An eclectic approach to working with a dyad of a patient with TBI and his caregiver


  • Yue Wu
  • Roberta Kagin




PURPOSE The purpose of this case study is to describe the impact of music therapy on a dyad relationship between the client and the caregiver. It provides suggestions for methods to work with a client who is severely profoundly brain injured, requiring feeding, bathing, and positioning, five years post-accident.

METHODS A dyad approach was used, which explored the practice of songwriting with a dyad of client and his mother.  

RESULTS A song was created during the period of this study and was shared with the caregiver. The song provided support for not losing hope for both the client and his caregiver. An interview was conducted with the caregiver one-year post session. The caregiver commented that music therapy “gives her a breath of fresh air and makes it so much easier.”

CONCLUSIONS As a dyad, the relationship between client and caregiver is crucial to the rehabilitation process. Therefore, the authors suggest treatment practitioners to adopt the family-centered approach to further improve the quality of care.

Key Words:

Dyad, family-centered care, quality improvement, traumatic brain injury, music therapy



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