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노도프-로빈스 음악치료에서 음악과 관계의 발달: 애착 순환의 관점을 통해

The Development of Therapeutic Relationship in Nordoff-Robbins Music Therapy: Through the Perspective of the Attachment Cycle

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한국음악치료학회 (Korean Music Therapy Association)|2022.10|한국음악치료학회지 (Korean Journal of Music Therapy)|제24권 제2호|pp. 109-133|DOI 10.21330/kjmt.2022.24.2.109

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키워드

노도프-로빈스 음악치료clinical improvisation임상적 즉흥연주치료적 관계 발달애착순환Nordoff-Robbins music therapy(NRMT)development of therapeutic relationshipcircle of security(COS)

초록

본 연구는 노도프-로빈스 음악치료에서 나타나는 임상적 의미의 핵심을 음악과 관계의 발달에 두고, 음악의 재귀적 구조와 애착의 순환 패턴을 연결시켜 치료적 단계와 그 의미를 고찰하였다. 음악적 경험이라는 특수성이 강조되더라도, 관계적 안전감을 근간으로 하는 조율된 음악 구조를 마련하는 것은 내담자가 자발적으로 탐색과 변화를 시도하도록 하는 창조적 동기와 경험의 비계가 된다. 이것은 애착이 형성되어가는 순환과정에서 안전한 관계 기반을 토대로 탐색과 발달이 점차 확장되어가는 것과 같이, 음악 구조의 안정성은 초기동맹에서만이 아니라 치료 전반에 걸쳐 음악과 관계를 확장하는 근간이 되어 임상적 변화를 경험하게 하는 자원이 된다. 따라서 과정이자 결과에서 암묵적이고 비언어적으로 임상 즉흥연주를 활용하는 음악중심 음악치료를 음악의 발전과 관계의 발달에 관해 인간 소통의 보편적인 기초 원리이자 응용심리치료의 토대개념을 함께 설명하여, 소리와 관계에 체계와 의미가 마련되는 음악 예술의 특수성과 치료의 보편과정을 이해하고자 하였다.

Abstract

The study considered the core of clinical significance in Nordoff-Robbins Music Therapy as the development of music and relationship, and consider the therapeutic stages and their meanings by linking the cyclical pattern of attachment to the recursive structure of music. Even if the specificity of the musical experience is emphasized, providing a coordinated music structure based on a sense of relational safety in clinical improvisational music therapy acts as a scaffold for creative motivation and experience that encourages clients to voluntarily explore and change. The basis of a safe relationship base is the foundation of music expansion, just as the basis of attachment formation secures the cycle of exploration and development. It also serves as a resource to expand the depth of the therapeutic relationship throughout the course of treatment, not just in the initial alliance. Therefore, this study considered Nordoff-Robbins Music Therapy by analogy with attachment theory, which is a universal principle of human communication and a basic concept of psychotherapy, regarding the expansion of music and the development of therapeutic relationships.

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