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Les effets narratifs de la musique classique dans les soins palliatifs

Abstract : Aim: The aim of our qualitative study was to describe the narrative effects of a specific and structured protocol focused on classical music sessions, which we administered to a patient (Mrs. M, aged 60), who had experienced a metastatic cancer. Material and Methods: The protocol consists of 4 steps (Times): a preliminary exploratory interview (T1), a first moment of musical listening (T2), a second moment of musical listening (T3) and finally, a final interview (T4). We used the software T-LAB version 9.1.3, a linguistic and statistical tool for text analysis. The rationale on choosing T-LAB software is twofold: i) the multitude of instruments offered for text analysis and, ii) the possibility to use them in an integrated way and the possibility of analyzing a very large text. T-LAB works on a corpus that can be comprised of one or more texts and can be divided into different sub-sets, according to the time variables employed for describing the texts. In this research, we used co-occurrence relationship and word associations recalling moments of narrative structures, according to the humanistic/existential tradition. Findings: We showed the presence of the narrative effects before and after the listening experience. More precisely, in a first step (T2) we have identified a hedonic, sensorial and imaged effect of classical music. In a second phase (the final interview, T4) we observed a spiritual (mythological and archetypical) effect of classical music centered on the evocation of the image of the famous French singer "Barbara". Conclusion: We believe that "psychic work with classical music" cannot only distance the patient from a somatic narrative of the disease (symptoms, complaints, physical pains), but also generate pleasurable body experiences and a rich symbolic and spiritual narrative.
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https://hal.archives-ouvertes.fr/hal-01792126
Contributor : Alfonso Santarpia <>
Submitted on : Tuesday, May 15, 2018 - 11:33:40 AM
Last modification on : Monday, July 1, 2019 - 9:22:09 AM

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Alfonso Santarpia, Eléonore Brabant, Eric Dudoit. Les effets narratifs de la musique classique dans les soins palliatifs. Psycho-Oncologie, Springer, 2017, 11 (4), pp.243-251. ⟨10.1007/s11839-017-0637-7⟩. ⟨hal-01792126⟩

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