Using music and medicine research to inform music psychotherapy practice

Authors

  • Heidi Ahonen Wilfrid Laurier University

DOI:

https://doi.org/10.47513/mmd.v10i1.568

Abstract

This article describes some key elements that continue impacting my personal journey from qualitative researcher and music psychotherapist into evidence-based researcher. I will contemplate how to explain the power of music within the framework of music and medicine,  and introduce the relevant music and brain research findings, i.e. how music affects our hormones, emotions, and memories. Could I have a neurological rationale in my mind when I choose or use music for my music psychotherapy clients? Do the music and brain findings expound what exactly in music is therapeutic and what happens during those processes? Could we speculate if indeed those findings are the very foundation of music psychotherapy? 

Author Biography

Heidi Ahonen, Wilfrid Laurier University

Heidi Ahonen, PhD, RP, MTA, FAMI

Professor of Music Therapy, Wilfrid Laurier University, Waterloo, Ontario, Canada; Director of the Manfred and Penny Conrad Instititute for Music Therapy Research

References

Sacks O. Musicophilia: Tales of Music and the Brain. New York: Alfred A. Knopf; London: Picador 2007

Alluri V, Toiviainen P, Jääskeläinen IP, Glerean E, Sams M, Brattico E. Large-scale brain networks emerge from dynamic processing of musical timbre, key and rhythm. NeuroImage, 2012; 59, 3677-3689. 2

Lee S, Janata P, Frost C, Hanke M, Granger R. Investigation of melodic contour processing in the brain using multivariate pattern-based fMRI. NeuroImage, 2011; 57(1), 293-300.

Trainor LJ. Using electroencephalography (EEG) to measure maturation of auditory cortex in infants: Processing pitch, duration and sound location. In R.E. Tremblay, R. G Barr, R. deV Peters & M Boivin (Eds.), Encyclopedia on Early Childhood Development , 2010 (pp. 1-5). Montreal, Canada: Centre of Excellence for Early Childhood Development.

Fujioka T, Trainor LJ, Large EW, Ross B. Beta and gamma rhythms in human auditory cortex during musical beat processing. Annals of the New York Academy of Sciences, 2009; 1169, 89-92.

Brown S, Martinez MJ, Parsons LM. Music and language side by side in the brain: A PET study of generating melodies and sentences. European Journal of Neuroscience, 2006; 23, 2791-2803.

Boso M, Politi P, Barale F, Enzo E. Neurophysiology and neurobiology of the musical experience. Functional Neurology, 2006; 21(4), 187-191.

Sacks O. Musicophilia: Tales of Music and the Brain. New York: Alfred A. Knopf; London: Picador 2007

Fruhholz S, Trost W, Grandjean D. The role of the medial temporal limbic system in processing emotions in voice and music. Prog Neurobiol. 2014 Dec; 123:1-17

Abrams D, Ryali S, Chen T, Chordia P, Khouzam A, Levitin DJ, Menon V. Inter-subject synchronization of brain responses during natural music listening. European Journal of Neuroscience, 2013; 37(9), 1458-1469.

Clifford RF. Neurology of music. London: Imperial College Press 2010

Schulze K, Alsop D, Schlaug G. Adults and children processing music: An fMRI study. NeuroImage, 2005; Volume 25, Issue 4, 1 May 2005, pp. 1068-1076.

Peretz I, Zatorre RJ. Brain organization for music processing. Annual Review of Psychology, 2005; 56, 89-114. Doi:10.1146/annurev.psych.56.091103.070225

Peretz I, Coltheart M. Modularity of music processing. Nature Neuroscience, 2003; 6(7), 688-691.

Liégeois-Chauvel C, Peretz I, Babaï M, Laguitton V & Chauvel P. Contribution of different cortical areas in the temporal lobes to music processing. Brain, 1998; 121(10), 1853-1867.

Schlaug G, Norton A, Marchina S, Zipse L, Wan CY. From singing to speaking: facilitating recovery from non-fluent aphasia. Future Neurology,2010; 5(5), 657-665.

Patel AD. Music, language, and the brain. New York, NY: Oxford University Press 2007

Jeffries KJ. et al. Words in melody: an h(2)15o pet study of brain activation during singing and speaking. NeuroReport, 2003; 14, 749–754

Fruhholz S, Trost W & Grandjean D. The role of the medial temporal limbic system in processing emotions in voice and usic. Prog Neurobiol. 2014 Dec; 123:1-17

Jäncke L. Music drives brain plasticity. Biology Reports, 2009; 1, 78.

Juslin PN, Västfjäll D. Emotional responses to music: The need to consider underlying mechanisms. Behavioral Brain Science, 2008;31(5), 559–575.

