Cette thèse, référée à une approche psychodynamique, se propose d’explorer etd’interroger les processus psychiques impliqués dans la création de chanson(s), parl’association de deux volets différents et complémentaires : d’une part, par le biais de rencontres avec des auteur(e)s-compositeur(rice)s-interprètes s’exprimant à propos de leur travail de création artistique de chanson(s) (étude théorico-clinique) ; et, d’autre part, à travers l’initiation d’un atelier thérapeutique hebdomadaire de création de chanson(s), l’atelier « créachan(t)son(s) », avec des personnes âgées valides vivant en institution (recherche-action). Elle s’inscrit ainsi dans une démarche oeuvrant pour une application pratique des recherches dansles domaines de la psychologie clinique et des psychothérapies à médiation(s) artistique(s). En référence aux écrits de Grimbert (1996, 2002) et à l’aune du modèle théorico-clinique du Moi-Peau développé par Anzieu (1985), cette recherche met en lumière la mobilisation des différentes fonctions du Moi-Peau à travers la création artistique comme la création artthérapeutique de chanson(s). Tout en soulignant la multidimensionnalité intrinsèque et singulière du médiateur qu’est la chanson. Il en résulte de multiples perspectives d’avenir : autant dans le domaine de la recherche, par les nécessaires enrichissements d’un corpus théorique afférent à la création artistique de chanson(s) qui reste à découvrir et à construire ; que dans le champ de la pratique clinique, par l’initiation de propositions alternatives originales et pertinentes quant à l’accompagnement psychothérapeutique des sujets âgés résidant en EHPAD, la création artthérapeutique de chanson(s) en constituant résolument une.Des considérations donc d’importance, pour le présent comme pour l’avenir. / This thesis, based on a psychodynamic approach, will explore and ask the psychicprocesses involved in songwriting, through two different but complementary sections. On the one hand, through the exploration of the very act of creating by means of meeting singerssongwriters while trying to explain the creative process (theoretical-clinical research) ; on the other hand through the practice of weekly songwriting music therapy sessions with elderly people living in nursing home (practice research). This thesis is part of a global approach which works for a practical application of the researches in clinical psychology and art-psychotherapy domains. In reference to Grimbert (1996, 2002) and to the Skin-Ego theoretical-clinical model developed by Anzieu (1985), this research highlights the different uses of the Skin-Ego functions through artistic creation and art-therapeutic creation, and emphases the singular and intrinsic multidimensionality aspects of the song media. It brings also future prospects. In the research domain, it shows the needs to complement the dedicated songwriting theoretical corpus and in the clinical practical domain, it opens original and alternative possibilities of therapeutic way to care for the elderly people living in nursing home ; therapeutic songwriting being definitively one of them.

This study explored the interaction between persons and songs in therapy, and was described according to the ideas of Social Constructionism and the Narrative Approach (Freedman & Combs, 1996; Gergen, 1985, 1994; Hoyt, 1998). The meanings around songs and the therapist-client interaction were explored. A flowing process evolved that allowed for new ideas to become part of the therapeutic conversations (Anderson & Goolishian, 1988; Hoffman, 1994). The research was qualitative as befits the above-mentioned epistemology. Therapeutic conversations evolved with a single client, in which songs and music were used to explore her life story. An unstructured interview was conducted to explore the therapeutic process underlying the incorporation of songs in therapeutic conversations. The hermeneutic method of analysis was employed to identify themes and meanings that encompassed the research participant's life story as well as the therapeutic process in which songs were utilised to facilitate therapeutic dialogues. It was found that the themes elicited in this study reflected the themes discussed in the literature. The following themes underlying the therapeutic process of songs were identified: songs created an emotional release; they elicited memories, feelings and imagery; they facilitated relaxation, coloured relationships and provided a new skill. This exploration of the themes allowed for rich descriptions of the participant's story and the therapeutic conversations, to emerge. / Clinical psychology / M.A. (Clinical psychology)

This study was aimed at exploring and describing the role of music as a medium in the Gestalt play therapy process with children who experience emotional distress and therefore suffer loss of healthy contact. The case study method was used as research strategy. A literature study of the Gestalt approach and Gestalt play therapy was carried out as well as a study of the child in middle childhood, the child experiencing emotional distress in the form of loss, and music as a medium. In implementing of this research study three case studies were described. The sampling method was based on a non-probability purposive sampling technique. The criteria for inclusion in this study were children who experience emotional distress in the form of loss and who, subsequently, do not make effective contact. Between seven and eight therapeutic sessions per child were conducted. The role of music was evident in all three cases. / SOCIAL WORK / MDIAC (PLAY THERAPY)

abstract: The purpose of this research study provided observational techniques and Applied Behavior Analysis (ABA) prompts and fading procedures to analyze music therapist-child interaction for child with autism spectrum disorder. Impaired social interaction is the primary symptom of a child with autism spectrum disorder. However, social interaction exists everywhere and throughout human life. Therefore, to improve interaction is the primary and significant goal in music therapy treatment for a child with autism spectrum disorder. The music therapist designs a series of music therapy activity interventions in order to create a therapeutic environment, based on a child's interests and favorite activities. Additionally, the music therapist utilizes the music to build the quality of relationship and interaction with child and support child practicing interaction with the therapist. Then music therapist utilizes the process of interaction to improve child's social interaction. Once the child achieves at desired behavior, he/she has ability to apply the music therapy techniques independently in the real world situations, such as family and schools that the child has learned throughout the process of interaction with therapist. The participants were three children with autism spectrum disorder and two certified music therapists (MT-BC). The researcher calculated the number of prompts and cues which the therapists provided, and the number of appropriate responses by each child in each activity intervention. Then the researcher utilized Applied Behavior Analysis (ABA), prompt and fading procedure in order to analyze the progress of therapist-child interactions during the sessions. The result showed that the children had improvement in the interactions with their therapist. / Dissertation/Thesis / M.M. Music 2013

Submitted by Cláudia Bueno (claudiamoura18@gmail.com) on 2015-11-11T16:34:34Z No. of bitstreams: 2 Tese - Tereza Raquel de Melo Alcântara-Silva.pdf: 3175551 bytes, checksum: 574347502e52a9058a69b0b0001f8cbe (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) / Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2015-11-12T09:23:20Z (GMT) No. of bitstreams: 2 Tese - Tereza Raquel de Melo Alcântara-Silva.pdf: 3175551 bytes, checksum: 574347502e52a9058a69b0b0001f8cbe (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) / Made available in DSpace on 2015-11-12T09:23:20Z (GMT). No. of bitstreams: 2 Tese - Tereza Raquel de Melo Alcântara-Silva.pdf: 3175551 bytes, checksum: 574347502e52a9058a69b0b0001f8cbe (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) Previous issue date: 2012-04-05 / To study the influence of music therapy in reduction of Fatigue related to cancer in patients with breast’s or gynecology’s cancer, during the radiotherapy treatment. METHODS: This is a randomized controled study (Control Group - CG e Musictherapy Group - MTG) wich values fatigue, life’s quality, anxienty, depression by using evaluative instruments Functional Assessment of Cancer Therapy: Fatigue (FACT-F), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI) in three differents moments (during first week of radiotherapy, in the intermediate phase’s week and during the last week of radiotherapy) for patients of bouth groups. Women allocated in MTG, in addition to the scales described above, answered the Music therapy Questionary (MQ), and the Subjective Impression of the Subject’s Questionary in last meeting. Music Therapy sessions were individual and lasted an average of 40 minutes. Music therapeutic techniques used were Musical Audition (MA) and Therapeutic Musical Audition (TMA). RESULTS: 164 women were randomized and 116 women with middle age of 52,9 (CG) and 51,85 years (MTG) were included in the analysis. MTG’s