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Music is My Whole Life - World Federation of Music Therapy

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<strong>Music</strong> <strong>Therapy</strong> Today<br />

Vol. VII (2) (July) 2006<br />

“<strong>Music</strong> <strong>is</strong> <strong>My</strong> <strong>Whole</strong> <strong>Life</strong>”<br />

- The many meanings <strong>of</strong><br />

music in addicts’ lives<br />

Horesh, Tsvia<br />

Th<strong>is</strong> article <strong>is</strong> based upon a paper given at the INTERNATIONAL<br />

SYMPOSIUM<br />

sponsored by the Laurier Centre for <strong>Music</strong> <strong>Therapy</strong> Research<br />

(LCMTR)<br />

"MUSIC:The Royal Road to the Unconscious: Researching Unconscious<br />

Dimensions in <strong>Music</strong> <strong>Therapy</strong>"<br />

Introduction<br />

May 13-15, 2005, Waterloo, Ontario, Canada<br />

http://www.wlu.ca/soundeffects/symposium/2005/<br />

I would like to introduce the people who contributed to my research and<br />

who’s personal stories <strong>of</strong> the music in their lives are interwoven in the<br />

following paper. All my interviewees agreed to be presented in my<br />

research, using pseudonyms, so as to protect their identity.<br />

297


Horesh, T. (2006) “<strong>Music</strong> <strong>is</strong> <strong>My</strong> <strong>Whole</strong> <strong>Life</strong>” - The many meanings <strong>of</strong> music in addicts’ lives. <strong>Music</strong> <strong>Therapy</strong> Today<br />

(Online) Vol.VII (2) 291-317. available at http://musictherapyworld.net<br />

PREFACE<br />

Here are some <strong>of</strong> their comments on the importance <strong>of</strong> music in their<br />

lives:<br />

•<br />

•<br />

•<br />

•<br />

•<br />

•<br />

•<br />

•<br />

Sasha (age 25) “... the music never leaves me. <strong>Music</strong> <strong>is</strong> always with<br />

me”<br />

Dima (age 24) “ I can’t imagine my life without music. I see my life<br />

and my music always together”<br />

Yelena (age 28) “ I’m always with music. I live in it”<br />

Nahum (age 43) “I have a relationship with that word – music”<br />

Ella (age 29) “<strong>Music</strong> was like drugs”<br />

Zohar (age 20) “If I had to go stay on a desert <strong>is</strong>land , and I could take<br />

either my music or my girlfriend – I would take my music.<br />

Bor<strong>is</strong> (28) “I grew up with those songs”<br />

Yonatan (32) “It’s amazing how the music <strong>is</strong> half and half – with some<br />

<strong>of</strong> the experiences, like milestones …on my way down, with the<br />

drugs.<br />

When I first started to work with addicts, 10 years ago, in various rehab.<br />

centers, my thoughts on addicts and the kinds <strong>of</strong> music they l<strong>is</strong>ten to –<br />

were quite stereotypical. But as time went by, I learned that above and<br />

beyond the kind <strong>of</strong> music addicts may l<strong>is</strong>ten to, it’s important to investi-<br />

gate the quality <strong>of</strong> the relationship many <strong>of</strong> them form with their music –<br />

whether it’s electronic music, Russian criminal songs or Jan<strong>is</strong> Joplin. I<br />

have come to the conclusion that music therapy with addicts should<br />

include, among other things, working with the music in their lives. The<br />

music, in therapy, then changes from being a means – to becoming the<br />

goal. In our music therapy groups we l<strong>is</strong>ten to, d<strong>is</strong>cuss, negotiate and re-<br />

evaluate the music the addicts l<strong>is</strong>tened to in their drug-using past, and<br />

their present period <strong>of</strong> therapy and rehab. For many <strong>of</strong> the people these<br />

sessions enable a first time opportunity to examine their relationship<br />

with music, in the secure and containing environment <strong>of</strong> the group; what<br />

emotions it evokes, what memories and life-stories it awakens. How it<br />

defines their personal, social and ethnic identity; how they use music in<br />

their daily life; how their music relates to their drug abuse and what dan-<br />

Introduction<br />

298


Horesh, T. (2006) “<strong>Music</strong> <strong>is</strong> <strong>My</strong> <strong>Whole</strong> <strong>Life</strong>” - The many meanings <strong>of</strong> music in addicts’ lives. <strong>Music</strong> <strong>Therapy</strong> Today<br />

(Online) Vol.VII (2) 291-317. available at http://musictherapyworld.net<br />

gers or r<strong>is</strong>ks it holds for them; how music can function as a source <strong>of</strong><br />

relaxation, joy and well being.<br />

Drug addicts, addiction and rehabilitation treatment<br />

I want to stress that th<strong>is</strong> paper relates specifically to drug addicts, who<br />

have undergone treatment in the therapeutic community treatment model.<br />

The phenomenon <strong>of</strong> addiction to a variety <strong>of</strong> substances and behaviors <strong>is</strong><br />

widespread; and there are numerous methods <strong>of</strong> treatment for addicts.<br />

Both are beyond the scope <strong>of</strong> th<strong>is</strong> paper.<br />

<strong>My</strong> clients are chronic substance abusers, undergoing a yearlong, inpa-<br />

tient treatment program in the Ramot-Yehuda - Zoharim therapeutic com-<br />

munity, in Israel. Men and women, aged 19-50, with a h<strong>is</strong>tory <strong>of</strong> drug<br />

abuse lasting between 2 to 30 or 40 years. The majority have lived a life<br />

<strong>of</strong> crime and spent time in pr<strong>is</strong>on, usually as a result <strong>of</strong> drug abuse, sell-<br />

ing drugs, thefts, violence and prostitution. Many come from multi-prob-<br />

lem families, with a h<strong>is</strong>tory <strong>of</strong> various addictions, life in crime ridden<br />

neighborhoods and easily accessible drugs.<br />

Our clients have abused a wide variety <strong>of</strong> addictive substances - euphoric<br />

