Music Therapy 1988, Vol. 7, No. 1, 15-27 Elements of Pain and Music: The Aio Connection1,2 CHARLES T. EAGLE HEAD, DEPARTMENT OF MUSIC THERAPY: MEDICINE AND HEALTH SOUTHERN METHODIST UNIVERSITY JOHN M. HARSH GRADUATE STUDENT, DEPARTMENT OF MUSIC THERAPY: MEDICINE AND HEALTH SOUTHERN METHODIST UNIVERSITY Origin of the Aio Connection According to the entry in Funk and Wagnall’s New Standard Dictionary (1965), the word “anesthetic” is derived from the Greek term aisthanomai, meaning “to perceive.” The term “aesthetic’‘-seemingly the opposite of anesthetic-stems from aisthetikos, a Greek term mean ing “perceptive,” which also stems from aisthanomai.Most significantly, aisthanomai, from which both anesthetic and aesthetic originate, is, in turn, derived from the Greek root aio, meaning “to hear.“3 Why did the ancient Greeks use aio-“to hear”--as opposed to some other perceptual word involving other human senses, such as sight, taste, smell, or tactile touch, to indicate the act of perceiving? Apparently, this choice of words indicates the Greeks’ belief of the over powering sense of hearing, especially the hearing of music (Lang, 1941; Murchie, 1961; Wright, 1969). Results from modern scientific studies of sensory deprivation tend to confirm this ancient wisdom. Even ‘The genesis of this paper was developed through requirements far and processes of an academic course in music psychology at Southern Methodist University during the Spring Semester of 1987.The authors particularly thank members of that class for inspiring and supporting this work. The authors also thank each other for their mutual trust and respect, motivation and illumination which has led to this collegial endeavor. *For his critique of this work, the authors are indebted to C. Thomas Eagle III, who is a professional writer and editor. 3A slightly different line of philological development may be found in Webster’s(1963). where both “aesthetic” and “anesthetic” are traced to aesthetos-"‘sensible” or “percep tible”-then to aisthenesthai-to “perceive” or “feel.” The reader is referred to the Webster’s (1963)definition of “audible,” where aisthenesthaiis traced to aiein-“to hear.” To debate the proficiency of Webster’s(1963)linguists’ interpretations of the ancient Greek language to that of Funk and WagnaIl’s(1965)would deviate from the purpose of this paper. The point is that, regardless of how one spells the word (linguist or not), the ancient Greek term meaning “to hear” (aio or aiein) evolved into other Greek words meaning “to perceive” or “perceptive,” and hence, into our modern-day words “aesthetic” and “anesthetic.” 15 16 Eagle, Harsh without experimental devices and evidence, observational logic dictates that we can close our eyes (sight), refrain from putting substances into our mouths (taste), close our noses by breathing through our mouths (smell), and lie or stand still (tactile touch). But we cannot as easily close our ears. They remain constantly vigilant, even in sleep. This aspect of vigilance-constant and acute attentiveness through hearing seems to have been considered the basic perceptual attribute of humankind by the Greeks. “To hear” (aio) is philologically, then, the root term from which the English/Greek connotation of “beautiful” (aesthetic) or “not beautiful” (anesthetic) derive. And the search for the beautiful is that which initiates, illuminates, and animates both artistic and scientific endeavors. Philosopher Augros and physicist Stanciu (1984) state unequivocally that “beauty is a means of discovering scientific truth” (p. 38). The emi nent quantum physicist Heisenberg has been quoted as saying that beauty “in exact science, no less than in the arts. .is the most impor tant source of illumination and clarity” (Augros & Stanciu, 1984,p. 39). The primary standard for scientific truth is beauty, as exemplified in the statement of physicist Dirac: “It is more important to have beauty in one’s equations than to have them fit the experiment” (cited in Taylor, 1970,p. 38). Similarly, physician Dossey (1982) speaks to the aio and aesthetics of medical therapy by saying that, “when medical models embody beauty-the beauty of oneness and unity--and fit the experi ment, there is cause for delight” (p. 225). These statements, in tandem with the aio concept, are reminiscent of Apollo, the most Greek of all the Greek gods: He was “the god of light, of order and clarity, of medicine, music, and prophecy” (Vandenberg, 1982, p. 162). To these concepts, we must also add Phythagoras’ scientific discovery of numerical relationships between lengths of vibrating string, a discovery which gave rise to the musical scale and, consequently, Western music.4 Consider also the Greek doc trine of ethos whose greatest proponent was Plato.5 According to this integral belief of Greek society, the influence of music is profound, in that people are decisively influenced by music in three ways: 1) It [music] can spur to action; it can lead to the strengthening of the whole being, 2) just as it can undermine mental balance; and finally, 3) it is capable of suspending entirely the normal willpower, so as to render the doer unconscious of his acts. (Lang, 1941,p. 14) Kayser (1970)states that “the balance of Western thought was destroyed when ‘touch’ and‘sight’werestressedto the detrimentof ‘hearing”’ (fromthe dust cover). Musi cian/art historian Kayser’s monumental theoretical work is based primarily and predominantly an the research of Pythagoras. 