patients had on average 10 music therapy sessions, totalizing 509 assistences during the search. In the analysis between groups, Functional Assesment of Cancer Therapy: Fatigue (FACIT-F) demonstrated significance related to Trial Outcome Index (TOI) (p=0,011), Functional Assesment of Cancer Therapy – Geral (FACT-G) FACT-G (p=0,001) FACIT-F FACT-F(p=0,005) areas to the MGT compared to CG. In comparisson made inside the same group results pointed a significant worsening for women. The GMT showed a significant in TOI, FACT-G and FACIT – F (p<0,001) areas in fatigue scale. Music Therapy Questionary showed that 59,3% of the pacients didn’t know what music therapy was, and 53,7% thought that Music Therapy was a relaxing activity. In the end of the process, based on ISS, 98,1% of the women afirmated that Music Therapy made difference in their lives, 96,2% reported a positive perception of music therapy, 75,5% noticed less fatigue and 84,9% reported less stress. CONCLUSION: Individual Music therapy is effective in treatment of Fatigue Related to Cancer during the radiotherapy, to depression and to improve quality of life. / Estudar a influência da musicoterapia na redução da fadiga relacionada ao câncer em mulheres com câncer de mama ou ginecológico durante o tratamento radioterápico. MÉTODOS: Trata-se de um estudo randomizado controlado (Grupo Controle - GC e Grupo de Musicoterapia - GMT) de avaliação da fadiga e fatores corelacionados (qualidade de vida, ansiedade, depressão) em mulheres submetidas à radioterapia através dos instrumentos avaliativos Functional Assessment of Cancer Therapy: Fatigue (FACT-F), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI) em três momentos distintos (durante a primeira semana de radioterapia, na semana da fase intermediária e durante a última semana de radioterapia) para as participantes dos dois grupos. As sessões de musicoterapia foram individuais, com duração, em média, de 40 minutos. As técnicas musicoterapêuticas utilizadas foram audição musical (AM) e audição musical terapêutica (AMT). RESULTADOS: Foram randomizadas 164 mulheres (82 GC e 82 GMT) e incluídas na análise 116 mulheres com média de idade de 52,9 anos (GC) e 51,85 anos (GMT). As participantes do GMT tiveram em média 10 sessões de musicoterapia, totalizando 509 atendimentos ao longo da pesquisa. Os resultados da FACT-F mostraram maior significância quanto aos domínios Trial Outcome Index (TOI) (p=0,011), Functional Assesment of Cancer Therapy – Geral (FACT-G0 (p=0,005) e Functional Assesment of Cancer Therapy - Fatigue (FACT-F) (p=0,001) para o GMT em relação ao GC. O Questionário Musicoterapêutico mostrou que 59,3% nada sabiam a respeito da Musicoterapia e para 53,7% ela se constituia em uma atividade de relaxamento. Ao final do processo, por meio do questionário Impressão Subjetiva do Sujeito obteve-se que 98,1% afirmaram que a Musicoterapia fez diferença em sua vida; 96,2% relataram percepção positiva da musicoterapia; 75,5% perceberam melhora quanto à fadiga e 84,9% relataram redução do estresse. CONCLUSÃO: A musicoterapia individual é efetiva para a redução da fadiga relacionada ao câncer e dos sintomas depressivos, assim como para a melhora da qualidade de vida de mulheres com câncer de mama ou ginecológico, submetidas à radioterapia.

Submitted by Erika Demachki (erikademachki@gmail.com) on 2015-11-13T19:23:03Z No. of bitstreams: 2 Dissertação - Lara Teixeira Karst - 2015.pdf: 5787814 bytes, checksum: 36f689efd5661110272211b3436617fa (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) / Approved for entry into archive by Erika Demachki (erikademachki@gmail.com) on 2015-11-13T19:29:28Z (GMT) No. of bitstreams: 2 Dissertação - Lara Teixeira Karst - 2015.pdf: 5787814 bytes, checksum: 36f689efd5661110272211b3436617fa (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) / Made available in DSpace on 2015-11-13T19:29:28Z (GMT). No. of bitstreams: 2 Dissertação - Lara Teixeira Karst - 2015.pdf: 5787814 bytes, checksum: 36f689efd5661110272211b3436617fa (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) Previous issue date: 2015-03-27 / Fundação de Amparo à Pesquisa do Estado de Goiás - FAPEG / This study concerns a Master’s research developed in the Post-Graduation Program of Music at the Universidade Federal de Goiás, following the research line of Music, Education, and Health. Considering the need for a multiprofissional action during palliative care, in the present study we seeked broader knowledge of home care music therapy for family caregivers of children under oncology palliative care in the late stages of the disease. The main goal was to know and analyze the sound and musical expressions of caregivers as