Although there is a growing awareness of the contextual and political aspects of music therapy, discussions about non-heterosexual sexualities and gender remain on the sidelines. This research carried out an Integrative Review of the literature on the subject in order to 1) indicate the possible limitations imposed by the heteronormative matrix in the attendance in music therapy; 2) to discuss whether a more affirmative practice in the care of LGBTQ+ people in music therapy is possible and 3) how this practice could extend beyond gender and sexuality issues. In light of that, it was found that the biggest implications related to LGBTQ+ people in music therapy, come from the replication of oppressive, excluding structures, whether inside or outside the music therapy setting and that the idea of an anti-oppressive action is the approach that directs better practices for this population. We conclude the need for gender and sexuality diversities, as well as intersectional relationships, to be guided more often in literary productions and that these approaches can be implemented in the training of music therapist professionals, in order to promote anti-oppressive training, inclusive and oriented towards social justice.
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