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Verbal material is inevitably encountered in adult psychiatry. This paper describes and discusses an approach to music therapy which admits of this, seeks to understand its significance and to use it in the service of therapy. The origins of the approach are considered and elements of theory and technique derived from group analysis and psychotherapy and their application are described and discussed. The therapist's verbal and musical role is considered in the light of this and conclusions are drawn as to the advantages and insights gained by the adoption of the approach.