(cocaine and amphetamines); sedative (heroin, methadone, alcohol, ),<br />

psychedelic (L.S.D., ecstasy, cannab<strong>is</strong>); psychiatric medications. The<br />

factors directing ones' choice <strong>of</strong> drugs are dependent upon age and popu-<br />

larity among peer group, geographical and ethnic background, and per-<br />

sonality and biochemical makeup (Knipe, E. 1995).<br />

40% <strong>of</strong> our clients are immigrants from the former Soviet Union, living<br />

in Israel for 15 years or less. The rest are Israeli born with a majority <strong>of</strong><br />

Jews, and usually 5-10% Chr<strong>is</strong>tian and Moslem Arabs.<br />

Drug addicts, addiction and rehabilitation treatment<br />

299


Horesh, T. (2006) “<strong>Music</strong> <strong>is</strong> <strong>My</strong> <strong>Whole</strong> <strong>Life</strong>” - The many meanings <strong>of</strong> music in addicts’ lives. <strong>Music</strong> <strong>Therapy</strong> Today<br />

(Online) Vol.VII (2) 291-317. available at http://musictherapyworld.net<br />

THERAPEUTIC<br />

COMMUNITY<br />

CULTURE OF<br />

ADDICTION<br />

The basic ideology <strong>of</strong> the therapeutic community <strong>is</strong> one <strong>of</strong> inclusive,<br />

drug free, therapeutic care for the addict, as an individual and as a mem-<br />

ber <strong>of</strong> society. Th<strong>is</strong> ideology <strong>is</strong> based on the assumption that drug depen-<br />

dency <strong>is</strong> a mix <strong>of</strong> educational, psycho social, medical, emotional,<br />

spiritual and psychological factors, all <strong>of</strong> which must be addressed by<br />

treatment. It incorporates both psychodynamic and behavior-modifica-<br />

tion methods in an effort to relate to the complexity <strong>of</strong> the <strong>is</strong>sues <strong>of</strong><br />

addiction.<br />

Addiction can be looked upon as a psychological or medical pathology,<br />

but it <strong>is</strong> also a cultural phenomenon and a culture in itself. The aim <strong>of</strong><br />

treatment <strong>is</strong> to ass<strong>is</strong>t the addicts in leaving th<strong>is</strong> culture and entering the<br />

culture <strong>of</strong> recovery. It <strong>is</strong> a long and difficult journey.<br />

In h<strong>is</strong> book " Pathways from the Culture <strong>of</strong> Addiction to the Culture <strong>of</strong><br />

Recovery",<br />

William White ( 1996)<br />

writes about the role the culture <strong>of</strong><br />

addiction plays in sustaining addiction, regardless <strong>of</strong> the etiology that led<br />

to the initiation <strong>of</strong> the person-drug relationship. And, in the late stages <strong>of</strong><br />

addiction, the culture <strong>of</strong> addiction can pose the largest obstacle for clients<br />

entering the recovery process.<br />

The culture <strong>of</strong> addiction <strong>is</strong> a way <strong>of</strong> life: a way <strong>of</strong> talking, thinking,<br />

behaving and relating to others, that separates substance abusers from<br />

those who are not. The culture encompasses values, places, rituals, sym-<br />

bols and music - all <strong>of</strong> which reinforce one's involvement in excessive<br />

drug consumption. A particular client may have initially started to abuse<br />

drugs in order to deal with emotional trauma, but it <strong>is</strong> clear that h<strong>is</strong> addic-<br />

tion has shaped every aspect <strong>of</strong> h<strong>is</strong> lifestyle, and that all these aspects<br />

must be examined in the recovery process. Many addicts have found it<br />

easier to break the physiological relationship with their drug than to<br />

Drug addicts, addiction and rehabilitation treatment<br />

300


Horesh, T. (2006) “<strong>Music</strong> <strong>is</strong> <strong>My</strong> <strong>Whole</strong> <strong>Life</strong>” - The many meanings <strong>of</strong> music in addicts’ lives. <strong>Music</strong> <strong>Therapy</strong> Today<br />

(Online) Vol.VII (2) 291-317. available at http://musictherapyworld.net<br />

break their relationship with the culture in which the drug was used. The<br />

failure to break the cultural relationship <strong>of</strong>ten precedes relapse.<br />

Some <strong>of</strong> our younger clients cannot perceive their social life without<br />

pubs, clubs and rave parties - all sites where drugs and alcohol are con-<br />

sumed, all `danger zones' for the recovering addict. They cannot imagine<br />

going to a rock concert or party without taking - or drinking - something<br />

that will enhance their enjoyment <strong>of</strong> the music and enable them to feel<br />

part <strong>of</strong> the crowd.<br />

Contemporary psychodynamic theories also recognize that much <strong>of</strong> the<br />

psychological dysfunction d<strong>is</strong>played by addicts <strong>is</strong> the result <strong>of</strong> drug abuse<br />

rather than the cause. It seems that some aspects <strong>of</strong> personality d<strong>is</strong>orders<br />

apparent in addicts' behavior have developed secondarily as a conse-<br />

quence <strong>of</strong> substance abuse, whereas others are primary and stem from the<br />

interaction <strong>of</strong> early developmental wounds and experiences, with biolog-<br />

ical pred<strong>is</strong>position (Kaufman, 1994). The addict <strong>is</strong> a person with an<br />

unstable personality without inner sources to deal with daily pressures.<br />

The drugs enable him to deal with frustration, to d<strong>is</strong>associate from an<br />

oppressive and demanding reality.<br />

Experiences with clients and my step into research<br />

<strong>My</strong> clients relationships with music were a well kept secret – something<br />

they all knew about, d<strong>is</strong>cussed among themselves but rarely brought to<br />

the music therapy groups. The fact <strong>is</strong> that th<strong>is</strong> subject didn’t come up (or<br />

at least I wasn’t aware that it came up) in the first few years <strong>of</strong> working<br />

with addicts. I knew that they l<strong>is</strong>tened to music a lot, in their free time.<br />

<strong>My</strong> impression ( based on hearsay and the sounds coming from their<br />

rooms) was that “they” l<strong>is</strong>tened to a lot a rave music, Russian rock and<br />

popular music, and Israel Mediterranean music, particularly songs whose<br />

Experiences with clients and my step into research<br />

301


Horesh, T. (2006) “<strong>Music</strong> <strong>is</strong> <strong>My</strong> <strong>Whole</strong> <strong>Life</strong>” - The many meanings <strong>of</strong> music in addicts’ lives. <strong>Music</strong> <strong>Therapy</strong> Today<br />

