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F rom th e C h a p la in
FINAL PASSAGES
"¥’"T’7r 7rAzt music do you want played
t X / and sung at your funerali The
V V question startled us at first.
A group of friends were discussing mu-
sic appropriate for particular life occa-
sions: birthdays, anniversaries, achieve-
ments, celebrations of homecoming,
retirement. Then came the question
about music and the end of life. In one
sense, the question is quite familiar to
musicians who are called upon to plan funerals and memorial
services. To paraphrase a famous hymn, “What language shall
we borrow” to mark the final passage of human life? What shall
confer dignity and final meaning that
also echoes the faith of a community
assembled to give thanks for a life re-
cently completed?
Some in the group thought immedi-
ately of songs of triumph, others of
gratitude, others of rest and serenity.
One of us desired the final chorale of
Bach’s St. John Passion sung by a choir.
The hymn “Love Divine, All Loves Ex­
celling” seemed sufficient to another.
Still others spoke of using Palestrina’s
“Sicut Cervus,” Vaughan Williams’s
“O How Amiable,” Howells’s “Hymnus Paradisi,” or
Lauridsen’s
“O Magnum Mysterium.” One of the organists chose Messiaen’s
“Celestial Banquet.” Obviously, many diverse convictions,
musi-
cal and theological, were at play in our conversation.
If we had not been professional church musicians, the choices
might have been very different. There would be the deceased’s
favorite hymns. Many of us have played or sung the requested
“The Old Rugged Cross” or “I Come to the Garden Alone.”
More recently, some have requested popular contemporary
praise songs, or secular love songs from certain periods of the
person’s life. However wide the range of responses, our
question
prompts reflection about how and why music is related to grief
and joy, gratitude and sorrow on the occasion of saying farewell
to life itself. Apart from ritual songs such as the Kol Nidre, or
chanted prayers from a Requiem Mass, what hymns, songs, or
instrumental music reaches to the emotional depths required by
the passage from life to death?
It is common these days to hear people talk about the “sound
track” of their lives. For them music serves like a film score,
ex-
pressing significant memories while supplying a narrative of
what is experienced over time: childhood, family, friendships,
loves gained and lost, as well as remembered moods of
particular
times and places. While nostalgia sometimes rules, my experi-
ence tells me that we need music that expresses emotions that
ac-
company life passages through time. “Time like an ever rolling
stream, bears all who live away . . . ” sings the familiar hymn.
Discussions of personal choices of music to mark the end of
life reveal a set of tensions: between expressing an individual’s
life and proclaiming the community’s faith in the face of human
mortality. Consider what it means to come to final measures of
a great piece of music, choral or instrumental. With the final ca-
dences or closing passage—whether triumphant or contempla-
tive—we begin to grasp the whole of
the composition and, indeed, the en-
tire performance. Perhaps we hear
again how the piece began and under-
stand it from the standpoint of its
completion. Think of how that final
chorus (“Worthy Is the Lamb” with
concluding “Amen”) gathers up all
the themes and the larger narrative of
Handel’s Messiah; or of how the “In
Paradisum” extends a serene blessing
at the end of Faure’s Requiem, or how
the joyous “Alleluia” seals all the stan-
zas of “For All the Saints.”
Our lives flow and end like a complex piece of music. The joy
and the sadness, the pain and the hope, the suffering and the
rest— the very ways in which music itself moves reveal how
life
itself is experienced. This is why music chosen to sound the
final
cadence of human existence is so important. What we sing and
sound in the face of death and bereavement takes us to the
edges
of mystery and supreme art of living faithfully. As certain pas-
sages in some music bear the mystery of our existence in time,
so
each life resembles a symphonic form, whether tragic or
glorious.
I love how John Dryden ends “A Song for St. Cecilia’s Day”
in Handel’s cantata:
So when the last and dreadful hour
This crumbling pageant shall devour,
The trumpet shall be heard on high,
The dead shall live, the living die,
And music shall untune the sky.
Don E. Sauers
Discussions o f personal choices
o f music to mark the end o f life
reveal a set o f tensions: between
expressing an individual’s life and
proclaiming the community’s faith
in the face o f human mortality.
12 T h e A m e r ic a n O r g a n is t
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2022, Vol. 85(1) 155 –177
Article
Music as Consolation—
The Importance of
Music at Farewells
and Mourning
Marianne Viper1, David Thyr�en1, and
Eva Bojner Horwitz1,2,3
Abstract
In this study we examined a case where twelve participants
conducted farewell
ceremonies for their deceased relatives. Taking a qualitative
approach, we used
interviews and questionnaires to focus on life stories that
involve grieving.
Specifically, we asked about experiences of the grief process as
related to choice
of music. Our results indicate that the role of music in farewell
rituals is important
for the grieving process in several ways. Firstly, music was
associated with positive
memories of the loved one and gave rise to experiences of
recognition. Secondly,
music facilitated active participation in the grieving process
through choosing fare-
well music together with a relative. Thirdly, selecting music for
the funeral in
advance, together with their loved ones, was also experienced as
hopeful, comfort-
ing and consoling before, during and after the bereavement.
Keywords
consolation, farewells, funeral music, grieving, memories
1Department of Music, Pedagogy and Society, Royal College of
Music, Stockholm, Sweden
2Department of Clinical Neuroscience, Karolinska Institutet,
Stockholm, Sweden
3Center for Social Sustainability, Karolinska Institutet,
Stockholm, Sweden
Corresponding Author:
Eva Bojner Horwitz, Department of Music, Pedagogy and
Society, Royal College of Music, Box 27711,
Stockholm SE-115 91, Sweden.
Email: [email protected]
OMEGA—Journal of Death and Dying
! The Author(s) 2020
Article reuse guidelines:
sagepub.com/journals-permissions
DOI: 10.1177/0030222820942391
journals.sagepub.com/home/ome
156 OMEGA—Journal of Death and Dying 85(1)
Music is of great importance to people and holds significance in
connection with
death and farewell ceremonies as part of human experience, in
particular, when
conducted for a close relative (Krout, 2003). But there has been
little attention in
research into the importance of music choice at funerals and
farewells when it
comes to the grieving process for close relatives. In this article
a research project
on music as consolation is introduced with an overview on
earlier research in the
fields of music and death, music therapy, music psychology and
rituals.
The government agency Statistics Sweden (2019) have stated
that about
90,000 people die in Sweden each year, and music is used in
one form or another
in 99 percent of all parting occasions. For many, a farewell
ceremony can be an
important part of the grieving process. Including music in
rituals can help create
meaningful experiences and positively affect experiences on a
physical level
(Parkinson, 2009). Music, often taking the form of songs, can
articulate senti-
ments and to create symbols that help close relatives cope with
the sadness of
their loss (Parkinson, 2009), and features in both religious and
civil contexts. In
Sweden, the most common forms of burial are conducted: a) by
the Church of
Sweden (about 80%), b) by another Christian order (about
10%), c) by order of
another religion, or by civil burial (about 8%). The Swedish
Church (2019) as
well as other organizations in the community have established
activities with
grief groups for closely related surviving adults, children and
young people.
The programmed activities continue for up to half a year after
the bereavement.
According to Adamson and Holloway (2012) in today’s society
we have seen
secularization regarding funerals and also a focus on the
meaning on rituals.
It remains of significant importance and that the psycho-social-
spiritual
relation is strongly involved in our ceremonials, which means
the need of a
new vocabulary. Therefore, it is possible to argue that music
fills the gap in
which psycho-social-spiritual variables are involved.
Bruin-Mollenhorst (2018) have discussed how lyrical content is
important
with regard the deceased persons’ identity and emotions. The
authors show
that the lyrical content is less important than other aspects such
as emotional
and social. The hermeneutic tool has been used to better
understand the mean-
ing of the content of the music piece for the next of kin.
The complexity of how music can be used during a funeral is
described in
Bruin-Mollenhorst (2018), where meanings, functions,
motivations of choices,
and the specific role of music have been studied. Researchers
have used various
foci but almost all of them zoom in specifically on the event of
the funeral.
Another meaning of music has been explored in Adamson and
Holloway
(2012), where it was found to function to break up of spoken
words sections
during the funereal ceremony. This forms part of Bruin-
Mollenhorst’s (2018)
functional description of the meaning of music.
In Caswell’s research (2012), the different ways in which music
can be used
during a funeral has been explored and examined. Five specific
uses of music
have been presented as the following: “a) music as a means of
control; b) music
2 OMEGA—Journal of Death and Dying 0(0)
Viper et al. 157
Music is of great importance to people and holds significance in
connection with
death and farewell ceremonies as part of human experience, in
particular, when
conducted for a close relative (Krout, 2003). But there has been
little attention in
research into the importance of music choice at funerals and
farewells when it
comes to the grieving process for close relatives. In this article
a research project
on music as consolation is introduced with an overview on
earlier research in the
fields of music and death, music therapy, music psychology and
rituals.
The government agency Statistics Sweden (2019) have stated
that about
90,000 people die in Sweden each year, and music is used in
one form or another
in 99 percent of all parting occasions. For many, a farewell
ceremony can be an
important part of the grieving process. Including music in
rituals can help create
meaningful experiences and positively affect experiences on a
physical level
(Parkinson, 2009). Music, often taking the form of songs, can
articulate senti-
ments and to create symbols that help close relatives cope with
the sadness of
their loss (Parkinson, 2009), and features in both religious and
civil contexts. In
Sweden, the most common forms of burial are conducted: a) by
the Church of
Sweden (about 80%), b) by another Christian order (about
10%), c) by order of
another religion, or by civil burial (about 8%). The Swedish
Church (2019) as
well as other organizations in the community have established
activities with
grief groups for closely related surviving adults, children and
young people.
The programmed activities continue for up to half a year after
the bereavement.
According to Adamson and Holloway (2012) in today’s society
we have seen
secularization regarding funerals and also a focus on the
meaning on rituals.
It remains of significant importance and that the psycho-social-
spiritual
relation is strongly involved in our ceremonials, which means
the need of a
new vocabulary. Therefore, it is possible to argue that music
fills the gap in
which psycho-social-spiritual variables are involved.
Bruin-Mollenhorst (2018) have discussed how lyrical content is
important
with regard the deceased persons’ identity and emotions. The
authors show
that the lyrical content is less important than other aspects such
as emotional
and social. The hermeneutic tool has been used to better
understand the mean-
ing of the content of the music piece for the next of kin.
The complexity of how music can be used during a funeral is
described in
Bruin-Mollenhorst (2018), where meanings, functions,
motivations of choices,
and the specific role of music have been studied. Researchers
have used various
foci but almost all of them zoom in specifically on the event of
the funeral.
Another meaning of music has been explored in Adamson and
Holloway
(2012), where it was found to function to break up of spoken
words sections
during the funereal ceremony. This forms part of Bruin-
Mollenhorst’s (2018)
functional description of the meaning of music.
In Caswell’s research (2012), the different ways in which music
can be used
during a funeral has been explored and examined. Five specific
uses of music
have been presented as the following: “a) music as a means of
control; b) music
2 OMEGA—Journal of Death and Dying 0(0)
as a means of inclusion and exclusion; c) music as a source of
collective activity;
d) music as a means of creating or shifting emotion; e) music as
a means
of evoking the memory of the deceased person.” These uses are
part of the
complexity described by Bruin-Mollenhorst (2018).
This study builds on an evidence that music therapy can serve a
basic and
important function, for example, that music can provide
consolation. From a
historical point of view, music has been associated with therapy
in various
cultures and societies for thousands of years and its healing
function has been
described as affecting both body and mind (Thaut, 2015).
O’Callaghan and Michael (2015) have shown that formal
practices of
processing grief through music therapy have increased in recent
years. Such
expressive therapy forms have been growing in regard as a
helpful tool to release
emotions during grieving. One important thing that this therapy
offers is an
opportunity for the client to define their grief. Supported by
O’Callaghan and
Michael (2015), the therapist’s role is to reflect and validate the
client, be cau-
tious toward client reactions and to support those affected to
express their grief.
Another therapeutic method of processing grief is Guided
Imagery and Music
(GIM) developed by Helen Bonny (1989). The method selects
musical pieces
that construct a music journey, which can stimulate cognitive
images for the
client which that they can then express in conversation.
DeNora (2012) undertook an ethnographic case study in
England over a three-
year period, describing music use with patients in palliative
care. The study was
conducted with patients and their relatives. DeNora’s work has
demonstrated
that music therapy in palliative care is a dynamic tool that can
contribute to
increased communication between therapist, patient and
relatives; and offers valu-
able opportunities for socializing at the end of life: “I conclude
that music opens
up opportunities for action, and social relation at end of life”
(p. 92).
Krout (2003) studied the importance of music therapy for close
relatives:
When loved ones are anticipating the patient’s impending death,
they may find it
difficult to express feelings, thoughts, and last wishes. Music
therapy is a
service modality that can help to facilitate such communication
between the
family and the patient who is actively dying, while also
providing a comforting
presence. (pp. 129–134)
Cullberg (1986) has written about participant experiences in
grief groups and
argued that it is important to give those who are grieving time
and space to
express their feelings, and that the leader’s ability to
accommodate the grief of
others can be decisive for how the grief is processed.
Research in music psychology has shown that an individual who
suddenly
hears a familiar song or piece of music can recall memories of
significant life
events (Gabrielsson, 2013). A strong identification with music
is related to a
sense of being understood and present, which has a mindful
therapeutic
Viper et al. 3
158 OMEGA—Journal of Death and Dying 85(1)
function: “When music takes over the outside world disappears,
time stands
still, the only thing is the music and myself, here and now”
(Gabrielsson,
2013, p. 109). The recognition that this effect of music implies
can thus have
a powerful effect, particularly if the music is performed live.
Studies have shown
that live music has a stronger impact compared to recorded
music (Bojner
Horwitz & Huss, 2016; Theorell & Bojner Horwitz, 2019).
Music psychology researchers Juslin et al. (2010) have
described personal
music use and the underlying mechanisms behind the role that
music plays in
one’s emotional life: “Real-world research has shown that music
is often inten-
tionally used by listeners to regulate their moods and emotions”
(p. 849).
Related to the research team, a person’s well-being can be
affected when they
choose music. Their study showed elevated levels of certain
biochemical sub-
stances in the body of the listener: cortisol, oxytocin, dopamine
and serotonin,
in conjunction with the listening to self-selected music. On this
basis, Juslin et al.
believe that intentional use of music can have positive health
effects.
For Ruud (2001), it is common for grief to give rise to questions
about the
meaning of life. Ruud has emphasized that there is a need for
those who suffer
loss and grief to be given the opportunity to express and explore
questions about
life and death.
Dyregrov (2009) stated that from a historical point of view, a
rite is an act
used in cults and religious ceremonies in all societies and
religions, in life-
changing events or in prayers and sacrifices to gods. Dyregrov
stressed that
the rituals of major life events, such as in death, can be helpful
for people in
order to express their feelings, which is an important component
of the process
of creating common memories and interpretations of events. The
rituals can
therefore contribute to cohesion in families and in communities.
Lerneus
(2017) has argued that there is a great need in contemporary
society for rituals
to process grief.
Little attention has been given to the post-mortem relationships
and
“continuing bonds” between the living and the dead. As seen in
Mathijssen’s
work (2018), relocation towards objects and materials and
social spheres and
norms of the social environments have been subjected to
research in relation to
separations and transitions. This is part of much-needed rituals,
according to the
researcher (Mathijssen, 2018). An element of this exploration of
meaning may
be rituals around death. Valkare (2016) described rituals as:
“Ritual is the aspect
of human behavior that establishes, marks, confirms and
transmits value”
(p. 109). In connection with a ritual passage, for example a
confirmation or a
wedding, there is a transfer of a person’s symbolic and
intangible value in the
social context (Valkare, 2016).
Adamson and Holloway (2012) and Aggedal (2009) have stated
their belief
that the choice of music at a funeral is the clearest way that
families and friends
can show who the person was in life. Relatives appear to exert a
great deal of
influence when it comes to choosing music, and it is important
to know how and
4 OMEGA—Journal of Death and Dying 0(0)
Viper et al. 159
function: “When music takes over the outside world disappears,
time stands
still, the only thing is the music and myself, here and now”
(Gabrielsson,
2013, p. 109). The recognition that this effect of music implies
can thus have
a powerful effect, particularly if the music is performed live.
Studies have shown
that live music has a stronger impact compared to recorded
music (Bojner
Horwitz & Huss, 2016; Theorell & Bojner Horwitz, 2019).
Music psychology researchers Juslin et al. (2010) have
described personal
music use and the underlying mechanisms behind the role that
music plays in
one’s emotional life: “Real-world research has shown that music
is often inten-
tionally used by listeners to regulate their moods and emotions”
(p. 849).
Related to the research team, a person’s well-being can be
affected when they
choose music. Their study showed elevated levels of certain
biochemical sub-
stances in the body of the listener: cortisol, oxytocin, dopamine
and serotonin,
in conjunction with the listening to self-selected music. On this
basis, Juslin et al.
believe that intentional use of music can have positive health
effects.
For Ruud (2001), it is common for grief to give rise to questions
about the
meaning of life. Ruud has emphasized that there is a need for
those who suffer
loss and grief to be given the opportunity to express and explore
questions about
life and death.
Dyregrov (2009) stated that from a historical point of view, a
rite is an act
used in cults and religious ceremonies in all societies and
religions, in life-
changing events or in prayers and sacrifices to gods. Dyregrov
stressed that
the rituals of major life events, such as in death, can be helpful
for people in
order to express their feelings, which is an important component
of the process
of creating common memories and interpretations of events. The
rituals can
therefore contribute to cohesion in families and in communities.
Lerneus
(2017) has argued that there is a great need in contemporary
society for rituals
to process grief.
Little attention has been given to the post-mortem relationships
and
“continuing bonds” between the living and the dead. As seen in
Mathijssen’s
work (2018), relocation towards objects and materials and
social spheres and
norms of the social environments have been subjected to
research in relation to
separations and transitions. This is part of much-needed rituals,
according to the
researcher (Mathijssen, 2018). An element of this exploration of
meaning may
be rituals around death. Valkare (2016) described rituals as:
“Ritual is the aspect
of human behavior that establishes, marks, confirms and
transmits value”
(p. 109). In connection with a ritual passage, for example a
confirmation or a
wedding, there is a transfer of a person’s symbolic and
intangible value in the
social context (Valkare, 2016).
Adamson and Holloway (2012) and Aggedal (2009) have stated
their belief
that the choice of music at a funeral is the clearest way that
families and friends
can show who the person was in life. Relatives appear to exert a
great deal of
influence when it comes to choosing music, and it is important
to know how and
4 OMEGA—Journal of Death and Dying 0(0)
why this selection also may affect the grieving process by the
bereaved.
The present study is interested in how music and music choices
function in
the processing of grief, before, during and after the death of a
close relative,
in order to cope with the bereavement. Ultimately, we
investigate whether or
not the music that is selected for, and used in, farewell
ceremonies are of
importance, and whether it can be an effective tool for grieving.
The purpose of the study is to explore the importance of music
in the grieving
process. The following research questions are asked:
1. In what ways do close relatives relate to music at farewells?
2. How does music play a therapeutic function during the
grieving process of
the close relatives?
3. What role does the music play for the grieving process for the
close relatives if
the deceased made the musical choice?
Method
We used a qualitative approach in which we collected narratives
(Hyd�en &
Hyd�en, 1997) and then analyzed them from a hermeneutic
perspective
(Ricoeur, 1976, 1993), focusing on grief process and crisis
theory (Cullberg,
1986). Participants life stories constituted the empirical data,
based on the prin-
ciples of hermeneutics, which emphasizes understanding and
interpretation in
light of preunderstandings. The study was informed heavily by
work undertaken
in the humanities, which is a discipline that studies people as
cultural and social
creatures who necessarily exist in social contexts (€Odman,
1994).
A hermeneutic approach means that the researchers interpreted
participant
narratives on the basis of the researchers own understanding and
preunder-
standing. Skott (2004) has discussed hermeneutics also in terms
of a theory of
interpretation that deals with the human ability to create
understanding and
meaning. Hermeneutics has undergone a shift from its original
use in biblical
interpretation to become a philosophy and method employed in
many disci-
plines (Bojner Horwitz et al., 2003; €Odman, 1994; Ricoeur,
1976, 1993;
Wheeler, 2005). Interviews with informants can lead to multiple
answers, and
individuals may construct different narratives in relations to an
experience at
different points in time. €Odman (1994) has argued that when
individuals who
have experienced similar events meet, different understandings
of the events are
brought into confrontation and negotiation, which gives access
to a broader
understanding of meaning.
Narrative research focuses on the story in terms of its content
and structure,
and how this relates to sense-making. Adapted from Skott
(2004), the analysis of
stories is a study in meaning-making processes in which we all
engage. A par-
ticipant who recounts her/his life story simultaneously shares
her/his individual
perception of the world. Understandings and preunderstandings
interact
Viper et al. 5
160 OMEGA—Journal of Death and Dying 85(1)
between participants and researchers, meaning that all stories
are created in the
dialogue of the research practice. As described by Sohlberg and
Sohlberg (2013),
a story can therefore be understood as a process. This idea is
central to the
methodology of narrative study. The analysis stems from the
search of similar-
ities and differences. A number of themes emerged in the
narratives of partic-
ipants, and these formed the basis for the findings.
Analysis of the collected data was supplemented with follow-up
questions by
telephone 14months later, in order to collect complementary
quantitative data
via a Visual Analogue Scale (VAS) questionnaire. The scale has
been subject to
extensive psychometric testing and has been used in the
measurements of pain
(Yang et al., 1991). The VAS scale is easy to fill in and helped
us in a quanti-
tative way to understand a qualitative change of time. We
sought answers
regarding how the participants interpreted the grieving process
more than a
year after the interviews. This VAS questionnaire was
administered 14months
after the interviews. The research leader contacted the
participants to explain the
VAS questionnaire, which participants had received by mail.
The participants
marked the degree to which they agreed with statements posed
by the research-
ers on a centimeter scale (Theorell & Bojner Horwitz, 2019;
Theorell et al.,
2019). The following four questions were asked:
1. How important was the music at the farewell ceremony for
helping you
handle your grief at the time of the funeral?
2. How important was the music at the farewell ceremony in
relation to helping
you handle your current grief?
3. How significant was the fact that your close relative chose
their own music for
the farewell ceremony in relation to helping you handle your
current grief?
4. How significant was it for your capacity to handle your
current grief if the
music was performed live during the farewell ceremony?
Participants
The participants were voluntarily taking part in grief groups
coordinated by the
Swedish Church. These groups were mixed-aged and designed
to help partic-
ipants explore music while in grief. These pre-established
groups served as a
recruitment pool for the present study. Participants were divided
in study
groups by age and location: two different cities; younger (35–45
years), middle
age (46–65 years) and older (66–90 years) (cf. Table 1). The
criteria for selection
was that a) the participant had lost a relative, b) had had some
kind of farewell
ceremony (ten church burials and two civic burials) and c) that
the participant
was in the first year of the grieving process. The group
participants did not know
each other before participating in the grief groups and members
were choral
singers or played a musical instrument at amateur level. Two
had an interest in
6 OMEGA—Journal of Death and Dying 0(0)
Viper et al. 161
between participants and researchers, meaning that all stories
are created in the
dialogue of the research practice. As described by Sohlberg and
Sohlberg (2013),
a story can therefore be understood as a process. This idea is
central to the
methodology of narrative study. The analysis stems from the
search of similar-
ities and differences. A number of themes emerged in the
narratives of partic-
ipants, and these formed the basis for the findings.
Analysis of the collected data was supplemented with follow-up
questions by
telephone 14months later, in order to collect complementary
quantitative data
via a Visual Analogue Scale (VAS) questionnaire. The scale has
been subject to
extensive psychometric testing and has been used in the
measurements of pain
(Yang et al., 1991). The VAS scale is easy to fill in and helped
us in a quanti-
tative way to understand a qualitative change of time. We
sought answers
regarding how the participants interpreted the grieving process
more than a
year after the interviews. This VAS questionnaire was
administered 14months
after the interviews. The research leader contacted the
participants to explain the
VAS questionnaire, which participants had received by mail.
The participants
marked the degree to which they agreed with statements posed
by the research-
ers on a centimeter scale (Theorell & Bojner Horwitz, 2019;
Theorell et al.,
2019). The following four questions were asked:
1. How important was the music at the farewell ceremony for
helping you
handle your grief at the time of the funeral?
2. How important was the music at the farewell ceremony in
relation to helping
you handle your current grief?
3. How significant was the fact that your close relative chose
their own music for
the farewell ceremony in relation to helping you handle your
current grief?
4. How significant was it for your capacity to handle your
current grief if the
music was performed live during the farewell ceremony?
Participants
The participants were voluntarily taking part in grief groups
coordinated by the
Swedish Church. These groups were mixed-aged and designed
to help partic-
ipants explore music while in grief. These pre-established
groups served as a
recruitment pool for the present study. Participants were divided
in study
groups by age and location: two different cities; younger (35–45
years), middle
age (46–65 years) and older (66–90 years) (cf. Table 1). The
criteria for selection
was that a) the participant had lost a relative, b) had had some
kind of farewell
ceremony (ten church burials and two civic burials) and c) that
the participant
was in the first year of the grieving process. The group
participants did not know
each other before participating in the grief groups and members
were choral
singers or played a musical instrument at amateur level. Two
had an interest in
6 OMEGA—Journal of Death and Dying 0(0)
dance classes. Most of them expressed that they liked to listen
to recorded music
or attend live music concerts.
Each grief group had met six times (one and a half hour every
week).
After the final session with the grief groups, the lead researcher
approached
the participants to ask if they would like to be included in the
present study.
Four participants per group gave their consent to participate and
which meant a
total of twelve individual participants: ten women and two men.
The partici-
pants are identified by participant number in the reporting of
findings
that follows. The interviews were semi-structured, lasted 60–
90minutes and
conducted in parish homes belonging to the Swedish Church.
They were
recorded, transcribed and printed out for analysis. The recorded
files were delet-
ed immediately after transcription. The interviews were semi-
structured using
the following questions:
1. In what ways do you, as a relative, relate to music at
farewells?
2. In what ways does music play a therapeutic function (if any)
during your
grieving process?
3. What role does music play in your grieving process, if your
close relative
made the musical choice before the funeral?
The results of the analysis are illustrated by quotations from the
interview
material linked to various themes under three main headings.
All twelve partic-
ipants were given the opportunity to speak about their
experiences from differ-
ent funerals related to their grieving process. They shared their
views on how
Table 1. illustrates the gender of the deceased and the age of the
relatives, weather the burial
took place in a church or in a civil ceremony, and if the funeral
music was perfomed live or
played back from a recording.
Participants
Deceased gender
female/male
Related
age
Burial
church/civil
Funeral
music/live
Funeral music/
recorded
Participant 1 f 73 ch x x
Participant 2 m 73 ch x
Participant 3 f 61 ch x
Participant 4 f 38 ch x
Participant 5 f 80 ch x
Participant 6 f 82 ch x
Participant 7 f 83 ch x x
Participant 8 f 65 ch x x
Participant 9 f 65 ci X x
Participant 10 f 85 ch x
Participant 11 f 89 ci x
Participant 12 m 85 ch x
Viper et al. 7
162 OMEGA—Journal of Death and Dying 85(1)
music featured as a part of their experience before, during, and
after the funeral
as shown in Table 1.
Table 1 illustrates the gender of the deceased and the age of the
relatives,
whether the burial took place in church or in a civil ceremony,
and if the funeral
music was performed live or played back from a recording.
The participants were told about the study and how it would be
reported and
gave their consent to their participation. The ethical rules of the
Swedish Research
Council have been taken into account by ensuring that the
participants know that
their participation in the study is based on voluntary consent
(cf. Swedish
Research Council, 2019) and that they can revoke their
participation at any
time. The participants were informed that their privacy would
be protected by
treating details of their involvement with confidentiality and de-
identification.
The individuals’ identities are thus not traceable. The
participants agreed that
the conversation was recorded and treated strictly
confidentially. The results
of the interviews are quoted anonymously. All participants gave
their written
consent. The guidance of the Helsinki Declaration was
followed.
Results
The results of the analysis are illustrated by quotations from the
interviews and are
organized into themes under three headings: 1) Experiences of
music before part-
ing; 2) Experiences of music during funeral; 3) Experiences of
music after funeral.
Experiences of Music Before Parting
Theme: Communication Difficulties About Music Choices. The
following quotes reveal
the various difficulties that the bereaved parties faced in
choosing music for an
upcoming funeral:
It was not possible to talk about the funeral with the wife so as
not to worry her,
and she could not have such a conversation. It is easier if you
can talk before – I
could not with my wife. It’s hard to talk about what kind of
music you want to
have at the funeral. (2)1
My wife suffered from severe dementia and it didn’t work to
talk to her about
death or music at the funeral so as not to worry her. (2)
Due to severe illness and taking medication my wife was not
contactable towards
the end so we could not talk about death, music or last wishes.
(12)
Theme: Pronounced Communication About Music Choices.
These quotes show the
value of communicating music choices with relatives:
8 OMEGA—Journal of Death and Dying 0(0)
Viper et al. 163
We could talk about everything and I am extremely grateful for
that. We have
nothing left unresolved. When you have experienced as a near
relative that you
have planned the music wishes together, that is extremely
important. (3)
Just before he was sick, we had talked about where he would be
buried – and partly
that the priest would not be high church in thought and practice.
My husband
didn’t want any funeral at all – we talked about it – preferably
he would just
disappear – he was not a churchgoing man, but he liked hymns
and was very
good at music. (5)
He loved – oh, what’s his name – Sinatra – there were lots of
songs – one called
‘Something’ – he played it a lot. My husband wanted us to play
it at the funeral.
That song by Sinatra was played on record but otherwise the
cantor played live
organ music. (7)
My husband had said that the funeral music should be as serene
as possible. There
was never any discussion about the music. All our three kids
said it was OK. (1)
My husband wanted “Imagine” by John Lennon for the funeral,
which we had as
wedding music when we got married. (3)
Theme: Written Information About Music Choices. These
quotes show the value of
writing down the desired music choices:
When we knew that my dad did not have much time left, we
wrote down in a Word
document the music he liked. (3)
My near relative had written down what music she wanted at her
funeral. Her
handwriting became more and more crooked, but there was her
wish. (1)
The Importance of Music Before Parting
Four participants had planned and selected music for the funeral
along with
their, now deceased, relative. They expressed their satisfaction
with the music
and the ceremony. Four out of twelve participants had cared for
their near
relatives at the end of their lives. Two participants said that
they did not have
the opportunity to talk about important issues with their
relatives due to illness
at the end of life. Two other participants who cared for their
relatives at home
had planned and chosen farewell music together with the
relatives towards the
end of their life. It emerged from the interviews that four
participants, some-
times together with the near relative at the end of his or her life,
chose music and
song lyrics that could somehow describe a person as well, as if
to summarize
them, and serve as a reflection of them through their taste in
music. Some of the
Viper et al. 9
music featured as a part of their experience before, during, and
after the funeral
as shown in Table 1.
Table 1 illustrates the gender of the deceased and the age of the
relatives,
whether the burial took place in church or in a civil ceremony,
and if the funeral
music was performed live or played back from a recording.
The participants were told about the study and how it would be
reported and
gave their consent to their participation. The ethical rules of the
Swedish Research
Council have been taken into account by ensuring that the
participants know that
their participation in the study is based on voluntary consent
(cf. Swedish
Research Council, 2019) and that they can revoke their
participation at any
time. The participants were informed that their privacy would
be protected by
treating details of their involvement with confidentiality and de-
identification.
The individuals’ identities are thus not traceable. The
participants agreed that
the conversation was recorded and treated strictly
confidentially. The results
of the interviews are quoted anonymously. All participants gave
their written
consent. The guidance of the Helsinki Declaration was
followed.
Results
The results of the analysis are illustrated by quotations from the
interviews and are
organized into themes under three headings: 1) Experiences of
music before part-
ing; 2) Experiences of music during funeral; 3) Experiences of
music after funeral.
Experiences of Music Before Parting
Theme: Communication Difficulties About Music Choices. The
following quotes reveal
the various difficulties that the bereaved parties faced in
choosing music for an
upcoming funeral:
It was not possible to talk about the funeral with the wife so as
not to worry her,
and she could not have such a conversation. It is easier if you
can talk before – I
could not with my wife. It’s hard to talk about what kind of
music you want to
have at the funeral. (2)1
My wife suffered from severe dementia and it didn’t work to
talk to her about
death or music at the funeral so as not to worry her. (2)
Due to severe illness and taking medication my wife was not
contactable towards
the end so we could not talk about death, music or last wishes.
(12)
Theme: Pronounced Communication About Music Choices.
These quotes show the
value of communicating music choices with relatives:
8 OMEGA—Journal of Death and Dying 0(0)
164 OMEGA—Journal of Death and Dying 85(1)
music chosen by the participants referred to the deceased’s
place of origin or a
personal memory. Four participants selected their own favored
music to play
during the farewell ceremony.
Experiences of Music During Funeral
Theme: The Connection of Music to the Life of the Deceased.
The following quote shows
the value of choosing music that mirrors, or connects with, the
life of the deceased:
I don’t remember hymns, but we would have liked Dan
Andersson and Evert
Taube, as their music corresponded to my husband’s life.
Andersson matched
his origins from Dalarna and ‘So Shimmering Was Never the
Sea’ by Taube
reflected his interest in the sea. (6)
Theme: Music That Strikes and Touches. In these quotes, the
powerful nature of
music is highlighted:
I didn’t know I could be so affected by the tranquil organ music
during the funeral,
so I cried throughout the ceremony. (8)
My mother sat at my father’s deathbed, even though she had
severe dementia and
didn’t understand that he would die, reciting Hymn 217. (3)
After the death (of my child) I couldn’t stand hearing music
“(during the funeral).”
I felt and feel that there are no words that can describe my
feelings. (4)
He [a person telling about another person] did not know that he
could be so
affected. (8)
Theme: The Role of Music at Civil Farewell Ceremonies. These
quotes describe how
music was used in civil burials:
It was a civil farewell ceremony. The most churchlike were
songs my husband had
sung in Sunday school . . .That�s where something spiritual
came about anyway.
He wasn’t religious so we didn’t go to church every Sunday, but
we went occa-
sionally when beautiful music was being played, and when we
travelled, we gladly
went to churches and lit candles. (9)
We said farewell to my husband at home with the family - it
was a fine moment.
I have a son-in-law who is a good guitar player. My husband
had many times but
jokingly said that at his funeral we should play the song ‘Take
Me to the Sea’ –
because he loved the sea. My son-in-law couldn’t promise to
play it, but he would
try to learn the song - and he managed to do it. (10)
10 OMEGA—Journal of Death and Dying 0(0)
Viper et al. 165
music chosen by the participants referred to the deceased’s
place of origin or a
personal memory. Four participants selected their own favored
music to play
during the farewell ceremony.
Experiences of Music During Funeral
Theme: The Connection of Music to the Life of the Deceased.
The following quote shows
the value of choosing music that mirrors, or connects with, the
life of the deceased:
I don’t remember hymns, but we would have liked Dan
Andersson and Evert
Taube, as their music corresponded to my husband’s life.
Andersson matched
his origins from Dalarna and ‘So Shimmering Was Never the
Sea’ by Taube
reflected his interest in the sea. (6)
Theme: Music That Strikes and Touches. In these quotes, the
powerful nature of
music is highlighted:
I didn’t know I could be so affected by the tranquil organ music
during the funeral,
so I cried throughout the ceremony. (8)
My mother sat at my father’s deathbed, even though she had
severe dementia and
didn’t understand that he would die, reciting Hymn 217. (3)
After the death (of my child) I couldn’t stand hearing music
“(during the funeral).”
I felt and feel that there are no words that can describe my
feelings. (4)
He [a person telling about another person] did not know that he
could be so
affected. (8)
Theme: The Role of Music at Civil Farewell Ceremonies. These
quotes describe how
music was used in civil burials:
It was a civil farewell ceremony. The most churchlike were
songs my husband had
sung in Sunday school . . .That�s where something spiritual
came about anyway.
He wasn’t religious so we didn’t go to church every Sunday, but
we went occa-
sionally when beautiful music was being played, and when we
travelled, we gladly
went to churches and lit candles. (9)
We said farewell to my husband at home with the family - it
was a fine moment.
I have a son-in-law who is a good guitar player. My husband
had many times but
jokingly said that at his funeral we should play the song ‘Take
Me to the Sea’ –
because he loved the sea. My son-in-law couldn’t promise to
play it, but he would
try to learn the song - and he managed to do it. (10)
10 OMEGA—Journal of Death and Dying 0(0)
Both the lyrics and the music were crystal clear. I immediately
felt that I had found
my song. It has been most relevant to me. I feel that the intro to
the song gives me
strength. A phrase in the song reads: ‘Who comforts you when
I’m gone?’ I have
chosen it as a ringtone on my phone. (3)
Theme: Different Functions of Music. These quotes describe the
transformative func-
tion of music:
You have to allow yourself time to reflect. The music allows
you to stop and listen
for a while. Music fulfills a meditative purpose. (1)
We sat down at the coffin in the church and I suddenly heard
my husband’s voice
sing along to the lyrics: ‘I do the best I can.’ I could no longer
hear the artist sing.
I just heard my husband singing. Then I cried like a water tap
turned on. (1)
The Importance of Music During Funeral
All twelve participants in the survey had incorporated music
and hymns into a
church or civil burial ceremony. All participants expressed
thoughts or opinions
on the function of music during ritual ceremonies. One
participant described an
unusual incident at a funeral when a seemingly
uncommunicative man suddenly
regained the memory of his dead wife when he heard singing of
a beloved song
of theirs. In front of the surprised funeral guests, he made an
emotional speech
to his deceased wife and then sank back into silence.
Recorded music was often used in instances where the music
selected was a song
or genre that the relative used to enjoy. Hymns and songs with
sacred or secular
lyrics are performed whether it is a church or civil burial
ceremony. Many felt that
music at a funeral was very important in making the ceremony
as successful as
possible. Three participants said that music was more important
to them than other
parts of the ceremony, such as readings from the Bible and
liturgical prayers.
The majority of participants expressed that they were satisfied
with both the
choice of music and the performance of the ceremony regardless
of its form.
Experiences of Music After Funeral
Theme: Music That Arouses Overwhelmingly Strong Emotions.
This quote describes
how music had become very emotionally charged, and thus
turned out to be
too difficult and painful to listen to in the process of grieving:
It went quiet! For me, the music was silent. After the child’s
death it was silent.
I can’t handle music. I used to play the flute and enjoy opera
and concerts, but now
it doesn’t work – I can’t – and I’m so sorry for it. (4)
Viper et al. 11
166 OMEGA—Journal of Death and Dying 85(1)
Theme: Music as a Reminder of the Deceased. These quotes
describe how music has
become an aid to remembering the deceased.
It is joy actually and sadness – but I can only accept my
husband’s death. I think
it’s good now. The whole funeral was a family affair and I think
it’s lovely that it
was noticeable that there were songs from the repertoire my
husband and his side
of the family had sung, and it became a reminder of him and his
life. There was one
song: ‘Fairy Tale of the Heart’ that we had. It was very much
appreciated and
loved because his and also my relatives sang a lot and listened
to lots of music. (11)
When we went sailing, my husband and I used to sing a
children’s song from
Sunday school that we had as funeral music. I walk around and
sing it and then
I think of him. (9)
When I listen to the song today, I still only hear his voice. I
don’t hear the artist. (1)
Theme: Music That Relieves Feelings of Sadness. These quotes
describe how music
constituted part of the grieving process:
I don’t feel as depressed now as I did after the death and the
funeral. It feels great
to listen to the music, there has been a change within me. (1)
To me, music has been a way of grieving and is part of the grief
process. Music
channels so many emotions that you cannot and need not put
into words. (3)
The Importance of Music After Funeral
Shared time for planning and talking to the next of kin played
an important role
in the grief process of the participants. The participants
described the impor-
tance that the farewell music had for them in their grieving.
Five participants felt
that music had a symbolic meaning. For many of the
participants, it felt easier
to listen to the music during a later stage during the grieving
process. Farewell
music was associated with well-being during the grief process.
Selected pieces of
music felt comforting. A participant said that she and her
husband had enjoyed
dancing to music by Elvis Presley. She recounted how, when
she hears one of his
songs today, it evokes positive memories. This means that the
music seems to
offer her a sense of belonging. Two participants told us that
listening to a par-
ticular piece of music elicited sensations of a missing relative.
A participant, who
had chosen a special song for the farewell, thought that the
lyrics and music
conveyed strength and energy, supporting her during the grief
process. Another
participant, who told us about memories of music from her
childhood, described
12 OMEGA—Journal of Death and Dying 0(0)
Viper et al. 167
Theme: Music as a Reminder of the Deceased. These quotes
describe how music has
become an aid to remembering the deceased.
It is joy actually and sadness – but I can only accept my
husband’s death. I think
it’s good now. The whole funeral was a family affair and I think
it’s lovely that it
was noticeable that there were songs from the repertoire my
husband and his side
of the family had sung, and it became a reminder of him and his
life. There was one
song: ‘Fairy Tale of the Heart’ that we had. It was very much
appreciated and
loved because his and also my relatives sang a lot and listened
to lots of music. (11)
When we went sailing, my husband and I used to sing a
children’s song from
Sunday school that we had as funeral music. I walk around and
sing it and then
I think of him. (9)
When I listen to the song today, I still only hear his voice. I
don’t hear the artist. (1)
Theme: Music That Relieves Feelings of Sadness. These quotes
describe how music
constituted part of the grieving process:
I don’t feel as depressed now as I did after the death and the
funeral. It feels great
to listen to the music, there has been a change within me. (1)
To me, music has been a way of grieving and is part of the grief
process. Music
channels so many emotions that you cannot and need not put
into words. (3)
The Importance of Music After Funeral
Shared time for planning and talking to the next of kin played
an important role
in the grief process of the participants. The participants
described the impor-
tance that the farewell music had for them in their grieving.
Five participants felt
that music had a symbolic meaning. For many of the
participants, it felt easier
to listen to the music during a later stage during the grieving
process. Farewell
music was associated with well-being during the grief process.
Selected pieces of
music felt comforting. A participant said that she and her
husband had enjoyed
dancing to music by Elvis Presley. She recounted how, when
she hears one of his
songs today, it evokes positive memories. This means that the
music seems to
offer her a sense of belonging. Two participants told us that
listening to a par-
ticular piece of music elicited sensations of a missing relative.
A participant, who
had chosen a special song for the farewell, thought that the
lyrics and music
conveyed strength and energy, supporting her during the grief
process. Another
participant, who told us about memories of music from her
childhood, described
12 OMEGA—Journal of Death and Dying 0(0)
that music was a medium for her to mourn. For her, music was a
natural part of
the grief process in that it channels strong feelings of grief and
loss.
Table 2 illustrates the median, minimum and maximum of the
VAS-scale
(from 0 – 100mm), of the participants answers to the four
questions where 0
represents no significant meaning, and 100 represents high
significant meaning.
Figure 1 shows the sum of the four questions in a boxplot,
where 0 represents
no significant meaning, and 100 represents high significant
meaning.
Table 2. The table illustrates the median, minimum and
maximum of the VAS-scale (from 0 –
100mm, where 0 represents no significant meaning, and 100
represents high significant
meaning), of the participants answers to the following four
questions:
1. How important was the music at the farewell ceremony for
helping you handle your grief?
2. How important was the music at the farewell ceremony in
relation to helping you handle
your current grief?
3. How important was the fact that your loved ones chose their
own music for the farewell
ceremony in relation to helping you handle your grief?
4. How important was it for you to handle your grief if the
music was performed live during
the farewell ceremony?.
Median Minimum Maximum Valid N
Question1 91.00 66.00 100.00 11
Question2 84.00 20.00 100.00 10
Question3 71.00 5.00 100.00 10
Question4 89.00 27.00 100.00 11
Figure 1. Figure 1 shows the sum of the four questions in a
boxplot, (where 0 represents no
significant meaning, and 100 represents high significant
meaning).
Viper et al. 13
168 OMEGA—Journal of Death and Dying 85(1)
The majority of the twelve participants chose with secular
lyrics, from dif-
ferent genres, for their relatives’ funerals. Conversely, two
participants chose to
sing songs with a sacred meaning and hymns at civil farewell
ceremonies. During
the interviews, it emerged that those who had time to talk and
plan the music for
the farewell ceremony together with their near relatives before
the loss thought
that the music had played an important role for them as next of
kin. Eight of the
participants talked about music, songs, an artist or a style of
music that the
deceased had listened to with them or that it reflected the
personality of the
deceased. Three participants said that they had chosen a
particular song because
the lyrics corresponded to the person’s place of origin or their
interests.
The criteria that governed the choice of music for several of the
participants
in the survey were that they were based on live or recorded
music that the
deceased had listened to previously. Four of the participants
used recorded
music. Several participants said that they liked to hear music
they had previ-
ously listened to together with their deceased relatives:
The recording should preferably be with the artist that we had
listened to
together. (7)
One participant thought that the choice of recorded or live
performed music
depended on whether or not the music could be associated with
significant
memories of the relative. One participant felt that extra musical
elements in
the ceremony allowed for the opportunity to experience
emotions, and that
those in attendance had time to pause and reflect:
Funeral music gives one time to think. The act itself does not
take that long. (1)
Often you are in a state of stress due to tension. It’s so easy to
miss out on any-
thing. If you have a lot of music, then it is possible to just be in
the moment. No
matter what song and music it is, it fulfills a function that no
other parts do. (3)
Visual Analogue Scale. The music that was played during the
farewell ceremony
had an important impact on the relatives’ grief process, both
during and after
the parting. On the VAS scale, the responses show a high
average on the ques-
tion of whether it influenced the participant’s grief process that
the deceased had
chosen music for the farewell ceremony. For the majority of the
bereaved, it
emerged that it was of great importance for the grief process if
the music was
performed live during the farewell ceremony.
Discussion
Our results indicate that the role of music in ritual farewell is
important for the
grieving process in many ways; therapeutically, emotionally and
symbolically.
14 OMEGA—Journal of Death and Dying 0(0)
Viper et al. 169
The majority of the twelve participants chose with secular
lyrics, from dif-
ferent genres, for their relatives’ funerals. Conversely, two
participants chose to
sing songs with a sacred meaning and hymns at civil farewell
ceremonies. During
the interviews, it emerged that those who had time to talk and
plan the music for
the farewell ceremony together with their near relatives before
the loss thought
that the music had played an important role for them as next of
kin. Eight of the
participants talked about music, songs, an artist or a style of
music that the
deceased had listened to with them or that it reflected the
personality of the
deceased. Three participants said that they had chosen a
particular song because
the lyrics corresponded to the person’s place of origin or their
interests.
The criteria that governed the choice of music for several of the
participants
in the survey were that they were based on live or recorded
music that the
deceased had listened to previously. Four of the participants
used recorded
music. Several participants said that they liked to hear music
they had previ-
ously listened to together with their deceased relatives:
The recording should preferably be with the artist that we had
listened to
together. (7)
One participant thought that the choice of recorded or live
performed music
depended on whether or not the music could be associated with
significant
memories of the relative. One participant felt that extra musical
elements in
the ceremony allowed for the opportunity to experience
emotions, and that
those in attendance had time to pause and reflect:
Funeral music gives one time to think. The act itself does not
take that long. (1)
Often you are in a state of stress due to tension. It’s so easy to
miss out on any-
thing. If you have a lot of music, then it is possible to just be in
the moment. No
matter what song and music it is, it fulfills a function that no
other parts do. (3)
Visual Analogue Scale. The music that was played during the
farewell ceremony
had an important impact on the relatives’ grief process, both
during and after
the parting. On the VAS scale, the responses show a high
average on the ques-
tion of whether it influenced the participant’s grief process that
the deceased had
chosen music for the farewell ceremony. For the majority of the
bereaved, it
emerged that it was of great importance for the grief process if
the music was
performed live during the farewell ceremony.
Discussion
Our results indicate that the role of music in ritual farewell is
important for the
grieving process in many ways; therapeutically, emotionally and
symbolically.
14 OMEGA—Journal of Death and Dying 0(0)
The music was associated with positive memories of the loved
one and gave rise
to experiences of recognition. It facilitated active participation
in the grieving
process through choosing farewell music together with a
relative and it was
experienced as hopeful, comforting and consoling before,
during and after the
bereavement. We have introduced a research project on music as
consolation,
along with an overview on earlier research in the fields of music
and death,
music therapy, music psychology and rituals. It is worth noting
that since the
conduct of our study, we have witnessed the onset of the covid-
19 pandemic.
This study could therefore serve as a foundation to explore how
music can play
a role in supporting patients, health care personnel, morticians
and bereaving
relatives.
The Importance of Music During a Farewell Ceremony
The participants’ narratives have shown that music is of great
importance to the
bereaved in multiple ways when they are saying goodbye to
their loved ones.
Cullberg (1986) has argued that a farewell ceremony is
important for partici-
pants to find the strength to live on with their grief. This is
supported by
Dyregrov (2009), who demonstrated that a ritual in connection
with a death
can be important in terms of granting time to grieve, but also
for creating
cohesion in families and in communities at large. The analysis
of the interviews
indicates that a farewell ceremony can help the bereaved to
process grief and to
plan for the future. Some participants in the study said that
musical elements
during the ceremony played a meditative function to provide
time and space for
the grief. The participants said that music and songs have
become important
through their interpretative and symbolic role in funerals, in
line with a need to
explore questions about life and death that arise in grief (see
also, Ruud, 2001).
The Importance of Communication at the End of Life
The results of the study show how music mediates
communication between a
person and the relatives at the end of life. Those relatives who
had the time and
opportunity to plan the ceremony and choose music for the
farewell in advance
together with the dying person expressed that it was a help for
them in process-
ing their grief. The process of planning, including the selection
of music together
with the dying individual can create order in the midst of chaos,
which can be a
therapeutic function, facilitating the process grief even before
death (Cullberg,
1986). It also meant finding time to talk about the last wishes of
the next of kin
and about important issues for the participants.
In a study conducted with a hospice in the United States, Krout
(2003) claims
that it can be difficult to talk to relatives about their feeling and
final wishes
before death. He believed that music therapy with relatives can
open up a space
for conversation and a moment to be present with one another at
the end of life.
Viper et al. 15
170 OMEGA—Journal of Death and Dying 85(1)
Two of the participants said that their dying relatives were
cared for in a pal-
liative ward. Both of these participants recounted that it was
very difficult to
communicate with the dying person at the end of their life. Due
to strong
medication or long-term dementia, they felt it was too late to
discuss important
issues with the next of kin. Music therapy could have been
initiated at an earlier
stage in the course of their respective diseases. Two other
participants who cared
for sick relatives at home had the opportunity to plan the music
for the farewell
ceremony together with their dying relatives. The latter
participants gave exam-
ples of valuable interaction between them towards the end.
Music and Strong Emotions
A younger participant expressed that she found herself unable to
listen to music
at the funeral ceremony after a traumatic loss. Gabrielsson
(2013) has stated
that feeling an identification with a song can have a therapeutic
significance, and
research in music psychology shows that music has a lot of
meaning and can be
associated with positive memories, which provides a sense of
recognition when
one hears it on later occasions. One story that illustrates this is
that of the
uncommunicative man who suddenly was moved, and able, to
give a speech
when he heard a beloved song at the funeral of his deceased
wife. This is an
example of event memory or episodic memory. In brain
research, the notions of
episodic memory or event memory describe how music can
awaken repressed
memories linked to special events that were important earlier in
life (see also
Gabrielsson, 2018).
Affected by Music
One participant told us about a son who – to his own surprise –
was greatly
affected by the music at his father’s funeral. When he heard the
tranquil organ
music being played, the son of the deceased lost control of his
emotions and
burst into tears. This example shows that music can trigger
suppressed emotions
(Gabrielsson, 2013), but not only music that is previously
known as seen in our
results. Another participant associated a song with a significant
memory of
when she and her husband had danced to music by Elvis
Presley. When the
woman suddenly heard the piece of music again, she recognized
it as “hers” (see
Gabrielsson, 2013). The music gave the grieving woman a sense
of belonging
and identification, which further affirms that music can play a
therapeutic
function.
The Symbolism of Music
It may be observed that music and songs at funerals are
becoming popular.
The participants in this study said that they had chosen the
music for the cer-
emonies and made it clear that they often chose music and
favourite songs based
16 OMEGA—Journal of Death and Dying 0(0)
Viper et al. 171
Two of the participants said that their dying relatives were
cared for in a pal-
liative ward. Both of these participants recounted that it was
very difficult to
communicate with the dying person at the end of their life. Due
to strong
medication or long-term dementia, they felt it was too late to
discuss important
issues with the next of kin. Music therapy could have been
initiated at an earlier
stage in the course of their respective diseases. Two other
participants who cared
for sick relatives at home had the opportunity to plan the music
for the farewell
ceremony together with their dying relatives. The latter
participants gave exam-
ples of valuable interaction between them towards the end.
Music and Strong Emotions
A younger participant expressed that she found herself unable to
listen to music
at the funeral ceremony after a traumatic loss. Gabrielsson
(2013) has stated
that feeling an identification with a song can have a therapeutic
significance, and
research in music psychology shows that music has a lot of
meaning and can be
associated with positive memories, which provides a sense of
recognition when
one hears it on later occasions. One story that illustrates this is
that of the
uncommunicative man who suddenly was moved, and able, to
give a speech
when he heard a beloved song at the funeral of his deceased
wife. This is an
example of event memory or episodic memory. In brain
research, the notions of
episodic memory or event memory describe how music can
awaken repressed
memories linked to special events that were important earlier in
life (see also
Gabrielsson, 2018).
Affected by Music
One participant told us about a son who – to his own surprise –
was greatly
affected by the music at his father’s funeral. When he heard the
tranquil organ
music being played, the son of the deceased lost control of his
emotions and
burst into tears. This example shows that music can trigger
suppressed emotions
(Gabrielsson, 2013), but not only music that is previously
known as seen in our
results. Another participant associated a song with a significant
memory of
when she and her husband had danced to music by Elvis
Presley. When the
woman suddenly heard the piece of music again, she recognized
it as “hers” (see
Gabrielsson, 2013). The music gave the grieving woman a sense
of belonging
and identification, which further affirms that music can play a
therapeutic
function.
The Symbolism of Music
It may be observed that music and songs at funerals are
becoming popular.
The participants in this study said that they had chosen the
music for the cer-
emonies and made it clear that they often chose music and
favourite songs based
16 OMEGA—Journal of Death and Dying 0(0)
on personal criteria, with lyrics pertaining to different
interpretations of the
deceased’s life (see Jeffner, 1982, 1993). One participant, for
example, selected
a song that referred to a particular landscape that reflected the
deceased’s place
of origin. For many of the participants, self-selected songs at
the ceremonies had
a symbolic function, describing feelings of yearning for the next
of kin. The
accounts from the interviews show that self-selected music,
which is associated
with common memories, can give a sense of identification,
which also is in line
with Gabrielsson’s work (2013). As seen in our study, self-
selected music can
have a therapeutic significance for a person during the farewell
ceremony and
during the overall grief process.
Several of the participants in the study used recorded music at
the funeral
services. This may suggest that people prefer recorded music if
it can be asso-
ciated with important memories together with the deceased
relative. Today, the
role of music in a church burial ceremony has changed and has
been given a
significant self-care function (see Bishops Meeting, 2006).
Participant’s narra-
tives show us that the boundaries have been blurred between
sacred and secular
lyrics. The participants in the grief groups stated different
motives for their
choice of music and lyrics with a sacred or secular content as
farewell music.
The Role of Relatives in Music Selection
In the analysis of the interview material, it was observed that
the participants
who revealed that they were involved in the choice of music for
the funeral
thought that farewell music could summon memories that
convey feelings of
belonging (Gabrielsson, 2013). Special songs chosen for the
parting can thus
evoke significant memories. One participant in particular
remembers certain
songs that she associates with positive memories. This allowed
her to identify
with the music and feel recognition (ibid). Another participant
had chosen a self-
selected song that was played at her husband’s funeral
(‘Stillness and Closeness’
by the Swedish artist Åsa Jinder), as a ringtone on her phone.
The song symbol-
izes her feelings: each time she hears it, it conveys power and
energy, which gives
her a sense of greater well-being. This finding therefore
supports research in
music psychology has shown that self-selected music listening
can increase well-
being (Juslin et al., 2010).
The Role of Music in the Later Stages of the Grief Process
Drawing on Cullberg’s work (1986), we can understand grief as
causing symp-
toms similar to a depression. Music chosen by relatives can
serve to distract a
grieving person from their anguish. In the explanatory model
for the four phases
of crisis theory, Cullberg states that the grief process is a)
significant and b) has
various phases. The VAS estimate in this study clearly indicates
that the grieving
process of the participants has been shaped by music. The fact
that two
Viper et al. 17
172 OMEGA—Journal of Death and Dying 85(1)
participants had the opportunity to talk to the dying person at
the end of life,
and that the dying person had been able to choose the music for
the farewell
ceremony, appears to have made a great positive impact on the
participants grief
process.
The Role of Music Therapy in the Grieving Process
Music therapy is considered a powerful tool in the grieving
process.
International research by O’Callaghan and Michael (2015) and
also by
Reynolds (2006) has shown that music therapy in an expressive
and receptive
form, as well as encouragement of musical creativity, are
methods that can be
helpful in processing grief. The idea is to discourage pushing
away grief.
Some research has indicated that increased professional music
therapy is
needed for music therapy with grieving people (O’Callaghan &
Michael,
2015). In a literature-based study by Starenvik Curman (2016),
the author
argued that expressive and receptive music therapy is an
effective tool for facil-
itating the grieving process. Ruud (2001) also explains that
music therapy can
convey a spiritual sense of hope and courage for those who are
grieving.
Norwegian psychologist Dyregrov is known for his work with
children in
mourning. Dyregrov (2009) states that; “Even children
experience strong feel-
ings of sadness and depression when a close relative dies” (p.
11). Musical
therapeutic work can be a powerful tool that can awaken and
help process
strong emotions when it is difficult to express grief verbally
(Dyregrov, 2009).
The Norwegian musicologist and psychologist Ruud (2001)
describes that,
“Music therapy with grieving people can be like a force from
the outside that
can convey a transcendental spiritual experience” (p. 74). As
per Ruud, musical
experiences at farewell ceremonies can be important to give the
bereaved a sense
of meaning, hope and courage. As seen in the general
population in Germany,
very few have spent time contemplating death and dying, with
some suggesting
that death education programs may be important to incorporate
into school
curricula (Strupp et al., 2019).
Grief and Visual Images
Two participants spoke of visual perceptions after the death of a
close relative in
connection with the hearing of music that the deceased relative
used to like. In
extant research, it appears not uncommon for grief-related
perceptions or for the
participants to experience having a conversation with the
deceased (Grimby &
Johansson, 2009). One explanation for this phenomenon may be
that music elicits
memories that were associated with a lost relative, along with
feelings of loneliness
and sadness. The symbolic function that music plays can in a
way be compared
with that of flowers. In hospices, members of a patient’s family
or other caregivers
18 OMEGA—Journal of Death and Dying 0(0)
Viper et al. 173
participants had the opportunity to talk to the dying person at
the end of life,
and that the dying person had been able to choose the music for
the farewell
ceremony, appears to have made a great positive impact on the
participants grief
process.
The Role of Music Therapy in the Grieving Process
Music therapy is considered a powerful tool in the grieving
process.
International research by O’Callaghan and Michael (2015) and
also by
Reynolds (2006) has shown that music therapy in an expressive
and receptive
form, as well as encouragement of musical creativity, are
methods that can be
helpful in processing grief. The idea is to discourage pushing
away grief.
Some research has indicated that increased professional music
therapy is
needed for music therapy with grieving people (O’Callaghan &
Michael,
2015). In a literature-based study by Starenvik Curman (2016),
the author
argued that expressive and receptive music therapy is an
effective tool for facil-
itating the grieving process. Ruud (2001) also explains that
music therapy can
convey a spiritual sense of hope and courage for those who are
grieving.
Norwegian psychologist Dyregrov is known for his work with
children in
mourning. Dyregrov (2009) states that; “Even children
experience strong feel-
ings of sadness and depression when a close relative dies” (p.
11). Musical
therapeutic work can be a powerful tool that can awaken and
help process
strong emotions when it is difficult to express grief verbally
(Dyregrov, 2009).
The Norwegian musicologist and psychologist Ruud (2001)
describes that,
“Music therapy with grieving people can be like a force from
the outside that
can convey a transcendental spiritual experience” (p. 74). As
per Ruud, musical
experiences at farewell ceremonies can be important to give the
bereaved a sense
of meaning, hope and courage. As seen in the general
population in Germany,
very few have spent time contemplating death and dying, with
some suggesting
that death education programs may be important to incorporate
into school
curricula (Strupp et al., 2019).
Grief and Visual Images
Two participants spoke of visual perceptions after the death of a
close relative in
connection with the hearing of music that the deceased relative
used to like. In
extant research, it appears not uncommon for grief-related
perceptions or for the
participants to experience having a conversation with the
deceased (Grimby &
Johansson, 2009). One explanation for this phenomenon may be
that music elicits
memories that were associated with a lost relative, along with
feelings of loneliness
and sadness. The symbolic function that music plays can in a
way be compared
with that of flowers. In hospices, members of a patient’s family
or other caregivers
18 OMEGA—Journal of Death and Dying 0(0)
sometimes engage in arranging flowers, and this has been found
to relieve stress
and other associated experiences during mourning (Lavin et al.,
2020).
Grief Process According to Crisis Theory
Crisis theory is relevant in examining the grief process and in
answering the
study’s research questions. Cullberg (1986) describes grief as
an experience of
pain after a loss, such as that when a relative or friend dies.
This work shows
that the grieving process can manifest itself with symptoms
similar to depression
and can be divided into four different phases. This classification
can be used to
gain an understanding of the behaviors of a grieving person
(Cullberg, 1986).
All life stories are unique and therefore processing of grief in
the four different
phases can manifest in various ways, for example, a person may
demonstrate
denial and experience feelings of unreality. The important thing
is to try to avoid
pushing grief away (Cullberg, 1986). Crisis theory can be used
in grief groups to
give the participants greater understanding and insight into their
own reactions
and feelings. Grimby and Johansson (2009) describe that it is
not uncommon for
survivors to experience perceptions of the deceased within the
first year of grief.
The Role of Music in Grieving
Music is important as a means for grieving people to part with a
loved one. It is
important that relatives are willing to participate. It reinforces
the importance of
music in ritual farewells. Regardless of differences in the forms
of parting, music
can be a powerful tool that helps people express grief. For the
bereaved in this
study, it appears that the grief process was moved in a positive
direction in those
cases where the dying person prepared for the funeral and
selected the music. It
also appears that it could be important for the survivors’ grief
process if the
music was performed live during the farewell ceremony.
Furthermore, we have
seen that, potentially, instrumental (wordless) music at ritual
farewells has a
capacity to bring people together to a greater degree than other
types of
music. Regardless of our different life experiences, values and
beliefs, music –
just like the physical space in which the farewell ceremony
takes place – can
function as a bridge between people (Maitland et al., 2012).
Conclusion
Our results indicate that the role of music in farewell rituals is
important for the
grieving process in several ways. Firstly, music can be
associated with positive
memories of the loved one and give rise to experiences of
recognition. Secondly,
music facilitates active participation in the grieving process,
through choosing
farewell music together with a relative. Thirdly, selecting music
for the funeral in
advance, together with loved ones, can be experienced as
hopeful, comforting
and consoling before, during and after the bereavement.
Viper et al. 19
174 OMEGA—Journal of Death and Dying 85(1)
Directions for Future Research
Continued research into the use of music in bereavement and
grief is important.
This study has shown that music plays a major role in the
processing of the
experience of grieving, but we still know very little about the
ways in which
music has significance in the event of death for people with
different cultural
backgrounds and diverse experiences of life. Incorporating
other forms of data,
such as quantitative measurements of stress hormones such as
oxytocin, and
questionnaires regarding meaningfulness could also add
meaningful data that
could contribute to the funeral music industry and for those
preparing for
funerals.
Acknowledgments
Many thanks to all the bereaved persons who participated in this
study. Without their
narratives, the study, and its findings, would simply not have
been possible.
Declaration of Conflicting Interests
The author(s) declared no potential conflicts of interest with
respect to the research,
authorship, and/or publication of this article.
Funding
The author(s) received no financial support for the research,
authorship, and/or publi-
cation of this article.
ORCID iD
Eva Bojner Horwitz https://orcid.org/0000-0002-2377-1815
Note
1. Participant number.
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Author Biographies
Marianne Viper, has Bachelor’s degree in Music therapy,
Master’s degree of fine
arts in Church Music and Fine Arts in Choir conducting. She is
working in the
church of Sweden as a organist and choir conductor. She has a
long experience
in working with funerals and helping relatives with musical
advise. She is also
composing hymns and musicals.
David Thyr�en, PhD, is a musicologist and holds a position as
senior lecturer in
music history at the Royal College of Music in Stockholm,
Sweden. His research
focus: music in end of life situations; music and social
sustainability; music and
learning; Western 19th and 20th century art and popular music;
music produc-
tion. He is also lecturing inChurch music history and music in
the Christian
tradition.
Eva Bojner Horwitz, is a professor of Music and Health at the
Royal College of
Music in Stockholm and researcher at the Department of
Clinical Neuroscience
Karolinska Institute (KI). She is an associate professor in social
medicine, cul-
tural health researcher, specialized in psychosomatic medicine
and creative arts;
co-founder of the Center for Social Sustainability (CSS), KI.
She is anchored in
interdisciplinary research, has doctoral students, authored
scientific articles,
books and book chapters (Oxford University Press & Springer
Books).
Research focus: performance evaluations with musicians; music
and health;
music in end of life situations; music and social sustainability;
music and
public health; arts and humanities; music and learning.
Viper et al. 23
Copyright of Omega: Journal of Death & Dying is the property
of Sage Publications Inc. and
its content may not be copied or emailed to multiple sites or
posted to a listserv without the
copyright holder's express written permission. However, users
may print, download, or email
articles for individual use.
HSL 4820 Critical Reflection
Music and Grief
This critical reflection paper is worth 15 points and is due on
the date listed in your syllabus. For this assignment, you must
first read the journal article titled, “Music as Consolation—The
Importance of Music at Farewells and Mourning” as well as the
two shorter articles entitled “Six Ways Music Helps with Grief”
and “Final Passages” found in our course folder. The articles
are also attached to the assignment dropbox.
For this critical reflection paper, you are required to integrate
one term or concept from the course into your reflection
(correctly citing the textbook or PowerPoint lecture where it
came from). In order to receive full credit, you must also clearly
integrate the content from the article you read into your critical
reflection.
Please address the following questions/prompts in your essay.
The reflection paper should be approximately 2 pages double-
spaced (without including your required reference page). The
paper must be proofread and spell-checked, and your reference
page must be in APA format.
CRITICAL REFLECTION PAPER PROMPTS: (Respond to
these prompts in your paper)
1) What is a song or piece of music that you associate with
grief/death/loss? (please include details such as title, singer,
year released, etc. If you would like, you are free to attach the
lyrics of the song at the end of your reflection--- but you are not
required to). What is it about this song that reminds you of
death/dying? Is it associated with someone you knew who died
or death in general? (Please note: the actual subject of the song,
does NOT have to focus specifically on death, it just has to be a
song that you in some way connect with death or dying.)