Brown S et al. (2004)Passive music listening spontaneously engages limbic and paralimbic systems. NeuroReport, 2004; 15, 2033–2037

Steele KM. Do rats show a Mozart effect? Music Perception: An Interdisciplinary Journal, 2003; Vol. 21 No. 2, (pp. 251-265)

Jenkins JS. The Mozart effect. JR Soc Med. 2001; Apr; 94(4):170-172

Aoun P, Jones T, Shaw G, Bodner M. Long-term enhancement of maze learning in mice via a generalized Mozart effect. Neurol Res. 2005; Dec. 27(8):791-6.

Thompson RG, Moulin CJA, Hayre S, Jones, RW. Music enhances category fluency in healthy older adults and Alzheimer's disease patients. Experimental Aging Research, 2005; Vol: 31/1. 91-99

Krumhansl C. Cognitive Foundations of Musical Pitch. Oxford: Oxford University Press 1990

Gangrade A. The effect of music on the production of neurotransmitters, hormones,

cytokines, and peptides: A review. Music and Medicine, 2012; 4(1), 40-43.

Karlsson H. How psychotherapy changes the brain- understanding the mechanisms. Psychiatric Times, 2011; 28(8).

Kolassa IT, Elbert T. Structural and functional neuroplasticity in relation to traumatic stress. Current Directions in Psychological Science,2007; 16, 321-325.

Gilbertson MW, Shenton ME, Ciszewski A, Kasai K, Lasko NB, Orr, SP, Pitman RK. Smaller hippcampal volume predicts pathologic vulnerability to psychological trauma. Nature Neuroscience, 2002; 5, 1242-1247.

Yehuda R. Are glucocortoids responsible for putative hippocampal damage in PTSD? How and when to decide. Hippocampus, 2001; 11, 85-89.

Bremner JD. Hypotheses and controversies related to effects of stress on the hippocampus: An argument for stress-induced damage to the hippocampus in patients with post-traumatic stress disorder. Hippocampus, 2001;11, 75-81.

Bremner JD, et al. MRI-based measurements of hippocampal volume in combat-related post-traumatic stress disorder. American Journal of Psychiatry, 1995; 152, 973-978.

Pitman RK. (2001). Hippocampal diminution in PTSD: More (or less?) than meets the eye. Hippocampus, 2001; 11, 73-74.

Rothschild B. The body remembers: the psychophysiology of trauma and trauma treatment. New York, NY: W. W. Norton & Company, Inc. 2000

Chanda ML, Levitin DJ. The neurochemistry of music. Trends in Cognitive Sciences, 2013; 17(4), 179-193. doi:10.1016/j.tics.2013.02.007

Gangrade A. The effect of music on the production of neurotransmitters, hormones,

cytokines, and peptides: A review. Music and Medicine, 2012; 4(1), 40-43.

Roth E, Smith K. The Mozart Effect: Evidence for the arousal hypothesis. Percep and Motor Skills, 2008; 107, 396-402.

Husain G. Thompson WF, Schellenberg EG. Effects of musical tempo and mode on arousal, mood, and spatial abilities: Re-examination of the "Mozart effect". Music Perception, 2002; 20(2), 151-171.

Blood AJ, Zatorre RJ. Intensely pleasurable responses to music correlate with activity in brain regions implicated in reward and emotion. Proc of the Nat Academy of Science of they USA, 2001; 98(20), 11818–11823.

Salimpoor VN, Zatorre RJ. Neural interactions that give rise to musical pleasure. Psychology of Aesthetics, Creativity, and the Arts, 2013; 7(1), 62-75.

Salimpoor VN, Benovoy M, Larcher K, Dagher A, Zatorre RJ. Anatomically distinct dopamine release during anticipation and experience of peak emotion to music. Nature Neuroscience, 2011; 14(2), 257-262.

Salimpoor VN, Benovoy M, Longo G, Cooperstock JR, Zatorre RJ. The rewarding aspects of music listening are related to degree of emotional arousal. PLoS ONE, 2009; 4(10): e7487

Soley G, Hannon EE. Infants prefer the musical meter of their own culture: A cross-cultural comparison. Developmental Psychology, 2010; 46, 286-292.

Trainor LJ. (2010). The emotional origins of music. Physics of Life Reviews, 2010; 7, 44-45.

Barrett FS, Grimm KJ, Robins RW, Wildschut T, Sedikides C & Janata P. Music-evoked nostalgia: Affect, memory, and personality. Emotion, 2010; 10(3), 390-403.

Janata P. The neural architecture of music-evoked autobiographical memories. Cerebral Cortex,2009; 19(11), 2579-2594.

Balkwill LL, Thompson WF, Matsunaga R. Recognition of emotion in Japanese, Western, and Hindustani music by Japanese listeners. Japanese Psychological Research, 2004; 46(4), 337-349.

