ABSTRACT

Introduction

A growing body of research reflects the interest in meaningful moments in music therapeutic treatment and the client--therapist relationship; however, little insight has been given into the client’s subjective experience and the interweaving processes between a therapist and a client. Central to this initial research is the question of how dialogue as a substantial relational quality emerges and intersubjectively manifests in free, dyadic improvisations, as is typical in humanistic and/or psychodynamic approaches to music therapy practice. This paper presents the qualitative part of a mixed-methods, multi-phase feasibility study intended to develop a framework for non-clinical and clinical research.

Method

In a non-clinical setting with adult participants (n=9) and trained music therapists (n=8), a total of 17 free dyadic piano improvisations were recorded and verbally reflected on in semi-structured debriefing interviews. These focused on moments or time periods where one or both improvising people had the feeling that something pivotal happened between them. A qualitative summarizing content analysis of the transcribed interviews, including a selective coding process, was conducted to investigate both perspectives.

Results

As a two-part category system, the framework for content, meanings and intersubjectivity (COME_IN) covers (a) meanings, i.e. different intra- and interpersonal experiences indicating developments and states of relationship in dyadic improvisations, and (b) intersubjectivity, operationalized in temporal and/or content-related overlaps of subjective experiences.

Discussion

Showing manifold patterns of how meaning and intersubjectivity nonverbally arise between people, the framework provides a solid base for further mixed-methods analyses. Clinical studies are needed to test and refine the categories.

中文翻译：

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COME_IN：自由二元即兴创作中内容、意义和主体间性的定性框架

摘要

介绍

越来越多的研究反映了对音乐治疗和客户与治疗师关系中有意义时刻的兴趣；然而，对于来访者的主观体验以及治疗师与来访者之间的交织过程，人们却知之甚少。这项初步研究的核心是对话作为一种实质性的关系质量如何在自由的二元即兴创作中出现和主体间表现的问题，这在音乐治疗实践的人文主义和/或心理动力学方法中是典型的。本文介绍了混合方法、多阶段可行性研究的定性部分，旨在开发非临床和临床研究的框架。

方法

在有成人参与者（ n = 9）和训练有素的音乐治疗师（n = 8）的非临床环境中，总共录制了 17 首免费二元钢琴即兴演奏，并在半结构化汇报访谈中进行了口头反思。这些集中在一个或两个即兴创作的人感觉到他们之间发生了一些关键的事情的时刻或时间段。对转录的采访进行了定性总结内容分析，包括选择性编码过程，以调查这两种观点。

结果

作为一个由两部分组成的类别系统，内容、意义和主体间性框架(COME_IN) 涵盖 (a)意义，即不同的人际和人际体验，表明二元即兴创作中关系的发展和状态，以及 (b)主体间性，在主观体验的时间和/或内容相关的重叠。

讨论

该框架显示了意义和主体间性如何在人与人之间以非语言方式产生的多种模式，为进一步的混合方法分析提供了坚实的基础。需要进行临床研究来测试和完善这些类别。