2) If you were to pick a song to be played at your funeral or
end-of-life celebration, etc., which song would you choose and
why?
3) If you were a funeral director, what advice would you give
to families when trying to pick a song to play at their loved
one’s funeral? Make sure to cite the articles in your response.
4) Choose one of the six steps from the article “Six Ways Music
Helps with Grief” and how it relates to or helps to enhance one
of the concepts covered in class on grief and loss.
Articles/Links to Required Readings
1.Viper, M., Thyrén, D., & Horwitz, E. B. (2022). Music as
Consolation—The Importance of Music at Farewells and
Mourning.
Omega: Journal of Death & Dying,
85(1), 155–177.
https://doi-
org.proxy1.library.eiu.edu/10.1177/003022282094239.
2.
https://healthcare.utah.edu/huntsmancancerinstitute/news/2020/
12/six-ways-music-helps-with-grief.php.
3. SALIERS, D. E. (2016). Final Passages.
American Organist Magazine,
50(5), 12.
https://proxy1.library.eiu.edu/login?url=https://search.ebscohost
.com/login.aspx?direct=true&db=asn&AN=114704590&site=eh
ost-live.
image1.jpeg
The Importance of Music in Grieving and Farewell Rituals

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The Importance of Music in Grieving and Farewell Rituals

  • 1. F rom th e C h a p la in FINAL PASSAGES "¥’"T’7r 7rAzt music do you want played t X / and sung at your funerali The V V question startled us at first. A group of friends were discussing mu- sic appropriate for particular life occa- sions: birthdays, anniversaries, achieve- ments, celebrations of homecoming, retirement. Then came the question about music and the end of life. In one sense, the question is quite familiar to musicians who are called upon to plan funerals and memorial services. To paraphrase a famous hymn, “What language shall we borrow” to mark the final passage of human life? What shall confer dignity and final meaning that also echoes the faith of a community assembled to give thanks for a life re- cently completed? Some in the group thought immedi- ately of songs of triumph, others of gratitude, others of rest and serenity. One of us desired the final chorale of Bach’s St. John Passion sung by a choir. The hymn “Love Divine, All Loves Ex­ celling” seemed sufficient to another. Still others spoke of using Palestrina’s
  • 2. “Sicut Cervus,” Vaughan Williams’s “O How Amiable,” Howells’s “Hymnus Paradisi,” or Lauridsen’s “O Magnum Mysterium.” One of the organists chose Messiaen’s “Celestial Banquet.” Obviously, many diverse convictions, musi- cal and theological, were at play in our conversation. If we had not been professional church musicians, the choices might have been very different. There would be the deceased’s favorite hymns. Many of us have played or sung the requested “The Old Rugged Cross” or “I Come to the Garden Alone.” More recently, some have requested popular contemporary praise songs, or secular love songs from certain periods of the person’s life. However wide the range of responses, our question prompts reflection about how and why music is related to grief and joy, gratitude and sorrow on the occasion of saying farewell to life itself. Apart from ritual songs such as the Kol Nidre, or chanted prayers from a Requiem Mass, what hymns, songs, or instrumental music reaches to the emotional depths required by the passage from life to death? It is common these days to hear people talk about the “sound track” of their lives. For them music serves like a film score, ex- pressing significant memories while supplying a narrative of what is experienced over time: childhood, family, friendships, loves gained and lost, as well as remembered moods of particular times and places. While nostalgia sometimes rules, my experi- ence tells me that we need music that expresses emotions that ac- company life passages through time. “Time like an ever rolling stream, bears all who live away . . . ” sings the familiar hymn.
  • 3. Discussions of personal choices of music to mark the end of life reveal a set of tensions: between expressing an individual’s life and proclaiming the community’s faith in the face of human mortality. Consider what it means to come to final measures of a great piece of music, choral or instrumental. With the final ca- dences or closing passage—whether triumphant or contempla- tive—we begin to grasp the whole of the composition and, indeed, the en- tire performance. Perhaps we hear again how the piece began and under- stand it from the standpoint of its completion. Think of how that final chorus (“Worthy Is the Lamb” with concluding “Amen”) gathers up all the themes and the larger narrative of Handel’s Messiah; or of how the “In Paradisum” extends a serene blessing at the end of Faure’s Requiem, or how the joyous “Alleluia” seals all the stan- zas of “For All the Saints.” Our lives flow and end like a complex piece of music. The joy and the sadness, the pain and the hope, the suffering and the rest— the very ways in which music itself moves reveal how life itself is experienced. This is why music chosen to sound the final cadence of human existence is so important. What we sing and sound in the face of death and bereavement takes us to the edges of mystery and supreme art of living faithfully. As certain pas- sages in some music bear the mystery of our existence in time, so
  • 4. each life resembles a symphonic form, whether tragic or glorious. I love how John Dryden ends “A Song for St. Cecilia’s Day” in Handel’s cantata: So when the last and dreadful hour This crumbling pageant shall devour, The trumpet shall be heard on high, The dead shall live, the living die, And music shall untune the sky. Don E. Sauers Discussions o f personal choices o f music to mark the end o f life reveal a set o f tensions: between expressing an individual’s life and proclaiming the community’s faith in the face o f human mortality. 12 T h e A m e r ic a n O r g a n is t Copyright of American Organist Magazine is the property of American Guild of Organists and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or
  • 5. email articles for individual use. 2022, Vol. 85(1) 155 –177 Article Music as Consolation— The Importance of Music at Farewells and Mourning Marianne Viper1, David Thyr�en1, and Eva Bojner Horwitz1,2,3 Abstract In this study we examined a case where twelve participants conducted farewell ceremonies for their deceased relatives. Taking a qualitative approach, we used interviews and questionnaires to focus on life stories that involve grieving. Specifically, we asked about experiences of the grief process as related to choice of music. Our results indicate that the role of music in farewell rituals is important for the grieving process in several ways. Firstly, music was associated with positive
  • 6. memories of the loved one and gave rise to experiences of recognition. Secondly, music facilitated active participation in the grieving process through choosing fare- well music together with a relative. Thirdly, selecting music for the funeral in advance, together with their loved ones, was also experienced as hopeful, comfort- ing and consoling before, during and after the bereavement. Keywords consolation, farewells, funeral music, grieving, memories 1Department of Music, Pedagogy and Society, Royal College of Music, Stockholm, Sweden 2Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden 3Center for Social Sustainability, Karolinska Institutet, Stockholm, Sweden Corresponding Author: Eva Bojner Horwitz, Department of Music, Pedagogy and Society, Royal College of Music, Box 27711, Stockholm SE-115 91, Sweden. Email: [email protected] OMEGA—Journal of Death and Dying
  • 7. ! The Author(s) 2020 Article reuse guidelines: sagepub.com/journals-permissions DOI: 10.1177/0030222820942391 journals.sagepub.com/home/ome 156 OMEGA—Journal of Death and Dying 85(1) Music is of great importance to people and holds significance in connection with death and farewell ceremonies as part of human experience, in particular, when conducted for a close relative (Krout, 2003). But there has been little attention in research into the importance of music choice at funerals and farewells when it comes to the grieving process for close relatives. In this article a research project on music as consolation is introduced with an overview on earlier research in the fields of music and death, music therapy, music psychology and rituals. The government agency Statistics Sweden (2019) have stated that about 90,000 people die in Sweden each year, and music is used in one form or another in 99 percent of all parting occasions. For many, a farewell ceremony can be an important part of the grieving process. Including music in
  • 8. rituals can help create meaningful experiences and positively affect experiences on a physical level (Parkinson, 2009). Music, often taking the form of songs, can articulate senti- ments and to create symbols that help close relatives cope with the sadness of their loss (Parkinson, 2009), and features in both religious and civil contexts. In Sweden, the most common forms of burial are conducted: a) by the Church of Sweden (about 80%), b) by another Christian order (about 10%), c) by order of another religion, or by civil burial (about 8%). The Swedish Church (2019) as well as other organizations in the community have established activities with grief groups for closely related surviving adults, children and young people. The programmed activities continue for up to half a year after the bereavement. According to Adamson and Holloway (2012) in today’s society we have seen secularization regarding funerals and also a focus on the meaning on rituals. It remains of significant importance and that the psycho-social- spiritual relation is strongly involved in our ceremonials, which means the need of a new vocabulary. Therefore, it is possible to argue that music fills the gap in which psycho-social-spiritual variables are involved. Bruin-Mollenhorst (2018) have discussed how lyrical content is important
  • 9. with regard the deceased persons’ identity and emotions. The authors show that the lyrical content is less important than other aspects such as emotional and social. The hermeneutic tool has been used to better understand the mean- ing of the content of the music piece for the next of kin. The complexity of how music can be used during a funeral is described in Bruin-Mollenhorst (2018), where meanings, functions, motivations of choices, and the specific role of music have been studied. Researchers have used various foci but almost all of them zoom in specifically on the event of the funeral. Another meaning of music has been explored in Adamson and Holloway (2012), where it was found to function to break up of spoken words sections during the funereal ceremony. This forms part of Bruin- Mollenhorst’s (2018) functional description of the meaning of music. In Caswell’s research (2012), the different ways in which music can be used during a funeral has been explored and examined. Five specific uses of music have been presented as the following: “a) music as a means of control; b) music 2 OMEGA—Journal of Death and Dying 0(0) Viper et al. 157
  • 10. Music is of great importance to people and holds significance in connection with death and farewell ceremonies as part of human experience, in particular, when conducted for a close relative (Krout, 2003). But there has been little attention in research into the importance of music choice at funerals and farewells when it comes to the grieving process for close relatives. In this article a research project on music as consolation is introduced with an overview on earlier research in the fields of music and death, music therapy, music psychology and rituals. The government agency Statistics Sweden (2019) have stated that about 90,000 people die in Sweden each year, and music is used in one form or another in 99 percent of all parting occasions. For many, a farewell ceremony can be an important part of the grieving process. Including music in rituals can help create meaningful experiences and positively affect experiences on a physical level (Parkinson, 2009). Music, often taking the form of songs, can articulate senti- ments and to create symbols that help close relatives cope with the sadness of their loss (Parkinson, 2009), and features in both religious and civil contexts. In Sweden, the most common forms of burial are conducted: a) by the Church of Sweden (about 80%), b) by another Christian order (about 10%), c) by order of
  • 11. another religion, or by civil burial (about 8%). The Swedish Church (2019) as well as other organizations in the community have established activities with grief groups for closely related surviving adults, children and young people. The programmed activities continue for up to half a year after the bereavement. According to Adamson and Holloway (2012) in today’s society we have seen secularization regarding funerals and also a focus on the meaning on rituals. It remains of significant importance and that the psycho-social- spiritual relation is strongly involved in our ceremonials, which means the need of a new vocabulary. Therefore, it is possible to argue that music fills the gap in which psycho-social-spiritual variables are involved. Bruin-Mollenhorst (2018) have discussed how lyrical content is important with regard the deceased persons’ identity and emotions. The authors show that the lyrical content is less important than other aspects such as emotional and social. The hermeneutic tool has been used to better understand the mean- ing of the content of the music piece for the next of kin. The complexity of how music can be used during a funeral is described in Bruin-Mollenhorst (2018), where meanings, functions, motivations of choices, and the specific role of music have been studied. Researchers
  • 12. have used various foci but almost all of them zoom in specifically on the event of the funeral. Another meaning of music has been explored in Adamson and Holloway (2012), where it was found to function to break up of spoken words sections during the funereal ceremony. This forms part of Bruin- Mollenhorst’s (2018) functional description of the meaning of music. In Caswell’s research (2012), the different ways in which music can be used during a funeral has been explored and examined. Five specific uses of music have been presented as the following: “a) music as a means of control; b) music 2 OMEGA—Journal of Death and Dying 0(0) as a means of inclusion and exclusion; c) music as a source of collective activity; d) music as a means of creating or shifting emotion; e) music as a means of evoking the memory of the deceased person.” These uses are part of the complexity described by Bruin-Mollenhorst (2018). This study builds on an evidence that music therapy can serve a basic and important function, for example, that music can provide consolation. From a historical point of view, music has been associated with therapy in various cultures and societies for thousands of years and its healing function has been
  • 13. described as affecting both body and mind (Thaut, 2015). O’Callaghan and Michael (2015) have shown that formal practices of processing grief through music therapy have increased in recent years. Such expressive therapy forms have been growing in regard as a helpful tool to release emotions during grieving. One important thing that this therapy offers is an opportunity for the client to define their grief. Supported by O’Callaghan and Michael (2015), the therapist’s role is to reflect and validate the client, be cau- tious toward client reactions and to support those affected to express their grief. Another therapeutic method of processing grief is Guided Imagery and Music (GIM) developed by Helen Bonny (1989). The method selects musical pieces that construct a music journey, which can stimulate cognitive images for the client which that they can then express in conversation. DeNora (2012) undertook an ethnographic case study in England over a three- year period, describing music use with patients in palliative care. The study was conducted with patients and their relatives. DeNora’s work has demonstrated that music therapy in palliative care is a dynamic tool that can contribute to increased communication between therapist, patient and relatives; and offers valu- able opportunities for socializing at the end of life: “I conclude that music opens
  • 14. up opportunities for action, and social relation at end of life” (p. 92). Krout (2003) studied the importance of music therapy for close relatives: When loved ones are anticipating the patient’s impending death, they may find it difficult to express feelings, thoughts, and last wishes. Music therapy is a service modality that can help to facilitate such communication between the family and the patient who is actively dying, while also providing a comforting presence. (pp. 129–134) Cullberg (1986) has written about participant experiences in grief groups and argued that it is important to give those who are grieving time and space to express their feelings, and that the leader’s ability to accommodate the grief of others can be decisive for how the grief is processed. Research in music psychology has shown that an individual who suddenly hears a familiar song or piece of music can recall memories of significant life events (Gabrielsson, 2013). A strong identification with music is related to a sense of being understood and present, which has a mindful therapeutic
  • 15. Viper et al. 3 158 OMEGA—Journal of Death and Dying 85(1) function: “When music takes over the outside world disappears, time stands still, the only thing is the music and myself, here and now” (Gabrielsson, 2013, p. 109). The recognition that this effect of music implies can thus have a powerful effect, particularly if the music is performed live. Studies have shown that live music has a stronger impact compared to recorded music (Bojner Horwitz & Huss, 2016; Theorell & Bojner Horwitz, 2019). Music psychology researchers Juslin et al. (2010) have described personal music use and the underlying mechanisms behind the role that music plays in one’s emotional life: “Real-world research has shown that music is often inten- tionally used by listeners to regulate their moods and emotions” (p. 849). Related to the research team, a person’s well-being can be affected when they choose music. Their study showed elevated levels of certain biochemical sub- stances in the body of the listener: cortisol, oxytocin, dopamine and serotonin, in conjunction with the listening to self-selected music. On this basis, Juslin et al. believe that intentional use of music can have positive health
  • 16. effects. For Ruud (2001), it is common for grief to give rise to questions about the meaning of life. Ruud has emphasized that there is a need for those who suffer loss and grief to be given the opportunity to express and explore questions about life and death. Dyregrov (2009) stated that from a historical point of view, a rite is an act used in cults and religious ceremonies in all societies and religions, in life- changing events or in prayers and sacrifices to gods. Dyregrov stressed that the rituals of major life events, such as in death, can be helpful for people in order to express their feelings, which is an important component of the process of creating common memories and interpretations of events. The rituals can therefore contribute to cohesion in families and in communities. Lerneus (2017) has argued that there is a great need in contemporary society for rituals to process grief. Little attention has been given to the post-mortem relationships and “continuing bonds” between the living and the dead. As seen in Mathijssen’s work (2018), relocation towards objects and materials and social spheres and norms of the social environments have been subjected to research in relation to
  • 17. separations and transitions. This is part of much-needed rituals, according to the researcher (Mathijssen, 2018). An element of this exploration of meaning may be rituals around death. Valkare (2016) described rituals as: “Ritual is the aspect of human behavior that establishes, marks, confirms and transmits value” (p. 109). In connection with a ritual passage, for example a confirmation or a wedding, there is a transfer of a person’s symbolic and intangible value in the social context (Valkare, 2016). Adamson and Holloway (2012) and Aggedal (2009) have stated their belief that the choice of music at a funeral is the clearest way that families and friends can show who the person was in life. Relatives appear to exert a great deal of influence when it comes to choosing music, and it is important to know how and 4 OMEGA—Journal of Death and Dying 0(0) Viper et al. 159 function: “When music takes over the outside world disappears, time stands still, the only thing is the music and myself, here and now” (Gabrielsson, 2013, p. 109). The recognition that this effect of music implies can thus have a powerful effect, particularly if the music is performed live.
