The Biopsychosocial Model and Performing Arts Medicine
The article by Schneider and Chesky in this issue of MPPA presents an interesting look at how social support affects performance anxiety. Performance anxiety is one of the most discussed topics in performing arts medicine, in part because it is a multifaceted phenomenon with medical, psychological, and academic/financial aspects. This has led to considerable controversy about the best way to manage "stage fright," ranging from pharmacologic intervention to various types of psychotherapy to a variety of homespun approaches. Some of the fiercest arguments among those who are concerned about the well-being of musicians (and other performing artists) focus on the appropriateness of treating performance anxiety with medications that target the physical symptoms versus using some type of talk therapy.