(Online) Vol.VII (2) 291-317. available at http://musictherapyworld.net<br />

lyrics and music evoke feelings <strong>of</strong> melancholy and despair. All music<br />

that I personally wasn’t acquainted with, and truthfully – at that time –<br />

wasn’t very interested to be acquainted with. I also felt that their music<br />

l<strong>is</strong>tening was a very passive activity, something that connected to the pas-<br />

sivity <strong>of</strong> drug using. It wasn’t something I w<strong>is</strong>hed to introduce to the<br />

music therapy groups.<br />

I felt it was more appropriate to enable opportunities for creative music<br />

making – singing and instrumental improv<strong>is</strong>ation, vocal work – activities<br />

which could awaken hidden strengths, enhance body-emotion connec-<br />

tion, non-verbal expression and social interactions. I felt that the groups<br />

were beneficial for my clients, and preferred to “let sleeping lions lie” –<br />

as it later turned out.<br />

A chance conversation with a small group <strong>of</strong> clients – changed every-<br />

thing. To my supposedly naive question: what kinds <strong>of</strong> music do they like<br />

to l<strong>is</strong>ten to, they each spoke about music-related relapses – returning to<br />

drug use after periods <strong>of</strong> abstinence, or increased use , which they related<br />

to the specific music they l<strong>is</strong>tened to. One <strong>of</strong> the women character<strong>is</strong>ed the<br />

music <strong>of</strong> her favorite rock band as “dangerous music”. I felt that th<strong>is</strong><br />

conversation was a turning point, almost an initiation into a secluded<br />

group that held important information, unrevealed until now. <strong>My</strong> clients<br />

also felt that th<strong>is</strong> was a special moment, and expressed relief that some-<br />

one was interested in th<strong>is</strong> acute problem, which had never been addressed<br />

in therapy programs they had attended in the past.<br />

Th<strong>is</strong> conversation began a process which started with my delving into the<br />

different genres <strong>of</strong> music, the very ones I had tried to avoid. I began l<strong>is</strong>-<br />

tening to heavy metal, Russian rock and criminal songs, trance and elec-<br />

tronic music, Israeli Mediterreanean songs – much to the joy and<br />

consternation <strong>of</strong> my own teenagers, who, together with their music<br />

Experiences with clients and my step into research<br />

302


Horesh, T. (2006) “<strong>Music</strong> <strong>is</strong> <strong>My</strong> <strong>Whole</strong> <strong>Life</strong>” - The many meanings <strong>of</strong> music in addicts’ lives. <strong>Music</strong> <strong>Therapy</strong> Today<br />

(Online) Vol.VII (2) 291-317. available at http://musictherapyworld.net<br />

minded friends, immediately stepped in to help. <strong>My</strong> interest in ethnomu-<br />

sicology was rekindled upon d<strong>is</strong>covering that popular music <strong>of</strong> all kinds<br />

<strong>is</strong> researched by th<strong>is</strong> field. I d<strong>is</strong>covered fascinating musical, cultural, h<strong>is</strong>-<br />

torical and personal realms that were new to me.<br />

The process continued with my introducing the subject to the music ther-<br />

apy groups. <strong>My</strong> first impressions were that while some <strong>of</strong> my clients<br />

enjoyed l<strong>is</strong>tening to their music in the groups and saw it as a pleasant<br />

pastime, others presented their relationship with music as one <strong>of</strong> their life<br />

obsessions, and spoke about it with the same passion or embarrassment<br />

usually used when speaking about their drug use.<br />

Choosing methodology<br />

Th<strong>is</strong> was my incentive to research – I myself began to feel overwhelmed<br />

by the many faceted meanings <strong>of</strong> music that I was beginning to detect in<br />

my clients lives. I was driven to understand the many different forces I<br />

felt were lurking behind th<strong>is</strong> phenomena. I decided to conduct formal<br />

research, as a M.A. research student in the Hebrew University, in order to<br />

understand the many meanings music has in the lives <strong>of</strong> drug addicts.<br />

After deciding upon qualitative research, with analys<strong>is</strong> <strong>of</strong> narrative inter-<br />

views, I thought it would be interesting to interview addicts I didn’t per-<br />

sonally know. So I phoned all the social workers I knew who worked in<br />

the field, hoping for referrals. I told them I was looking for those clients<br />

who had a passion for music. Not one social worker could think <strong>of</strong> any<br />

appropriate clients, apart from one who had played in a band…<br />

I began to think that maybe the whole idea was in my imagination. I<br />

knew that my clients could be manipulative and compliant – were these<br />

stories <strong>of</strong> the music in their lives something they told me to fulfill my<br />

Choosing methodology<br />

303


Horesh, T. (2006) “<strong>Music</strong> <strong>is</strong> <strong>My</strong> <strong>Whole</strong> <strong>Life</strong>” - The many meanings <strong>of</strong> music in addicts’ lives. <strong>Music</strong> <strong>Therapy</strong> Today<br />

(Online) Vol.VII (2) 291-317. available at http://musictherapyworld.net<br />

NARRATIVE<br />

INTERVIEWS<br />

needs, telling me what they felt I wanted to hear? Or was I the first thera-<br />

p<strong>is</strong>t actually interested in th<strong>is</strong> aspect <strong>of</strong> their lives, which was, until now,<br />

just one more <strong>of</strong> their underground activities, not something one tended<br />

to share with their social worker? I put the question to one <strong>of</strong> my inter-<br />

viewees, who said : when you have one hour a week with your social<br />

worker, and your life <strong>is</strong> falling apart, you want to use drugs – you’re not<br />

going to talk to her about music. But that doesn’t mean its not a very<br />

important part <strong>of</strong> my life.<br />

I then decided to interview addicts that I personally knew, that had partic-<br />

ipated in my groups in the 2 therapeutic communities I worked in. It<br />

wasn’t difficult to choose: those clients that lingered in the room, after<br />

the group was over, to tell me about their passion for certain kinds <strong>of</strong><br />

music; or expressed strong d<strong>is</strong>interest in any music but their own.<br />

