Nature Sounds in Music Therapy: Applications in Adolescent Psychiatric Treatment

Music is often used to induce relaxation and encourage calm surroundings, but in a group psychiatric treatment environment creating such a space can be complicated by varying and conflicting music preferences. Although best practices in music therapy encourage use of preferred music in sessions, adolescents’ tastes can be so closely tied with their sense of identity that tension may arise between peers in a group setting. On an inpatient adolescent psychiatric unit this issue becomes compounded by additional factors such as inadequate communication skills and difficulties with self-regulation. Although one must be careful not to generalize or romanticize, current literature suggests specific nature sounds may have a calming effect across settings and cultural backgrounds. However, nature sound research done from the music therapy perspective is scarce, and thus evidence-based guidelines for the use of such sounds could prove useful in further exploration of their potential uses in music therapy interventions. This thesis explores the use of nature sounds as a part of music therapy treatment interventions, as well as on the behavioral health adolescent unit during daily routine where environmental sounds can be a problem. If successfully implemented in an acute psychiatric setting with adolescent patients, both during the therapy session and throughout the day, administered by the person receiving treatment and under the guidance of the music therapist, these interventions have the potential to decrease the number and severity of behavioral emergency codes, potentially leading to fewer instances of restraint, as well as more effective functioning after discharge from the inpatient setting.