Therapeutic alliance has been consistently linked to therapeutic outcome. Although music therapists often emphasize the role of music for developing therapeutic alliance when treating adults in mental health settings, there is a lack of research into how the therapeutic alliance is developed. The purpose of this exploratory interpretivist investigation was to understand how music therapists develop therapeutic alliance with adults in mental health settings. Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai