Patients’ voices from music therapy at a South African psychiatric hospital
South African Journal of Psychiatry
| Field | Value | |
| Title | Patients’ voices from music therapy at a South African psychiatric hospital | |
| Creator | Lotter, Carol van Staden, Werdie | |
| Description | Background: In the Life Esidimeni tragedy, crucial voices of mental healthcare users and practitioners were silenced, captured in the Ombud’s report as a ‘failure to listen’. Working against this kind of failure, various therapeutic interventions listen deliberately and uncover the voice of the patient, that is, what matters from his or her subjective perspective in his or her particular circumstances. Amongst these interventions, music therapy provides for this sensitive listening by expanding the scope and means of expression from the verbal to the musical.Aim: This article reports on a qualitative exploration of patients’ lived experiences both during and after their course of individual music therapy, expressed both verbally and in the language of active music-making.Setting: A tertiary public psychiatric hospital in South Africa.Methods: Audio-video recordings of 131 music therapy sessions and 15 post-therapy interviews were analysed thematically. From three sets of themes accounting for patients’ verbal contents, musical participation and verbal post-therapy reflections, 11 salient voices were identified.Results: The 11 voices that emerged were (1) the voice of struggle, (2) the voice of disturbance, (3) the voice that feels, (4) the voice of isolation, (5) the powerless voice, (6) the voice that desires, (7) the voice of flow and connection, (8) the reflecting voice, (9) the symbolic voice, (10) the resilient voice and (11) the voice of liberation.Conclusion: Although mental health practitioners may recognise these voices from their clinical experience, space and opportunity for hearing the voice of each patient should be generated deliberately. | |
| Publisher | AOSIS | |
| Date | 2022-07-29 | |
| Identifier | 10.4102/sajpsychiatry.v28i0.1884 | |
| Source | South African Journal of Psychiatry; Vol 28 (2022); 8 pages 2078-6786 1608-9685 | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://sajp.org.za/index.php/sajp/article/view/1884/2687
https://sajp.org.za/index.php/sajp/article/view/1884/2688
https://sajp.org.za/index.php/sajp/article/view/1884/2689
https://sajp.org.za/index.php/sajp/article/view/1884/2690
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