Ethical recommendations for music therapy in neurorehabilitation: impure a priori foundations and transpersonal holism




Music therapy, Neuroethics, Neurorehabilitation, Impure a priori, Moral metaphysics


Music therapy has been proven useful in the treatment of a wide range of disorders, even if often in only an auxiliary role. Its use for patients requiring neurological rehabilitation is rather recent and its effectiveness has been assessed both qualitatively and quantitatively. Practitioners must undergo rigorous training to obtain certification and must be able to combine a high level of therapeutic and artistic skills. As members of multidisciplinary teams, music therapists are expected to (1) justify their participation by employing the most effective methods at their disposal; (2) adapt or even create musical material best suited to patients’ needs; and (3) strive for a theoretical understanding of what their intervention is trying accomplish. These recommendations emerge from concrete realities that we could not take cognizance of purely a priori. An attempt to ground them post hoc in an abstract universal conception of human dignity realized in Kant’s practical reason, attractive as that might seem philosophically, is ridden with logical gaps (non-sequiturs) and circularity (Rorty). Moral concepts ought rather to be understood as impure a priori criteria for moral judgment acquired and negotiated through linguistic socialization (Herder, Piaget, Vygotsky, Wittgenstein, Habermas). The collective construction of a future neuroethics makes sense as a humanitarian plea (Herder’s Humanität) following the jurisprudential practice of English common law rather than the top-down imposition of a global civil code. In so far as music therapy is concerned, it will most likely remain embedded in the moral anthropological context of local languages, cultures and traditions, albeit with some foreign influences caused by international exchange. 

Biografia do Autor

Tristan Guillermo Torriani, UNICAMP

Assistant Professor at Universidade Estadual de Campinas (UNICAMP), School of Applied Sciences (Faculdade de Ciências Aplicadas - FCA), Limeira, São Paulo (SP). E-mail:


Aigen, Kenneth. 2014. The Study Of Music Therapy. NY: Routledge.

Aldridge, David. 2000. Spirituality, Healing And Medicine: Return To The Silence. London: Jessica Kingsley Publishers.

Appiah, Kwame Anthony. 2015. “Moral Philosophy.” In A Companion to Moral Anthropology, edited by Didier Fassin, 561-577. Malden, MA: Wiley-Blackwell.

Baker, Felicity, Jeanette Tamplin, and Jeanette Kennelly. 2006. Music Therapy Methods in Neurorehabilitation: A Clinician's Manual. London: J. Kingsley.

Bell, Kirsten. 2018. “Moral Anthropology and A Priori Enunciations.” In Moral Anthropology: A Critique, edited by Bruce Kapferer and Marina Gold, 49-56. New York, NY: Berghahn Books.

Bonde, Lars Ole. 2015. "The Current State Of Music Therapy Theory?". Nordic Journal Of Music Therapy 24 (2): 167-175. doi:10.1080/08098131.2014.987805.

Bunge, Mario. 1999. Las Ciencias Sociales En Discusión. Buenos Aires: Editorial Sudamericana.

Bunge, Mario. 2012. Filosofía Para Médicos. Barcelona: GEDISA.

Calcaterra, Rosa Maria. 2019. Contingency and Normativity: the Challenges of Richard Rorty. Leiden: Brill Rodopi.

Chestnut, Beatrice. 2013. The Complete Enneagram: 27 Paths to Greater Self-Knowledge. Berkeley, CA: She Writes Press.

Crossley, Nick. 1996. Intersubjectivity: The Fabric of Social Becoming. London: SAGE.

Davis, William B, Michael H Thaut, and Kate E Gfeller. 2008. An Introduction To Music Therapy and Practice. Silver Spring, MD: The American Music Therapy Association.

Decker-Voigt, Hans-Helmut, and Herbert Bruhn. 1994. “Selbstverständnis der Musiktherapie.” In Musikpsychologie: Ein Handbuch, edited by Herbert Bruhn, Rolf Oerter, and Helmut Rösing, 405-411. Hamburg: Rowohlt Taschenbuch Verlag.

Gilbertson, Simon, and David Aldridge. 2008. Music Therapy And Traumatic Brain Injury. London: Jessica Kingsley Publishers.

Habermas, Jürgen. 1990. Moral Consciousness and Communicative Action. Cambridge: Polity.