  • 18. Studies have shown that live music has a stronger impact compared to recorded music (Bojner Horwitz & Huss, 2016; Theorell & Bojner Horwitz, 2019). Music psychology researchers Juslin et al. (2010) have described personal music use and the underlying mechanisms behind the role that music plays in one’s emotional life: “Real-world research has shown that music is often inten- tionally used by listeners to regulate their moods and emotions” (p. 849). Related to the research team, a person’s well-being can be affected when they choose music. Their study showed elevated levels of certain biochemical sub- stances in the body of the listener: cortisol, oxytocin, dopamine and serotonin, in conjunction with the listening to self-selected music. On this basis, Juslin et al. believe that intentional use of music can have positive health effects. For Ruud (2001), it is common for grief to give rise to questions about the meaning of life. Ruud has emphasized that there is a need for those who suffer loss and grief to be given the opportunity to express and explore questions about life and death. Dyregrov (2009) stated that from a historical point of view, a rite is an act used in cults and religious ceremonies in all societies and religions, in life-
  • 19. changing events or in prayers and sacrifices to gods. Dyregrov stressed that the rituals of major life events, such as in death, can be helpful for people in order to express their feelings, which is an important component of the process of creating common memories and interpretations of events. The rituals can therefore contribute to cohesion in families and in communities. Lerneus (2017) has argued that there is a great need in contemporary society for rituals to process grief. Little attention has been given to the post-mortem relationships and “continuing bonds” between the living and the dead. As seen in Mathijssen’s work (2018), relocation towards objects and materials and social spheres and norms of the social environments have been subjected to research in relation to separations and transitions. This is part of much-needed rituals, according to the researcher (Mathijssen, 2018). An element of this exploration of meaning may be rituals around death. Valkare (2016) described rituals as: “Ritual is the aspect of human behavior that establishes, marks, confirms and transmits value” (p. 109). In connection with a ritual passage, for example a confirmation or a wedding, there is a transfer of a person’s symbolic and intangible value in the social context (Valkare, 2016).
  • 20. Adamson and Holloway (2012) and Aggedal (2009) have stated their belief that the choice of music at a funeral is the clearest way that families and friends can show who the person was in life. Relatives appear to exert a great deal of influence when it comes to choosing music, and it is important to know how and 4 OMEGA—Journal of Death and Dying 0(0) why this selection also may affect the grieving process by the bereaved. The present study is interested in how music and music choices function in the processing of grief, before, during and after the death of a close relative, in order to cope with the bereavement. Ultimately, we investigate whether or not the music that is selected for, and used in, farewell ceremonies are of importance, and whether it can be an effective tool for grieving. The purpose of the study is to explore the importance of music in the grieving process. The following research questions are asked: 1. In what ways do close relatives relate to music at farewells? 2. How does music play a therapeutic function during the grieving process of the close relatives? 3. What role does the music play for the grieving process for the close relatives if the deceased made the musical choice?
  • 21. Method We used a qualitative approach in which we collected narratives (Hyd�en & Hyd�en, 1997) and then analyzed them from a hermeneutic perspective (Ricoeur, 1976, 1993), focusing on grief process and crisis theory (Cullberg, 1986). Participants life stories constituted the empirical data, based on the prin- ciples of hermeneutics, which emphasizes understanding and interpretation in light of preunderstandings. The study was informed heavily by work undertaken in the humanities, which is a discipline that studies people as cultural and social creatures who necessarily exist in social contexts (€Odman, 1994). A hermeneutic approach means that the researchers interpreted participant narratives on the basis of the researchers own understanding and preunder- standing. Skott (2004) has discussed hermeneutics also in terms of a theory of interpretation that deals with the human ability to create understanding and meaning. Hermeneutics has undergone a shift from its original use in biblical interpretation to become a philosophy and method employed in many disci- plines (Bojner Horwitz et al., 2003; €Odman, 1994; Ricoeur, 1976, 1993; Wheeler, 2005). Interviews with informants can lead to multiple answers, and
  • 22. individuals may construct different narratives in relations to an experience at different points in time. €Odman (1994) has argued that when individuals who have experienced similar events meet, different understandings of the events are brought into confrontation and negotiation, which gives access to a broader understanding of meaning. Narrative research focuses on the story in terms of its content and structure, and how this relates to sense-making. Adapted from Skott (2004), the analysis of stories is a study in meaning-making processes in which we all engage. A par- ticipant who recounts her/his life story simultaneously shares her/his individual perception of the world. Understandings and preunderstandings interact Viper et al. 5 160 OMEGA—Journal of Death and Dying 85(1) between participants and researchers, meaning that all stories are created in the dialogue of the research practice. As described by Sohlberg and Sohlberg (2013), a story can therefore be understood as a process. This idea is central to the
  • 23. methodology of narrative study. The analysis stems from the search of similar- ities and differences. A number of themes emerged in the narratives of partic- ipants, and these formed the basis for the findings. Analysis of the collected data was supplemented with follow-up questions by telephone 14months later, in order to collect complementary quantitative data via a Visual Analogue Scale (VAS) questionnaire. The scale has been subject to extensive psychometric testing and has been used in the measurements of pain (Yang et al., 1991). The VAS scale is easy to fill in and helped us in a quanti- tative way to understand a qualitative change of time. We sought answers regarding how the participants interpreted the grieving process more than a year after the interviews. This VAS questionnaire was administered 14months after the interviews. The research leader contacted the participants to explain the VAS questionnaire, which participants had received by mail. The participants
  • 24. marked the degree to which they agreed with statements posed by the research- ers on a centimeter scale (Theorell & Bojner Horwitz, 2019; Theorell et al., 2019). The following four questions were asked: 1. How important was the music at the farewell ceremony for helping you handle your grief at the time of the funeral? 2. How important was the music at the farewell ceremony in relation to helping you handle your current grief? 3. How significant was the fact that your close relative chose their own music for the farewell ceremony in relation to helping you handle your current grief? 4. How significant was it for your capacity to handle your current grief if the music was performed live during the farewell ceremony? Participants The participants were voluntarily taking part in grief groups coordinated by the Swedish Church. These groups were mixed-aged and designed to help partic- ipants explore music while in grief. These pre-established
  • 25. groups served as a recruitment pool for the present study. Participants were divided in study groups by age and location: two different cities; younger (35–45 years), middle age (46–65 years) and older (66–90 years) (cf. Table 1). The criteria for selection was that a) the participant had lost a relative, b) had had some kind of farewell ceremony (ten church burials and two civic burials) and c) that the participant was in the first year of the grieving process. The group participants did not know each other before participating in the grief groups and members were choral singers or played a musical instrument at amateur level. Two had an interest in 6 OMEGA—Journal of Death and Dying 0(0) Viper et al. 161 between participants and researchers, meaning that all stories are created in the dialogue of the research practice. As described by Sohlberg and
  • 26. Sohlberg (2013), a story can therefore be understood as a process. This idea is central to the methodology of narrative study. The analysis stems from the search of similar- ities and differences. A number of themes emerged in the narratives of partic- ipants, and these formed the basis for the findings. Analysis of the collected data was supplemented with follow-up questions by telephone 14months later, in order to collect complementary quantitative data via a Visual Analogue Scale (VAS) questionnaire. The scale has been subject to extensive psychometric testing and has been used in the measurements of pain (Yang et al., 1991). The VAS scale is easy to fill in and helped us in a quanti- tative way to understand a qualitative change of time. We sought answers regarding how the participants interpreted the grieving process more than a year after the interviews. This VAS questionnaire was administered 14months
  • 27. after the interviews. The research leader contacted the participants to explain the VAS questionnaire, which participants had received by mail. The participants marked the degree to which they agreed with statements posed by the research- ers on a centimeter scale (Theorell & Bojner Horwitz, 2019; Theorell et al., 2019). The following four questions were asked: 1. How important was the music at the farewell ceremony for helping you handle your grief at the time of the funeral? 2. How important was the music at the farewell ceremony in relation to helping you handle your current grief? 3. How significant was the fact that your close relative chose their own music for the farewell ceremony in relation to helping you handle your current grief? 4. How significant was it for your capacity to handle your current grief if the music was performed live during the farewell ceremony? Participants The participants were voluntarily taking part in grief groups coordinated by the
  • 28. Swedish Church. These groups were mixed-aged and designed to help partic- ipants explore music while in grief. These pre-established groups served as a recruitment pool for the present study. Participants were divided in study groups by age and location: two different cities; younger (35–45 years), middle age (46–65 years) and older (66–90 years) (cf. Table 1). The criteria for selection was that a) the participant had lost a relative, b) had had some kind of farewell ceremony (ten church burials and two civic burials) and c) that the participant was in the first year of the grieving process. The group participants did not know each other before participating in the grief groups and members were choral singers or played a musical instrument at amateur level. Two had an interest in 6 OMEGA—Journal of Death and Dying 0(0) dance classes. Most of them expressed that they liked to listen to recorded music
  • 29. or attend live music concerts. Each grief group had met six times (one and a half hour every week). After the final session with the grief groups, the lead researcher approached the participants to ask if they would like to be included in the present study. Four participants per group gave their consent to participate and which meant a total of twelve individual participants: ten women and two men. The partici- pants are identified by participant number in the reporting of findings that follows. The interviews were semi-structured, lasted 60– 90minutes and conducted in parish homes belonging to the Swedish Church. They were recorded, transcribed and printed out for analysis. The recorded files were delet- ed immediately after transcription. The interviews were semi- structured using the following questions: 1. In what ways do you, as a relative, relate to music at farewells? 2. In what ways does music play a therapeutic function (if any)
  • 30. during your grieving process? 3. What role does music play in your grieving process, if your close relative made the musical choice before the funeral? The results of the analysis are illustrated by quotations from the interview material linked to various themes under three main headings. All twelve partic- ipants were given the opportunity to speak about their experiences from differ- ent funerals related to their grieving process. They shared their views on how Table 1. illustrates the gender of the deceased and the age of the relatives, weather the burial took place in a church or in a civil ceremony, and if the funeral music was perfomed live or played back from a recording. Participants Deceased gender female/male Related age
  • 31. Burial church/civil Funeral music/live Funeral music/ recorded Participant 1 f 73 ch x x Participant 2 m 73 ch x Participant 3 f 61 ch x Participant 4 f 38 ch x Participant 5 f 80 ch x Participant 6 f 82 ch x Participant 7 f 83 ch x x Participant 8 f 65 ch x x Participant 9 f 65 ci X x Participant 10 f 85 ch x Participant 11 f 89 ci x Participant 12 m 85 ch x
  • 32. Viper et al. 7 162 OMEGA—Journal of Death and Dying 85(1) music featured as a part of their experience before, during, and after the funeral as shown in Table 1. Table 1 illustrates the gender of the deceased and the age of the relatives, whether the burial took place in church or in a civil ceremony, and if the funeral music was performed live or played back from a recording. The participants were told about the study and how it would be reported and gave their consent to their participation. The ethical rules of the Swedish Research Council have been taken into account by ensuring that the participants know that their participation in the study is based on voluntary consent (cf. Swedish Research Council, 2019) and that they can revoke their participation at any time. The participants were informed that their privacy would be protected by treating details of their involvement with confidentiality and de-
  • 33. identification. The individuals’ identities are thus not traceable. The participants agreed that the conversation was recorded and treated strictly confidentially. The results of the interviews are quoted anonymously. All participants gave their written consent. The guidance of the Helsinki Declaration was followed. Results The results of the analysis are illustrated by quotations from the interviews and are organized into themes under three headings: 1) Experiences of music before part- ing; 2) Experiences of music during funeral; 3) Experiences of music after funeral. Experiences of Music Before Parting Theme: Communication Difficulties About Music Choices. The following quotes reveal the various difficulties that the bereaved parties faced in choosing music for an upcoming funeral: It was not possible to talk about the funeral with the wife so as
  • 34. not to worry her, and she could not have such a conversation. It is easier if you can talk before – I could not with my wife. It’s hard to talk about what kind of music you want to have at the funeral. (2)1 My wife suffered from severe dementia and it didn’t work to talk to her about death or music at the funeral so as not to worry her. (2) Due to severe illness and taking medication my wife was not contactable towards the end so we could not talk about death, music or last wishes. (12) Theme: Pronounced Communication About Music Choices. These quotes show the value of communicating music choices with relatives: 8 OMEGA—Journal of Death and Dying 0(0) Viper et al. 163 We could talk about everything and I am extremely grateful for that. We have nothing left unresolved. When you have experienced as a near
  • 35. relative that you have planned the music wishes together, that is extremely important. (3) Just before he was sick, we had talked about where he would be buried – and partly that the priest would not be high church in thought and practice. My husband didn’t want any funeral at all – we talked about it – preferably he would just disappear – he was not a churchgoing man, but he liked hymns and was very good at music. (5) He loved – oh, what’s his name – Sinatra – there were lots of songs – one called ‘Something’ – he played it a lot. My husband wanted us to play it at the funeral. That song by Sinatra was played on record but otherwise the cantor played live organ music. (7) My husband had said that the funeral music should be as serene as possible. There was never any discussion about the music. All our three kids said it was OK. (1)
  • 36. My husband wanted “Imagine” by John Lennon for the funeral, which we had as wedding music when we got married. (3) Theme: Written Information About Music Choices. These quotes show the value of writing down the desired music choices: When we knew that my dad did not have much time left, we wrote down in a Word document the music he liked. (3) My near relative had written down what music she wanted at her funeral. Her handwriting became more and more crooked, but there was her wish. (1) The Importance of Music Before Parting Four participants had planned and selected music for the funeral along with their, now deceased, relative. They expressed their satisfaction with the music and the ceremony. Four out of twelve participants had cared for their near relatives at the end of their lives. Two participants said that they did not have the opportunity to talk about important issues with their
  • 37. relatives due to illness at the end of life. Two other participants who cared for their relatives at home had planned and chosen farewell music together with the relatives towards the end of their life. It emerged from the interviews that four participants, some- times together with the near relative at the end of his or her life, chose music and song lyrics that could somehow describe a person as well, as if to summarize them, and serve as a reflection of them through their taste in music. Some of the Viper et al. 9 music featured as a part of their experience before, during, and after the funeral as shown in Table 1. Table 1 illustrates the gender of the deceased and the age of the relatives, whether the burial took place in church or in a civil ceremony, and if the funeral music was performed live or played back from a recording. The participants were told about the study and how it would be reported and
  • 38. gave their consent to their participation. The ethical rules of the Swedish Research Council have been taken into account by ensuring that the participants know that their participation in the study is based on voluntary consent (cf. Swedish Research Council, 2019) and that they can revoke their participation at any time. The participants were informed that their privacy would be protected by treating details of their involvement with confidentiality and de- identification. The individuals’ identities are thus not traceable. The participants agreed that the conversation was recorded and treated strictly confidentially. The results of the interviews are quoted anonymously. All participants gave their written consent. The guidance of the Helsinki Declaration was followed. Results The results of the analysis are illustrated by quotations from the interviews and are organized into themes under three headings: 1) Experiences of
  • 39. music before part- ing; 2) Experiences of music during funeral; 3) Experiences of music after funeral. Experiences of Music Before Parting Theme: Communication Difficulties About Music Choices. The following quotes reveal the various difficulties that the bereaved parties faced in choosing music for an upcoming funeral: It was not possible to talk about the funeral with the wife so as not to worry her, and she could not have such a conversation. It is easier if you can talk before – I could not with my wife. It’s hard to talk about what kind of music you want to have at the funeral. (2)1 My wife suffered from severe dementia and it didn’t work to talk to her about death or music at the funeral so as not to worry her. (2) Due to severe illness and taking medication my wife was not contactable towards the end so we could not talk about death, music or last wishes. (12)
  • 40. Theme: Pronounced Communication About Music Choices. These quotes show the value of communicating music choices with relatives: 8 OMEGA—Journal of Death and Dying 0(0) 164 OMEGA—Journal of Death and Dying 85(1) music chosen by the participants referred to the deceased’s place of origin or a personal memory. Four participants selected their own favored music to play during the farewell ceremony. Experiences of Music During Funeral Theme: The Connection of Music to the Life of the Deceased. The following quote shows the value of choosing music that mirrors, or connects with, the life of the deceased: I don’t remember hymns, but we would have liked Dan Andersson and Evert Taube, as their music corresponded to my husband’s life. Andersson matched his origins from Dalarna and ‘So Shimmering Was Never the Sea’ by Taube
  • 41. reflected his interest in the sea. (6) Theme: Music That Strikes and Touches. In these quotes, the powerful nature of music is highlighted: I didn’t know I could be so affected by the tranquil organ music during the funeral, so I cried throughout the ceremony. (8) My mother sat at my father’s deathbed, even though she had severe dementia and didn’t understand that he would die, reciting Hymn 217. (3) After the death (of my child) I couldn’t stand hearing music “(during the funeral).” I felt and feel that there are no words that can describe my feelings. (4) He [a person telling about another person] did not know that he could be so affected. (8) Theme: The Role of Music at Civil Farewell Ceremonies. These quotes describe how music was used in civil burials: It was a civil farewell ceremony. The most churchlike were songs my husband had
  • 42. sung in Sunday school . . .That�s where something spiritual came about anyway. He wasn’t religious so we didn’t go to church every Sunday, but we went occa- sionally when beautiful music was being played, and when we travelled, we gladly went to churches and lit candles. (9) We said farewell to my husband at home with the family - it was a fine moment. I have a son-in-law who is a good guitar player. My husband had many times but jokingly said that at his funeral we should play the song ‘Take Me to the Sea’ – because he loved the sea. My son-in-law couldn’t promise to play it, but he would try to learn the song - and he managed to do it. (10) 10 OMEGA—Journal of Death and Dying 0(0) Viper et al. 165 music chosen by the participants referred to the deceased’s place of origin or a personal memory. Four participants selected their own favored
  • 43. music to play during the farewell ceremony. Experiences of Music During Funeral Theme: The Connection of Music to the Life of the Deceased. The following quote shows the value of choosing music that mirrors, or connects with, the life of the deceased: I don’t remember hymns, but we would have liked Dan Andersson and Evert Taube, as their music corresponded to my husband’s life. Andersson matched his origins from Dalarna and ‘So Shimmering Was Never the Sea’ by Taube reflected his interest in the sea. (6) Theme: Music That Strikes and Touches. In these quotes, the powerful nature of music is highlighted: I didn’t know I could be so affected by the tranquil organ music during the funeral, so I cried throughout the ceremony. (8) My mother sat at my father’s deathbed, even though she had severe dementia and
  • 44. didn’t understand that he would die, reciting Hymn 217. (3) After the death (of my child) I couldn’t stand hearing music “(during the funeral).” I felt and feel that there are no words that can describe my feelings. (4) He [a person telling about another person] did not know that he could be so affected. (8) Theme: The Role of Music at Civil Farewell Ceremonies. These quotes describe how music was used in civil burials: It was a civil farewell ceremony. The most churchlike were songs my husband had sung in Sunday school . . .That�s where something spiritual came about anyway. He wasn’t religious so we didn’t go to church every Sunday, but we went occa- sionally when beautiful music was being played, and when we travelled, we gladly went to churches and lit candles. (9) We said farewell to my husband at home with the family - it was a fine moment. I have a son-in-law who is a good guitar player. My husband
