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Cognition

Music: When Sound Becomes Feeling and Movement

Why you love the music you do and how it impacts your body and mind.

Key points

  • We respond to music not only through our brain's thoughts but also through our body's feelings and movements.
  • Illness influences the way people respond to music: for example, depression blunts one’s reaction to music.
  • Greater consistency and standardization of musical interventions can move the field of music therapy forward.

How do we like the music that we like? The answer involves more than our brain—it also involves our body.

Understanding this process is a focus of Rebecca Lepping, Ph.D., a music neuroscientist at the University of Kansas. Dr. Lepping grew up in rural Kansas and first connected with music through playing instruments. She began college as a piano and flute performance major. After being exposed to psychology courses, she became fascinated by how music and the mind interact. The potential to meld music and psychology took hold of her imagination. She switched her major and earned a BA in Psychology. Because the United States had no formal degree in the psychology of music at that time, she spent a year in England to earn a master’s degree in that field. She later completed a master’s degree in piano performance at the University of Missouri. She then earned her Ph.D. in cognitive psychology at the University of Kansas, where she now directs the Power of Music (PROMUS) Laboratory.

Dr. Lepping’s research highlights that liking music is not just a brain activity—it’s a whole-body experience. In one study, she and her team compared people’s reactions to emotional music (specifically, Western classical music) with their reactions to emotional environmental sounds, such as a baby crying. They found that music activates regions of the brain related to movement and bodily sensations,1 while environmental sounds mainly activate brain areas linked to language. The researchers concluded that we interpret emotional environmental sounds by identifying their source, but we respond to emotional music by tuning into the feelings and movements it creates in our bodies.2

Movement and feelings are inseparable from music
Movement and feelings are inseparable from music
Source: John Zook / Pexels

Put another way, music is an embodied experience. It involves both our outward responses—like tapping our feet—and our inward physical and emotional reactions. This combination helps explain why music feels so powerful and personal.

Illness can impact our response to music

Dr. Lepping also studies how illness affects the way the brain processes music. For example, she and her colleagues have shown that people with major depression respond differently to music than people without depression. In one study, they examined activity in the anterior cingulate gyrus (ACC), a part of the brain involved in emotion.3 They found that people with depression showed less ACC activity when listening to music. Their study also showed that depressed individuals respond more to negative stimuli in general. These findings suggest that music might help to retrain how the ACC works, potentially opening the door to more favorable and personalized treatments.4

The value of music as therapy

This potential connects directly to the field of music therapy. Dr. Lepping works closely with music therapists, such as Amy Wilson, Ph.D. Dr. Wilson hails from Oklahoma and describes her musical upbringing as a combination of country and classical music. Her wide professional experience includes working with patients recovering from strokes, people in hospice care, and individuals with chronic breathing problems. Recently completing her doctorate in music therapy, Dr. Wilson’s research focuses on the close connection between music and hope.5 She says, “Music can provide hope. Music therapy can provide hope at a time of loss, such as following a stroke.”

Both researchers share an interest in helping people with dementia. Numerous studies show that music can benefit individuals with dementia, improving mood, memory, or engagement. However, these studies often use different methods, making the results difficult to compare or reproduce. This lack of standardization is a major barrier to proving the full value of music therapy for dementia.

To address this problem, Dr. Lepping recently published a paper calling for more consistent reporting and clearer standards for music-based interventions.6 Improving the quality and comparability of research studies should help move the field forward—and support one of Dr. Lepping’s broader goals: that society will value music more and that music will be more valuable to society.

References

1 Formally called motor and interoceptive systems, respectively.

2 “We conclude that emotional environmental sounds are appraised through verbal identification of the source, and that emotional Western classical music is appraised through evaluation of bodily feelings.” Lepping RJ, Bruce JM, Gustafson KM, Hu J, Martin LE, Savage CR, Atchley RA. Preferential activation for emotional Western classical music versus emotional environmental sounds in motor, interoceptive, and language brain areas. Brain Cogn. 2019 Nov;136:103593. doi: 10.1016/j.bandc.2019.103593. Epub 2019 Aug 9. PMID: 31404816; PMCID: PMC6810823.

3 The anterior cingulate gyrus (ACC) is a component of the limbic (a/k/a emotional) brain. Listening to music one finds pleasurable activates release of dopamine (the reward neurotransmitter) from the normal ACC. ACC activity is abnormal in major depressive disorder.

4 “This raises the possibility that music may be useful in retraining ACC function, potentially leading to more effective and targeted treatments.” Lepping RJ, Atchley RA, Chrysikou E, Martin LE, Clair AA, Ingram RE, Simmons WK, Savage CR. Neural Processing of Emotional Musical and Nonmusical Stimuli in Depression. PLoS One. 2016;11(6):e0156859. doi: 10.1371/journal.pone.0156859. eCollection 2016. PubMed PMID: 27284693; PubMed Central PMCID: PMC4902194.

5 Dr. Wilson writes, "Because music is time-ordered, stored in memory, and related to meaning in life, it can be a powerful tool in the hoping process." She reviewed music therapy studies that have addressed hope in a variety of clinical populations in: Wilson A, A Scoping Review of Music Therapy Interventions That Foster Hope, Journal of Music Therapy, Volume 62, Issue 2, Fall 2025, thaf010, https://doi.org/10.1093/jmt/thaf010.

6 Lepping RJ, Hess BJ, Taylor JM, Hanson-Abromeit D, Williams KN. Inconsistent Music-Based Intervention Reporting in Dementia Studies: A Systematic Mapping Review. J Alzheimers Dis. 2024;100(4):1145-1159. doi: 10.3233/JAD-240255. PubMed PMID: 38995790; PubMed Central PMCID: PMC11380233.

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