Abstract

Music is increasingly considered to promote the health and well-being of clinical populations treated in hospital and psychiatric settings. Research shows numerous benefits of music on physical and mental health issues by responding to psychological, emotional, social and physical needs. However, while music’s benefits are largely supported among clinical populations, it appears that marginalized populations remain stigmatized through a lasting emphasis on their difficulties, including their use of music. Nevertheless, music appears as an innovative, accessible and promising tool to address such needs in individuals who experience social inequity regarding their access to health and helping services. Among those are marginalized individuals who suffer psychoactive substance abuse. Though research in this population remains scarce, we observe beneficial and harmful influences of music on psychoactive substance use and on the long-term addictive trajectory. In a more comprehensive manner, this article critically explores the relevance of the music and health conceptual framework developed by Västfjäll et al. to explain the role of music on the addictive trajectory. Accounting for music, individual and contextual factors, the model explains how music alters emotional states positively or negatively, which in turn modulates psychoactive substance use and the different periods encountered through the associated addictive trajectory. Despite some limitations, the model offers insights that can usefully guide and contribute to adapt its use in community interventions and as a harm reduction tool, conditional to the careful consideration of individuals’ needs and interpretation of their musical experiences.

摘要

音乐越来越被认为可以促进在医院和精神病院接受治疗的临床人群的健康和福祉。研究表明，通过响应心理、情感、社交和身体需求，音乐对身心健康问题具有诸多益处。然而，虽然音乐的好处在很大程度上得到了临床人群的支持，但边缘化人群似乎仍然因持续强调他们的困难，包括他们对音乐的使用而受到污名化。尽管如此，音乐似乎是一种创新的、可访问的和有前途的工具，可以解决在获得健康和帮助服务方面遇到社会不平等的个人的这些需求。其中包括遭受精神活​​性物质滥用的边缘化个体。尽管对这一人群的研究仍然很少，我们观察到音乐对精神活性物质使用和长期成瘾轨迹的有益和有害影响。本文以更全面的方式批判性地探讨了 Västfjäll 等人开发的音乐与健康概念框架的相关性。解释音乐对成瘾轨迹的作用。考虑到音乐、个人和背景因素，该模型解释了音乐如何积极或消极地改变情绪状态，进而调节精神活性物质的使用以及通过相关成瘾轨迹遇到的不同时期。尽管存在一些局限性，但该模型提供的见解可以有效地指导和有助于调整其在社区干预中的使用以及作为减少危害的工具，