Recurring Sound Aspects in Group Work with Psychiatric Patients

Abstract

Several international studies and research reported positive effects of music therapy (MT) on many neuropsychiatric disorders, including affective and psychotic syndromes. Our recent research work, carried out in collaboration with the Department of Mental Health of University “L. Vanvitelli” (Naples, Italy), allowed us to quantitatively assess the results of MT provision in emergency settings and to observe recurring sound elements of such activity, reporting overall favorable results in the short term for patients with severe mental illnesses. In this work, the Orff instruments and those from local popular tradition were added to the piano, with specific reference to the four basic natural elements, to the female vs. male dimension, and to evocation of archetypal symbols. The sounds generated tended to repeat themselves in a kaleidoscopic form, favoring recurring structures and loops regarding rhythms, intervals, and melodies. These rhythms, expressed as a collective action, put in place a natural synchronization for the group members and create a strong emotional resonance. Satisfaction was reinforced also by the socialization of rhythmic conduct. In line with previous studies, we observed that MT exerts positive influence over creativity and well-being, emotional sharing, transformation of painful perceptions, containment of anxiety, listening to oneself and the other (“presence”) in the setting, and sense of belonging and identity.