Blood AJ, Zatorre RJ. Intensely pleasurable responses to music correlate with activity in brain regions implicated in reward and emotion. Proc of the Nat Academy of Science of the USA, 2001; 98(20), 11818–11823.

Salimpoor VN, Benovoy M, Longo G, Cooperstock JR, Zatorre RJ. The rewarding aspects of music listening are related to degree of emotional arousal. PLoS ONE, 2009; 4(10): e7487

Levitin DJ. This is your brain on music: The science of a human obsession. New York: NY: Penguin Group 2007

Menon V, Levitin DJ. The rewards of music listening: response and physiological connectivity of the mesolimbic system. Neuroimage, 2005; 28(1):175–184.

Krout RE. Music listening to facilitate relaxation and promote wellness: Integrated aspects of our neurophysiological responses to music. The Arts in Psychotherapy, 2007; 34(2), 134-141.

Peretz I, Zatorre RJ. Brain organization for music processing. Annual Review of Psychology, 2005; 56, 89-114. Doi:10.1146/annurev.psych.56.091103.070225

Peretz I, Coltheart M. Modularity of music processing. Nature Neuroscience, 2003; 6(7), 688-691.

Peretz I, Belleville S, Fontaine S. Dissociations between music and language functions after cerebral resection: A new case of amusia without aphasia. Can J Exp Psychol. 1997; dec; 51(4):354-68

Bradt J, Dileo C. Music for stress and anxiety reduction in coronary heart disease patients. Cochrane Datab Syst. Rev. 2009; 2, CD006577

Kreutz G, Bongard S, Rohrmann S, Hodapp, V, Grebe D. Effects of choir singing or listening on secretory immunoglobulin A, cortisol, and emotional state. Journal of Behavioral Medicine, 2004; 27(6), 623–

Khalfa S, Bella SD, Roy M, Peretz I, Lupien SJ. Effects of relaxing music on salivary cortisol level after psychological stress. Annals of the New York Academy of Sciences, 2003; 999, 374–376.

Fukui H, Yamashita M. The effects of music and visual stress on testosterone and cortisol in men and women. Neuro Endocrinol Lett. 2003; 24(3-4):173–180.

Beck RJ, Cesario TC, Yousefi A, Enamoto H. Choral singing, performance perception, and immune system changes in salivary immunoglobulin A and cortisol. Music Perception: An Interdisciplinary Journal, 2000; 18(1), 87–106.

Modesti PA, Parati, Taler. Daily sessions of music can reduce 24-hour ambulatory blood pressure in mild hypertension. American Society of Hypertension Meeting. 2008; Abstract, p. 230.

Teng XF, Shatin Wong, MYM, Zhang YT. Study on the responses of hypertensive patients to music. Medical Devices and Bosensors. ISSS-EMBS International Summer School and Symposium 2007

Möckel M, Röcker L, Störk T, Vollert J, Danne O, Elchstädt H, Hochrein, H. Immediate physiological responses of healthy volunteers to different types of music: Cardiovascular, hormonal and mental changes. European Journal of Applied Physiology, 1994; 68(6), 451–459.

Möckel M, Stork T, Vollert J, Röcker L, Danne O, Hochrein H, Frei U. Stress reduction through listening to music: effects on stress hormones, hemodynamics and mental state in patients with arterial hypertension and in healthy persons. Deutsche medizinische Wochenschrift, 1995; 120(21), 745–752.

VanderArk SD, Ely D. Biochemical and galvanic skin responses to music stimuli by college students in biology and music. Percept. Motor Skills, 1992; 74, 1079-1090.

VanderArk SD, Ely D. Cortisol, biochemical, and galvanic skin responses to music stimuli of different preference values by college students in biology and music. Perceptual and Motor Skills, 1993; 77(1), 227–234.

Brownley KA, McMurray RG, Hackney AC. Effects of music on physiological and affective responses to graded treadmill exercise in trained and untrained runner. International Journal of Psychophysiology, 1995; 19(3), 193-201.

Cepeda MS, Carr DB, Lau J, Alvarez H. Music for pain relief. Cochrane Database Systematic Review, 2006; 2, CD004843.

Macdonald R, Mitchell L, Dillon T, Serpell MG, Davies JB, Ashley EA. An empirical investigation of the anxiolytic and pain reducing effects of music. Psychology of Music, 2003; 31(2), 187-203.

Loewy JV, Spintge R. Prelude to the special issue in music and medicine: music therapy and supportive cancer care. Music and Medicine, 2011; 3(1), 5-6.

Magill L, Berenson S. The conjoint use of music therapy and reflexology with hospitalized advanced stage cancer patients and their families. Palliative & Supportive Care,2008; 6(3), 289-296.

Horne-Thompson A, Grocke D. The effect of music therapy on anxiety in patients who are terminally ill. Journal of Palliative Medicine, 2008; 11(4), 582-90.

