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Musical thought is an essential instrument for grasping the most secret stirrings of the human heart. Contemporary psychoanalysis has been exploring implicit communication for some time now; I believe that the way in which music communicates is remarkably connected with these matters issues. I speak of musical thought to indicate the ways in which music thinks. In this article I offer a contribution in which I could dare to use musical thought as an essential element of the clinical relationship between my patient Ernesto and me.