I explained the scientific approach of music therapy(MT) as the medicine, mainly from the point of view of Evidence Based Medicine(EBM). The evidence means objective findings with universal validity. The present medicine is built based on the principle of EBM. For setting hypothesis, task, and the assessment, it is indispensable to correctly understand the reported literatures. The hypothesis is significant only when it is built on one step upper from the evidence. The paradigm should be decided as the validity of the hypothesis could be revealed by setting control group and/or comparing the difference between intervention and control period. For the scientific proof of MT and the establishment of music therapist as a medical career, it is necessary to put the evidence upon another, though that takes much time and effort.

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Doctors place importance on stability of patients and music therapists place importance on extraordinary experience by which patients feel a sense of fulfillment. Doctors pay their attention to patients' "difference from the average, "whereas music therapists pay their attention to patients' "health." For treatment, doctors make decisions based on evidences but music therapists also use their "intuitions" and "aesthetic judgments" to make decisions.Such differences between doctors and music therapists are not confrontational but rather complementary. In order for music therapy to demonstrate its effectiveness in medical scenes, it is important for both doctors and music therapists to recognize the difference in stances between them and their complementarity.

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«Background» Through a group music therapy, we always caught the variation of the changes of children’s behavior by music therapy, and have examined the significance of the music therapy as a medical treatment.«Subjects» We were targeted at a junior high school students from the schoolchild with the developmental disabilities (mental retardation, autism , AD/HD, cerebral palsy, etc.) under our consultation. MT was carried out once every month and made 1 time of a session into seven to eight persons' group by the maximum for 1 hour. Five music therapists, one clinical psychologist, and one pediatric neurologist participated. The participant increased every year in 2007 with 21 patients, 2008 28 patients, 2009 29patients, 2010 30 patients, and 2011 33 patients.«Results» It was possible to have performed the secure and effectively habilitation, aiming at the reinforcement of a growth corresponding to each patient’s clinical state who have various intellectual impairment and motor disabilities.«Conclusion» It was considered that the significance of a music therapy will be raised to verify medical evidence in the field of the habilitation and treatment of patients with developmental disorders.

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The Music therapy conference was held on a patient with severe mental retardation. The patient was a 5-year-old girl. Her major problems were as follows; little vocalization, short attention span, stereotype behavior, and crying constantly during music therapy sessions. We discussed how to deal with these problems and what to do in music therapy according to the patient’s developmental level.

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