The music we create in sessions is based upon many factors:
the client's musical and clinical goals
their present state of receptivity, energy, affect
the music therapist's available musical craft, repertoire and style
When we make an opening musical initiative, we are creating a basis or structure from which we can then elaborate, develop and change.
This structure may stem from any, or a combination of, the following elements:
rhythmic feel or groove
tonality (major, minor, modes, idioms)
This initial choice sets the stage for a musical path that follows predictably or with creative contrasts and surprise.
As the therapist improvises in a blues style, the client sings and plays the piano beautifully engaged in a flow of music. He seems to relate strongly to this style of music and even plays single tones related to the key of the music.