![]() However, the reductionism of Combe’s distinction clearly emerges from the clinical observation given that a wide range of nervous system’s illnesses with different etiology shows both neurological and psychiatric symptoms. According to Combe, cerebral diseases were respectively classified depending on the presence or the absence of cerebral lesions and from that time on this terminology has been used to indicate that some behavioral disorders are linked to a neurological damage while others are not. This clinical attitude is historically based on the obsolete and reductive distinction between “organic” and “functional” behavioral disorders introduced by the phrenologist George Combe in 19 th century. On the other hand, psychiatrists do not seem to give an adequate attention to these symptoms considering them as a consequence of a cerebral damage and more pertinent to neurologists. ![]() ![]() Neurological diseases are often associated with several behavioral and psychological symptoms that are usually overlooked by neurologists because require diagnostic methods that differ from those used for classical somatic symptoms and are more suitable to the field of psychiatry. Most of the studies support the efficacy of MT and other musical interventions on mood, depressive syndromes, and quality of life on neurological patients. Selected studies are based on relational and rehabilitative music therapy approaches or concern music listening interventions. Searching on PubMed and PsycInfo databases, 25 studies corresponding to the inclusion criteria have been selected 11 of them assess the effects of music or MT in Dementia, 9 explore the efficacy on patients with Stroke, and 5 regard other neurological diseases like Multiple Sclerosis, Amyotrophic Lateral Sclerosis/motor neuron disease, Chronic quadriplegia, Parkinson’s Disease, and Acquired Brain dysfunctions. The aim of this article is to provide a narrative review of the current literature on musical interventions and their effects on mood and depression in patients with neurological disorders. Despite the large amount of evidence regarding the effects of music therapy (MT) and other musical interventions on different aspects of neurological disorders, no updated article reviewing outcomes such as mood, emotions, depression, activity of daily living and so on is actually available for this reason, little is known about the effectiveness of music and MT on these important outcomes in neurological patients. ![]() In addition, a bidirectional association between depression and neurological disorders may be possible being that depressive syndromes may be considered as a risk factor for certain neurological diseases. Notwithstanding, these conditions are often under-diagnosed and under-treated in the clinical practice and negatively affect the functional recovery, the adherence to treatment, the quality of life, and even the mortality risk. But is it a coincidence that the term Muzak first sprang to life when movie music did? I’d say no because early movie music was mostly source music used to fill the background of the action.Mood disorder and depressive syndromes represent a common comorbid condition in neurological disorders with a prevalence rate that ranges between 20% and 50% of patients with stroke, epilepsy, multiple sclerosis, and Parkinson’s disease. Was jazz music back then meant to be mood music? No. This was The Jazz Singer, released in October 1927 to be precise. It’s sort of interesting that in the 1920s that the term muzak and the first movie music came about. It just exists to fill the aural background, to distract us from the fear of nothingness. Yes, music that leaves you feeling nothing. The general explanation behind light music is it does not make you think or feel. But, was any composer back then really creating music to fit a mood? Light music might be another term for mood music. Muzak is a weird description of a particular type of music that has its origin somewhere in the 1920s. What on earth is mood music? As a composer, I write music to offer or extract a certain feeling from a listener, but do I intentionally create music to suit a mood or a place? Not that I’m aware of.
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