An exploration of the influences on the choices of theoretical frameworks which inform music therapy practice when working with adults within a forensic mental health service
Abstract
Forensic Psychiatry is a specialised field of medicine which incorporates both general
psychiatry and the criminal justice system. This is involves the safe assessment and
treatment of Forensic patients who are subject to compulsory measures under mental
health legislation and may present a risk to themselves or others. Forensic Patients may
present with enduring problems, potentially traumatic childhood experiences as a wide
range of offending behaviours and as such require specialist treatment under secure
conditions.
Music therapy practice occurs within the frameworks of many different psychotherapeutic
theories. Some music therapists may adopt several different approaches in their work whilst
others will follow one particular model of music therapy. Psychodynamic, humanistic and
behavioural are some such psychotherapeutic orientations which have informed music
therapy practice.
The paper provides an exploration around the field of music therapy in forensic psychiatry
with a focus on which theoretical frameworks are helping to inform music therapy practice
in this specialised area. Through a thorough review of the literature using a traditional
review approach, themes highlighted some of the potential influences on the choices of
theoretical frameworks. However the study suggests that continued exploration in this area may encourage more transparency around the profession of music therapy, and help to
work towards a cohesive staff team approach.