well as understand the effects of music therapy on these subjects while caring for critically ill children. This is a qualitative research, presented as a study case. Data were collected by the researcher, who is a music therapist, through recordings and transcriptions of the music therapy sessions, which took place in the houses of caregivers of two children undergoing treatment in an oncology hospital in the municipality of Goiânia, GO. In data analysis, the expressions of the subjects were taken into consideration. To accomplish this, the theoretical reference and the analysis of the music therapy were crossed. Based on this study, we observed that music therapy alleviated caregivers’ anguish because it enabled the expression, through musical re-creation, of songs brought by them, and allowed the experience of playful situations together with their children. / Este trabalho refere-se a uma pesquisa de Mestrado desenvolvida no Programa de Pós- Graduação em Música da Universidade Federal de Goiás, na linha de pesquisa Música, Educação e Saúde. Considerando-se a necessidade de uma atuação multiprofissional nos cuidados paliativos, no presente estudo buscou-se ampliar os conhecimentos sobre a musicoterapia na assistência domiciliar aos cuidadores familiares de crianças em cuidados paliativos oncológicos em estágio avançado da doença. Teve-se por objetivo principal conhecer e analisar as expressões sonoro-musicais dos cuidadores e compreender os efeitos da musicoterapia sobre estes sujeitos durante a vivência dos cuidados com crianças gravemente enfermas. Trata-se de uma pesquisa qualitativa, na forma de estudo de caso. A coleta de dados foi realizada pela pesquisadora, que é musicoterapeuta, por meio de gravações e transcrições dos atendimentos musicoterapêuticos ocorridos na casa dos cuidadores de duas crianças em tratamento em um hospital oncológico da cidade de Goiânia, GO. Na análise dos dados, consideraram- se as expressões dos sujeitos. Para tanto, fez-se um cruzamento com o referencial teórico e a análise musicoterapêutica. Com base neste estudo, observou-se que a musicoterapia atuou no alívio das angústias dos cuidadores ao possibilitar a expressão, por meio da recriação musical, de canções trazidas por eles e ao proporcionar a vivência conjunta de situações lúdicas com suas crianças.

Submitted by Jaqueline Silva (jtas29@gmail.com) on 2016-08-29T20:46:34Z No. of bitstreams: 2 Dissertação - Fabrícia Santos Santana - 2016.pdf: 2820868 bytes, checksum: 3328a8ed5c3548ee26b1eeaebcc665da (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) / Approved for entry into archive by Jaqueline Silva (jtas29@gmail.com) on 2016-08-29T20:46:45Z (GMT) No. of bitstreams: 2 Dissertação - Fabrícia Santos Santana - 2016.pdf: 2820868 bytes, checksum: 3328a8ed5c3548ee26b1eeaebcc665da (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) / Made available in DSpace on 2016-08-29T20:46:45Z (GMT). No. of bitstreams: 2 Dissertação - Fabrícia Santos Santana - 2016.pdf: 2820868 bytes, checksum: 3328a8ed5c3548ee26b1eeaebcc665da (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2016-04-11 / Fundação de Amparo à Pesquisa do Estado de Goiás - FAPEG / The National Policy for Social Assistance - PNAS is a Rights Policy to Social Security, regulated in 2004 as a new model of management and social protection under the responsibility of the three levels of government and materialized by the Sistema Único de Assistência Social (Unified Social Assistance System, in literal translation) - SUAS (BRAZIL, 2013). It is a right of Brazilian citizens guaranteed by the Constitution of 1988. The participation of the music therapist, as a professional also active in public policy, boosted this study, where it aimed to understand the process of integration and performance of music therapist in PNAS, seeking approaches to Social Music Therapy and Community Music Therapy. This is an exploratory and descriptive research with a qualitative approach. The project was approved by the Research School of Music and Performing Arts of the Federal University of Goiás - EMAC / UFG, subsequently approved by the Research Ethics Committee - CEP / UFG, with the number 926,839. By applying the inclusion and exclusion criteria, the screening of participants was made by the State of Music Therapy States Associations and by indications. It were participants of this research were music therapists who work with Social Assistance. The data were collected through face / virtual semi-structured interviews recorded in audio, in the total number of ten participants. The analysis of the interviews were conducted using the content analysis methodology proposed by Bardin (1977), through the