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INTRODUCTION
Music therapy aims to develop the potential and/or residual functions of
the individual in such a way that they can better achieve intra- and
inter-personal integration and consequently can improve the quality of life
thanks to a preventive, rehabilitative or therapeutic process [2].
One of the first doctors to deal with the effectiveness of music in
therapy was Robert Burton (1557-1610), while Richard Brocklesby (1722-1747)
wrote what we could call the first treatise on music therapy in history.
The music system is based on three fundamental aspects that are
universally present and that contribute to form the structure of these elements
are [3]:
§ The
Rhythm
§ Harmony
§ The
Melody
The rhythm activates more the upper region of the frontal
cortex and some cerebral areas outside the cerebellum.
The intervention techniques used in music therapy are
distinguished in:
Active music therapy: It
is based on the patient's “sound auto production” through the use of musical
instruments, voice, body, movements, encouraging creativity and spontaneous
expression.
Receptive music
therapy: It is based on listening to sounds and music chosen by the music
therapist that allows the patient to relax, to experience emotions, to evoke
positive memories of the patient.
The application areas can be represented by rehabilitation and
therapy [3].
The first intervention technique is mainly used in psychiatric
syndromes (schizophrenia, autism, Alzheimer's disease), mental retardation,
mood disorders (anxiety, endoreactive depression, endogenous and
post-traumatic), post-injury traumatic injuries (aphasia, apraxia, agnosia,
amusia, avocalia, Parkinson, etc...), in the trauma of the ear and the
vestibular apparatus (tinnitus, vertigo) and in behavioral disorders (anorexia
or bulimia nervosa), while the second technique, acting directly on the
sympathetic and parasympathetic system, it causes significant modifications of
all organs or systems: cardiocirculatory (it is possible to verify its effect
through the monitoring of blood pressure and heart rate), respiratory,
digestive, endocrine system, musculoskeletal system, system nervous (through an
increase in endorphins) [4,5].
Can be fully included in a broader multidisciplinary recovery
program, aimed at the social and work reintegration of the disabled, but also
does not neglect the objective of improving the quality of life: disability is
not just a deficit, lack, deprivation on an organic or psychic level, but it is
a condition that goes beyond the limitation, which overcomes mental and
architectural barriers.
With the new technologies and the new discoveries in the
scientific field the use of this discipline and its multiple applicative
aspects will be deepened even if, probably, it will always remain something
inexplicable and mysteriously fascinating.
The author’s wish is that this rehabilitation process is better known
and appreciated. The rationale of the method is that it can be applied to
various pathologies. The possibility of growth is also linked to employment,
which can and must be encouraged.
1.
Benenzon RO (1998)
Manuale di musicoterapia. Roma, Borla Editore.
2.
Marco C (2000) La
musicoterapia. Xenia, Milano.
3.
Nordoff P, Robbins C
(1977) Creative music therapy. Harper Row Publishers, New York.
4.
Platone (1981) La
Repubblica, trad. it. Francesco Gabrieli, Rizzoli, Milano.
5.
Priestley M (1975)
Music therapy in action. Barcelona Publishers, St. Luis.
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