Journal article
Music therapy interaction patterns in relation to borderline personality disorder (BPD) patients
Publication Details
Authors: | Strehlow, G.; Lindner, R. |
Publication year: | 2016 |
Journal: | Nordic Journal of Music Therapy |
Pages range : | 134-158 |
Volume number: | 25 |
Issue number: | 2 |
ISSN: | 0809-8131 |
eISSN: | 1944-8260 |
DOI-Link der Erstveröffentlichung: |
Abstract
Music therapy for patients suffering from borderline personality disorder (BPD) has been a standard treatment option for many years in in-patient psychiatric work. The BPD symptoms, such as identity disturbance, emotional regulation and unstable relationships, lead to challenging and stormy therapy sessions for all therapists of all disciplines. In music therapy, difficulties in treatment include, for example, the patient's refusal to play, extreme loud music or withdrawal from the process. This article presents the method and results of a systematic qualitative research of 20 BPD female patients undergoing individual psychoanalytical music therapy in an acute psychiatric context. The aim of the research was to identify typical interaction patterns, arising from the relationship between patient and therapist and also from the significance of music. The method "forming types by understanding" is based on the well-known sociological research method of "ideal types". Abstracted results are generated by contrasting cases, and the research process is validated through communicative validation. In total, it was possible to identify 10 typical interaction patterns within music therapy, reflecting typical BPD themes such as regulation of proximity and distance, splitting phenomena, trauma genesis, aggression and mentalization. The
Music therapy for patients suffering from borderline personality disorder (BPD) has been a standard treatment option for many years in in-patient psychiatric work. The BPD symptoms, such as identity disturbance, emotional regulation and unstable relationships, lead to challenging and stormy therapy sessions for all therapists of all disciplines. In music therapy, difficulties in treatment include, for example, the patient's refusal to play, extreme loud music or withdrawal from the process. This article presents the method and results of a systematic qualitative research of 20 BPD female patients undergoing individual psychoanalytical music therapy in an acute psychiatric context. The aim of the research was to identify typical interaction patterns, arising from the relationship between patient and therapist and also from the significance of music. The method "forming types by understanding" is based on the well-known sociological research method of "ideal types". Abstracted results are generated by contrasting cases, and the research process is validated through communicative validation. In total, it was possible to identify 10 typical interaction patterns within music therapy, reflecting typical BPD themes such as regulation of proximity and distance, splitting phenomena, trauma genesis, aggression and mentalization. The
Keywords
3217 Personality Disorders, 3217 Persönlichkeitsstörungen, 3315 Psychoanalytic Therapy, 3315 Psychoanalytische Therapie, 3357 Art & Music & Movement Therapy, 3357 Kunst-, Borderline Personality Disorder, Borderline-Persönlichkeit, Music Therapy, Musiktherapie, Musik- und Bewegungstherapie, Psychoanalysis, Psychoanalytische Therapie, Psychotherapeutic Processes, Psychotherapeutische Prozesse