Barrera ME, Rykov MH, Doyle SL. The effects of interactive music therapy on hospitalized children with cancer: A pilot study. Psycho-Oncology, 2002; 11(5) 379-388.

Smith M, Casey L, Johnson D, Gwede C & Riggin OZ. Music as a therapeutic intervention for anxiety in patients receiving radiation therapy. Oncology Nursing Forum, 2001; 28(5), 855-862.

Allred KD, Byers JF, Sole ML. The effect of music on postoperative pain and anxiety. Pain Management Nursing, 2010; 11(1), 15-25.

Good M, Anderson GC, Stanton-Hicks M, Grass JA & Makii M. Relaxation and music reduce pain after gynecologic surgery. Pain Management Nursing, 2002; 3(2), 61-70.

Good M, Stanton-Hicks M, Grass J, Anderson G, Lai H, Roykulcharoen, V, Adler P. Relaxation and music to reduce postsurgical pain. Journal of Advanced Nursing, 2001; 33(2), 208-15.

Son JT, Kim SH. The effects of self-selected music on anxiety and pain during burn dressing changes. Taehan Kanho Hakhoe Chi, 2006; 36(1), 159-168.

Fratianne R, Prensner J. Huston M, Super D, Yowler C, Standley J. The effect of music-based imagery and musical alternate engagement on the burn debridement process. Journal of Burn Care and Rehabilitation, 2001; 22(1), 47-53.

Evers S, Suhr B. Changes of the neurotransmitter serotonin but not of hormones during short time music perception. European Archives of Psychiatry and Clinical Neuroscience, 2000; 250(3), 144–147.

Erkkilä J, Punkanen M, Fachner J, Ala-Ruona E, Pöntiö I, Tervaniemi M., et al. Individual music therapy for depression: Randomised controlled trial. British Journal of Psychiatry, 2011; 199, 132-139.

Brandes VM, Terris D, Fischer C, Loerbroks A, Jarczok MN, Ottowitz G, Titscher G, Fischer JE, Thayer JF. Receptive music therapy for the treatment of depression: a proof-of-concept study and prospective controlled trial of efficacy. Psychotherapy and Psychosomatics, 2010; 79:321-322

Huron D, Margulis EH. Music, Expectancy, and Thrills. Oxford University Press 2010

Schutz M, Huron D, Keeton K, Loewer G. The Happy Xylophone: Acoustic affordances restrict an emotional palette. Empirical Musicology Review, 2008; 3(3), 126-135.

Vuoskoski J, Thompson WF, McIlwain D, Eerola T. Who enjoys listening to sad music and why?. Music Perception, 2011; 29(3), 311-318.

Salimpoor VN, Benovoy M, Longo G, Cooperstock JR, Zatorre RJ. The rewarding aspects of music listening are related to degree of emotional arousal. PLoS ONE, 2009; 4(10): e7487. doi:10.1371/journal.pone.0007487

Berridge KC. The debate over dopamine’s role in reward: the case for incentive salience. Psychopharm, 2007; 191, 391–431

Sutoo D, Akiyama K. Music improves dopaminergic neurotransmission: demonstration based on the effect of music on blood pressure regulation. Brain Research, 2004; 1016(2), 255–262.

Seltzer LJ, Ziegler TE, Pollak SD. Social vocalizations can release oxytocin in humans. Proceedings of the Royal Society of London B: Biological Sciences, 2010; 277(1694), 2661-2666.

Nilsson U. Soothing music can increase oxytocin levels during bed rest after open-heart surgery: a randomised controltrial. J.Clin.Nurs., 2009; 18, 2153–2161

Landgraf R, Neumann ID. Vasopressin and oxytocin release within the brain: a dynamic concept of multiple and variable modes of neuropeptide communication. Frontiers in Neuroendocrinology, 2004; 25(3-4), 150-176.

Salimpoor VN, Benovoy M, Larcher K, Dagher A, Zatorre RJ. Anatomically distinct dopamine release during anticipation and experience of peak emotion to music. Nature Neuroscience,2011; 14(2), 257-262.

Peretz I, Zatorre R.J. Brain organization for music processing. Annual Review of Psychology, 2005; 56, 89-114. Doi:10.1146

Kumar AM, Tims F, Cruess DG, et al. Music therapy increases serum melatonin levels in patients with Alzheimer’disease. Altern Ther Health Med.1999;5(6):49–57.

Karlsson H. How psychotherapy changes the brain- understanding the mechanisms. Psychiatric Times, 2011;28(8).

Dileo C, Bradt J. Medical music therapy: A meta-analysis & agenda for future research. Cherry Hill, NJ: Jeffrey Books 2005

De l'Etoile SK, Abirum M, Yoshii F. Neurologic Music Therapy: Research findings and clinical applications.

Published

2018-01-26

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