Music in Medicine — Reading Companion

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In Category - Music History
Licht, Sidney, 1907-1979 Project Gutenberg 2022 Not confirmed
Music, Influence of; Music -- Physiological effect Readers of public-domain and historical texts
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Words 44,387
Reading time 193 min
Text sections 20

The catalog record for Music in Medicine — Reading Companion provides practical reading context through 44,387 words, 3 hr 13 min estimated reading time, and 20 detected text sections.

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Sidney Licht's 1946 study examines music's physiological and psychological effects, distinguishing aesthetic creation from therapeutic application. The opening foreword establishes music as a non-utilitarian art, while later sections critique unsubstantiated claims and outline mental disease classifications. The book offers a physician's perspective on music's potential and limits in medicine.
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s the chief physician at the Salpêtrière Hospital, the largest and best known hospital in France. Dr. Louis tried to repeat the cures promised by Nollet but was unable to secure success in any of the patients whom he exposed to static electricity. He published the story of his failure to do so, which so excited Abbé Nollet that he wrote an entire volume condemning Dr. Louis. Instead of refuting the ability of Dr. Louis to diagnose paralysis and evaluate a cure, he climaxed his remarks with the classical question addressed to the doctor, “Is electricity your field?”[61]

For many centuries philosophers and musicians have claimed the ability to cure mental illness through the use of music, and have at times called this procedure Musical Therapy. Although the physicians might well say to these musicians that therapeutics is definitely not within the province of musicians, it is unlikely that a musician would at this time have the courage to ask physicians, “Is this your field?”

A thorough search of the history of medicine will show that almost all phenomena and substances have at one time or another been tried in an attempt to combat disease. Many of these agents were abandoned when they became unfashionable to a more sophisticated civilization, or were recognized as unwholesome by a more educated generation. The fact that few were given up merely because of their ineffectiveness can be seen in the great number of quack nostrums which still enjoy an active sale among the ignorant, and by the impossible claims of highly organized cults which continue to gain in numbers and followers in this country. Healing schemes based upon the use of herbs because they are delivered right from nature’s womb, or the fanciful notion that all diseases arise from the imaginary displacements of the spinal bones, are still in their ascendency. The liberal system we call democracy has not only permitted their growth but has rewarded their ingenuous and ingenious development. Exposure of the fraudulent methods involved serves little purpose because the mentality which is so susceptible to warped reasoning responds poorly or even antagonistically to enlightening guidance.

There are, however, certain valuable features in herb and spinal doctrines which have been partially ignored by reputable physicians because of the intimate relation of these ideas to cult practice.

In spite of a spirited rebirth of the movement towards the establishment of a system of healing based on music, there are many valuable uses of music in medicine which might suffer a like fate unless a critical analysis of the worth of music as a therapeutic agent is effected before Musical Therapy reaches the dubious distinction of classification as a healing cult.

This book has been written with a view to preserving for medicine that which is good for patients, and in an attempt to aid musicians under medical guidance in using music to help the sick.

Primitive peoples throughout the world still use music in association with the healing arts. This of course is an indication that they have probably used it for more centuries than are recorded in the pages of written history. Ancient civilizations frequently associated music with the divine, but placed diminished emphasis upon its association with healing. Even so, the Hebrews accredited to music curative and inspirational powers[7], as can be seen by the reference in Scripture: “And it came to pass when the evil spirit from God was upon Saul that David took a harp and played with his hand; so Saul was refreshed and was well and the evil spirit departed from him.”[63]

For the Greeks to whom we owe the origin of the word music, Apollo served as the God of both medicine and music, and there were some among them who suggested its use for both mental and physical disease. “Plato and Aristotle claimed that the Dorian mode was regarded as virile, energetic, and proper for the perfect citizen; the Phrygian made them headstrong and the Lydian included effeminacy and slack morals. The modes of Asiatic origin were considered suitable for banquets.” Five hundred years before the birth of Christ, Pythagoras[I.] founded a brotherhood “based on music as a means of life and moral uplift.”[70] The influence of music was so great among the Greeks that it is not surprising that they used it in all walks of life, including medical treatment. The extent to which they and the peoples who followed them, used music in this manner will be more fully discussed in the first chapter.

