While the disciplines of family therapy and music therapy have extensive
pedagogy and research, there has been little thus far studying the usage and relationship
of a mixed modality approach to family communication and childhood care. Using the
research and model of Beth Nemesh (2016), a license family therapist and doctorate of

psychology, this paper presents an overview of one theoretical framework or family-
based music therapy, wherein the therapist does not need formal musical to incorporate

improvisational sounds to deepen communication, collaboration, and understanding
between family members within their practice. This approach utilizes theories from
Virginia Satir (convergence model) and Juliette Alvin (free improvised model).