Music therapy, Swedish standards and clinical improvisation

This week I speak to Kassandra e’Silva, a saxophonist, improviser and NHS music therapist. We caught up just before a gig at the Edinburgh Jazz Festival to talk about the power of music in care settings — from dementia wards and mental health clinics to the BBQ playlist at home.We cover:Baby‑wearing during soundcheck 👶Pre‑verbal communication in musicClinical improvisation and jazzWhether all music is a kind of therapyAnd why rhythm might be the most important bit—⏱️ Highlights00:00 – Intro – ALSO Festival, Nosferatu live score, and a conch bath update03:00 – Edinburgh Jazz Festival – A tribute to The Jazz Bar and Bill Kyle08:30 – Interview with Kassandra e’Silva – Backstage at the Spiegeltent10:00 – What music therapy is – Presence, trauma, and non-verbal expression13:30 – Lighting up the brain – Music as reconnection16:00 – Music at both ends of life – Parenting and dementia20:00 – Letting go of ‘good’ music – From jazz standards to egg shakers23:10 – Rhythm as anchor – Repetition, stability, and mental health25:40 – Creative expression – Instruments, blocks, and tambo-responsiveness29:40 – Teaching vs therapy – When learning becomes part of healing31:40 – Improvisation as diagnostic mirror – Sound as resistance34:40 – Participation matters – Why passive listening isn’t enough36:10 – What’s the point of music? – A beautiful closing answer—🎶 Check out Resounding, co-written with Nicole Cassandra Smit, on Hackney Colliery Band – Collaborations: Volume Two👉 Listen on Bandcamp—💬 Resource: Music in Dementia (NHS Lothian)Kassandra helped develop this practical guide for carers, families and practitioners.Includes activity ideas, playlists, and real examples from NHS care.🎵 Explore the guideNote: Kassandra’s views are her own, not those of NHS Lothian.—🎧 Support the show:💌 originofthepieces.com☕ patreon.com/StevePrettyOnTheOriginofthePieces#musictherapy #jazz #musicanddementia #improvisation #originofthepieces #kassandraesilva #stevepretty Hosted on Acast. See acast.com/privacy for more information.