Music Therapy and Adolescents with Anorexia Nervosa

As part of a qualitative research study in progress, part 1 of this paper is a preliminary consideration of the nature of the illness, anorexia nervosa. The appropriateness of music therapy for adolescent sufferers of anorexia nervosa is discussed, introducing a concept of "assertiveness" in relation to developing a sense of self. In Part 21 present a tri-partite model ofpoietic processes in music therapy. Within the semiology and symbolic forms of the music therapeutic relationship (musical transference), constructive experiences of self and self-in-relation can arise, bypassing self-protective or cognitive defences that characterise anorexia nervosa. Case material illustrates the clinical function and application of musical phenomena, in particular the "tonal-rhythmic field of sympathetic resonance" and the use of motif.