All the people I approached in my request to interview them, agreed on<br />

the spot, even though I suggested that they take time to think about it. <strong>My</strong><br />

feeling, strengthened by things said in the interviews, was that they saw<br />

the interview as a chance for personal attention from me (all our thera-<br />

peutic work had been in groups), a chance to talk about, and gain deeper<br />

understanding <strong>of</strong> their relationship with music, and contribute to the<br />

understanding <strong>of</strong> people like them (many <strong>of</strong> them expressed surpr<strong>is</strong>e that<br />

the “university pr<strong>of</strong>essors” were at all interested in th<strong>is</strong> subject)<br />

<strong>My</strong> relationship with all interviewees, and knowledge <strong>of</strong> the culture <strong>of</strong><br />

addiction and recovery, enabled a natural introduction into the data col-<br />

lecting stage <strong>of</strong> the research. I felt that our former mutual experiences, in<br />

the music therapy groups and other common activities in the therapeutic<br />

community’s life, made for a common language and relaxed atmosphere<br />

in all the interviews. Most <strong>of</strong> them, unavoidably, included d<strong>is</strong>cussions<br />

Choosing methodology<br />

304


Horesh, T. (2006) “<strong>Music</strong> <strong>is</strong> <strong>My</strong> <strong>Whole</strong> <strong>Life</strong>” - The many meanings <strong>of</strong> music in addicts’ lives. <strong>Music</strong> <strong>Therapy</strong> Today<br />

(Online) Vol.VII (2) 291-317. available at http://musictherapyworld.net<br />

MUSIC LISTENING<br />

DURING DRUG USE<br />

which were beyond the scope <strong>of</strong> the interview’s objective, such as per-<br />

sonal therapeutic and rehabilitation themes .<br />

<strong>My</strong> research orientation <strong>is</strong> situated on a junction where music therapy,<br />

popular music studies, sociology <strong>of</strong> music and psychology <strong>of</strong> music –<br />

and theories related to addiction - converge.<br />

I am presently analyzing the material gleaned from the 8 interviews. I<br />

would like to present some <strong>of</strong> my preliminary findings, according to the<br />

main categories I have found, with the relevant theoretical context.<br />

All the interviews were held in Hebrew. In translating the quotations<br />

from the interviews, some <strong>of</strong> the cultural aspects <strong>of</strong> slang and addiction<br />

jargon – were lost. I didn’t try to use the Engl<strong>is</strong>h equivalents <strong>of</strong> addiction<br />

jargon, which <strong>is</strong> so very typical <strong>of</strong> social class, geography and ethnicity. I<br />

hope that the authenticity <strong>of</strong> the quotations will be preserved even so.<br />

In order to better understand the context <strong>of</strong> the following quotations, I<br />

will again introduce my research subjects, th<strong>is</strong> time through the pr<strong>is</strong>m <strong>of</strong><br />

the substances they abused.<br />

•<br />

•<br />

•<br />

•<br />

•<br />

•<br />

•<br />

•<br />

Nahum:<br />

alcohol, cannab<strong>is</strong> and heroin<br />

Yonatan:<br />

ecstasy, L.S.D., cannab<strong>is</strong>, heroin and crack-cocaine<br />

Ruth:<br />

alcohol, ecstasy, L.S.D., cannab<strong>is</strong>, heroin and crack-cocaine<br />

Zohar:<br />

ecstasy, L.S.D.<br />

Yelena:<br />

alcohol, cannab<strong>is</strong>, heroin<br />

Sasha:<br />

heroin<br />

Dima:<br />

ecstasy, L.S.D., heroin<br />

Bor<strong>is</strong>:<br />

occasional alcohol and ecstasy, heroin<br />

Results and D<strong>is</strong>cussion<br />

From the narratives we can d<strong>is</strong>cern 3 general stages:<br />

Results and D<strong>is</strong>cussion<br />

305


Horesh, T. (2006) “<strong>Music</strong> <strong>is</strong> <strong>My</strong> <strong>Whole</strong> <strong>Life</strong>” - The many meanings <strong>of</strong> music in addicts’ lives. <strong>Music</strong> <strong>Therapy</strong> Today<br />

(Online) Vol.VII (2) 291-317. available at http://musictherapyworld.net<br />

1. “falling in love” - the first years <strong>of</strong> drug use, during which music and<br />

drugs enhance each other , and their joining enables experiences <strong>of</strong><br />

wholeness, joy and transcendence.<br />

2. the “dark shadow-guide” – when music plays a part in the downhill<br />

path to depression and intense drug abuse.<br />

3. indifference to music - when the addict looses interest in music.<br />

st<br />

1 stage:“falling in love”.<br />

Nahum:<br />

“ Pink Floyd <strong>is</strong> something I would l<strong>is</strong>ten to only when I<br />

was under the influence <strong>of</strong> drugs…to be high, to connect better to<br />

the music”<br />

Yonatan:<br />

“ …the first time I took ecstasy, we were l<strong>is</strong>tening to<br />

some c.d….. it was so connected to the music. <strong>My</strong> attention was<br />

half on the “exta”, and without noticing – half on the music and<br />

my imagination…it was half the drug and half the music. I think<br />

that if I was in the same situation, but without the music, it would<br />

be something totally different…I don’t think I would have<br />

enjoyed it as much…all the psychedelic drugs – they need music.<br />

"<br />

Research on the effects <strong>of</strong> psychedelic drugs on music perception con-<br />

firm Nahum’s and Yonatan’s experiences. Cannab<strong>is</strong>, for example, can act<br />

as a mild psychedelic drug. Joerg Fachner (2002) has found that cannab<strong>is</strong><br />

induces a subjective time expansion, enabling a temporary increased<br />

insight into the “space between the notes”. High frequencies and over-<br />

tones are perceived more consciously. Fachner suggests that perhaps can-<br />

nab<strong>is</strong> acts as a psycho-acoustic enhancer, enabling a intensified and<br />

broadened experience <strong>of</strong> the musical time space.<br />

DeRios (2003) wrote about shamanic rituals using music in combination<br />

with hallucinogenic substances – different, but still similar, to our sub-<br />

ject. She suggests that once the biochemical effects <strong>of</strong> the hallucinogenic<br />

drug alter the user's perception, the music operates as a "jungle gym" for<br />

the person's consciousness during the drug state and provides a series <strong>of</strong><br />

pathways and ban<strong>is</strong>ters through which the drug user negotiates h<strong>is</strong> way.<br />

