The Journey of Therapy

This is a picture of the San Francisco Peaks by Flagstaff, Arizona from the Meteor Crater Complex outside of Winslow, Arizona. It is one of my favorite pictures because of the winding road that took me from the interstate all the way to the crater itself. The landscape is the desert (another place I love!) and looks so barren.

I like to think of this picture as a representation of the journey that we therapists take with our clients.

We start from a place where we are comfortable (the buildings in this picture). We know where we are, and we know where we are heading (the mountains). The path between the two is often winding, sometimes treacherous, and sometimes not clearly defined. While the way to the goal is not always clear, when you reach the goal, you can see where you have been.

I closed the therapeutic relationship with a client this week. He was a young man with a tragic history of physical abuse and neglect who came to our facility about 11 months ago. He really started to bloom in music therapy and gave me a clear indication of where he wanted to go. We played through music. We communicated through music, and he generalized that skill into other environments. He left on Friday to go to a foster placement - a wonderful step for him. I am trudging back to my starting place without him...a very sad journey for me, but one that is also joyful.

It is the role of the therapist to put him or herself out of a job.

Think about that statement for a bit. 

It is our ultimate goal to supply our clients with the provisions that they need to continue their journey without us. It is my job to guide my clients to the mountain, but they are going to go past the mountain without me. I return to my base and start the journey with another person, trusting that those who have made it to the mountain have gone on to bigger and better things. Things I will never see.

Thank you for letting me be your guide for a little while. I enjoyed the journey. God speed.


Comments

Post a Comment

Popular posts from this blog

Dear AMTA

Dear American Music Therapy Association: I am debating long and hard about remaining in this relationship. I have been in this relationship since college, and this is not a decision that I am taking lightly or without great cost.  I am not happy with what you are bringing to this relationship. Now, I have been a selfish partner over the past several years - mainly because I am not feeling like we share a common mission anymore. It is easy for me to place the blame on you, but I know that this is not all on me. I have tried to be invested in communication and support and understanding, but everyone comes to a time where enough is enough. I am trying very hard to decide if the benefits that you provide to me are worth the feelings that I have about where I think you and I are going. I am not sure that our destination is the same anymore, and this makes me sad. To be completely honest, I am only in this relationship these days for the music therapy interns. I don't think that is a hea...
Read more

Songwriting Sunday: Repetition

Image
One of the things that I find to be helpful with my client population (children, adolescents, and young adults with dual diagnoses) is repetition of phrases, lyrics, and music. As a result of 30+ years of working with this population in various iterations, I have found that my clients respond the most to songs with three repeated phrases to prime their responses with a different phrase to communicate the important part of the experience. DISCLAIMER: This is not a definite way to write music for clinical interactions. This is what seems to work well with my particular group of human beings. Don't go to your supervisors and tell them that I told you that this is the ONLY way to write music - It is NOT! You have to find what works for your clients and for their clinical goals. Since my clients respond well to this type of song, I tend to write songs in this format more than any other. What I have found is that my clients remember these songs more than the ones that I do in different f...
Read more

Being An Internship Director: On Hiatus

Image
It has been long enough since I have had an intern that I am seriously feeling like I have little to say on the subject. At the same time, I am currently writing Chapter 5 of my general internship handbook, so I am able to write about being an intern and what types of things to think about during this important time in our professional development. It is a strange place to be in, and it is one that is a bit challenging for me. Right now, I have had three vacant internship positions since the beginning of the calendar year. I will have a vacant position next month and that will be an entire year of rejected offers. In the past nine months, I have offered positions to three applicants who have declined. It is interesting how people complain that there aren't enough internship programs, but programs like mine are empty. I guess there aren't enough internship programs that pay large stipends (which mine cannot) out there. I get it. It is interesting to me how we have moved from an ...
Read more