5Attention is drawn to two significant works by musicologist McClain (1976, 1984): The Myth of Invariance and The PyfhagoreanPlato. In them, the author interprets writings of Plato vis-a-vis music and its influence, particularly on number and cosmology. Also, see selected indexed portions of the writings of physicist Jones (1982)in Physics asMetaphor. Elements of Pain and Music 17 This Apollonian concept of music medicine is exemplified in the modem art-science of music therapy, or music medicine. In addition, the current connotative use of the terms “new age” and “holism” sug gests revivification of Renaissance and ancient Greek attitudes and con cepts toward a unification of spirit, mind, and body. The aesthetic, or beautiful, then, in the perception (aisthanomai)of music through its hear ing (aio), is inculcated in the spirit of humankind, which is the source of universal energy micro and macrocosmically. Furthermore, this energy is mediated by the mind6, with eventual impact on the body.7,8 Ultimately, artistic beauty scientifically applied, and scientific beauty artistically applied, are that which heals. Basically, aesthetics heal. Beauty heals. More completely, the beauty of music heals. With this acute and constant awareness of the conceptual and theoretical silent underpinning of the ancient Greek term “aesthetic,” its derivations and meanings, we can single out the relationship be tween pain and music to illustrate the relationship between healing and beauty. In order to comprehend how the intervention of beautiful (aesthetic) music-through the hearing (aio)-affects the perceived (aisthanomai), we must begin with an understanding of pain and the psychoneurological and psychoacoustical connections between pain and music. 6In this context the mind is equated with the Creek will, as presented by musicologist Lang (1941).For purposes of this paper, the mind is seen as the functioning of the brain. ‘In analogous, and perhaps literal, terms of and concepts from quantum physics, energy (spirit) influences matter (body) or, at the very least, affects interchanges with each other, due to the mediation and perception of the brain (mind), This notion is more than analogous to physic&t/musician Einstein’s E = mc2,wherein “E” is energy, “m” is mat ter. and “=” is the mediator between E and m, with “P’ (chronos) being the time in which the event occurs. The definition of music as being vibrations in harmonious pat terns and existing for the purpose of bridging materiality into spirituality through con ceptsfromquantumphysicsisbeautifullypresentedbymetaphysicist Starcke(1973).In thisregard,alsoseethewriting of physicistCharon(1983).Severalotherauthorshave brieflybut perhapstentativelyexploredthe relationshipof musicwith concepts from quantumphysics;theseincludephysicistsBohm (1980).Herbert (1985),and Wolf (1981), as well as science writers Cole (1985)and Zukav (1919).The writings of Dossey (1982.1984) are replete with topical references to artistic and aesthetic concepts in quantum physics particularly time-as they relate and apply to therapy, especially to medical practice. ‘Perceptionis centralto physicist/musician Heisenberg’s provenconceptof theUncer tainty Principle, which states that a thing exists or can be measured in a position or move ment:,dependingon themannerofhumanperception.Thisis oftencalledtheobserver The indication from quantum physics-physics being the basic science-is that human perception determines the quantum state of existence of a thing. This includes our bodies, as is convincingly shown by physicist Wolf (1986) through his writing TheBodyQuan tum.Wolfstatesthat“quantumconsciousness is theobservereffectin quantumphysics [uncertaintyPrinciple]”and,therefore,“consciousness [perception], in itsquantumrole astheobserver,altersthebody,enablingeachbodilyfunctionto occur” (p. xxv).The implication is clear: As a perceptual phenomena, pain can be mediated through con scious attention or lackthereof,andmusiccanaffectperceptual consciousness. Conse quently,musiccanhavean effecton pain. 18 Eagle, Harsh Parameters of Pain Apparently, there is no nonpainful process of purification (Lewis, 1948). There are at least three reasons for this phenomenon. First, most processes of purification involve intense factors such as heat, pressure, and emotion that somehow alter the nature of that which is being