Group Music Therapy as an intervention for the negative symptoms of schizophrenia in forensic adult clients in a psychiatric hospital

Abstract

A mixed-methods approach was utilised in order to explore the impact of group Music Therapy on the negative symptoms of forensic clients with schizophrenia. Eight participants were involved in this exploratory study at Valkenberg hospital in the Western Cape, South Africa. The Music Therapy intervention consisted of eight sessions over a period of six weeks. Qualitative data were collected through video footage, with three excerpts being selected for thick descriptions to be written and, subsequent to the process of therapy, eight semi-structured interviews were conducted with the participants. Quantitative data were generated by structured interviews with the eight participants individually using the PANNS test both before and after the music therapy process. Qualitative data were analysed using thematic analysis, while the quantitative data were presented through descriptive statistical analysis, and a paired sample t-test was conducted. Findings suggest that group Music Therapy affords forensic adult clients in a psychiatric hospital who are diagnosed with schizophrenia benefits in relation to their negative symptoms. The themes that emerged through thematic analysis were ‘Holding’, ‘Positive Experiences of Music Therapy’, ‘Togetherness’, ‘Activation’, ’Flexibility’ and ‘Inflexibility’. The quantitative data shows an overall improvement in the negative symptoms. A paired sample t-test calculates this improvement as too small to be statistically significant. However, the overall improvement shown in the quantitative data suggests the possibility that the group Music Therapy intervention may have effected a gradual positive shift over time and this requires further research. Although participants still displayed negative symptoms in their daily life in the ward, music therapy offered an environment in which well-being could be experienced and expressed.