Music therapists’ use of intuitive decision-making: a cross-sectional correlational survey

Intuition is a fast, unconscious process of problem-solving that includes a feeling and can include physiological responses, like increased heart rate or muscle tension. While music therapists often say they use intuition in their work, music therapy researchers have done little to explore when, how, and why it occurs. This study explores how music therapists use intuition in music therapy clinical work and whether intuition changes with experience.

In this study, 371 board-certified music therapists from across the country shared their experiences through a survey and written reflections. Results indicated that music therapists use both rational thinking and intuition in their work, but they tend to rely more on intuitive thinking, especially the kind that comes from years of clinical experience. Those who felt more confident and skilled in their work were likelier to trust their intuition. However, more years of experience did not always mean they used intuition more often.

Music therapists said they relied on intuition when a session was not going as planned, felt a strong connection with a client, or a new idea suddenly came to them. Although many felt confident about their intuitive choices, others doubted themselves, especially when they felt like they had little evidence on which to decide.

This research suggests that music therapy training might benefit from developing and reflecting upon intuition. Doing so can help therapists feel more confident and better prepared to make meaningful decisions during their sessions, benefiting not only the clinicians but the clients they serve.