purified. Second, purifying leads to pain which comes into existence as a warning system. And, third, the warning signals let us know that we are injured and in need of being purified and ultimately less stressed. This cyclic, recurring, rhythmical effect of “pain may be due to organic or psychic disturbances, and is the symptom which most often causes a patient to seek help” (Merck Manual, 1972, p. 1267). The Taxonomy Committee of the International Association for the Study of Pain has defined pain as an unpleasant sensory and emotional experience associated with actual or potential tissue damage (Wall & Melzack, 1984). The Committee also has noted that pain is subjective. From this, we may conclude that pain is perceived (aisthanomai) and thus interpreted by the mind as pain. And, because pain is mediated by the mind, we can further conclude that such mediation has contact with the memory storage of the brain, including music memories. Since memory differs from person to person, each has a different associa tion for pain as well as for music. For example, a person who has sus tained no serious injuries-such as broken bones, stitched lacerations, or major burns-will perceive pain differently from one who has suffered from a severe injury. Those now defining pain avoid the strict association of it with stimuli. Their reason for this seems to be that once a person’s subjective report of perceived pain in absence of tissue damage is accepted, there is no assured method for distinguishing this pain from that reported by another person with tissue damage. Kotarba (1983) and Sternbach (1982) distinguish between two types of physical pain. The first type is acute pain, described as a sharp sensa tion warning of something wrong within the body. The etiology of this sensation is interpreted most often as tissue damage. Acute pain is of recent onset or of short duration, causes immediate change in various autonomic nervous system (ANS) processes, and elicits a reflexive verbal and/or gesticulatory response. An interpretive description of acute physical pain is reflected in the definition from Taber’sCyclopedic Medical Dictionary (1981): Pain is “a sensation in which a person experiences discomfort, distress, or suffering due to provocation of sensory nerves.” A second type of physical pain is chronic, which is “of at least several months’ duration.. .tends to be an apparent habituation of the autonomic responses” (Sternbach, 1982, p. 5), and elicits little or no reflexive/defensive reflex. Chronic pain is constant rather than intermittent. Elements of Pain and Music 19 Friction (1982), Merskey (WE), and Sternbach (1982) describe psychogenicpain. This diagnostic term is applied when there is a lack of physical stimuli to which the pain may be attributed. Psychogenic pain may be traced to three predominantly psychological mechanisms. The fist and most common is anxiety tension, due mainly to an overly stressful experiential situation. The second is hysterical conversion, in which the pain is due to faulty thought patterns or repression of thoughts and emotions. The third but relatively rare mechanism is hallucinogenic, due to a false perception (annisthanomai) having no relationship to environmental reality. Psychoneurological Connections Between Music and Pain Music and pain share some of the same psychoneurological process ing areas, perhaps most notable of which is the limbic system of the upper brain stem (music-Hodges, 1980b; Roederer, 1987; painAchterberg & Lawlis, 1980;Sternbach, 1982).Roederer (1975)summarily describes the limbic system as that part of the brain which comprises: several structures (hippocampus, amygdala, several thalamic nuclei, etc.). In conjunction with the hypothalamus (the part of the brain that integrates the function of the autonomic or visceral nervous system and regulates the endocrine system), the limbic system polices sensorial input, selectively directs recent memory storage, and mobilizes motor output, with the specificfunction of ensuring a response that is most beneficial for the self-preservation of the organism in a complex, continuously changing [external and inter nal] environment. It accomplishes this function by dispensingsensa tions of rewardand punishment or pleasure and pain, depending on the current circumstances. (p. 164) Roederer’s statement implies at least two psychoneurological similarities between music and pain. The first similarity is that both music and pain can be classified as sensory input. This indicates that when music is heard, the signals sent to the brain are sensorily as real as signals sent to the brain when pain is felt. This concept is reminiscent of Gaston’s (1968) “fifth commandment”: Melodic pattern, pitch, tempo, rhythm, and dynamics all demand a preciseness that is astounding when carefully considered. All the senses bring to us aspects of reality. To hear a chord of music is no less real than to smell a rose, to see a sunset, to taste an apple, or to feel the impact of striking a wall [painful!]