to my usual hectic schedule (not to be confused with the completely crazy conference schedule! Yow!), I extend gratitude for the fact that I have a job and work with clients who, even after almost 24 years, challenge me to learn and grow and get better at serving them. And nowadays I get to add my supervisees to the list of folks who help me think and invite me to push the limits of my knowledge.


My co-workers at the developmental center also inspire my appreciation. We have struggled together to understand what might be going on when our clients try to convey their distress. At times we've sung and laughed and  at times we've cried together. We don't have an easy job, and, at this point, I don't think we'd really want one.


I'm thankful for the happiness that comes with playing music (either by myself or with other like-minded folks), and when people say, "wow, you're really lucky," I have to say, "Yes! Yes, I am!" 


Happy Thanksgiving to you all. May you also feel lucky and fulfilled in your chosen profession!

Going South!

I know, I  know, where the heck have I been?! 


I'll tell you, it's been busy around here. Mostly, though, I've been preparing to present a five-hour CMTE at the national conference for music therapy in Atlanta next week! I haven't been able to attend a national conference in a few years now (not since 2006 when it was in Kansas City, MO!), so I must shout "hooray" that I'm finally able to go again (meaning, it's within driving distance). 


What will I be talking about (you may well be wondering)? "Developing the Art of Self-Reflection: Exploring the Relationship Between Therapists and Clients" (I mean, how would you recognize me if I didn't have a ridiculously long title?). 


I'm quite excited about it! From what I gather, so far anyway, there will be around ten people there, and that sounds like a very nicely sized group (although I imagine we could work just as well with a few more). I'm planning for a lot of interaction, music-making, and thinking (truly...who wants to sit for five straight hours and listen to me lecture? Well, lucky for you, I can't sit for that long these days). 


Anyway, here's the blurb. If you have any thoughts about the topic, do tell! If you end up coming to the presentation, I'm a fan of feedback!  I'm so looking forward to meeting those of you who are heading down to the conference (especially the lot of you I only know through online adventures). Safe travels!

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Developing the Art of Self-Reflection: 

Exploring the Relationship Between Therapists and Clients

The relationship between therapists and their clients is an intimate one. When we add music, the level of intimacy increases. As with any relationship, as the level of intimacy increases, the levels of resistance, uncertainty, and investment also increase- on both the therapist's part as well as that of the client. One the one hand, we may put up unconscious barriers, preventing a deeper connection with our clients. On the other, we may become so merged as to be in danger of violating important therapeutic boundaries. As such, the music therapy relationship can become difficult to negotiate.

In this interactive workshop we will begin by defining countertransference. Using case examples, we will work toward an understanding of: What is it? Where does it come from? How does it affect therapy? How do we begin to identify and use countertransference in our work with clients?

Participants will then be invited to share some of the difficult aspects from their own work with particular clients that challenge them in some way. Through dialogue, journaling and music-making we will process and explore some of the following questions: What are some of the ways we use to avoid looking more deeply at some of the clinical challenges we face as professional music therapists? What are some of the beliefs and ideas we, consciously or unconsciously, hold about ourselves, about music therapy, about our clients? And how do these ideas and beliefs affect our work and our clients? Why are certain topics so difficult to bring up in sessions- even if we know our clients need us to do so? What is it about the topics? What is it about our beliefs and ideas that makes it scary? What kinds of messages are being communicated by us to our clients when we don't address difficult issues? 

Through these workshop experiences, participants will work toward developing the skill of self-reflection, using a variety of techniques to process thoughts and reactions that emerge in relationship to their clients. 

Can I get a witness?

Maddeningly, I managed to catch a cold the minute I returned to work. Well, I suppose it has to happen once in a while. As such, I've spent the last two days mostly napping and reading (and, of course, feeling guilty about missing work) (so much for my "perfect music therapist" fantasy) (ahem).


So, while I'm sneezing away here, I figure it's a good a time as any to post an update.


Update #1: The two taboo topics presentations seemed to go fairly well. There was a lot of dialogue, and a couple of people came up to me afterward and told me they had continued the conversation (some from last year) at their workplaces (which is very cool). 


Update #2: I submitted a proposal to do the CMTE (the one I just did at the Mid-Atlantic Regional conference) at the national conference (that would be for the American Music Therapy Association). I changed the title though (just the title). I proposed it as "Developing the Art of Self-Reflection: Exploring the Relationship Between Therapists and Clients". We shall see what happens. 


Update #3: I'm in the process of organizing myself (a task, I admit) so I can put a goodly portion of the work I did on the CMTE into a book (or a monograph of some sort).  Why am I telling you this (you may well be asking)? Because now that I've put it out into the blogosphere, I'll be forced to get on with it and do it! 


Update #4: I had a very touching experience (when I got back to work) with a small group of women who usually react to my absences by being quite challenging and doing a lot of testing and such. This time around, when I showed up on Monday, they all gathered closely around me while I sang "hello" to them. It was so sweet! And...


Update #5: ...the whole session was made even more phenomenal by the fact that their staff person (when approached by a client from another group who wanted to come and sing with us) very beautifully and kindly explained to her, "It's really nice that you want to come and sing, but this is a music therapy group, and Roia is working specifically with the ladies in this group on goals and stuff. She'll be here on Thursday to do the singing group, and you can go join her then." Sproing!!! Somebody shout "amen!" because that was probably one of the most respectful moments I've had in my career as a music therapist! I am so sending her boss a  happy note of "check out what your cool staff person said!"


I think that's pretty much the story so far. It was a good conference, I must say. It was particularly lovely to put some faces to names I know via Twitter and the music therapy list serv. And there were some really excellent and thought-provoking presentations. Another delight was gathering with music therapy colleagues and students to just play music togehter. Of course, staying up way too late probably contributed to my ending up catching a cold, but it was worth it.