Music Thanatology
- Ava Tillman
- Jan 17, 2023
- 2 min read
Music thanatology represents an expanding field of palliative care that combines harp music, science, and spirituality to support individuals during the dying process. The term "thanatology" refers to the study of death and dying, while "music thanatology" specifically focuses on the use of music as a therapeutic tool in end-of-life care. Music is a particularly well-suited therapy for dying patients because hearing often outlasts both vision and speech.
Music thanatologists undergo a rigorous training and certification process that entails twenty-three months of classroom training; over two-hundred hours of clinical practice, fieldwork, and internship; and a minimum of fifty supervised vigils. They not only possess musical proficiency, but also a deep understanding of human anatomy and physiology, medical ethics, and the emotional needs of the patients and their families. The thanatologist attentively observes the patient's responses and vital signs and adjusts the music accordingly. As the physiological patterns of a dying patient evolves, so might the tempo, dynamics, and tone of the music. For example, a minor key may be used to mirror the condition of a patient who is tearful, creating a personalized experience that promotes comfort and emotional release. The music benefits not only the patient, but also their loved ones.
Indeed, a study by Freeman et al. (American Journal of Hospice & Palliative Medicine, 2006) confirmed the profoundly soothing effect of harp vigils. The breathing rate of patients decreased by an average of 1.1 breaths per minute, and they took deeper breaths with less effort. Additionally, the patients' reported level of agitation significantly decreased by the end of the vigils.
In our Western world of specialized healthcare which relies on medication to reduce suffering, music remains an underutilized tool which speaks to the spiritual reality of the dying process. With music serving such a central role in our lives, it seems only fitting that it accompanies us in our final moments.
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