Contingency songwriting to reduce combativeness and non-cooperation in a client with schizophrenia: A case study

  • Silverman M
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This case study concerns music therapy with a 28-year-old male combative client who was diagnosed with schizophrenia. The setting was a private, community-based short-term psychiatric hospital that had a maximum capacity of 24 clients at a time. Through the treatment process, the music therapist was able to establish a positive rapport with the client. However, although eventually pleasant and cooperative in music therapy sessions, the client remained combative, verbally aggressive, and intrusive on the unit and with the treatment team. By implementing a songwriting contingency program, the music therapist was able to transfer the client's appropriate behavior in music therapy groups to behavior on the unit. The client demonstrated considerable improvement in mood, insight, and peer and staff interaction that led to discharge from the psychiatric facility. (PsycINFO Database Record (c) 2012 APA, all rights reserved)

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  • Michael J. Silverman

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