Original songwriting may be challenging for those with cognitive or language difficulties

Creating an original song, even with a supportive therapist, may be too challenging for those songwriters with significant cognitive or language impairments. Creating and completing a coherent story (lyrics) calls for intact cognitive abilities, particularly concentration and planning skills. Any impairment in these skills has the potential to slow down the creation of the song. Similarly, language difficulties as a consequence of congenital, degenerative, or acquired brain dysfunction also slows down progress in the activity. If the songwriting process moves too slowly for the songwriters, there is a risk that they will be bored and disengage, become frustrated and disengage, or become depressed and disengage. In such cases, original songwriting may be contraindicated.

Original songwriting may be unsuitable for those who need to be more grounded

Original songwriting is a free and flexible approach to creating a song. While this is definitely one of its strengths, it can be a challenge for those who need to be grounded. Having too much flexibility and openness may be detrimental for those who need to be focused on the present external world rather than becoming 'consumed' by negative feelings derived from their internal world. As original songwriting is more 'open' to an evolving process when compared with the more predefined structures of FITB and parody, the therapist has less control in keeping songwriters grounded. People who need to be grounded need to be presented with tasks that are 'safer' than original songwriting - less emotionally overwhelming, more concrete, and more predictable.

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