So it seems that not only does the music enhance the drug experience, it<br />

Results and D<strong>is</strong>cussion<br />

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Horesh, T. (2006) “<strong>Music</strong> <strong>is</strong> <strong>My</strong> <strong>Whole</strong> <strong>Life</strong>” - The many meanings <strong>of</strong> music in addicts’ lives. <strong>Music</strong> <strong>Therapy</strong> Today<br />

(Online) Vol.VII (2) 291-317. available at http://musictherapyworld.net<br />

also provides a necessary anchor for those traveling through the “doors <strong>of</strong><br />

perception” (borrowing Huxley’s title, 1954)<br />

So far I have described experiences recognized by all who have l<strong>is</strong>tened<br />

to music under the influence <strong>of</strong> psychedelic substances. Th<strong>is</strong> <strong>is</strong> the stage<br />

I called “falling in love”, which many <strong>of</strong> our clients talk about with a<br />

yearning for the times their drug use was an enjoying pastime.<br />

nd<br />

2 stage: The dark shadow guide. As the drug abuse intensifies, cer-<br />

tain types <strong>of</strong> music may become a kind <strong>of</strong> guide to the fall into uncon-<br />

trolled drug use and self abuse.<br />

Yelena:”<br />

There were situations where the music <strong>of</strong> Grazhdanskaya<br />

Abarona1<br />

seemed to attack me…all the harm I did to<br />

myself – was with the music. It was during drugs, and depression<br />

and alcohol…I l<strong>is</strong>tened to that music and it was as if somebody<br />

was sitting and talking to me…and saying that everything <strong>is</strong><br />

wrong and bad and there’s no point in living..there are lots <strong>of</strong><br />

songs like that….. So many <strong>of</strong> those songs that I l<strong>is</strong>tened to. I<br />

myself couldn’t see any reason to live, and someone, in the song,<br />

who justifies me…I don’t think that I would have had the guts to<br />

hurt myself the way I did, without that music…”<br />

Yonatan:<br />

” the music and drugs were inseparable. Without the<br />

music, I don’t think I would have done what I did. Let’s say that<br />

<strong>of</strong> my really bad fall into the shit <strong>of</strong> heroin and cocaine – the<br />

music I l<strong>is</strong>tened to was like a tool in the hands <strong>of</strong> th<strong>is</strong>…dark inner<br />

guide, that took me to tear myself apart…”<br />

rd<br />

The 3 stage – indifference to music. When the drug abuse becomes<br />

intense and the addiction overshadows all aspects <strong>of</strong> ones life, music<br />

looses its place beside the drugs and indifference sets in.<br />

1. “Grazhdanskaya Abarona” <strong>is</strong> a contemporary Russian punk and anti-establ<strong>is</strong>hment<br />

rock group.<br />

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MUSIC AS DRUG-<br />

SUBSTITUTE – OR-<br />

TRANSITIONAL<br />

PHENOMENA<br />

(WINNICOT,1953)<br />

Ella:”<br />

In the last years <strong>of</strong> my drug abuse, when drugs where the<br />

only thing that I got out <strong>of</strong> bed for, and couldn’t fall asleep without<br />

– music wasn’t important anymore. I didn’t care anymore,<br />

there was nothing nostalgic about the music, there was nothing in<br />

it... the first few years, I could get excited or emotional about<br />

some song, but later on…I lost interest in music. I needed my<br />

quiet space, I used at home, didn’t go out and wasn’t interested in<br />

anything.”<br />

Zohar:<br />

”When you start using a lot you’re less interested in<br />

music. The drugs are whats important….it used to be like –<br />

there’s a rave party, so you take some pills. Later on it became :<br />

there’s pills, it would be nice if there’s some music but it’s not<br />

really important.”<br />

Functions <strong>of</strong> music in addiction<br />

We will now look at some <strong>of</strong> the psychological functions music has.<br />

Yelena:” When I was in treatment at the therapeutic community, I<br />

hadn’t brought a D<strong>is</strong>cman with me. So I wrote my mom a letter<br />

and she sent me one. That’s when the problems started – it was<br />

like she had sent me drugs…sometimes when I just couldn’t take<br />

any more, I would ask perm<strong>is</strong>sion to go to the bathroom but went<br />

<strong>of</strong>f to my room…I would feel like I was in withdrawal and there<br />

was what I needed in my room…something was m<strong>is</strong>sing, I<br />

needed something…so I would go, l<strong>is</strong>ten to a song, and go back<br />

to work as if nothing happened, feeling better. Because I’m<br />

addicted – to music too. Whats interesting <strong>is</strong> that I didn’t have my<br />

own music, I had to l<strong>is</strong>ten to c.d.’s that belonged to the other<br />

girls…love songs, happy songs…not the stuff I l<strong>is</strong>ten to. But –<br />

when there’s no heroin you take pills…”<br />

Yelena recognized the fact that she used the music as a drug substitute ,<br />

during abstinence and treatment. Lacking the ego capabilities to deal<br />

with external pressure, she could enter the transitional space <strong>of</strong> music-l<strong>is</strong>-<br />

tening, almost “cuddling up” with the sounds.She could draw strength by<br />

absorbing the external, benificing object into herself.<br />

Zohar:” When I was in the army jail 1 , they didn’t let us hear<br />

music. I remember, I was so desperate…I would call up a friend<br />

Functions <strong>of</strong> music in addiction<br />

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on the phone and tell him to put a song on…I would l<strong>is</strong>ten to the<br />

song over the phone…”<br />

In Zohar’s case, the music wasn’t a drug substitute – because he had<br />

access to drugs in jail. But, as he said <strong>of</strong> himself: ”it doesn’t always mat-<br />

ter what music – but I need it . <strong>Music</strong> <strong>is</strong> one <strong>of</strong> the obsessions I haven’t<br />

overcome”. It seems that the music fulfilled needs over and beyond what<br />

the drugs could do – perhaps d<strong>is</strong>traction, filling an emotional void, calm-<br />

ing…LikeYelena, he manipulated h<strong>is</strong> way to get what he needed – char-<br />

acter<strong>is</strong>tic behavior <strong>of</strong> addicts<br />

Nahum:”You're asking how music and drugs are connected? Why<br />

you need the music? So as not to be alone. I want to be alone, but<br />

my soul <strong>is</strong> crying out, I can’t understand whats going on with me,<br />

