ArticleFrontiers in psychiatry2026
From dissociation to embodied memory through voice: music therapists' perspectives on vocal music therapy with women survivors of sexualized trauma.
Article in Frontiers in psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Sexualized trauma is frequently accompanied by dissociation, disrupted embodiment, and loss of voice. Although somatic and arts-based approaches are increasingly integrated into trauma care, little is known about how music therapists conceptualize and implement voicework with women survivors of sexualized trauma. Drawing on expert interviews, this study explores therapists' perspectives on vocal music therapy as an embodied-relational pathway from dissociation toward integration and embodied memory. Methodology: A qualitative expert interview study employed reflexive thematic analysis. Seven experienced female music therapists (ages ~36-78) from Israel, the United States, the United Kingdom, and Belgium participated in semi-structured interviews (~120 minutes) conducted via video platform and transcribed verbatim. Analysis focused on embodied, relational, and affective dimensions of voicework. Analysis: Three interrelated themes emerged: (1) Discussion: The discussion integrates three interrelated processes - cutting dissociation, creating embodied memory traces, and transforming positions within the abuse constellation - as a continuous, non-linear movement. Therapists' vocal presence functioned as a co-regulating holding field supporting clients' embodied reintegration. Vocal music therapy may ease dissociation, support embodied memory formation, and foster relational repair, while also carrying risks of retraumatization - emphasizing the need for specialized training, ethical sensitivity, and client-centered research.
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