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Dissertation - World Federation of Music Therapy

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4. Psychotherapy as humane care – relating psychotherapy to ethics: psychological<br />

problems are based on life experiences and conflicts, and psychotherapy must<br />

address them in an atmosphere <strong>of</strong> safety and respect (e.g. humanistic<br />

psychotherapy).<br />

5. Psychotherapy as personal development – relating psychotherapy to teleology:<br />

psychological problems are related to blocked developmental potentials, and<br />

psychotherapy is an aid to further self-realization (e.g. experiential<br />

psychotherapy).<br />

6. Psychotherapy as pastoral care – relating psychotherapy to philosophy:<br />

psychological problems are considered existential issues, and psychotherapy is an<br />

exploration <strong>of</strong> meaning in order to clarify the ways <strong>of</strong> life and the client’s<br />

responsibility (e.g. existential psychotherapy).<br />

7. Psychotherapy as a quasi-religious experience – relating psychotherapy to<br />

religion: Psychological problems are related to a crisis in values or beliefs, and<br />

psychotherapy creates and integrates the client in a new, group based value system<br />

(e.g. Alcoholic Anonymous).<br />

With conceptual metaphors like “guide” (for therapist), “traveller” (for client) and<br />

“journey” (for the music-listening period) BMGIM relates primarily to the fifth and<br />

sixth root metaphors <strong>of</strong> table 3.5.<br />

3.4.1 Imagery and metaphor<br />

Imagery based psychotherapy is <strong>of</strong>ten presented as an ‘alternative’ to verbal<br />

psychotherapy, the last type addressing secondary processes <strong>of</strong> insight and<br />

understanding. However, the therapeutic dialogue in imagery-based therapy is still<br />

based on language and verbal communication. Thus it is necessary to clarify the<br />

nature and function <strong>of</strong> the ‘special language’ required, both during imagery work<br />

(verbal reports from the client and verbal interventions from the therapist) and in<br />

verbal processing. With the exception <strong>of</strong> Ansdell’s important paper (Ansdell 1997) I<br />

have not found any discussion <strong>of</strong> this aspect <strong>of</strong> ‘the language problem’ in the music<br />

therapy literature, probably because it addresses the question <strong>of</strong> imagery and language<br />

as representational systems. My understanding <strong>of</strong> this is inspired by Horowitz (1983),<br />

who developed a model <strong>of</strong> three modes <strong>of</strong> representation: enactive, image and lexical<br />

(Figure 3.1).<br />

59

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