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(Dingle et al., 2015). However, music can also be a powerful adjunct in reducing depression and resolving generalized anxiety disorder (Esfandiari & Mansouri, 2014; Gutiérrez & Camarena, 2015). Music that is liked, regardless of one’s familiarity with it, is the most important factor in reducing anxiety (Jiang et al., 2016). Overall, music can elicit a wide range of mental, emotional, physical, and spiritual responses and is a fundamental component of many people’s lives.

      Many populations who have been victims of abuse have developed distinct musical forms, such as Blacks’ creation of spiritual gospels and the blues. This type of music has provided an outlet for their individual and collective expressions of pain. Other groups have created different sounds that express the essence of their experiences and perceptions. In the United States the great diversity of sound includes rock and roll, bluegrass, hip-hop, rap, beach, jazz, country, classical, and big band music. An even wider variety of sound exists internationally, such as samba, reggae, and waltz.

      Creative Reflection

      What is your favorite type of music? How has it influenced your life? How do you think it might be therapeutic for you or for others?

      According to Peters (2001), “Corporations such as MUZAK have made a business out of supplying background music to positively influence and regulate people’s moods and behaviors in offices, busi nesses,” and other environments (pp. 31–32). The influence of music in daily life is truly phenomenal. Even though people may not always remember lyrics, they seem to be influenced by “the beat, the rhythm, [and] the sound” of music they listen to regularly (A. White, 1985, p. 67). For many ordinary people, “music is the most significant experience in life” (Storr, 1992, p. 168).

      In this chapter, I explore the multidimensional premise behind the power of music as well as the practical use of music in counseling. I distinguish between music therapy and the use of music in counseling. For instance, music therapy, which is much more formal, is the use of music within a therapeutic relationship to address physical, emotional, cognitive, and social needs of individuals. In addition, I explain and illustrate how music can be used with a variety of populations (from children to older adults) and in various settings (from clinics to educational environments). The use of music with other creative arts is also discussed.

      Although all creative arts help foster a link between the inner world of the person and outside reality, music “enhances this process by requiring time-ordered and ability-ordered behavior, evoking affective response and increasing sensory input. Music also requires self-organization and provides an opportunity for socialization” (Wager, 1987, p. 137). Music creates an atmosphere. It can elicit a wide range of mental, emotional, physical, and spiritual responses. Thus, music serves multiple purposes in helping individuals become more aware, able, confident, and social.

      The importance of music to human health has long been recognized (Lingerman, 1995; Thaut, 2009). Throughout history, music has been used therapeutically. Hanser (1988) wrote, “The field of music therapy is based largely on claims of the sedative results music produces and the psychological impact of the musical experience” (p. 211). Documentation worldwide shows that music played a major role in healing and nurturing people from ancient cultures (J. J. Moreno, 1988b). M. E. Miller (1991) noted that “Homer recommended it to stave off negative emotions, and Pythagoras and Plato said a daily dose could improve one’s general well-being” (p. 1E). Shamans have used “hypnotic and rhythmic music” (J. J. Moreno, 1987, p. 335) to help achieve emotional highs, a tradition that continues today in most cultures. Qualitative data support the importance of music and music therapy in meeting spiritual needs: Music and music therapy help participants feel closer to God and elevate their moods, especially when they are in hospital settings (Cook & Silverman, 2013).

      Music is both a passion and a diversion, and its uses in counseling are geared accordingly. Among persons for whom music is a central part of life (i.e., a passion), identity is strongly influenced by their shared values with select performers, writers, and other listeners. These individuals are usually quite willing to participate in counseling activities that involve music. In this type of situation, many of the words, sounds, and feelings these people embrace as their own actually originated with someone else and have been borrowed and incorporated by these people. The extent of music’s healing and helping power in counseling is related to how deeply involved with it people are and what disorders or diseases they may be dealing with (Bruscia et al., 2009). Because their identity is partially wrapped up in music, people with a passion for it are eager to be exposed to musical experiences. Therefore, counselors are usually more successful using music when working with these clients than they would be when working with those for whom music is only a diversion. For instance, a person of any age who likes music and who has lost a father may find Ashley Gearing’s lyrical country song “Can You Hear Me When I Talk to You?” to be both cathartic and comforting (Mansfield, 2003). By being aware of the lyrics and melodies that clients have adopted and other complementary music, counselors who use music create conditions that foster increased communication and understanding (Gladding et al., 2003, 2008; A. White, 1985).

      Creative Reflection

      When have you or someone you know found a song or a piece of music to be comforting or uplifting? What piece of music was it? How was your mood altered? How do you feel about the music when you hear it now?

      In addition, music in counseling may be focused on the interests and tastes of clients. A musical approach may take the form of writing, performing, or listening to certain types of sounds selected by counselors. The idea behind this activity is to foster therapeutic expression by having clients participate in experiences with unfamiliar music. For example, clients may play a new instrument in a predetermined way and make discoveries about their abilities never before imagined. Similarly, ethnic music (i.e., music identified with a particular culture or subculture) may motivate “otherwise unresponsive mainstream music therapy clients into musical experiences through the exotic appeal

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