I don’t want to be like th<strong>is</strong>. At first the drugs were for fun, but<br />

then they became a need, a very very deep physical and spiritual<br />

need. An almost total lack <strong>of</strong> ability to function in all parts <strong>of</strong> my<br />

life…but I didn’t want to see it. So...the music comes, doesn’t<br />

matter what you l<strong>is</strong>ten to….it was a very strong dependence”<br />

Lehtonan (2002) suggests that music seems to create a symbolic d<strong>is</strong>tance<br />

between the individual and h<strong>is</strong> traumatic experiences… probably because<br />

<strong>of</strong> music's "ability" to act as a transitional phenomenon, where by l<strong>is</strong>ten-<br />

ing to music one can safely and without angu<strong>is</strong>h work through h<strong>is</strong> feel-<br />

ings. He quotes Racker (1951) who described the qualities <strong>of</strong> music as a<br />

transitional phenomenon. <strong>Music</strong> can protect an individual against<br />

unpleasant feelings and yet, at the same time, give psychic strength to<br />

face and overcome them. <strong>Music</strong> can also be used in frightening and<br />

unpleasant situations, for instance, against silence representing loneli-<br />

ness. <strong>Music</strong> can function like a "mirror" where the l<strong>is</strong>tener sees himself<br />

and h<strong>is</strong> inner, incoherent feelings and experiences – in an integrated state.<br />

As Nahum concludes:” I would sit and really l<strong>is</strong>ten to the music,<br />

and try to see where I was and what I was doing with my life”<br />

1. for drug abuse during service.<br />

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(Online) Vol.VII (2) 291-317. available at http://musictherapyworld.net<br />

LISTENING TO MUSIC<br />

AS AN ESCAPE - AS A<br />

SUBSTITUTE FOR<br />

COPING WITH REALITY<br />

Almost all my interviewees spoke about l<strong>is</strong>tening to music as a means <strong>of</strong><br />

avoiding thoughts and emotions and coping with difficult situations.<br />

Sasha:” I think I can say that I avoid my thoughts, by l<strong>is</strong>tening to<br />

music…when things are rough, and I want to be alone……..but<br />

then it’s hard to sit all by myself and concentrate on whats going<br />

on in my life, so I put on my music, and that’s it. I run away……I<br />

sort <strong>of</strong> sit by myself, with my music, don’t have to explain anything<br />

to anybody. I got my music. That’s it. “<br />

<strong>Music</strong> fills the void.<br />

HIGH RISK SITUATIONS These are any life situations which may endanger a recovering addict’s<br />

obligation to recovery. All emotional and environmental cues and trig-<br />

gers which bring about memories <strong>of</strong> use or weaken one’s self efficacy,<br />

which may bring about relapse to substance abuse.<br />

Many <strong>of</strong> my clients, Israel<strong>is</strong> <strong>of</strong> middle eastern background, l<strong>is</strong>ten to a<br />

local genre <strong>of</strong> popular music. Th<strong>is</strong> Israeli Mediterranean music <strong>is</strong> a<br />

hybrid genre created in Israel by Jews from Arabic speaking countries.<br />

The music was, in the 1970's, thought to be culturally inferior by the<br />

mainstream, European-orientated culture and media. The music devel-<br />

oped as an "underground" alternative, giving voice to the themes and<br />

musical heritage <strong>of</strong> the lower and working classes. The music <strong>is</strong> essen-<br />

tially either western music overlaid with middle-eastern "colors", and the<br />

Arabic mell<strong>is</strong>matic form <strong>of</strong> singing, or authentic Turk<strong>is</strong>h, Yemenite or<br />

Iraqi music with Hebrew texts (Horowitz 1999).<br />

The strongest connection the addicts have <strong>is</strong> with the sub-genre nick-<br />

named "crying songs". The lyrics and music <strong>of</strong> these songs evoke feel-<br />

ings <strong>of</strong> melancholy and despair. <strong>My</strong> clients relate that in times <strong>of</strong><br />

depression, they are drawn to choose music that mirrors their mood, and<br />

while identifying with the words, and the memories the song evokes,<br />

sinking into feelings <strong>of</strong> self-pity and worthlessness (Horesh, 2006).<br />

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(Online) Vol.VII (2) 291-317. available at http://musictherapyworld.net<br />

Zohar Argov <strong>is</strong> one <strong>of</strong> the idolized singers <strong>of</strong> Israeli Mediterranean<br />

songs. He himself was addicted to heroin and committed suicide in jail.<br />

<strong>My</strong> interviewee Zohar chose h<strong>is</strong> pseudonym because <strong>of</strong> h<strong>is</strong> admiration to<br />

Zohar Argov.<br />

Zohar:” Not too long ago, my girlfriend and I broke up. I found<br />

myself l<strong>is</strong>tening again to all those depressing songs <strong>of</strong> Zohar<br />

Argov, it really drew me in, the words – exactly how I felt. And I<br />

could see myself going down hill, I would l<strong>is</strong>ten to the songs, go<br />

to sleep sad and wake up sad. so I took all <strong>of</strong> those c.d.s, brought<br />

them to a friend and said – l<strong>is</strong>ten, don’t give them back to me till<br />

you see that I’m all right. And he said – I’m proud <strong>of</strong> you. He<br />

knew that I never gave my Zohar c.d. to anyone.”<br />

<strong>Music</strong>, as a cue that can bring about memories <strong>of</strong> drug abuse, can also<br />

function as a warning signal before relapse. Like in the above example,<br />

an addict going through a cr<strong>is</strong>es might, unawares, find himself l<strong>is</strong>tening<br />

to drug-related music, which he may have stopped l<strong>is</strong>tening to as a result<br />