. (p. 24) The second psychoneurological similarity between music and pain lies in the output from the limbic system, which is usually considered the site of emotional synthesis (Regelski, 1978; Roederer, 1975, 1987). The fact that the limbic system is primarily responsible for emotional 20 Eagle, Harsh output indicates that emotions are tightly, if not inseparably, intertwined with pain-as they are with music. The psychoneurological relationship between music and pain becomes more clear. Because both music and pain signals apparently follow similar neural pathways, each can affect the other.9 Psychoacoustical Connections Between Music and Pain Several acoustical, or vibrational, parameters of sound have been com monly identified: frequency, intensity/amplitude, wave form, duration, and location (Hedden, 19980;Lundin, 1985).These parameters have their psychological, or tonal, correlates: pitch, loudness, timbre/tone quality, time, and localization (Lundin, 1985; Radocy & Boyle, 1979). Pain also has psychological parameters. Sternbach (1982) presents them as intensity, texture, duration, and location. In discussing the tem poral, or durational, aspects of pain, he states that: it is helpful to establish whether a patient’s pain is constant. . waxing or waning in severity, or intermittent. If pain is intermit tent, what is the period-minutes, hours, days-or is it irregular? What has been the duration of time since the original onset of the pain and what was the original cause? Pains that are intermittent and have a very short period (described as shooting, jabbing, etc.) are often related to nerve injuries. Other pains are more steady, although vascular pains are sometimes throbbing and some muscle pains involve spasms, which may be periodic. (p. 11) 1. Frequency/Pitch Sternbach’s (1982)use of the words “waxing,” “waning,” “intermit tent,” “periodic,” and his inference of “time, ” indicate clearly the rela tionship of pain to the psychoacoustical elements of music. Since frequency can be defined as “the rate of repetition of a regular event” (ConciseScienceDictionary, 1984), since the rate of repetition in the event is present in all the psychoacoustical elements of music, and since pain occurs at varying rates, frequency may be the most interpretive causal concept relating pain and music. The perception of the pitch of a musical 9A more completediscussion of the psychoneurological mechanisms of pain is beyond the scope of this paper. However, among the several texts available on this subject, the reader is referred to Achterberg (1985). Barber and Adrian (1982), Crue (1975), and Osteweis, Kleinman, and Mechanic (1987), as well as to a text with the intriguing title Listen to Your Pain (Benjamin & Borden, 1984). attributes ofmusicalsound, psychologist Lundin (1985) To these four psychological/tonal and music educator Hedden (1980)include density and volume, the latter seen as a func tion of both frequency (pitch) and intensity (loudness). Greater volume goes with greater intensity and with less frequency. Density is seen as identical to brightness: The higher the frequency, the more dense; the lower the frequency, the more diffuse. Elements of Pain and Music 21 tone is determined by the regular rate of the sound. The perception of the severity of pain is also determined by its regularity. All things (quanta) are in a constant state of vibration; otherwise, the thing is nonexistent to human perception. The form and “Iivingness” of a thing is due to its rate of vibration, or frequency (Eagle, 1985c,1987c). Accordingly, the whole human body has its rate of vibration, or funda mental frequency. And each bodily part has a particular frequency which must be in synchrony-in harmony-with the body fundamental. (“Fundamental” is used here in the acoustical sense, that is, a musical tone consists of a fundamental frequency and its multiplicity of overtones-partials or harmonics.) “It is these overtones (or partials) which lend a note or instrument its particular [sonic] character” (UngerHamilton, 1979,p. 12). Likewise, the human body contains a multiplicity of overtones through its bodily parts, each having its own rate of vibra tion, or frequency. The total of these partial overtones is contained in the body fundamental. When a bodily part is injured, the frequency of that overtone part changes. The frequency of the injured part now has a frequency dif ferent from that of the part’s healthy state. The rate, or frequency, of the nerve signals transmitting the pain is altered. The conjunction of these vibrational factors results in an altered state of perception (aisthanomai/aisthetikos). This pained state is most often considered negative and, therefore, the body seeks to right itself. It seeks to come more in harmony with itself through some kind of adjustment of its overtone structure so that the fundamental body-self with its visceral or body-part overtones may once again attain its original and particular character. The point is that frequency is associated with pain through the specific vibrational nature of the damaged tissue (physical pain) or damaged psyche (psychogenic pain). Since the genesis of both music and pain is vibrational frequency, one can affect the other. 