This paper discusses some of the issues that arise when working with sexually abused clients. It highlights a number of factors that appear to be common to this client group's manipulation of the medium of music therapy; the symbolic use of the instruments; the preoccupations with mess and containers; the use of boundaries; and the power of the secret. Material from a number of case studies (both adults and children) is used to illuminate many of the points made. Many of the issues discussed are pertinent to a wider range of client groups — particularly those prone to eating disorders and substance abuse. It does not refer to the wealth of literature regarding work with abused clients with learning difficulties.
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