Composing Care: Music therapy and clinical aesthetics

My first book project, Composing Care, explores what clinical care is and what clinical care is becoming. This ethnography argues that clinical care is an aesthetic concern, shaped not only by biomedical knowledge but also by affect, feelings, sensations, and perceptions that delineate what makes sense and does not make sense as care in the clinic.

Hospital music therapy—paradoxically grounded in biomedicine yet regularly perceived as mere entertainment—troubles the imagined boundaries of clinical and non-clinical care. By following music therapists across hospitals in Canada and the United States as they make everyday life in the clinic more liveable and death more bearable, I show how the composition of clinical care is improvisational and relational, always enacted with others. Composing Care demonstrates how the social and sensory worlds of biomedicine are being remade through everyday practice.

Composing Care is based on my SSHRC-funded ethnographic PhD research on the clinical care practices of music therapists. In 2019-2020 I conducted over 18 months of multi-sited clinical ethnography including participant observation at 4 hospitals, 70 interviews with music therapists, hospital staff, and patients; archival research; and auto-ethnography. My PhD in social anthropology was awarded the York University Prize for the best dissertation defended across the university in 2021.

The pursuit of clinical recognition

My Medical Anthropology Quarterly article, “The pursuit of clinical recognition: aesthetics, care, and music therapy in North American hospitals” (2023), shows how processes of recognition shape the making of clinicians and clinical care. In this article, I argue that care practices are made into clinical care through everyday processes of clinical recognition—being seen and acknowledged as valuable to and within medical systems and models of care.

Music therapy on inpatient psychiatry during COVID-19

At the Canadian Association of Music Therapists Conference 2021, I organized a roundtable with certified music therapists Priya Shah, Chrissy Pearson, Dany Bouchard, and Tom Curry, about the challenges of providing music therapy on inpatient psychiatry units in hospitals across Canada during the first year of the COVID-19 pandemic. We published this work as “Providing music therapy on inpatient mental health units in Canada: reflections on practice during the COVID-19 pandemic,” in the Canadian Journal of Music Therapy (2022).

Related publications

  • Evans, Meredith. 2023. "The pursuit of clinical recognition: Aesthetics, care, and music therapy in North American hospitals.” Medical Anthropology Quarterly. 1–15.

  • Evans, Meredith, Priya Shah, Chrissy Pearson, Dany Bouchard, & Tom Curry. 2022. “Providing Music Therapy on Inpatient Mental Health Units in Canada: Reflections on Practice During the COVID-19 Pandemic.” Canadian J of Music Therapy. 28(1):44-56.

  • Evans, Meredith, and Andrés Romero. 2021. “KİRAİÑİA (Long Flutes).” Visual and New Media Review, SCA Fieldsights.

  • Romero, Andrés, and Meredith Evans. 2021 “Rehavi (Timekeepers).” Visual and New Media Review, SCA Fieldsights.

  • Van Dyk, Janita, Meredith Evans, Andrés Romero, Juliana Friend, and Melissa Lefkowitz. 2021. “The Writing Group: In a Room Alone, Working Together.” Members Voices, SCA Fieldsights.

  • Evans, Meredith. 2020. “Becoming Sensor in the Planthroposcene: An Interview with Natasha Myers.” Visual and New Media Review, SCA Fieldsights.

  • Evans, Meredith, and Janita Van Dyk. 2020. “Drawing Care with Jean Hunleth.” Supplementals, SCA Fieldsights.

  • Evans, Meredith. 2019. “Refusal and Resurgence: A Review of Wolastoqiyik Lintuwakonawa.” Visual and New Media Review, SCA Fieldsights.

  • Evans, Meredith, and Nadine Ryan. 2019. “(De)compositions: A Review of Anthropocene.” Visual and New Media Review, SCA Fieldsights.

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