2. Intensity/loudness Intensity is defined as “the rate at which radiant energy is transferred per unit area” (Concise ScienceDictionary, 1984). Researchers in both acoustics and pain refer to intensity as an amount of exerted energy and pressure. Just as the psychophysiological perception of the pain fulness of pain is determined by the severity, or the amount of energy, conveying acute or chronic pain, the psychophysical perception of loudness of a musical message is also determined by the amount of energy conveying the acoustical sound. 3. WaveForm/Timbre, orQuality Wave form is “the shape of a wave or the pattern representing a vibra tion” (ConciseScienceDictionary, 1984)of a single but complex frequency In psychoacoustics, it is the timbral “aspect of a tone that gives it its richness” (Lundin, 1985, p. 50) and is the determining factor of the 22 Eagle, Harsh perceptual identification of a particular instrument. In pain, it is the quality of the pain that indicates how the pain feels to and is perceived by the person. Because pain is transmitted neurologically to the brain in the form of impulses of energy, the quality of pain is perceived in a similar manner to that of music. That is, both pain and music qualities are determined by the distribution of energy: in pain, by the energized neural conductors; in music, by the energized overtones (partials, or harmonics) in a tone. 4. Duration/Time Duration is “the time during which something exists or lasts” (Webster’s,1975). Note that the physical attribute of duration is defined in terms of the psychological attribute of time. Frequency/pitch and intensity/loudness, as well as wave form/quality, deal with some aspect of the duration/time domain, in that a) frequency is the number of cycles of an oscillation of a thing in a given period of time; b) intensity is the amount of time (rate) at which energy is radiated; and c) wave form is the number of partials within a spectrum, each partial radiating energy in a given period of time. With proper instrumentation, each of these dimensions of tone can be measured as an aspect of physical duration. But each is also an aspect of psychological time. In musical composition, duration/time is manipulated not only in perceived pitches, loudnesses, and tone qualities, but also in rhythms, beats, and tempos. Thus, music alters time because music is time. Music can also alter the perception of time in a nonmusical place. For example, slow music decreases the subjective estimation of time, while fast music increases time estimation (Hedden, 1980). The manipulation of this single compositional element of music-tempo may be enough to alleviate pain. For, as Dossey (1982) states in Space, Time & Medicine: persons who experience pain ordinarily live in a contracted or con stricted time sense. Minutes seem like hours when one is hurting. Becausethe time sense is constricted, pain is magnified-sometimes far beyond what seems appropriate. Are there ways to intervene in painful situations, ways to manipulate the sense of time by expand ing it? Can we lessen pain by “stretching” the time sense? (p. 46) Experiences other than music which alter estimates of time include age, personality characteristics, body temperature, and drugs. “Almost all substances that we use to treat severe pain modify the patient’s sense oftime.... In fact, any device or technique that expands one’s sense of time can be used as an analgesic!” (Dossey, 1982, p. 47). Since music is time and can also modify time perception, music can be used as an analgesic. Music therapy is time therapy. Elements of Pain and Music 23 5. Location/Localization Location is “the objective measurement which pinpoints a sound source in terms of coordinates or compass directions” (Hedden, 1980, p. 79). Localization is the subjective judgment of where the musical sound is in environmental space. The same is true of pain: For those who have pain, localization is the judgment of where the pain is (Stem bach, 1982) in bodily space. The best of modem science-quantum physics-has determined not only that space is inextricably entwined with time, but that it is so much so that the concept of spacetime is foundational to the present-day study of psychophysical phenomena. Interpretation of the process of space time has been enhanced (at the very least) by physicist Heisenberg’s Uncertainty Principle, which is concerned with the profound effects of the human observer observing the phenomena. Accordingly and therefore, we may say that if