  • 45. had many times but jokingly said that at his funeral we should play the song ‘Take Me to the Sea’ – because he loved the sea. My son-in-law couldn’t promise to play it, but he would try to learn the song - and he managed to do it. (10) 10 OMEGA—Journal of Death and Dying 0(0) Both the lyrics and the music were crystal clear. I immediately felt that I had found my song. It has been most relevant to me. I feel that the intro to the song gives me strength. A phrase in the song reads: ‘Who comforts you when I’m gone?’ I have chosen it as a ringtone on my phone. (3) Theme: Different Functions of Music. These quotes describe the transformative func- tion of music: You have to allow yourself time to reflect. The music allows you to stop and listen for a while. Music fulfills a meditative purpose. (1) We sat down at the coffin in the church and I suddenly heard my husband’s voice
  • 46. sing along to the lyrics: ‘I do the best I can.’ I could no longer hear the artist sing. I just heard my husband singing. Then I cried like a water tap turned on. (1) The Importance of Music During Funeral All twelve participants in the survey had incorporated music and hymns into a church or civil burial ceremony. All participants expressed thoughts or opinions on the function of music during ritual ceremonies. One participant described an unusual incident at a funeral when a seemingly uncommunicative man suddenly regained the memory of his dead wife when he heard singing of a beloved song of theirs. In front of the surprised funeral guests, he made an emotional speech to his deceased wife and then sank back into silence. Recorded music was often used in instances where the music selected was a song or genre that the relative used to enjoy. Hymns and songs with sacred or secular lyrics are performed whether it is a church or civil burial ceremony. Many felt that
  • 47. music at a funeral was very important in making the ceremony as successful as possible. Three participants said that music was more important to them than other parts of the ceremony, such as readings from the Bible and liturgical prayers. The majority of participants expressed that they were satisfied with both the choice of music and the performance of the ceremony regardless of its form. Experiences of Music After Funeral Theme: Music That Arouses Overwhelmingly Strong Emotions. This quote describes how music had become very emotionally charged, and thus turned out to be too difficult and painful to listen to in the process of grieving: It went quiet! For me, the music was silent. After the child’s death it was silent. I can’t handle music. I used to play the flute and enjoy opera and concerts, but now it doesn’t work – I can’t – and I’m so sorry for it. (4) Viper et al. 11
  • 48. 166 OMEGA—Journal of Death and Dying 85(1) Theme: Music as a Reminder of the Deceased. These quotes describe how music has become an aid to remembering the deceased. It is joy actually and sadness – but I can only accept my husband’s death. I think it’s good now. The whole funeral was a family affair and I think it’s lovely that it was noticeable that there were songs from the repertoire my husband and his side of the family had sung, and it became a reminder of him and his life. There was one song: ‘Fairy Tale of the Heart’ that we had. It was very much appreciated and loved because his and also my relatives sang a lot and listened to lots of music. (11) When we went sailing, my husband and I used to sing a children’s song from Sunday school that we had as funeral music. I walk around and sing it and then I think of him. (9) When I listen to the song today, I still only hear his voice. I don’t hear the artist. (1)
  • 49. Theme: Music That Relieves Feelings of Sadness. These quotes describe how music constituted part of the grieving process: I don’t feel as depressed now as I did after the death and the funeral. It feels great to listen to the music, there has been a change within me. (1) To me, music has been a way of grieving and is part of the grief process. Music channels so many emotions that you cannot and need not put into words. (3) The Importance of Music After Funeral Shared time for planning and talking to the next of kin played an important role in the grief process of the participants. The participants described the impor- tance that the farewell music had for them in their grieving. Five participants felt that music had a symbolic meaning. For many of the participants, it felt easier to listen to the music during a later stage during the grieving process. Farewell music was associated with well-being during the grief process. Selected pieces of
  • 50. music felt comforting. A participant said that she and her husband had enjoyed dancing to music by Elvis Presley. She recounted how, when she hears one of his songs today, it evokes positive memories. This means that the music seems to offer her a sense of belonging. Two participants told us that listening to a par- ticular piece of music elicited sensations of a missing relative. A participant, who had chosen a special song for the farewell, thought that the lyrics and music conveyed strength and energy, supporting her during the grief process. Another participant, who told us about memories of music from her childhood, described 12 OMEGA—Journal of Death and Dying 0(0) Viper et al. 167 Theme: Music as a Reminder of the Deceased. These quotes describe how music has become an aid to remembering the deceased.
  • 51. It is joy actually and sadness – but I can only accept my husband’s death. I think it’s good now. The whole funeral was a family affair and I think it’s lovely that it was noticeable that there were songs from the repertoire my husband and his side of the family had sung, and it became a reminder of him and his life. There was one song: ‘Fairy Tale of the Heart’ that we had. It was very much appreciated and loved because his and also my relatives sang a lot and listened to lots of music. (11) When we went sailing, my husband and I used to sing a children’s song from Sunday school that we had as funeral music. I walk around and sing it and then I think of him. (9) When I listen to the song today, I still only hear his voice. I don’t hear the artist. (1) Theme: Music That Relieves Feelings of Sadness. These quotes describe how music constituted part of the grieving process: I don’t feel as depressed now as I did after the death and the funeral. It feels great
  • 52. to listen to the music, there has been a change within me. (1) To me, music has been a way of grieving and is part of the grief process. Music channels so many emotions that you cannot and need not put into words. (3) The Importance of Music After Funeral Shared time for planning and talking to the next of kin played an important role in the grief process of the participants. The participants described the impor- tance that the farewell music had for them in their grieving. Five participants felt that music had a symbolic meaning. For many of the participants, it felt easier to listen to the music during a later stage during the grieving process. Farewell music was associated with well-being during the grief process. Selected pieces of music felt comforting. A participant said that she and her husband had enjoyed dancing to music by Elvis Presley. She recounted how, when she hears one of his songs today, it evokes positive memories. This means that the
  • 53. music seems to offer her a sense of belonging. Two participants told us that listening to a par- ticular piece of music elicited sensations of a missing relative. A participant, who had chosen a special song for the farewell, thought that the lyrics and music conveyed strength and energy, supporting her during the grief process. Another participant, who told us about memories of music from her childhood, described 12 OMEGA—Journal of Death and Dying 0(0) that music was a medium for her to mourn. For her, music was a natural part of the grief process in that it channels strong feelings of grief and loss. Table 2 illustrates the median, minimum and maximum of the VAS-scale (from 0 – 100mm), of the participants answers to the four questions where 0 represents no significant meaning, and 100 represents high significant meaning. Figure 1 shows the sum of the four questions in a boxplot, where 0 represents no significant meaning, and 100 represents high significant meaning.
  • 54. Table 2. The table illustrates the median, minimum and maximum of the VAS-scale (from 0 – 100mm, where 0 represents no significant meaning, and 100 represents high significant meaning), of the participants answers to the following four questions: 1. How important was the music at the farewell ceremony for helping you handle your grief? 2. How important was the music at the farewell ceremony in relation to helping you handle your current grief? 3. How important was the fact that your loved ones chose their own music for the farewell ceremony in relation to helping you handle your grief? 4. How important was it for you to handle your grief if the music was performed live during the farewell ceremony?. Median Minimum Maximum Valid N Question1 91.00 66.00 100.00 11 Question2 84.00 20.00 100.00 10 Question3 71.00 5.00 100.00 10 Question4 89.00 27.00 100.00 11 Figure 1. Figure 1 shows the sum of the four questions in a boxplot, (where 0 represents no significant meaning, and 100 represents high significant meaning). Viper et al. 13
  • 55. 168 OMEGA—Journal of Death and Dying 85(1) The majority of the twelve participants chose with secular lyrics, from dif- ferent genres, for their relatives’ funerals. Conversely, two participants chose to sing songs with a sacred meaning and hymns at civil farewell ceremonies. During the interviews, it emerged that those who had time to talk and plan the music for the farewell ceremony together with their near relatives before the loss thought that the music had played an important role for them as next of kin. Eight of the participants talked about music, songs, an artist or a style of music that the deceased had listened to with them or that it reflected the personality of the deceased. Three participants said that they had chosen a particular song because the lyrics corresponded to the person’s place of origin or their interests. The criteria that governed the choice of music for several of the participants in the survey were that they were based on live or recorded music that the deceased had listened to previously. Four of the participants used recorded music. Several participants said that they liked to hear music they had previ- ously listened to together with their deceased relatives: The recording should preferably be with the artist that we had listened to
  • 56. together. (7) One participant thought that the choice of recorded or live performed music depended on whether or not the music could be associated with significant memories of the relative. One participant felt that extra musical elements in the ceremony allowed for the opportunity to experience emotions, and that those in attendance had time to pause and reflect: Funeral music gives one time to think. The act itself does not take that long. (1) Often you are in a state of stress due to tension. It’s so easy to miss out on any- thing. If you have a lot of music, then it is possible to just be in the moment. No matter what song and music it is, it fulfills a function that no other parts do. (3) Visual Analogue Scale. The music that was played during the farewell ceremony had an important impact on the relatives’ grief process, both during and after the parting. On the VAS scale, the responses show a high average on the ques- tion of whether it influenced the participant’s grief process that the deceased had chosen music for the farewell ceremony. For the majority of the bereaved, it emerged that it was of great importance for the grief process if
  • 57. the music was performed live during the farewell ceremony. Discussion Our results indicate that the role of music in ritual farewell is important for the grieving process in many ways; therapeutically, emotionally and symbolically. 14 OMEGA—Journal of Death and Dying 0(0) Viper et al. 169 The majority of the twelve participants chose with secular lyrics, from dif- ferent genres, for their relatives’ funerals. Conversely, two participants chose to sing songs with a sacred meaning and hymns at civil farewell ceremonies. During the interviews, it emerged that those who had time to talk and plan the music for the farewell ceremony together with their near relatives before the loss thought that the music had played an important role for them as next of kin. Eight of the participants talked about music, songs, an artist or a style of music that the deceased had listened to with them or that it reflected the personality of the deceased. Three participants said that they had chosen a particular song because the lyrics corresponded to the person’s place of origin or their interests.
  • 58. The criteria that governed the choice of music for several of the participants in the survey were that they were based on live or recorded music that the deceased had listened to previously. Four of the participants used recorded music. Several participants said that they liked to hear music they had previ- ously listened to together with their deceased relatives: The recording should preferably be with the artist that we had listened to together. (7) One participant thought that the choice of recorded or live performed music depended on whether or not the music could be associated with significant memories of the relative. One participant felt that extra musical elements in the ceremony allowed for the opportunity to experience emotions, and that those in attendance had time to pause and reflect: Funeral music gives one time to think. The act itself does not take that long. (1) Often you are in a state of stress due to tension. It’s so easy to miss out on any- thing. If you have a lot of music, then it is possible to just be in the moment. No matter what song and music it is, it fulfills a function that no
  • 59. other parts do. (3) Visual Analogue Scale. The music that was played during the farewell ceremony had an important impact on the relatives’ grief process, both during and after the parting. On the VAS scale, the responses show a high average on the ques- tion of whether it influenced the participant’s grief process that the deceased had chosen music for the farewell ceremony. For the majority of the bereaved, it emerged that it was of great importance for the grief process if the music was performed live during the farewell ceremony. Discussion Our results indicate that the role of music in ritual farewell is important for the grieving process in many ways; therapeutically, emotionally and symbolically. 14 OMEGA—Journal of Death and Dying 0(0) The music was associated with positive memories of the loved one and gave rise to experiences of recognition. It facilitated active participation in the grieving process through choosing farewell music together with a relative and it was experienced as hopeful, comforting and consoling before, during and after the
  • 60. bereavement. We have introduced a research project on music as consolation, along with an overview on earlier research in the fields of music and death, music therapy, music psychology and rituals. It is worth noting that since the conduct of our study, we have witnessed the onset of the covid- 19 pandemic. This study could therefore serve as a foundation to explore how music can play a role in supporting patients, health care personnel, morticians and bereaving relatives. The Importance of Music During a Farewell Ceremony The participants’ narratives have shown that music is of great importance to the bereaved in multiple ways when they are saying goodbye to their loved ones. Cullberg (1986) has argued that a farewell ceremony is important for partici- pants to find the strength to live on with their grief. This is supported by Dyregrov (2009), who demonstrated that a ritual in connection
  • 61. with a death can be important in terms of granting time to grieve, but also for creating cohesion in families and in communities at large. The analysis of the interviews indicates that a farewell ceremony can help the bereaved to process grief and to plan for the future. Some participants in the study said that musical elements during the ceremony played a meditative function to provide time and space for the grief. The participants said that music and songs have become important through their interpretative and symbolic role in funerals, in line with a need to explore questions about life and death that arise in grief (see also, Ruud, 2001). The Importance of Communication at the End of Life The results of the study show how music mediates communication between a person and the relatives at the end of life. Those relatives who had the time and opportunity to plan the ceremony and choose music for the farewell in advance
  • 62. together with the dying person expressed that it was a help for them in process- ing their grief. The process of planning, including the selection of music together with the dying individual can create order in the midst of chaos, which can be a therapeutic function, facilitating the process grief even before death (Cullberg, 1986). It also meant finding time to talk about the last wishes of the next of kin and about important issues for the participants. In a study conducted with a hospice in the United States, Krout (2003) claims that it can be difficult to talk to relatives about their feeling and final wishes before death. He believed that music therapy with relatives can open up a space for conversation and a moment to be present with one another at the end of life. Viper et al. 15 170 OMEGA—Journal of Death and Dying 85(1) Two of the participants said that their dying relatives were
  • 63. cared for in a pal- liative ward. Both of these participants recounted that it was very difficult to communicate with the dying person at the end of their life. Due to strong medication or long-term dementia, they felt it was too late to discuss important issues with the next of kin. Music therapy could have been initiated at an earlier stage in the course of their respective diseases. Two other participants who cared for sick relatives at home had the opportunity to plan the music for the farewell ceremony together with their dying relatives. The latter participants gave exam- ples of valuable interaction between them towards the end. Music and Strong Emotions A younger participant expressed that she found herself unable to listen to music at the funeral ceremony after a traumatic loss. Gabrielsson (2013) has stated that feeling an identification with a song can have a therapeutic significance, and research in music psychology shows that music has a lot of meaning and can be associated with positive memories, which provides a sense of recognition when one hears it on later occasions. One story that illustrates this is that of the uncommunicative man who suddenly was moved, and able, to give a speech when he heard a beloved song at the funeral of his deceased wife. This is an example of event memory or episodic memory. In brain
  • 64. research, the notions of episodic memory or event memory describe how music can awaken repressed memories linked to special events that were important earlier in life (see also Gabrielsson, 2018). Affected by Music One participant told us about a son who – to his own surprise – was greatly affected by the music at his father’s funeral. When he heard the tranquil organ music being played, the son of the deceased lost control of his emotions and burst into tears. This example shows that music can trigger suppressed emotions (Gabrielsson, 2013), but not only music that is previously known as seen in our results. Another participant associated a song with a significant memory of when she and her husband had danced to music by Elvis Presley. When the woman suddenly heard the piece of music again, she recognized it as “hers” (see Gabrielsson, 2013). The music gave the grieving woman a sense of belonging and identification, which further affirms that music can play a therapeutic function. The Symbolism of Music It may be observed that music and songs at funerals are becoming popular. The participants in this study said that they had chosen the
  • 65. music for the cer- emonies and made it clear that they often chose music and favourite songs based 16 OMEGA—Journal of Death and Dying 0(0) Viper et al. 171 Two of the participants said that their dying relatives were cared for in a pal- liative ward. Both of these participants recounted that it was very difficult to communicate with the dying person at the end of their life. Due to strong medication or long-term dementia, they felt it was too late to discuss important issues with the next of kin. Music therapy could have been initiated at an earlier stage in the course of their respective diseases. Two other participants who cared for sick relatives at home had the opportunity to plan the music for the farewell ceremony together with their dying relatives. The latter participants gave exam- ples of valuable interaction between them towards the end. Music and Strong Emotions A younger participant expressed that she found herself unable to listen to music at the funeral ceremony after a traumatic loss. Gabrielsson (2013) has stated that feeling an identification with a song can have a therapeutic significance, and
  • 66. research in music psychology shows that music has a lot of meaning and can be associated with positive memories, which provides a sense of recognition when one hears it on later occasions. One story that illustrates this is that of the uncommunicative man who suddenly was moved, and able, to give a speech when he heard a beloved song at the funeral of his deceased wife. This is an example of event memory or episodic memory. In brain research, the notions of episodic memory or event memory describe how music can awaken repressed memories linked to special events that were important earlier in life (see also Gabrielsson, 2018). Affected by Music One participant told us about a son who – to his own surprise – was greatly affected by the music at his father’s funeral. When he heard the tranquil organ music being played, the son of the deceased lost control of his emotions and burst into tears. This example shows that music can trigger suppressed emotions (Gabrielsson, 2013), but not only music that is previously known as seen in our results. Another participant associated a song with a significant memory of when she and her husband had danced to music by Elvis Presley. When the woman suddenly heard the piece of music again, she recognized it as “hers” (see
  • 67. Gabrielsson, 2013). The music gave the grieving woman a sense of belonging and identification, which further affirms that music can play a therapeutic function. The Symbolism of Music It may be observed that music and songs at funerals are becoming popular. The participants in this study said that they had chosen the music for the cer- emonies and made it clear that they often chose music and favourite songs based 16 OMEGA—Journal of Death and Dying 0(0) on personal criteria, with lyrics pertaining to different interpretations of the deceased’s life (see Jeffner, 1982, 1993). One participant, for example, selected a song that referred to a particular landscape that reflected the deceased’s place of origin. For many of the participants, self-selected songs at the ceremonies had a symbolic function, describing feelings of yearning for the next of kin. The accounts from the interviews show that self-selected music, which is associated with common memories, can give a sense of identification,
  • 68. which also is in line with Gabrielsson’s work (2013). As seen in our study, self- selected music can have a therapeutic significance for a person during the farewell ceremony and during the overall grief process. Several of the participants in the study used recorded music at the funeral services. This may suggest that people prefer recorded music if it can be asso- ciated with important memories together with the deceased relative. Today, the role of music in a church burial ceremony has changed and has been given a significant self-care function (see Bishops Meeting, 2006). Participant’s narra- tives show us that the boundaries have been blurred between sacred and secular lyrics. The participants in the grief groups stated different motives for their choice of music and lyrics with a sacred or secular content as farewell music. The Role of Relatives in Music Selection In the analysis of the interview material, it was observed that
  • 69. the participants who revealed that they were involved in the choice of music for the funeral thought that farewell music could summon memories that convey feelings of belonging (Gabrielsson, 2013). Special songs chosen for the parting can thus evoke significant memories. One participant in particular remembers certain songs that she associates with positive memories. This allowed her to identify with the music and feel recognition (ibid). Another participant had chosen a self- selected song that was played at her husband’s funeral (‘Stillness and Closeness’ by the Swedish artist Åsa Jinder), as a ringtone on her phone. The song symbol- izes her feelings: each time she hears it, it conveys power and energy, which gives her a sense of greater well-being. This finding therefore supports research in music psychology has shown that self-selected music listening can increase well- being (Juslin et al., 2010).
