%0 Journal Article %T Towards a state of play: A case study exploring insight %A Maybelle Swaney %J British Journal of Music Therapy %@ 2059-9773 %D 2019 %R 10.1177/1359457519841906 %X This article presents an improvisational approach to insight-oriented therapy in music therapy with a woman with severe cognitive impairments following haemorrhagic stroke. Analysis of five clinical excerpts across 40 sessions demonstrates how a prepared improvised musical experience can facilitate meaningful self-exploration in dialogue, leading to a renewed self-identity in life after brain injury. The therapist¡¯s reflective processing is integral to the therapeutic outcomes; these are examined alongside the casework material. This article suggests that insight-oriented musical experiences may be one way of supporting the emotional health of individuals living with the enduring consequences of severe brain injury in slow-stream rehabilitation or long-term neurological care %K emotional rehabilitation %K insight-oriented therapy %K long-term care %K music therapy %K severe brain injury %U https://journals.sagepub.com/doi/full/10.1177/1359457519841906