people (observers) perceptually locate the etiology of their radiating pain, they can alter the cycling, rhythmical process of pain. Theoretically, then, a medicinal dose of appropriately-composed radiating, cycling, rhythmical music can be a most potent pain reliever and most safe (i.e., the least side effects). Granted, the musical dose must be carefully constructed with its musical elements of pitch, loudness, etc. The frequency of the pain and the total frequency of the elements of the music must be scientifically determined and analyzed, the difference between the resulting two frequencies established, the musical content re-adjusted, and the result artistically applied. When this occurs, the time-altering rhythm (broadly defined) of the music will psychoneurologically replace the rhythm of the pain. That is, the result will be perceived by the patient to be neurophysiologically satis fying and psychosocially enhancing and, therefore, aesthetically and beautifully pleasing. Conclusion of Theorizations All bodily processesare governed by the laws of physics. This includes healing. The laws of the universe “out there"-in the environment out side the human body-are equally applicable to the function of the universe “in here"-inside the body. “Out there” and “in here” are both composed of vibrations and vibro-magnetic fields, the analytical and perceptual interpretative parts of which are frequencies/pitches, intensities/loudnesses, wave forms/tone qualities (timbres), dura tions/times, and locations/local&rations. Of such stuff is the body made and music composed. The point is that: the body is not real in the same sense that a particle of physics, such as an electron, is not real. The body does not possess 24 Eagle, Harsh well-defined boundaries.. The body, instead, is perhaps best viewed as a confluence of agreement brought forward by the resonance of parallel processes [of rhythmic music and pain]. What we call reality, in effect, is made up of the infinities of [rhythmic] processes. (Wolf, 1986, p. 259) The body is in a constant state of cellular change, so the body changes from moment to moment and over a period of time through the inter change of electromagnetic energy (i.e., chemical action) and quantized mass (i.e., cells and their constituents). If a person perceives him or herself to be in pain, whether it be due to cellular or psychic damage or whether the pain be acute or chronic, the body attempts to right itself to rid itself of the pain. Alteration of the pain and, consequently, “a confluence of agreement” (i.e., to become whole, “holy”) within the operation of the bodily parts can be brought forward by the resonance of parallel processes of injecting music. If the vibration of music can be brought into close resonance with the vibration of the pain, then the psychological perception of pain is altered and eliminated.” This resonating body then enters into the “biodance” (Dossey, 1982), the endless exchange and transformation of energy and mass, the dance of life processing, of fulfilling. We perceive (aisthetikos) this musical biodance to be beautiful (aesthetic). And all because we hear (aio). The ancient Greeks were correct. REFERENCES Achterberg, J.(1985).Imagery inhealing:Shamanismand modernmedicine.Boston: Shambhala. Achterberg, J., & L.awlis, G.F. (1980).Bridgesof the bodymind:Behavioralappproaches to health care. Champaign, IL: Institute for Personality and Ability Testing. Augros, R.M., & Stanciu, G.N. (1984). The new story of science:Mind and the universe. Chicago: Gateway Editions. Barber, J., & Adrian, C. (Eds.). (1982). Psychologicalapproaches to the managementofpain. New York: Brunner/Mazel. “This theoretical discussion centers around the influence of music on perceived pain. This implies that the main process in this phenomenon is psychosociological. But evidence exists which suggests that music influences neurophysiological behavior as well. For syn thesizing discussions, see several texts in music psychology, especially those writings by psychologists Davies (1978),Deutsch (1982).Dowling and Harwood (1986),Farnsworth (1969),and Lundin (1985);music educators Hodges (1980a),and Radocy and Boyle (1979). Also see the edited texts by physicians Droh and Spintge (1983). and Spintge and Droh (1985, 1987a, 1967b).Of particular interest is the unique laboratory controlled, experimental research of music therapist Edwards (1987)in which he explores the influence and effects of musical elements in the musical context an several psychoneurological parameters. Theoretical attempts have been made to interpret the influence of music on behavior in light of concepts fromquantum physics, including the work of music therapists Eagle (1983a 1983b. 1984a, 1984b, 1985a, 1985b, 1985c. 1986, 1987a, 1987b, 1987c),Eagle and Lokey (1982).Eagle and Schmidt (1982),and Lokey (1984);and political scientist Traphagan and musician Traphagan (1986). Elements