Title

Recognizing and navigating dynamics of power in the therapeutic relationship

Abstract

This critical thematic analysis study aims to explore how music therapists identify and navigate the complex dynamics of power in therapeutic relationships. Current literature illustrates how various theoretical lens’ view and address power structures in therapy, poi...
Show moreThis critical thematic analysis study aims to explore how music therapists identify and navigate the complex dynamics of power in therapeutic relationships. Current literature illustrates how various theoretical lens’ view and address power structures in therapy, pointing to a multifaceted understanding of power in therapy. Participants (n=6) were selected purposively to represent music therapists who had access to varying degrees of power in the therapeutic context as a result of their identity markers. They each completed a 45-60 minute interview that included questions related to sociocultural identity, understanding of power, dynamics of power in music therapy, how they navigate power dynamics, and reflexive practice. The interviews were coded and analyzed, then grouped into themes. Six themes and 36 sub themes emerged in the data: dynamics of power (inherent, multifaceted, intersectional and contextual, reciprocal, relational, omnipresent, systemic, privilege, access), associations with power (negative, neutral, positive), therapist responsibilities (safety of client, supervision and accountability, reflexivity, acuity, humility, curiosity, supportive, music as container, honesty), external expectations (therapist as expert, parent and guardian expectations, pressure to comply, loss of power, idealization of therapist), missed opportunities (advocacy, connection, humanizing therapist), and strategies of navigating power (challenging ideology, contesting hegemony, unmasking power, overcoming alienation, learning liberation, reclaiming epistemic agency, practicing democracy). From the findings, it is evident that music therapists may hold largely negative perceptions of power and could benefit from a more nuanced understanding as they address power imbalances in therapeutic contexts.
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Year Issued

2024

Author

O'Sullivan, Emily

Sub-title

Music therapists’ perspectives