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"Patient Declined": Contemplating the Psychodynamics of Hospice Music Therapy

ABSTRACT: The literature on music therapy with hospice patients often accentuates the positive aspects of the process and places less emphasis on difficulties the therapist may face. This article examines specific obstacles that may arise when working with dying patients. Four vignettes are presented, which include issues of apathy, depression, anger and frustration. The seemingly overprotective family member scenario is also viewed in relationship to its effect upon the dying patient. A closer look at such difficulties may deepen the understanding of what a person may experience when approaching death. The therapist's reactions to the patient's experiences (countertransference) are ...

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