Professional Documents
Culture Documents
Bright, whose expertise in move forward along with the rest of arts medicine
music therapy with the elderly is internationally into a new era of health care.
acknowledged, points out most appropriately the Rosalie Rebollo Pratt
need for the music therapist to take into account
cultural differences among clients. Bright’s
scholarship and erudition are clearly present as she Peter Kivy, The Fine Art of Repetition: Essays in
wisely advises the music therapist to be aware of the Philosophy of Music, Cambridge: Cambridge
ethnic origin, religious culture, social milieu, and
University Press,1993; 373 pp., ISBN
age and illness factors that take on peculiar 0-521-43598-6.
meanings in specific societies.
Hooper’s paper points out the lack of objective The Fine Art of Repetition is a collection of essays on
and persuasive data concerning effects of music music by Kivy that spans thirty years of writing.
therapy interventions. In reporting his own research The range of topics in this collection is wide,
about a microcephalic, myopic, spastic quadriplegic,
including the role of music in education, the nature
Hooper offers a reporting model that combines both of music and its performance, philosophies of
qualitative and quantitative approaches. His music, music criticism, and the aesthetics of opera.
repeated measures design indicates that the An ability of Kivy which gives this book one of its
presence of music therapy during sessions may qualities, is to link philosophical discussion about
have increased interactive behaviours. Mueller and music to the work of non-musically orientated
Warwick discuss music therapy with autistic
children. Once again, qualitative and quantitative
philosophical writings of authors such as Kant,
Plato, and Einstein. At the same time this
reporting methods are used effectively and indicate perspective of his work is combined with references
that mothers can be helped to reduce intrusive, to the works of musicians and musicologists:
demanding behaviours in favour of discovering Gretry, Mattheson, Wagner, and Gluck among the
music as a common ground for interaction and former, Hanslick, Cone Dahlhaus and Schenker
communication.
among the latter. The use of philosophical comment
Smeijsters and van den Hurk discuss music by composers to unravel what music may mean at
therapy and anorexia nervosa. These researcher// various stages of its history grounds Kivy’s
clinicians espouse a form of research that, while
arguments in historical contexts that can supply
respecting scientific rigour and quality, offers a valid comparisons for contemporary views of
paradigm that is conducive to the particular needs music. Such historical comments also serve to
of music therapy interventions. Sutton’s paper is remind the reader that musical meaning is the
about a language-disordered child and the happy product of its time as much as of the music itself.
illustration of the alternative communication Musical meaning resurfaces throughout the book
possibilities that music therapy can offer. The title of as the focus of discussion. Particularly, Kivy revisits
the paper, ’The guitar doesn’t know this song’ a number of times the distinction to be made
demonstrates the child’s unique and charming between expressive music set to texts (and seen as
perception of the difficulty involved in expressing the basis of much music to the end of the eighteenth
oneself on an instrument of this complexity. century) and absolute music, which he terms ’music
Wigram’s paper in this section is an excellent alone’ (pure instrumental music that developed in
report of the use of music therapy with a client the early nineteenth century). The problem created
exhibiting self-injurious behaviour. Specifically, the by this distinction, which gives rise to Kivy’s
research examines the use of low-frequency sound arguments, is whether absolute music means
and sedative music with these patients. Although, anything, if it does how this might be achieved, and
as Wigram himself acknowledges, problems with whether one meaning is the meaning. To present
confounding variables still exist in studies of this and explain his ideas in this debate Kivy uses the
kind, he is to be applauded for his continuing witings of other philosophers as his impetus.
meticulousness of research method and reporting Of specific interest to music educators will be the
techniques. His work is a fine example of the essay Music and the Liberal Education, in which Kivy
direction in which the most outstanding music suggests reasons for the inclusion of music in the
therapists are headed. curriculum and a discussion of what music should
Music Therapy in Health and Education is be used as its content. This line of debate leads to
worthwhile reading for therapists and researchers, analysis of the reasons for selecting certain pieces of
and makes an important contribution to the music as the texts of music education, and moves to
literature. Its problems with uneven research the perennial question of teaching a musical canon
reporting and content are reflective of the issue in of Bach, Beethoven and Brahms, which is content-
general in the field of music therapy and music based and is meant to introduce students to the
medicine, and indeed, in arts medicine research. so-called ’great works’ of music (seen as musically
Margaret Heal and Tony Wigram are to be equivalent to Shakespeare and Austen in literature),
congratulated for their fine editorial work and or whether there is some other way of selecting
mighty efforts to bring these research and clinical material. While appreciating the debate and its
papers into print, and for having the courage to implications for music education, not all readers
raise issues of quality and scientific rigour that must will agree completely with all of Kivy’s arguments.
be addressed as music therapy and music medicine This does not detract from the ideas, the manner of
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