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cover of episode Forum From the Archives: Neuroscientist Daniel Levitin on Using Music as Medicine

Forum From the Archives: Neuroscientist Daniel Levitin on Using Music as Medicine

2025/1/1
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Alexis Madrigal
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Daniel Levitin
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Alexis Madrigal: 本期节目讨论了音乐疗法的科学依据及其在治疗各种疾病中的应用,包括创伤、抑郁症、帕金森症和阿尔茨海默病等。音乐疗法并非仅仅是放松和娱乐,而是可以作为一种辅助治疗手段,帮助患者改善情绪、认知功能和身体机能。 Daniel Levitin: 音乐疗法的历史悠久,但直到近年来脑成像技术的发展,我们才能够从科学的角度解释音乐对大脑的影响机制。音乐可以激活大脑的各个区域和神经化学系统,释放多巴胺、内啡肽等神经递质,从而产生愉悦感和奖赏感。不同类型的音乐对大脑的影响也不同,例如,节奏音乐可以帮助帕金森病患者改善步态,悲伤的音乐可以帮助抑郁症患者排解情绪。音乐还可以帮助改善记忆力,尤其对童年记忆的影响较大,这对于患有阿尔茨海默病的患者尤为重要。此外,音乐还可以帮助治疗创伤后应激障碍和口吃等疾病。

Deep Dive

Key Insights

How far back can we trace the belief in music's healing power?

Beliefs about music's power to heal mind, body, and spirit can be traced back 20,000 years to the Upper Paleolithic era.

What scientific advancements have helped us understand music's therapeutic effects?

Since around 2002, brain imaging has allowed scientists to observe the biological underpinnings of how the brain responds to music, providing scientific rigor to its therapeutic applications.

How does music affect the brain?

Music activates all parts of the brain and every neurochemical system that can be measured. It engages emotional centers, memory, and reward systems, making it a powerful tool for therapy and mood regulation.

What is the significance of music's ability to activate multiple brain systems?

Music's ability to activate multiple brain systems makes it a unique probe for understanding the brain. It integrates rhythm, melody, and timbre, which are processed by separate circuits, and then binds them together into a cohesive experience.

How does music help with conditions like Alzheimer's?

Music can't cure Alzheimer's, but it helps patients reconnect with memories, especially from their youth. It reduces disorientation, decreases cortisol levels, and releases soothing hormones like prolactin, providing comfort and improving mood.

Why is music more effective than other cues for triggering autobiographical memory?

Music is a powerful cue for autobiographical memory because it is often linked to specific life events or emotions. When a familiar song plays, it floods the brain with associated memories, creating a strong sense of self and narrative.

How does music help people with stuttering?

Music acts as an external clock for stutterers, helping them synchronize motor actions like speech. This external rhythm allows them to speak fluently, as seen in cases like Elvis Presley and Mel Tillis.

What role does music play in treating Parkinson's disease?

Music with a tempo matching a patient's gait can help Parkinson's patients walk smoothly by synchronizing their movements. Rhythmic auditory stimulation therapy can train the brain to maintain this synchronization even without music.

Can music help with depression?

Music can alleviate depression by providing emotional resonance. Sad music, for example, can make individuals feel understood, releasing soothing hormones and offering comfort. It can also invoke cathartic crying, which is therapeutic.

What is the difference between passive and attentive listening to music?

Passive listening, like using music as background noise, can help quiet mental chatter, especially for people with ADHD. Attentive listening, on the other hand, allows for deeper emotional engagement, trance-like states, and restorative mental breaks.

How does music help with tinnitus?

Tinnitus, or ringing in the ears, can be alleviated by using white noise devices tuned to the frequency of the ringing. This fatigues the overactive neurons causing the hallucination, providing temporary relief.

Can the wrong type of music have negative effects?

Yes, unwanted or disliked music can cause stress and discomfort. Studies show that unwanted music in public spaces is one of the most annoying aspects of modern life, and it can even be used as a psychological weapon, as seen in the case of Manuel Noriega.

Why do some people not respond to music?

Approximately 10% of the population does not enjoy music due to genetic variability. These individuals may lack the neural pathways or emotional responses that make music rewarding for others.

Chapters
Neuroscientist Daniel Levitin explores the scientific basis for music's therapeutic effects, tracing its use back 20,000 years. While not a cure-all, music's impact on the brain provides a literal aspect to its medicinal properties. The discussion delves into the diverse brain systems activated by music, highlighting examples like Ella Fitzgerald's ability to maintain melody and rhythm despite losing lyrics.
  • Music activates all parts of the brain and neurochemical systems.
  • Brain systems processing music are older than those for speech.
  • Music's components (rhythm, melody, timbre) are separable yet integrated.

Shownotes Transcript

Neuroscientist and musician Daniel Levitin says we can trace beliefs about music’s power to heal mind, body and spirit back 20,000 years, to the Upper Paleolithic era. But only recently have we had good science to explain how music affects us and how we can use it therapeutically. Not only to relax, uplift and bring us together, but as part of treatment of trauma, depression, Parkinson’s, Alzheimer’s and more. Alexis Madrigal talked onstage with Levitin in collaboration with LitQuake, San Francisco’s literary festival, running through October 26th. We listen back on their conversation and to Levitin’s live musical performance.

Guests:

**Daniel Levitin, **neuroscientist, musician and author, "I Heard There Was a Secret Chord," "The Organized Mind," "The World in Six Songs" and "This is Your Brain on Music. He is also Dean of Social Sciences at the Minerva Schools in San Francisco.