It would be unethical for a client to ask family members to be involved in their music therapy process in palliative care.

• A. True
• B. False
• C. Only with consent
• D. Family involvement is required

Answer: (B)

Autonomy and family involvement in care: In palliative music therapy, it is appropriate for a client to request that family members participate in sessions or in planning. This is not unethical; it reflects respecting the client’s support system and values. The therapist should honor the client’s wishes, obtain clear consent for who is involved, and set boundaries and goals so the involvement supports the therapy. Family participation can enhance comfort, meaning, and coping, and can aid communication within the care team. If the client does not want family involved, that preference must also be respected. Practical considerations include privacy, potential emotional impact on family, and keeping the focus on the client’s goals. The notion that involvement is inherently unethical, universally required, or always inappropriate doesn’t fit all cases.