Part of the effect probably has to do with the performer being able to tweak the music to suit the individual patient, increasing the connection between player and listener. After the Gordon House session, my intuition suggests hearing live music up close also exposes you to deeper and more subtle timbres than you'd get sitting out in a concert hall. So on a physical level it's sort of like a massage. And on an feeling/emotional level, that increased connection between player and listener is probably an intensifier of the experience.
We're set to do some hymns over at Oak Chapel 1/4/09, and I'll try to pay attention to this. The problem is that leading sing alongs, I've got everything memorized and can focus on the clients. Playing the alto flute with the players requires full concentration on the music and the music making, so it's harder to observe the response.
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