Music as a means of exploring imagination and fantasy in psychopathology

Author(s): Aparicio, M., Shiff, M. H., Ledru, J.

Journal/Book: Annales Medico Psychologiques. 1978; 136: 599-609.

Abstract: A paper presented at a meeting of the Medical-Psychological Society (1978) examines and discusses the diagnostic and therapeutic possibilities of music. Six musical selections of varied emotional tonality were played to mental patients of different clinical backgrounds. Ss orally reported their listening experiences to the psychotherapist immediately after the session. Analysis of S reaction revealed that the affective power of music tapped considerable emotional resources and encouraged fantasizing and the sharing of inner experience. Three types of images dominated: oral (narcissism, auto-eroticism), anal (sadism, masochist auto-eroticism), and phallic (castration, oedipal feelings). Peaceful pieces evoked memories, images related to birth, aspirations, and expression of the need for affection. Aggressive pieces evoked stress and reactivated Ss' ability to cope with anxiety. Musicotherapy may encourage patients to show greater openness toward themselves and the therapist and, in conjunction with more conventional treatments, should be considered a valid therapeutic possibility. (14 ref)

Note: diagnostic & therapeutic possibilities; music

Keyword(s): Music ; music therapy; psychodiagnosis

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