Integral Thinking in Music Therapy

음악치료에서의 통합적 사고

  • Received : 2015.04.24
  • Accepted : 2015.05.27
  • Published : 2015.05.30


The number of theoretical orientations and approaches in music therapy has risen sharply. This development of new theories may contribute to the advancement of specific therapeutic techniques; however, it can also lead to increased confusion for consumers and professionals for clinical and practical reasons. Due to these concerns, therapists often debate questions such as the following: what is the most effective therapeutic approach, what is the most ethical and professional course of action when clients do not appear to benefit from therapy, and is it possible to integrate ideas and techniques from multiple frameworks and theories in order to better serve the client? This paper describes a new way of thinking for music therapists called Integral Thinking in Music Therapy (ITMT), proposed by Kenneth Bruscia as a comprehensive approach to addressing the clinical needs of the client. ITMT is a way of thinking that embraces existing models and theories, suggests when a particular approach is indicated with its own value, and helps us to move away from one-way thinking to a more comprehensive approach in order to better serve our clients. This article illustrates the basic premise and clinical application as well as a hypothetical application of ITMT based on an actual case study.

심리학계와 비슷하게 음악치료 분야 내의 세부적 치료이론 및 접근법들의 수는 날이 갈수록 빠르게 증가하고 있다. 이와 같은 다양한 접근법들의 개발은 특정 치료기법의 발전과 같은 긍정적 영향을 미치기도 하는 반면 지나친 세분화로 인해 임상적 또는 실용적인 측면에서 혼란을 야기시킬 수도 있다. 이와 같은 우려 하에 치료사들은 내담자를 위한 가장 효과적인 임상접근법은 무엇일지, 치료효과가 기대에 미치지 못할 때 전문성과 윤리성을 고려한 대처 방법은 어떻게 되는지, 보다 적합한 치료적 접근을 위해 다양한 치료이론과 접근법들을 융합 또는 통합 한 치료가 가능한지 등의 임상적 딜레마를 경험하기도 한다. 저자는 케네스 브루샤가 제안하는 "음악치료에서의 통합적 사고"(Integral Thinking in Music Therapy: ITMT)의 소개를 통해 위와 같은 임상적 딜레마들에 대한 하나의 방안을 제시하고자 한다. ITMT는 치료사들에게 내담자의 필요를 파악하고 접근함에 있어 다른 관점의 사고를 제안한다. ITMT는 다양한 치료 모델과 이론들을 수용하는 치료사의 사고 방법으로 각 모델들이 제 각기 다른 이유로 가치가 있음을 부각 시키며 어느 때에 어떠한 접근이 보다 적절한지 제시함으로써 내담자를 위한 최선의 선택을 위해 하나의 고정된 사고방식에서 벗어나 통합적인 사고를 하도록 유도한다. 이를 위해 본 논문은 ITMT의 기본 전제와 임상적 적용 및 실제 사례연구를 기반으로 ITMT의 적용 예시를 제시한다.



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