Meaning is a distinct resource and indicator of human health and well-being. Meaning in life and the search for it predict subjective well-being. In logotherapy and existential analysis, the human will to meaning is considered the prime motivation in human life. Founded by Viktor Emil Frankl, this meaning-centered approach in psychotherapy is often called the Third Viennese School of Psychotherapy. Although there is evidence that meaning can be actualized through music, music therapy has hitherto hardly focused on the concepts and theory of logotherapy and existential analysis. This contribution closes this gap by introducing a meaning-oriented approach to music therapy and an adaption of Frankl’s model of meaning fulfillment to music therapy. A case example demonstrates the practical application in the clinical context of palliative care. Meaning-oriented music therapy is not a separate form of music therapy, but complements existing concepts and theories in modern music therapy. It is indicated when meaning-related topics take center stage in music-therapy sessions.

意义是人类健康和福祉的独特资源和指标。生活中的意义以及对生命的追求预示着主观幸福感。在徽标疗法和存在分析中，人类对意义的意志被认为是人类生活的主要动力。由维克多·埃米尔·弗兰克（Viktor Emil Frankl）创立的这种以心理为中心的方法通常被称为维也纳第三心理治疗学院。尽管有证据表明可以通过音乐来实现意义，但是音乐疗法迄今几乎没有集中在徽标疗法和存在分析的概念和理论上。这一贡献通过引入针对音乐疗法的面向意义的方法和Frankl的针对音乐疗法的意义实现模型的改编来弥合了这种差距。一个案例说明了姑息治疗在临床中的实际应用。面向意义的音乐疗法不是音乐疗法的单独形式，而是对现代音乐疗法中现有概念和理论的补充。当与意义相关的主题在音乐治疗会议中占据中心位置时，将指示该状态。