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Introduction to Diego Schapira's article “Last Sounds of the Ship wreck” Towards Holistic and Patient–centered Music Therapy

I read Diego Schapira's article with great interest. It is a case story of 33 year-old Miguel who has been diagnosed with schizophrenia at 18 years of age. I liked the article very much because of its humanistic and existential philosophical background. I especially loved the illustrative "language pictures" the author used in his text. These language pictures allow a reader to look into Miguel's inner world and illustrate the central themes of its emptiness and isolation. We can read about Miguel who is living in the isolated island of his own and who can suddenly dive in the sea of psychosis. While reading this article it becomes clear that the therapist creates a bridge between Miguel and himself moment by moment, this being strong enough to bring Miguel away from his isolation. This bridge or path is made by listening to Miguel's expression and sharing of his world without forcing him to come into the reality too fast. The article is telling us about the cleverness and patience of the therapist who is acting like an anthropologist trying to understand a distant and strange culture. The author shows us clearly that the therapist must learn to understand his/her patient in order to bring him/her back to social communication. If a therapist learns to understand the patient he/she can also lend his/her understanding to the patient. Shapiro also explains the "Plurimodal Method" of music therapy, which integrates different kinds of approaches to music therapy. This model is based on the tight relationship between theory and practice and it is very patient-centered. In music therapy the main question is not which specific model and method but the therapist him/herself as a caring and understanding person who can be trusted and loved.