He oro hauora : how do kaupapa Māori models of health relate to my music therapy practice in an adolescent acute mental health unit? : an exegesis submitted to Massey University and Victoria University of Wellington in partial fulfilment of the requirements for the degree Master of Music Therapy, New Zealand School of Music
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Date
2014
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Massey University
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Abstract
This project explores the relationship between understandings of health within
kaupapa Maori frameworks and music therapy with a particular focus on Durie’s Te
Whare Tapa Wha (1998), Pere’s Te Wheke (1991) and ecological perspectives in
music therapy. This research took place within an acute adolescent mental health unit
that operates with a model of healthcare that emphasises Maori approaches to wellbeing.
Secondary analysis of data involving techniques developed within grounded
theory is used to investigate clinical notes from my music therapy practice in order to
identify processes relevant to the four dimensions of Te Whare Tapa Wha. Themes
that emerged were examined and used to investigate further data until a clearer picture
of the relationship between music therapy and kaupapa Maori health frameworks
became evident. This project particularly acknowledges the unique qualities of music
and its practical application in music therapy in order to address and support a
person's wairua within modern mental health practices. Specifically, the concepts of
mana, mauri and whatumanawa appeared particularly relevant to the process of music
therapy and the state of whakama also emerged as significant within this mental
health context. Parallels between kaupapa Maori understandings of health and
ecological perspectives within music therapy were also noted and particular reference
made to the work of Carolyn Kenny and her Field of Play (2006) model in developing
the discourse linking indigenous perspectives with the music therapy profession.
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Keywords
Music therapy for teenagers, Mentally ill teenagers, Rehabilitation, Maori youth, Mental health services, New Zealand