attachment trauma

Stylistic graphic of a woman's head showing her brain with sound waves

Using Music In Therapy To Help Heal Attachment Trauma

Introduction

In the article “The Effect of Integrating Music Listening With an Attachment- And Affective-Focused Short-Term Psychotherapy in an Individual With Relational Trauma: The Case of ‘James.’”[1], G. Paul Blimling describes a hybridized case study using music chosen by a client nicknamed “James” within psychotherapy to help them heal their early life attachment trauma. By facilitating trust in the relationship with the therapist, collaborative music listening helped the client access and express strong emotions which would otherwise overwhelm and incapacitate them, and as a result healed their core attachment wound[2].

Karen Riggs Skean responds in her article “Integrating Client-Chosen Music in Relational Trauma Treatment: Pathways to the Heart”[3], noting that Blimling is a talented cellist, and adding that integrating his musicianship into his role as a therapist “helped him be more fully present with the client, which in turn helped the client be more present as well”[4]. Bringing his musical background to the therapy setting helped to bridge the gap with a client who was initially extremely reticent, untrusting and hostile.[5]

Ben G. Adams continues the conversation in his article “Self-Selected Music for Relational Trauma: Commentary on the Psychotherapy Case of ‘James’”[6] by pointing out that while integrating music listening into mainstream therapy sessions may at first seem novel, it actually represents a return to our hunter-gatherer ancestors, when music was integral to the shamanic healing process. By combining the music and psychotherapy, Blimling has in fact reconciled what was originally a unified societal role.[7]

In this essay I summarise the use of music for healing attachment trauma in Blimling’s case study and Skean & Adams’s responses, and discuss how it informs and impacts my own current musical practice and future projects. (more…)

By Graham Stoney, ago
Musician in leather jacket, beard and sunglasses looking anxious holding a guitar

Treating Music Performance Anxiety by Healing Attachment Trauma

Introduction

Kenny et al (2014) present a case study of a typical professional musician suffering from music performance anxiety: a 55-year-old senior strings player in a leading Australian orchestra, named Kurt[1]. During musical performances he typically reported overwhelming anxiety, distracting physical sensations and thoughts, inability to control his arms, and striated muscle tension. This significantly detracted from both his performance and his personal enjoyment of his career[2].

Music performance anxiety is a serious problem for many professional musicians[3]. Typical symptoms while performing include overwhelming anxiety, profuse sweating, dry mouth, muscle tension, inability to focus, loss of self, loss of flow, paralysis and catastrophic performance failure. General traits common to sufferers include perfectionism, dependence on drugs and alcohol, fear of exposure, fear of failure, catastrophizing and extreme emotional distress. Such traits have consequences beyond the performance realm including poor mental and physical health. Many sufferers abandon their career in music altogether while others soldier on despite having a miserable experience[4]. (more…)

By Graham Stoney, ago