<strong>of</strong> h<strong>is</strong> abstinence and changed life style. The music <strong>is</strong> not the cause <strong>of</strong> h<strong>is</strong><br />

emotional upheaval but reflects it. The music may heighten h<strong>is</strong> emotional<br />

unstableness. But, if he has acquired awareness <strong>of</strong> the connection<br />

between certain kinds <strong>of</strong> music and negative emotions such as loss <strong>of</strong><br />

control, depression or anxiety – the actual act <strong>of</strong> l<strong>is</strong>tening to the music<br />

may become a warning sign, or red light – a signal to stop, evaluate h<strong>is</strong><br />

situation and seek help.<br />

Nahum:” Even now, I can l<strong>is</strong>ten to Pink Floyd, and straight away<br />

it takes me to…places <strong>of</strong> chaos, drugs, grass, alcohol…”<br />

Research in music cognition supports Nahum’s experience. <strong>Music</strong> can<br />

evoke emotional and physical responses not just because <strong>of</strong> the music's<br />

properties, but because music recreates a mental and emotional represen-<br />

tation <strong>of</strong> the essence <strong>of</strong> the moment when it was first heard (Ortiz 1997).<br />

The memory evoked can be <strong>of</strong> negative experiences or emotions, or <strong>of</strong><br />

actual drug use. The establ<strong>is</strong>hed links between certain types <strong>of</strong> music and<br />

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the euphoric recall <strong>of</strong> drug intoxication, reinforced through thousands <strong>of</strong><br />

repetitions, serve as powerful connections to the culture <strong>of</strong> addiction<br />

(White 1996).<br />

But music <strong>is</strong>n’t just a perceptual stimulus, something that reminds us <strong>of</strong><br />

something else. Most <strong>of</strong> my interviewees spoke <strong>of</strong> the importance <strong>of</strong> the<br />

texts <strong>of</strong> the music they l<strong>is</strong>tened to, and preferred songs sung in languages<br />

they understood.<br />

Dima:” I really pay attention to the words, they mean a lot to me.<br />

Maybe because I want my life to have some meaning, like the<br />

words <strong>of</strong> the songs do.”<br />

Identification with song texts could be seen as a means <strong>of</strong> amplifying<br />

unbearable emotions, as a mirror for those emotions, and a search for val-<br />

idation -which <strong>is</strong> usually lacking in the addict's social milieu.<br />

Sasha:” There’s th<strong>is</strong> song, where he sings about how hard everything<br />

<strong>is</strong>, how it hurts so much but nobody can talk about it. How<br />

he sits with h<strong>is</strong> friends all day but when he’s alone, at night, he<br />

cries h<strong>is</strong> heart out. How he’s sick and tired <strong>of</strong> it all. ….maybe I<br />

use the music to cry about my pain, maybe that’s how I get it<br />

out.”<br />

Addicts may choose to l<strong>is</strong>ten to certain kinds <strong>of</strong> music as an attempt at<br />

self-healing, as a quest for integration <strong>of</strong> past pains and experiences with<br />

their present life, or as a search for emotional and spiritual cathars<strong>is</strong>.<br />

They are used to turning to external factors to manipulate their mood and<br />

emotional state, using drugs and music, to th<strong>is</strong> purpose, interchangeably.<br />

The drugs they used blocked out almost all emotional activity, bringing<br />

them to a state <strong>of</strong>, what they call “living dead”. L<strong>is</strong>tening to music, they<br />

feel alive, connected to their past and present emotional repertoire.<br />

Nahum:”…now I’m depressed, and I want something that will<br />

deepen my depression, so I take th<strong>is</strong> thing from the outside that’s<br />

called music”<br />

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(Online) Vol.VII (2) 291-317. available at http://musictherapyworld.net<br />

MUSIC AS PART OF<br />

CHANGE – LISTENING<br />

WITHOUT DRUGS<br />

Yelena:” I feel bad, l<strong>is</strong>ten to bad music, go on feeling bad”<br />

By l<strong>is</strong>tening to music under such circumstances, instead <strong>of</strong> it being a pos-<br />

itive experience - something goes wrong. The addicts' weak ego structure<br />

cannot deal with the overwhelming flood <strong>of</strong> emotional memories <strong>of</strong> pain,<br />

abuse and rejection. They figuratively “drown” in the oceanic feeling <strong>of</strong><br />

regression, and reach out to the kind <strong>of</strong> acting they know best - substance<br />

abuse or r<strong>is</strong>k seeking behavior.<br />

Identification with the song <strong>is</strong> not limited to the texts only, but also with<br />

the social context <strong>of</strong> the song. Four <strong>of</strong> my interviewees were born in the<br />

former Soviet Union, and were all avid l<strong>is</strong>teners to the local genre called<br />

“blatniye pesni” – criminal songs. Their identification with these songs<br />

cannot be d<strong>is</strong>connected from their identification with the criminal society<br />

and life style that gave birth to these songs. Bor<strong>is</strong> was born in a small<br />

town in the Soviet Union, where, he said, crime was the common way <strong>of</strong><br />

life. When he was 6 years old, he saw h<strong>is</strong> father being arrested during an<br />

armed battle with policeman that broke into their house. As a child,<br />

Bor<strong>is</strong>, like h<strong>is</strong> father, loved to l<strong>is</strong>ten to the blatniye songs.<br />

H<strong>is</strong> dream was:” to go to jail, I wanted to see what it was like,<br />

maybe I just wanted to feel what my father was feeling out there,<br />

in jail. I m<strong>is</strong>sed him so much.”<br />

These songs play an important role in the lives <strong>of</strong> addicts and criminals<br />

<strong>of</strong> Russian culture. More research should be done to understand the cul-<br />

tural and emotional meanings these songs have for them.<br />

Addicts have to go through fundamental transformations during therapy<br />

and rehab, in order to insure (as much as possible) their commitment to<br />

change. All areas <strong>of</strong> their lives – past traumas, secrets, emotions, behav-<br />

ior patterns, occupation, relationships – are examined and re-evaluated.<br />

Clients <strong>of</strong>ten are uncomfortable and express m<strong>is</strong>-belief regarding the pos-<br />

