This joint-authored article explores theways in which music can speak directly to the traumatic, and how
music therapy offers a unique means of coming to an understanding of the traumatised patient.We take
a musical and psychoanalytical theoretical stance. Drawing on case material from work with a young boy
and an adult attending a psychiatric outpatient department, we show how a form of musical listening
and thinking about what is emerging in the clinical room can help us to understand something about the
patient, about the treatment of those traumatised, and also about the art of music itself. Our aim is to
place the music and the therapeutic relationship as the central focus in the work.