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23.7. 1993 Vitoria-Gasteiz / Spain - World Federation of Music Therapy

23.7. 1993 Vitoria-Gasteiz / Spain - World Federation of Music Therapy

23.7. 1993 Vitoria-Gasteiz / Spain - World Federation of Music Therapy

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short period <strong>of</strong> time. The method has been accepted by<br />

the patients.<br />

The duration <strong>of</strong> each session <strong>of</strong> the music therapy is<br />

one and a half hour, <strong>of</strong> which 20 minutes is listening to<br />

music played on technical instruments (gram,<br />

casset<strong>of</strong>on etc.), while the remaining part <strong>of</strong> time is<br />

devoted to discussions. The division <strong>of</strong> the time can be<br />

change according to the aims <strong>of</strong> the treatment.<br />

As the music therapy is a part <strong>of</strong> the complex treatment<br />

<strong>of</strong> the mental disorders and the group is not selected in<br />

accordance to its own requirements no common plan <strong>of</strong><br />

its influence on the patients can be accepted. Therefore<br />

the main accent is laid upon the microstucture <strong>of</strong> each<br />

separate session which itself is structured on the one<br />

hand according to the experience from the previous<br />

sessions and, on the other hand, according to the group<br />

372<br />

dynamics and the concrete therapeutic situation.<br />

Therefore no constant music compositions (for instance<br />

for a separate number <strong>of</strong> sessions) are used. The music<br />

therapist decides what the music programme will be in<br />

his conversations with the patients (according to the<br />

main theme) or shortly before the session when the<br />

terapeutic team has discussed which <strong>of</strong> their<br />

experiences should be provoked. Instrumental music is<br />

applied mainly in order to avoid suggestions as a result<br />

from the text and the restrictions in the nonmusical<br />

associations <strong>of</strong> the patients which follow them. The<br />

initial practice was to use mainly preclasic, clasic<br />

romantic, and neoromantic authers and rarely jazz. Part<br />

<strong>of</strong> the patien with lower music culture start to feel<br />

unconfortable and lose their interest to the sessions, in<br />

this sessions. When discussing their feelings after<br />

listening to unknown slmfonic compositions, they say<br />

that it is difficult for them to make associations, that they<br />

feel tense and the only thing they wanted is to finish. In

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