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   <front>
      <journal-meta>
         <journal-id journal-id-type="DOAJ">15041611</journal-id>
         <journal-title-group>
            <journal-title>Voices: A World Forum for Music Therapy</journal-title>
         </journal-title-group>
         <issn>1504-1611</issn>
         <publisher>
            <publisher-name>Grieg Academy Music Therapy Research Centre, Uni Research
               Health</publisher-name>
         </publisher>
      </journal-meta>
      <article-meta>
         <article-id pub-id-type="doi">https://dx.doi.org/10.15845/voices.v17i2.895</article-id>
         <article-categories>
            <subj-group>
               <subject>Research</subject>
            </subj-group>
         </article-categories>
         <title-group>
            <article-title>Musicking Together: Affective, Cognitive and Physical Aspects of a Music
               Therapy Group Work</article-title>
         </title-group>
         <contrib-group>
            <contrib contrib-type="author">
               <name>
                  <surname>Cunha</surname>
                  <given-names>Rosemyriam</given-names>
               </name>
               <xref ref-type="aff" rid="aff1"/>
               <address>
                  <email>rose05@uol.com.br</email>
               </address>
            </contrib>
         </contrib-group>
         <aff id="aff1"><label>1</label>University of the State of Parana-Campus of Curitiba II, Brazil</aff>
         <contrib-group>
            <contrib contrib-type="editor">
               <name>
                  <surname>Schwantes</surname>
                  <given-names>Melody</given-names>
               </name>
            </contrib>
         </contrib-group>
         <contrib-group>
            <contrib contrib-type="reviewer">
               <name>
                  <surname>Hahna</surname>
                  <given-names>Nicole</given-names>
               </name>
            </contrib>
               <contrib contrib-type="reviewer">
               <name>
                  <surname>Scrine</surname>
                  <given-names>Elly</given-names>
               </name>
            </contrib>
         </contrib-group>
         <pub-date pub-type="pub">
            <day>1</day>
            <month>July</month>
            <year>2017</year>
         </pub-date>
         <volume>17</volume>
         <issue>2</issue>
         <history>
            <date date-type="received">
               <day>29</day>
               <month>10</month>
               <year>2016</year>
            </date>
            <date date-type="accepted">
               <day>21</day>
               <month>3</month>
               <year>2017</year>
            </date>
         </history>
         <permissions>
            <copyright-statement>Copyright: 2017 The Author(s)</copyright-statement>
            <copyright-year>2017</copyright-year>
         </permissions>
         <abstract>
            <p>The purpose of this qualitative study was to describe and discuss the affective,
               cognitive, and physical events that occur when people gather to make music. Using a
               theoretical framework derived from community music therapy and sociology of music,
               this work focuses on the experiences and perceptions of five women who participated
               in music therapy group work. Structured observation was used to register the
               participants’ affective, cognitive, and physical manifestations during the group
               work. Results suggested that music therapy collective music making stimulated
               participants to interact and develop different forms of feeling, thinking, and
               acting. Making music together encouraged participants to think about their feelings,
               roles, and judgments, reflecting that the collective experience promoted positive
               changes in their lives.</p>
         </abstract>
         <kwd-group kwd-group-type="author-generated">
            <kwd>music therapy</kwd>
            <kwd>affective</kwd>
            <kwd>cognitive and physical aspects of group musical practice</kwd>
            <kwd>collective music making</kwd>
         </kwd-group>
      </article-meta>
   </front>
   <body>
      <!-- sec lvl 2 begin -->
      <sec>
         <title>Introduction</title>
         <p>People who gather to make music together share a sociocultural experience. Making music
            collectively involves the communication of thoughts, feelings, values, and body
            expressions that are socially constructed conventions (<xref ref-type="bibr" rid="M1995"
               >Martin, 1995</xref>). From chamber orchestras to open sky band festivals, collective
            musical practices bring together a large number of individuals whose common objective
            encompasses singing, playing, or listening to music. This millenary human practice has
            been repeated through the centuries ranging from ancient rituals to modern choirs and
            bands (<xref ref-type="bibr" rid="S2008">Sloboda, 2008</xref>). Based on these
            statements, the starting point of this research is the belief that affective, cognitive,
            and physical events may occur within the group space while participants make music
            together.</p>
         <p>Recently, group musical performances have extended from concert halls or classrooms to
            unexpected environments like companies, hospitals, and community centers aiming at
            social integration and health promotion (<xref ref-type="bibr" rid="R1998">Ruud,
               1998</xref>). However, being part of a musical group means more than playing music
            together (<xref ref-type="bibr" rid="P2006">Pavlicevic, 2006</xref>). Collective music
            making consists of interpersonal relationships and collaborative practice, which
            generate a different set of events more than the improvement of musical abilities (<xref
               ref-type="bibr" rid="CL2012">Cunha &amp; Lorenzino, 2012</xref>).</p>
         <p>This paper presents findings of music therapy work group conducted by a team of six