Hacker, P. M. S., Maxwell R. Bennett, M. R., Daniel N. Robinson, Daniel Dennett, and John Searle. 2009. Neuroscience and Philosophy: Brain, Mind, and Language. New York: Columbia University Press.

Hall, Manly P. 1982. What The Ancient Wisdom Expects Of Its Disciples. Los Angeles, Calif.: Philosophical Research Society.

Hall, Manly P. 1984. Lectures On Ancient Philosophy. Los Angeles, Calif.: Philosophical Research Society.

Hall, Manly P. 2003. The Secret Teachings Of All Ages: Reader's Edition. NY: Tarcher-Penguin.

Hardy-Vallée, Benoit. 2012. Qu'est-Ce Qu'un Concept?. Toronto: University of Toronto.

Hitchcock, Dorinda Hawk. 1987. "The Influence Of Jung's Psychology On The Therapeutic Use Of Music". Journal Of British Music Therapy 1 (2): 17-21. doi:10.1177/135945758700100204.

Horden, Peregrine. 2000. Music As Medicine: The History Of Music Therapy Since Antiquity. NY: Routledge.

Joas, Hans. 2000. The Genesis Of Values. Cambridge: Polity.

Jung, Carl G. 1971. Psychological Types. London: Routledge.

Lewis, Clarence Irving. 1923. "A Pragmatic Conception Of The A Priori". The Journal Of Philosophy 20 (7): 169. doi:10.2307/2939833.

Magee, Wendy. 1999. “Music Therapy Within Brain Injury Rehabilitation: To What Extent Is Our Clinical Practice Influenced by the Search for Outcomes?” Music Therapy Perspectives 17, no. 1: 20–26.

Nielsen, Kai. 1993. "Skeptical Remarks On The Scope Of Philosophy: Rorty v. Habermas." Social Theory And Practice 19 (2): 117-160. doi:10.5840/soctheorpract199319210.

Pellegrino, Edmund D. 2006. “Toward a Richer Bioethics: A Conclusion.” In Health and Human Flourishing: Religion, Medicine, and Moral Anthropology,edited by Carol R. Taylor and Roberto Dell'Oro, 247-270. Washington, D.C.: Georgetown University Press.

Piaget, Jean. 1970. A Psicologia. Lisboa: Bertrand.

Plahl, Christine. 2008. “Musiktherapie – Praxisfelder und Vorgehensweisen.” In Musikpsychologie: Das Neue Handbuch, edited by Herbert Bruhn, Reinhard Kopiez, and Andreas C. Lehmann, 630-652. Reinbek bei Hamburg: Rowohlt Taschenbuch Verlag.

Reichlin, Massimo. 2015. “Neuroethics.” In A Companion to Moral Anthropology, edited by Didier Fassin, 595–610. Malden, MA: Wiley-Blackwell.

Rorty, Richard M. 1999. Contingency, Irony, and Solidarity. Cambridge: Cambridge U.P.

Ros, Arno. 1990. Begründung Und Begriff. Hamburg: Felix Meiner Verlag.

Ros, Arno. 1991. "Kants Begriff Der Synthetischen Urteile A Priori". Kant-Studien 82 (2): 146-172. doi:10.1515/kant.1991.82.2.146.

Ros, Arno. 2005. Materie Und Geist: Eine Philosophische Untersuchung. Padeborn: Mentis.

Roskies, Adina. 2016. "Neuroethics". In The Stanford Encyclopedia of Philosophy (Spring Edition), edited by Edward N. Zalta.

Sacks, Oliver. 2018. Musicophilia: Tales of Music and the Brain. London: Picador.

Sikka, Sonia. 2013. Herder on Humanity and Cultural Difference: Enlightened Relativism. Cambridge: Cambridge University Press.

Taylor, Charles. 2012. Sources of the Self: the Making of the Modern Identity. Cambridge, MA: Harvard Univ. Press.

Tesser, Abraham, and Norbert Schwartz. 2001. Blackwell Handbook Of Social Psychology: Intraindividual Processes. Malden, MA & Oxford, UK: Blackwell Publishing Ltd.

Thaut, Michael, and Volker Hömberg. 2014. Handbook Of Neurologic Music Therapy. Oxford: Oxford University Press.

Zammito, John H. 2002. Kant, Herder, And The Birth of Anthropology. Chicago: University of Chicago Press.