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itive changes they themselves, and others, detect in them. They don’t<br />

always recognize themselves, and find it difficult to accept themselves as<br />

calm, happy and functioning people.<br />

Bor<strong>is</strong>:” I grew up with those songs, the blatniye, and now, I’m<br />

fin<strong>is</strong>hing my time at treatment, its like I understood all the things<br />

the songs were trying to tell me, I fin<strong>is</strong>hed with them, I can say –<br />

goodbye, thanks, that’s it, I’m on my way. It’s really interesting,<br />

maybe that’s why I’m l<strong>is</strong>tening to them less and less…maybe<br />

that’s part <strong>of</strong> my change…I didn’t even decide, it just happened.<br />

But I’m afraid to stop l<strong>is</strong>tening to those songs. I can’t believe I’ll<br />

be without them. Every once in a while I’ll have to hear one or<br />

two songs. “<br />

Bor<strong>is</strong> seemed to be so enmeshed in h<strong>is</strong> personal and cultural identity,<br />

symbolized by the blatniye songs, that separating from them seemed<br />

almost impossible.<br />

Yelena:” These days, I’ve been l<strong>is</strong>tening to, and enjoying – music<br />

that I couldn’t l<strong>is</strong>ten to in the past. Really happy music, like d<strong>is</strong>co.<br />

I was surpr<strong>is</strong>ed at myself….because, who would <strong>of</strong> thought that I<br />

would l<strong>is</strong>ten to that shit. I never liked it before. It d<strong>is</strong>gusted me. I<br />

mean – just stupid people l<strong>is</strong>tened to it…th<strong>is</strong> <strong>is</strong> a recent change,<br />

just the past few months…I hardly ever l<strong>is</strong>ten to rock anymore.<br />

When I stopped l<strong>is</strong>tening to rock, it sort <strong>of</strong> frightened me…..but<br />

music has stopped threatening me. I’ve changed my outlook on<br />

life, I’ve started to smile, I think th<strong>is</strong> new music has a lot to do<br />

with it…I allowed myself to try something new. The truth <strong>is</strong> that<br />

the first time I really felt good – I couldn’t accept it. And I<br />

couldn’t accept the fact that I was l<strong>is</strong>tening to th<strong>is</strong> music, even<br />

though I liked it. But I can smile now, I feel alive.”<br />

Zohar:” In therapy I learned to talk about my feelings so I don’t<br />

really need the songs anymore…its changed, a lot, the music I<br />

used to l<strong>is</strong>ten to, I was really stuck on one kind <strong>of</strong> music…but<br />

today I can choose, I have the power not to l<strong>is</strong>ten to that. It used<br />

to be, like, the songs didn’t ask me if I wanted to hear them, I<br />

would turn on the stereo and all the sad songs were there…I know<br />

that because I changed so much, things changed in my music. I<br />

don’t want to suffer anymore, don’t want to get depressed, those<br />

songs remind me <strong>of</strong> things…but if you ask me what music I really<br />

like –its that. Those sad songs. But today I don’t do what I<br />

want…it’s more – what I have to do.”<br />

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Dima tells about using music as a guide, for self-healing.<br />

Dima:” When things are rough, I can put on some music, to push<br />

the feeling aside. I don’t wipe it out altogether, like I did with the<br />

drugs. I just put it <strong>of</strong>f for a while, till I can find a way to deal with<br />

it. I sometimes act out on what I feel, if I’m angry I can act on the<br />

anger…so to be normal, its like a tool for me, the<br />

music……sometimes I get too much inside myself, and it frightens<br />

me. I get to thinking, and a lot comes up…the music helps me<br />

to connect better, helps me concentrate on what I want to think<br />

about…actually I’ve turned the music that was with me my whole<br />

life –into a tool to help me deal with my life without<br />

drugs…something to watch over me.”<br />

Conclusion<br />

The aim <strong>of</strong> my research process –<strong>is</strong> to describe, analyze and eventually –<br />

gain a better understanding <strong>of</strong> the relationships between addicts and their<br />

music. We have seen that for many addicts, music has powerful destruc-<br />

tive and healing potential. It can be abused, as drugs are. It can be m<strong>is</strong>-<br />

used and lead one into a vicious circle <strong>of</strong> dependency and self-<br />

destructiveness. But music has the potential to heal.<br />

Clearly, I have a vested interest in the process and outcomes <strong>of</strong> th<strong>is</strong><br />

research. I hope that the heightened understanding gained from my<br />

research will benefit my own work with addicts, and cause more aware-<br />

ness to the importance <strong>of</strong> music and other cultural aspects, in the treat-<br />

ment <strong>of</strong> addicts.<br />

I believe that by achieving a deeper understanding <strong>of</strong> the relationships<br />

addicts form with music, we can ass<strong>is</strong>t them in d<strong>is</strong>covering more <strong>of</strong> their<br />

inner selves as manifested in their music. By rehabilitating their music-<br />

l<strong>is</strong>tening habits, they can begin to incorporate music into their lives as a<br />

source <strong>of</strong> enjoyment and enrichment.<br />

Conclusion 315


Horesh, T. (2006) “<strong>Music</strong> <strong>is</strong> <strong>My</strong> <strong>Whole</strong> <strong>Life</strong>” - The many meanings <strong>of</strong> music in addicts’ lives. <strong>Music</strong> <strong>Therapy</strong> Today<br />

(Online) Vol.VII (2) 291-317. available at http://musictherapyworld.net<br />

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Th<strong>is</strong> article can be cited as:<br />

AUTHOR INFORMATION Tsvia Horesh CMT<br />

Horesh, T. (2006) “<strong>Music</strong> <strong>is</strong> <strong>My</strong> <strong>Whole</strong> <strong>Life</strong>” - The many meanings <strong>of</strong><br />

music in addicts’ lives. <strong>Music</strong> <strong>Therapy</strong> Today (Online) Vol.VII (2) 299-<br />

319. available at http://musictherapyworld.net<br />

Ramot Yehuda Zoharim Therapeutic Community<br />

Israel<br />

Tel.fax. 972-25346510<br />

Horesh.tsvia(at)gmail.com<br />

Th<strong>is</strong> article can be cited as: 317

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