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Therapeutic mediation through music or singing is often found in medical care facilities. What are the stakes and the metapsychological motivations? Through a clinical situation of a singing workshop with patients who suffer from neurodegenerative pathologies, we will try to understand the effects that follow this subjective experience of hearing their own voice during these sessions. This mediation necessarily involves the so-called echo dimension, in which Erik Porge states the existence of a stage in the subject’s constitution.