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This article considers the value of improvisational music therapy in cultivating intersubjective states between autistic clients and therapists. The authors first describe the potential therapeutic resources in live and individually-tailored musical experiences for autistic people, followed by a theoretical explanation of music and intersubjectivity. Finally, four music therapy cases from The Nordoff-Robbins Center for Music Therapy at NYU highlight various perspectives about music therapy and intersubjectivity with autistic children. Video excerpts of sessions are included.