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A contemporary look at the clinical work of Paul Nordoff and Clive Robbins as it was originally formulated, and as it developed within the context of their personal and professional lives. The author presents a comprehensive analysis of eight case studies, and then compares them to identify commonalities and idiosyncrasies in the children's growth, and the approach itself. Important topics addressed are: form and structure in clinical improvisation, music as agent of change, the clinical process, and the therapeutic relationship.