Music is My Whole Life - World Federation of Music Therapy
Music is My Whole Life - World Federation of Music Therapy
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 />
306
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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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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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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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