The foreword by Sidney Licht immediately draws a sharp line between music as an independent aesthetic art and its practical adaptation for therapy. He insists that artistic creation must remain free from utilitarian aims, yet acknowledges that the passive perception of music can provoke emotional reactions and mental modulations. This tension between art and utility sets the stage for a physician's rigorous examination of music's role in medicine.

Licht, a Fellow of the New York Academy of Medicine, approaches the subject with clinical caution. He warns against unsubstantiated claims and emphasizes that only licensed physicians can determine curative value. The book's structure moves from theoretical foundations to practical classifications, grounding its arguments in medical terminology rather than musical enthusiasm.

Art and Utility: A Delicate Balance

The foreword establishes music as a 'social superstructure' and an 'abstract manifestation of the human mind,' opposing any reduction to mere function. Licht argues that art, by nature a product of individuality, requires qualities like talent, genius, and originality—attributes that prevent a universal approach to creation. Yet he concedes that the material results of this creative act can find wide application in passive perception. This dual stance—protecting art's autonomy while allowing its effects to be studied—shapes the entire work. Readers should note how Licht repeatedly returns to this distinction, using it to critique both overzealous promoters of music therapy and those who dismiss music's potential outright.

The Physician's Criteria for Therapy

Licht devotes significant space to defining what constitutes legitimate therapy. He insists that the term 'musical therapy' has been applied almost exclusively to mental disease, but that true therapy requires: accurate classification of the disease, a therapeutic agent with constant qualities permitting controlled dosage, and a reasonably high percentage of demonstrable results. These criteria, drawn from medical science, serve as a filter for evaluating historical and contemporary claims. Licht's tone is skeptical: he notes that 'claims can be made by anyone' and that accidental or falsified results often mislead. This section provides the methodological backbone for the book, and readers will see it applied repeatedly in later chapters.

Mental Disease Classification for the Musician

Recognizing that musicians working in hospitals need a working vocabulary, Licht offers a simplified classification of mental diseases based on the National Committee for Mental Hygiene. He divides them into three general classes: Psychoses, Psychoneuroses, and Behavior Disorders. Within psychoses, he lists General Paresis, Alcoholic Psychosis, and Schizophrenia, among others. He warns that detailed descriptions can confuse laymen because variations within a single disease subclass are vast. For example, he describes General Paresis as a progressive disease where the patient becomes forgetful and disinterested, with slurred speech and loss of the knee reflex. Crucially, he states that music for such patients 'could in no manner be conceived as curative or even helpful'—a sobering note for those expecting universal benefits.

Skepticism and the Limits of Evidence

Throughout the excerpts, Licht maintains a cautious, evidence-based stance. He criticizes 'unscrupulous or even well-meaning people' who promise cures based on accidental results. His discussion of specific diseases often concludes with the limited efficacy of available treatments, and he extends this skepticism to music. For instance, after describing Alcoholic Psychosis, he implies that music's role is negligible. The book does not offer a program of musical prescriptions but rather a framework for evaluating claims. Readers should expect a critical survey rather than a manual. Licht's own position is that music may have value, but only when subjected to the same rigorous standards as any other therapeutic agent.

Licht's Music in Medicine is best approached as a physician's inquiry, not a promoter's pamphlet. The foreword's philosophical distinction between art and utility recurs throughout, reminding readers that aesthetic and therapeutic values are not interchangeable. The book's value lies in its insistence on evidence and its clear-eyed assessment of what music can and cannot do. Readers interested in music therapy will find a sobering counterweight to inflated claims, while those curious about mid-century medical thought will appreciate the detailed disease classifications and the author's disciplined reasoning.

The rain blurred the windows while I read Sidney Licht’s careful case for music’s limits. His physician’s restraint lingered, but it was the quiet pleasure of form itself that followed me. Later, drying pages near the radiator, I reached for something lighter—The story of chamber music — Inside the Classic—and found the same patient attention, only warmer, humbler. Some afternoons simply hand you your next book.

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