of Pain and Music 25 Benjamin, B.E., &Borden, G. (1984).Listen to your pain: Theactive person’sguide to under standing. identifying, and treating pain and injury. New York: Viking. Bohm, D. (1980). Wholenessand the implicate order. London: Routledge & Kegan Paul. Charon, J.E. (1983). The unknown spirit. London: Coventure. Cole, KS. (1985). Sympatheticvibrations: Reflectionson physics as a way oflife.New York: William Morrow. Concisesciencedictionary, (1984). New York: Oxford University Press. Crue, B.L. Jr. (Ed.) (1975). Pain: Researchand treatment. New York: Academic Press. Davies, J.B. (1978). The psychology of music. Stanford, CA: Stanford University Press. Deutsch, D. (Ed.) (1982). The psychologyof music. New York: Academic Press. Dossey, L. (1982). Space,time & medicine.Boulder: Shambhala. Dossey, L. (1984).Beyondillness: Discoveringthe experienceofhealth. Boulder: Shambhala. Dowling, W.J., & Harwood, D.L. (1986).Music cognition. Orlando, FL: Academic Press. Droh, R., & Spintge, R. (Eds.). (1983).Angst, sckmerz,musik in der anaesthesis[Fear,pain, musicin anesthesia].(Book of proceedings of the 1st International Symposium of the International Society for Music in Medicine). Basel: Editiones Roches. Eagle, C.T.Jr, (1983a,February). A creative view of creativity. Paper presented at the meeting of the Loyola Music Symposium, New Orleans, LA. Eagle, C.T. Jr. (1983b,February). Music therapy: The uncertainty ofit. Presentation made at the meeting of the Southeastern Regional Conference of the National Associa tion for Music Therapy Conference, Savannah, GA. Eagle, CT. ]r. (1984a, October). A quantum interfacingsystemfor musicand medicine.Paper presented at the meeting of the 2nd International Symposium of the International Society for Music in Medicine, Luedenscheid, West Germany. Eagle, CT. Jr. (1984b, November). Quantum physics and systemstheory asan interfacebe tween music and medicine.Paper presented at the meeting of the National Associa tion for Music Therapy, Albuquerque, NM. Eagle, CT. Jr. (1985a,March). Quantum physicsand creativearts. Presentation made at the meeting of the Creative Arts Therapies, Norman, OK. Eagle, C.T. Jr. (1985b.April). Quantum physics and music therapy. Presentation made at the meeting of the American Association for Music Therapy, New York. Eagle, CT. Jr.(1985c).A quantum interfacing system for music and medicine. In R. Spintge & R. Droh (Eds.), Music in Medicine (pp. 319-341). (Book of proceedings of the 2nd International Symposium of the International Society for Music in Medicine). Basel: Editiones Roche. Eagle, C.T. Jr. (1986,December). Exploring researchin musicand medicine.Paper presented at the meeting of the Music and Health Conference, Eastern Kentucky University, Richmond. KY. Eagle, C.T. Jr. (1987a.February). The further and farther reachesofmusic therapy. Presenta tion made at the Southeastern Regional Conference of the National Association for Music Therapy, Charleston, SC. Eagle, CT. Jr. (1987b,April). Space,time &music. Presentation made at the Southwestern Regional Conference of the National Association for Music Therapy, Dallas, TX. Eagle, CT. Jr.(1987c).A quantum interfacing system for music and medicine. In R. Spintge & R. Droh (Eds), Music in medicine(pp. 389-411). New York: Springer-Verlag. Eagle, CT. Jr., & Lokey, M.E. (1982, November). NAMT: New age music therapy, Part I: An historical perspective.Presentation made at the meeting of the National Associa tion for Music Therapy, Baltimore, MD. Eagle, CT. Jr., & Schmidt (Peters), J.A. (1982, November). NAME: New agemusic therapy, Part II: A theoreticalparadigm. Presentation made at the meeting of the National Association for Music Therapy, Baltimore, MD. Edwards, MC. (1967).Relationshipsbetweenelementsofmusic and the skin conductanceand heart-rate responsesof listeners. Unpublished master’s thesis. Southern Methodist University, Department of Music Therapy, Dallas, TX. Farnsworth,ed.). P.R.Ames: (1969). Iowa The State social University Psychology of music (2nd 26 Eagle, Harsh Friction, J.R. (1982). Medical evaluation of patients with chronic pain. In J. Barber & C. Adrian (Eds), Psychologicalapproachesto the managementof pain(pp. 21-39). New York: Brunner/Mazel. Funkand Wagnall’snew standarddictionary ofthe English language.