categorical analysis technique, with the help of ATLAS.ti software. The results of the interviews show that the performance of music therapy occurs in all SUAS protection levels, being held in social assistance services and space management and social control. The insertion of the music therapist is still precarious, requiring more effectuation by public tender and the fulfillment of what advocates the Basic Operational Norm of Human Resources - NOB-RH / SUAS for recovery workers. The music therapy practice is developed with reference in the fundaments of music therapy and the musical experiences described by Bruscia (2000). From the analysis and forward discussions the speeches of music therapists in the study is apprehended that the professional who works in SUAS, and be flexible and tolerant, must continually develop your clinical musicality and ability to work with groups, in addition to knowing the legislation advocated by PNAS. Although the history of music therapy in social assistance is considered a recent achievement, the present study demonstrated that their integration and performance have reached the main performance spaces of social welfare policy, where music has been used in equipment / spaces host and listening as instrument of social transformation and reflection / reinterpretation of life stories. It was concluded that the work being developed by music therapists in the SUAS has as references both Social Music Therapy as Community Music Therapy and is still an ongoing process. / A Política Nacional de Assistência Social - PNAS apresenta-se como uma Política de Direitos à Seguridade Social, regulamentada em 2004, como um novo modelo de gestão e proteção social sob a responsabilidade dos três níveis de governo e materializada pelo Sistema Único de Assistência Social - SUAS (BRASIL, 2013). Trata-se de um direito do cidadão brasileiro garantido pela Constituição Federal, de 1988. A participação do musicoterapeuta, como profissional também atuante nas Políticas Públicas, impulsionou o presente estudo, onde se objetivou compreender o processo de inserção e atuação do musicoterapeuta na PNAS, buscando aproximações com a Musicoterapia Social e a Musicoterapia Comunitária. Trata-se de uma pesquisa exploratória e descritiva, com abordagem qualitativa. O projeto foi aprovado pela Comissão de Pesquisa da Escola de Música e Artes Cênicas da Universidade Federal de Goiás - EMAC/UFG, sendo posteriormente autorizado pelo Comitê de Ética em Pesquisa - CEP/UFG, sob o parecer de nº 926.839. Aplicando-se os critérios de inclusão e exclusão, a triagem dos participantes foi realizada por meio das Associações Estaduais de Musicoterapia e por indicações. Foram participantes da pesquisa musicoterapeutas que atuam na área da Assistência Social. Os dados foram coletados por meio de entrevistas semiestruturadas presenciais/virtuais gravadas em áudio, totalizando o número de dez participantes. As análises das entrevistas foram realizadas utilizando-se a metodologia de Análise de Conteúdo proposta por Bardin (1977), através da técnica da análise categorial, com auxílio do software ATLAS.ti. Os resultados da pesquisa demonstram que a atuação da Musicoterapia ocorre em todos os níveis de proteção do SUAS, sendo realizada nos serviços socioassistenciais e nos espaços de gestão e controle social. A inserção do musicoterapeuta ainda ocorre de forma precária, necessitando de maior efetivação por concurso público e o cumprimento do que preconiza a Norma Operacional Básica de Recursos Humanos - NOB-RH/SUAS para a valorização dos trabalhadores. A prática musicoterapêutica é desenvolvida com referência nos fundamentos da Musicoterapia e nas experiências musicais descritas por Bruscia (2000). A partir das análises e discussões frente aos discursos dos musicoterapeutas participantes do estudo apreendeu-se que o profissional que atua no SUAS, além de ser flexível e tolerante, precisa desenvolver continuamente sua musicalidade clínica e sua habilidade para o trabalho com grupos, além de conhecer a legislação vigente preconizada pela PNAS. Embora a trajetória da Musicoterapia na assistência social seja considerada uma conquista recente, o presente estudo demonstrou que a sua inserção e atuação têm alcançado os principais espaços de execução da política de assistência social, onde a música tem sido utilizada nos equipamentos/espaços de acolhimento e escuta, como instrumento de transformação social e de reflexão/ressignificação de histórias de vida. Concluiu-se que o trabalho que vem sendo desenvolvido pelos musicoterapeutas no SUAS tem como referências tanto a Musicoterapia Social como a Musicoterapia Comunitária, sendo ainda um processo em construção.