  • 70. The Role of Music in the Later Stages of the Grief Process Drawing on Cullberg’s work (1986), we can understand grief as causing symp- toms similar to a depression. Music chosen by relatives can serve to distract a grieving person from their anguish. In the explanatory model for the four phases of crisis theory, Cullberg states that the grief process is a) significant and b) has various phases. The VAS estimate in this study clearly indicates that the grieving process of the participants has been shaped by music. The fact that two Viper et al. 17 172 OMEGA—Journal of Death and Dying 85(1) participants had the opportunity to talk to the dying person at the end of life, and that the dying person had been able to choose the music for the farewell ceremony, appears to have made a great positive impact on the participants grief
  • 71. process. The Role of Music Therapy in the Grieving Process Music therapy is considered a powerful tool in the grieving process. International research by O’Callaghan and Michael (2015) and also by Reynolds (2006) has shown that music therapy in an expressive and receptive form, as well as encouragement of musical creativity, are methods that can be helpful in processing grief. The idea is to discourage pushing away grief. Some research has indicated that increased professional music therapy is needed for music therapy with grieving people (O’Callaghan & Michael, 2015). In a literature-based study by Starenvik Curman (2016), the author argued that expressive and receptive music therapy is an effective tool for facil- itating the grieving process. Ruud (2001) also explains that music therapy can convey a spiritual sense of hope and courage for those who are grieving.
  • 72. Norwegian psychologist Dyregrov is known for his work with children in mourning. Dyregrov (2009) states that; “Even children experience strong feel- ings of sadness and depression when a close relative dies” (p. 11). Musical therapeutic work can be a powerful tool that can awaken and help process strong emotions when it is difficult to express grief verbally (Dyregrov, 2009). The Norwegian musicologist and psychologist Ruud (2001) describes that, “Music therapy with grieving people can be like a force from the outside that can convey a transcendental spiritual experience” (p. 74). As per Ruud, musical experiences at farewell ceremonies can be important to give the bereaved a sense of meaning, hope and courage. As seen in the general population in Germany, very few have spent time contemplating death and dying, with some suggesting that death education programs may be important to incorporate into school
  • 73. curricula (Strupp et al., 2019). Grief and Visual Images Two participants spoke of visual perceptions after the death of a close relative in connection with the hearing of music that the deceased relative used to like. In extant research, it appears not uncommon for grief-related perceptions or for the participants to experience having a conversation with the deceased (Grimby & Johansson, 2009). One explanation for this phenomenon may be that music elicits memories that were associated with a lost relative, along with feelings of loneliness and sadness. The symbolic function that music plays can in a way be compared with that of flowers. In hospices, members of a patient’s family or other caregivers 18 OMEGA—Journal of Death and Dying 0(0) Viper et al. 173 participants had the opportunity to talk to the dying person at the end of life,
  • 74. and that the dying person had been able to choose the music for the farewell ceremony, appears to have made a great positive impact on the participants grief process. The Role of Music Therapy in the Grieving Process Music therapy is considered a powerful tool in the grieving process. International research by O’Callaghan and Michael (2015) and also by Reynolds (2006) has shown that music therapy in an expressive and receptive form, as well as encouragement of musical creativity, are methods that can be helpful in processing grief. The idea is to discourage pushing away grief. Some research has indicated that increased professional music therapy is needed for music therapy with grieving people (O’Callaghan & Michael, 2015). In a literature-based study by Starenvik Curman (2016), the author argued that expressive and receptive music therapy is an
  • 75. effective tool for facil- itating the grieving process. Ruud (2001) also explains that music therapy can convey a spiritual sense of hope and courage for those who are grieving. Norwegian psychologist Dyregrov is known for his work with children in mourning. Dyregrov (2009) states that; “Even children experience strong feel- ings of sadness and depression when a close relative dies” (p. 11). Musical therapeutic work can be a powerful tool that can awaken and help process strong emotions when it is difficult to express grief verbally (Dyregrov, 2009). The Norwegian musicologist and psychologist Ruud (2001) describes that, “Music therapy with grieving people can be like a force from the outside that can convey a transcendental spiritual experience” (p. 74). As per Ruud, musical experiences at farewell ceremonies can be important to give the bereaved a sense of meaning, hope and courage. As seen in the general population in Germany,
  • 76. very few have spent time contemplating death and dying, with some suggesting that death education programs may be important to incorporate into school curricula (Strupp et al., 2019). Grief and Visual Images Two participants spoke of visual perceptions after the death of a close relative in connection with the hearing of music that the deceased relative used to like. In extant research, it appears not uncommon for grief-related perceptions or for the participants to experience having a conversation with the deceased (Grimby & Johansson, 2009). One explanation for this phenomenon may be that music elicits memories that were associated with a lost relative, along with feelings of loneliness and sadness. The symbolic function that music plays can in a way be compared with that of flowers. In hospices, members of a patient’s family or other caregivers 18 OMEGA—Journal of Death and Dying 0(0)
  • 77. sometimes engage in arranging flowers, and this has been found to relieve stress and other associated experiences during mourning (Lavin et al., 2020). Grief Process According to Crisis Theory Crisis theory is relevant in examining the grief process and in answering the study’s research questions. Cullberg (1986) describes grief as an experience of pain after a loss, such as that when a relative or friend dies. This work shows that the grieving process can manifest itself with symptoms similar to depression and can be divided into four different phases. This classification can be used to gain an understanding of the behaviors of a grieving person (Cullberg, 1986). All life stories are unique and therefore processing of grief in the four different phases can manifest in various ways, for example, a person may demonstrate denial and experience feelings of unreality. The important thing is to try to avoid pushing grief away (Cullberg, 1986). Crisis theory can be used in grief groups to give the participants greater understanding and insight into their own reactions and feelings. Grimby and Johansson (2009) describe that it is not uncommon for survivors to experience perceptions of the deceased within the first year of grief. The Role of Music in Grieving
  • 78. Music is important as a means for grieving people to part with a loved one. It is important that relatives are willing to participate. It reinforces the importance of music in ritual farewells. Regardless of differences in the forms of parting, music can be a powerful tool that helps people express grief. For the bereaved in this study, it appears that the grief process was moved in a positive direction in those cases where the dying person prepared for the funeral and selected the music. It also appears that it could be important for the survivors’ grief process if the music was performed live during the farewell ceremony. Furthermore, we have seen that, potentially, instrumental (wordless) music at ritual farewells has a capacity to bring people together to a greater degree than other types of music. Regardless of our different life experiences, values and beliefs, music – just like the physical space in which the farewell ceremony takes place – can function as a bridge between people (Maitland et al., 2012). Conclusion Our results indicate that the role of music in farewell rituals is important for the grieving process in several ways. Firstly, music can be associated with positive memories of the loved one and give rise to experiences of recognition. Secondly, music facilitates active participation in the grieving process,
  • 79. through choosing farewell music together with a relative. Thirdly, selecting music for the funeral in advance, together with loved ones, can be experienced as hopeful, comforting and consoling before, during and after the bereavement. Viper et al. 19 174 OMEGA—Journal of Death and Dying 85(1) Directions for Future Research Continued research into the use of music in bereavement and grief is important. This study has shown that music plays a major role in the processing of the experience of grieving, but we still know very little about the ways in which music has significance in the event of death for people with different cultural backgrounds and diverse experiences of life. Incorporating other forms of data, such as quantitative measurements of stress hormones such as oxytocin, and questionnaires regarding meaningfulness could also add meaningful data that
  • 80. could contribute to the funeral music industry and for those preparing for funerals. Acknowledgments Many thanks to all the bereaved persons who participated in this study. Without their narratives, the study, and its findings, would simply not have been possible. Declaration of Conflicting Interests The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. Funding The author(s) received no financial support for the research, authorship, and/or publi- cation of this article. ORCID iD Eva Bojner Horwitz https://orcid.org/0000-0002-2377-1815 Note 1. Participant number. References
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  • 87. Thaut, M. H. (2015). Music as therapy in early history. Progress in Brain Research, 217, 143–158. The Swedish Church (Svenska kyrkan). (2019). St€od i sorgen. Svenska kyrkan: Stockholms stift [Support in grief. Swedish Church: Stockholm Stift]. https://www. svenskakyrkan.se.sorg Theorell, T., & Bojner Horwitz, E. (2019). Emotional effects of live and recorded music in various audiences and listening situations.Medicines, 6(1), 16. https://doi.org/10.3390/ medicines6010016 Theorell, T., Kowalski, J., & Horwitz, E. B. (2019). Music listening as distraction from everyday worries. Nordic Journal of Arts, Culture and Health, 1(1), 35–46. https://doi. org/10.18261/issn.2535-7913-2019-01-04 Yang, J.C., Clark, W.C., & Janal, M.N. (1991). Sensory decision theory and visual ana- logue scale indices predict status of chronic pain patients six months later. Journal of Pain Symptom Management, 1991(6), 58–64. 22 OMEGA—Journal of Death and Dying 0(0) Viper et al. 177
  • 88. Valkare, G. (2016). Varifrån kommer musiken? (Where does the music come from?). Gidlunds f€orlag. Wheeler, B. L. (2005). Music therapy research. Barcelona Publishers. Author Biographies Marianne Viper, has Bachelor’s degree in Music therapy, Master’s degree of fine arts in Church Music and Fine Arts in Choir conducting. She is working in the church of Sweden as a organist and choir conductor. She has a long experience in working with funerals and helping relatives with musical advise. She is also composing hymns and musicals. David Thyr�en, PhD, is a musicologist and holds a position as senior lecturer in music history at the Royal College of Music in Stockholm, Sweden. His research focus: music in end of life situations; music and social sustainability; music and learning; Western 19th and 20th century art and popular music; music produc- tion. He is also lecturing inChurch music history and music in the Christian tradition. Eva Bojner Horwitz, is a professor of Music and Health at the Royal College of Music in Stockholm and researcher at the Department of Clinical Neuroscience Karolinska Institute (KI). She is an associate professor in social
  • 89. medicine, cul- tural health researcher, specialized in psychosomatic medicine and creative arts; co-founder of the Center for Social Sustainability (CSS), KI. She is anchored in interdisciplinary research, has doctoral students, authored scientific articles, books and book chapters (Oxford University Press & Springer Books). Research focus: performance evaluations with musicians; music and health; music in end of life situations; music and social sustainability; music and public health; arts and humanities; music and learning. Viper et al. 23 Copyright of Omega: Journal of Death & Dying is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. HSL 4820 Critical Reflection Music and Grief This critical reflection paper is worth 15 points and is due on the date listed in your syllabus. For this assignment, you must first read the journal article titled, “Music as Consolation—The Importance of Music at Farewells and Mourning” as well as the two shorter articles entitled “Six Ways Music Helps with Grief” and “Final Passages” found in our course folder. The articles
  • 90. are also attached to the assignment dropbox. For this critical reflection paper, you are required to integrate one term or concept from the course into your reflection (correctly citing the textbook or PowerPoint lecture where it came from). In order to receive full credit, you must also clearly integrate the content from the article you read into your critical reflection. Please address the following questions/prompts in your essay. The reflection paper should be approximately 2 pages double- spaced (without including your required reference page). The paper must be proofread and spell-checked, and your reference page must be in APA format. CRITICAL REFLECTION PAPER PROMPTS: (Respond to these prompts in your paper) 1) What is a song or piece of music that you associate with grief/death/loss? (please include details such as title, singer, year released, etc. If you would like, you are free to attach the lyrics of the song at the end of your reflection--- but you are not required to). What is it about this song that reminds you of death/dying? Is it associated with someone you knew who died or death in general? (Please note: the actual subject of the song, does NOT have to focus specifically on death, it just has to be a song that you in some way connect with death or dying.) 2) If you were to pick a song to be played at your funeral or end-of-life celebration, etc., which song would you choose and why? 3) If you were a funeral director, what advice would you give to families when trying to pick a song to play at their loved one’s funeral? Make sure to cite the articles in your response. 4) Choose one of the six steps from the article “Six Ways Music Helps with Grief” and how it relates to or helps to enhance one
  • 91. of the concepts covered in class on grief and loss. Articles/Links to Required Readings 1.Viper, M., Thyrén, D., & Horwitz, E. B. (2022). Music as Consolation—The Importance of Music at Farewells and Mourning. Omega: Journal of Death & Dying, 85(1), 155–177. https://doi- org.proxy1.library.eiu.edu/10.1177/003022282094239. 2. https://healthcare.utah.edu/huntsmancancerinstitute/news/2020/ 12/six-ways-music-helps-with-grief.php. 3. SALIERS, D. E. (2016). Final Passages. American Organist Magazine, 50(5), 12. https://proxy1.library.eiu.edu/login?url=https://search.ebscohost .com/login.aspx?direct=true&db=asn&AN=114704590&site=eh ost-live. image1.jpeg