(1965).New York: Funk and WagnaIl. Gaston, E.T. (1968). Man and music. In E.T. Gaston (Ed.), Music in tkerapy (pp. 7-29). New York: Macmillan. Hedden, S.K. (1980). Psychoacoustical parameters of music. In D.A. Hodges (Ed.), Handbook of music psychology (pp. 63-92). Dubuque, IA: Kendall/Hunt. Herbert, N. (1985). Quantum reality: Beyond the new physics. Garden City, NY: Anchor Press/Doubleday. Hodges, D.A. (Ed.). (1980a).Handbookofmusic psychology.Dubuque, IA: Kendall/Hunt. Hodges, D.A. (1980b). Neurophysiology and musical behavior. In D.A. Hodges (Ed.), Handbook of music psychology (pp. 195-223). Dubuque, IA: Kendall/Hunt. Jones, R.S. (1982). Physicsas metaphor.Minneapolis: University of Minnesota Press. Kayser, H. (1970).Akroasis: The theory of world harmonics. Boston: Plowshare Press. Kotarba, J.A. (1983).Chronicpain: Itssocialdimensions.Beverly Hills, CA: Sage Publications. Lang P.H. (1941). Music in Westerncivilization. New York: W.W. Norton. Lewis, C.S. (1948). The problem of pain. New York: Macmillan. Lokey, M.E. (1984). The influence of music on health: Twentieth century perspectives. Unpublished master’s thesis, Southern Methodist University, Department of Music Therapy, Dallas, TX. Lundin, R.W. (1985). An objectivepsychology of music (3rd ed.). Malabar, FL: Robert E. McClain, E.G. (1%). The myth ofinvariance: The origin of the gods,mathematicsand music from the Reg Vedato Plato. Boulder: Shambhala. McClain, E.G. (1984). The PythagoreanPlato: Prelude to the song itself.York Beach, ME Nicolas-Hays. Merck manual of diagnosisand therapy, The. (1972). Rahway, NJ: Merck. Merskey, H. (1978).Psychological aspectsof pain relief; hypnotherapy; psychotropic drugs. In M. Swerdlow (Ed.), Relief of intractable (2nd ed.) (pp. 21-38). New York: Excerpta Medica. Murchie, G. (1961). Music of the spheres.Boston: Houghton Mifflin. Osterweis, M., Kleinman, A., &Mechanic, D. (Eds.) (1987). Pain and disability: Clinical, behavioral,and public policy perspectives(a report from the Institute of Medicine, Com mittee on Pain, Disability, and Chronic illness Behavior). Washington: National Academy Press. Radocy, R.E., &Boyle, D. (1979).Psychologicalfoundationsofmusicalbehavior Springfield, IL: Charles C Thomas. Regelski, T.A. (1978). Arts education and brain research.Washington: Alliance for Arts Education. Roederer, J.G. (1975).Introduction to the physicsand psychophysicsofmusic (2nd ed.). New York: Springer-V&g. Roederer, J.G. (1987).Neuropsychological processes relevant to the perception of musicAn introduction. In R. Spintge & R. Droh (Eds.), Music in medicine (pp. 81-106). New York: Springer-Veralg. Spintge, R., & Droh, R. (Eds.) (1985).Music in medicine.(Book of proceedings of the 2nd International Symposium of the International Society for Music in Medicine). Basel: Editiones Roche. Spintge, R., & Droh, R. (Eds.) (1967a).Music in medicine:Neurophysiologicalbasis-Clinical applications-Aspects in the humanities. New York: Springer-Verlag. Spintge, R., & Droh, R. (Eds.) (1987b, in press). Music-Dynamics, Rhythm, HarmonyMedicine. (Book of proceedings of the 3rd International Symposium of the Inter national Society for Music in Medicine). Basel: Editiones Roche. Starcke, W. (1973). The gospel of relativity.New York: Harper & Row. Elements of Pain and Music 27 Sternbach, R.A. (1982).The psychologist’s role in the diagnosis and treatment of pain patients. In J. Barber & C. Adrian (Eds.). Psychologicalapproachesto the management of pain (pp. 3-20). New York: Brunner/mazel. Taber’scyclopedicmedicaldictionary (14th ed.). (1981). Philadelphia: EA. Davis. Taylor, A.M. (1970). Imagination and the growth of science.New York Schocken. Traphagan, J.W., &Traphagan, W. (19%). The nature of meaning in music. Revision: The Journal of Consciousnessand Change, 9 (1). 99-104. Unger-Hamilton, C. (Ed.). (1979). The music makers.New York: Harry N. Abrams. Vandenberg, P. (1982.). The mystery of the oracles.New York: Macmillan. Wall, P.D., & Melrack, R. (Eds.). (1984).Textbook of pain. New York: Churchill Livingstone. Webster’snew collegiatedictionary (3rd ed.). (1975). Springfield, MA: G. & C. Merriam. Webster’sthird new international dictionaryof the English language.(1963). Springfield, MA: G. & C. Merriam. Wolf, EA. (1981). Takingthe quantum leap: The newphysicsfor nonscientists.San Francisco: Harper & Row. Wolf, EA. (1986). The bodyquantum: The new physics ofbody, mind, and health. New York: Macmillan. Wright, F.A. (1969). Thearts in Greece:Threeessays.port Washington, NY KenniKat Press. Zukav. G. (1979). The dancing Wu Li masters:An overview of the new physics. New York: William Morrow. Charles T. Eagle Jr.,Ph.D., RMT, is Head of the Department of Music Therapy Medicine and Health of Southern Methodist University, Dallas, Texas.As professor of music therapy, psychophysics, and writer, his prominence in the field is far-reaching. He is the com piler of Music TherapyIndexand Music Psychologylndex, and has authored and co-authored numerous professional articles. He is a member of the National Association for Music Therapy (NAMT), the Texas Music Educators Association, the Society of Research Psychology and Music Education, and the British Society of Music Therapy. John M. Harsh is currently enrolled as a graduate student in the Department of Music Therapy: Medicine and Health, at Southern Methodist University. He is serving a music therapy internship at CPC Millwood Hospital in Arlington, Texas, and has worked as a counselor with emotionally disturbed children.
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