Title of the diploma thesis: Use of promotive therapy and stimulation in hospice care Aim of the thesis: Possible use of promotive therapy and stimulation in therapy of patients in hospice care is discussed in this diploma thesis. The aim of thesis is to compare use these therapies in hospice facilities that provide accommodation for clients or in home hospice care in the Czech Republic and the Slovak Republic and to analyze way of its use in praxis. For purpose of this thesis following promotive therapies and stimulation were selected: music therapy, art therapy, bibliotherapy, basal stimulation and concept Snoezelen. Methods of work: Quantitative and qualitative investigation was used for research. Quantitative investigation in form of questionnaires provided to hospice facilities with accommodation for clients was utilized as a method for data acquisition. Observation of practical promotive therapies processes in hospice facilities with accommodation for clients was included in methodology of qualitative investigation. Results: Research deals with death and dying which is still quite often taboo theme in our conditions. This fact is perceptible in results of research investigation. It was revealed that offer of promotive therapies, which are provided professionally and defined in advance, is not...

This qualitative study explores the experiences of creative improvisation in music therapy sessions of a group of 12 first-year international students. The students took part in a group music therapy process which consisted of eight sessions. Music therapy is explored as a possible approach for offering first-year international students valuable social, emotional and psychological support in light of literature findings that note the continuous struggles faced by international students in their transition to university. Data collection was in the form of a focus group interview, which was conducted after the final session, and two video excerpts from different sessions within the process. I drew on these data sources to explore how music is used as a medium for expressing and sharing first-year experiences, and how the group music therapy sessions afford students opportunities for the development of mutually supportive relationships. Data were coded, then categorised and in this process, themes emerged. The emergent themes suggest that creative improvisation in group music therapy sessions facilitates moving from disconnection to building more friendships and deeper relationships; creates a platform for increasing openness towards exploring, expressing and sharing experiences and emotions concerning being a first-year international student; and how music as an alternative medium to verbal and/or other expression for expressing and interacting, allows for this expression of emotions and experiences, and connection in the group. The findings indicate that it was in expressing and sharing their experiences with one another through musicking that students were able to develop mutually supportive relationships. Copyright / Dissertation (MMus)--University of Pretoria, 2012. / Music / unrestricted

Une recherche qualitative à partir de l’étude d’un cas de groupe retrace le travail clinique tel qu’il est « en train de se faire » dans un dispositif de musicothérapie analytique de groupe, sur le terrain « ordinaire » d’un hôpital de jour accueillant des sujets adultes souffrant de troubles psychiatriques invalidants. Plusieurs voix, psychanalytiques, musicologiques et philosophiques, offrent une trame conceptuelle pour interroger la rencontre et le jeu avec les sons au sein du groupe, et la façon dont le jeu contribue à restaurer les processus de symbolisation primaire particulièrement empêchés pour les sujets que nous accueillons. Dans le cadre-dispositif ouvrant des potentialités de transferts multidirectionnels et d’associativité dans une pluralité de langage, les éléments relevés dans l’observation du cheminement clinique du groupe sont le support d’un modèle d’évaluation, au sens d’extraire de la valeur, du jeu symbolisant. De la matérialité sonore et musicale, appel à la sensori-affectivo-motricité, jusqu’aux sens potentiels de la mise en mots se déploie le cheminement mouvant de mise en forme et en scène du groupe, des sujets dans les liens de groupe. Ce cheminement ouvre sur la construction de la réflexivité psychique au cœur des processus de symbolisation et d’appropriation subjective de l’expérience, expérience restée jusque-là impensable, infigurable, irreprésentable. / A qualitative research from the study of a group case retraces clinical work as it « is being done » in a plan of analytic group music therapy, on the « ordinary » ground of a day-hospital that treats adult subjects suffering from invalidating psychiatric troubles. Several voices, be they psychoanalytical, musicological, or philosophical, offer a conceptual framework with which to interrogate the encounter and the play with sounds within the group, and the way in which this play contributes to the restoration of the primary symbolisation processes that are particularly impaired for the subjects we treat. In the framework that opens a potential for multidirectional transfers and for associativity in a plurality of language, the elements gathered while observing the group’s clinical thought processes are the basis of a model of evaluation, in the sense of value extraction and of symbolisation play. From the materiality of music and sound, which calls to senso-affectivo-motricity, to the potential senses of wording, a moving process of shaping and staging develops within the group and the subjects that form the group. This process opens up on the building of the psychic reflexivity that lies at the heart of symbolisation processes and of processes through which the subjects seize experience, the latter having hitherto remained unthinkable, unfigurable and unrepresentable.