This article uses music as a metaphor for family therapy process and practice. 1 The overture begins looking at the family using the symphony as an analogy highlighting insight into musical improvisation as integral to the progression of acceptance to change. Several other key music therapy strategies discussed include therapeutic songwriting, song discussions, and lyric substitution, all within the framework of family therapy. The finale concludes with a caution on the fundamental importance of building rapport rather than being too technique-focused, for music itself is ultimately the social glue that binds people together.
Key Points1 The dynamic changes and constancies of the family life cycle can be compared to the evolution of a musical symphony. 2 The usefulness of improvisation for both clients and clinician are given emphasis in this article. 3 Songwriting can be a useful tool to bring together family members, express feelings in a nonthreatening way, encourage collective decision making, and leave a legacy. 4 Song lyric analysis and lyric substitutions can be incorporated to elicit discussions on sensitive issues, aid in fostering insight, and setting realistic goals. 5 Ultimately, the therapist is reminded of the use of self as an instrument to facilitate positive changes.