            last-year undergraduate students and their teacher. This group work perspective was
            rooted in the interpretative and sociological approach suggested by Ruud (<xref
               ref-type="bibr" rid="R1998">1998</xref>). Participants were five women who, at the
            time of this study, were part of the cleaning staff at the university. The purpose of
            this research was to discuss the affective, cognitive, and physical events that occurred
            when this group was gathered to make music in a music therapy context.</p>
         <p>As a group, participants, students, and teacher were aware of the fact that two
            different objectives were involved in the journey: on one hand, the teacher and students
            were interested in applying music therapy techniques to facilitate the group development
            in order to observe affective, cognitive, and physical manifestations. On the other
            hand, participants were seeking an opportunity to work on their mental and social
            health. The challenge was to embrace both interests. The main priority was to provide
            the participants time and space to play the musical instruments and to sing and dance
            according to their desires. To do so, it was necessary to share musical experiences in
            an environment where the status of being student, teacher, or cleaning worker did not
            matter. The focus was on the possibility of interacting collectively and cooperatively
            during the group process. The research followed Blacking’s (<xref ref-type="bibr"
               rid="B1995">1995, p. 32</xref>)
            assumption that music reflects people's experiences in society, so when people make
            music together, they share aspects of their own lives.</p>
      </sec>
      <!-- sec lvl 2 end -->
      <!-- sec lvl 2 begin -->
      <sec>
         <title>Music Therapy Groups</title>
         <p>Just as many other therapeutic fields, music therapy practices in Latin America have
            followed the contemporary ascending group work trend. From the case studies depicted in
            primary sources (<xref ref-type="bibr" rid="G1968">Gaston, 1968</xref>; <xref
               ref-type="bibr" rid="L1977">Leinig, 1977</xref>), to music therapy group literature,
               (<xref ref-type="bibr" rid="PA2004">Pavlicevic &amp; Ansdell, 2004</xref>; <xref
               ref-type="bibr" rid="P2006">Pavlicevic, 2006</xref>), the expansion in theoretical
            construction of group approaches is remarkable, as well as the emphasis placed on
            community music therapy publications (<xref ref-type="bibr" rid="S2002">Stige,
               2002</xref>; <xref ref-type="bibr" rid="SA2012">Stige &amp; Aarø, 2012</xref>).
            Despite this practical and theoretical growth, few works can be cited when it comes to
            understanding the cognitive, affective, and physical aspects that occur within group
            musical activities, even though a deeper comprehension of the group approach may
            encourage and sustain this kind of intervention.</p>
      </sec>
      <!-- sec lvl 2 end -->
      <!-- sec lvl 2 begin -->
      <sec>
         <title>Community Music Therapy</title>
         <p>In this work, the concept of Community Music Therapy (CoMT) has been understood within
            the social model which reflects the strategies oppressed and excluded people use to face
            the challenges of everyday life (<xref ref-type="bibr" rid="R1998">Ruud, 1998</xref>).
            This approach embraces the symbolic and concrete objects that help determine social
            groups to interpret reality (<xref ref-type="bibr" rid="R1998">Ruud, 1998</xref>), in
            other words, the cultural and social environment in which human interaction develops.
            CoMT differs from more traditional music therapy practices because it is focused on
            social change. It is more concerned with community development than with the needs of
            individual clients. The starting point of the community music therapy practice is to
            work <italic>with </italic>participants in a context sensitive to culture and
            co-existence (<xref ref-type="bibr" rid="S2006">Stige, 2006</xref>).</p>
         <p>From a CoMT perspective, music is “a tool for encouraging participation, networking,
            opening doors, and empowerment through a strong musical identity” (<xref ref-type="bibr"
               rid="R1998">Ruud, 1998, p. 3</xref>). Music,
            as a daily life event, is a key element to nourish group interaction with melodies,
            songs, dances, rhythms, timbres, and other musical experiences (<xref ref-type="bibr"
               rid="ACV2016">Ardnt, Cunha, &amp; Volpi, 2016</xref>). The sharing of musical,
            social, and cultural actions empowers and sustains the group work (<xref ref-type="bibr"
               rid="R1998">Ruud, 1998</xref>; <xref ref-type="bibr" rid="T2008">Turino,
            2008</xref>). As such, collective music making involves the space where affective,
            cognitive, and physical dimensions are created and recreated based on the group’s
            sociocultural context (<xref ref-type="bibr" rid="S1998">Small, 1998</xref>). Brazilian
            geographer Milton Santos (<xref ref-type="bibr" rid="SAN2006">2006</xref>) suggested
            that space is the result of the actions of people in a particular place. According to
            this view, music therapy space would encompass actions and reactions that take place in
            a specific environment where people experience sounds and melodies they are making in
            that very moment.</p>
         <p>CoMT groups are people that gather with the goal of sharing their realities through the
            musical activity irrespective to their musical background or their physical or mental
            health conditions. That means that the group members, linked by the music activity, are
            supposed to accept and support the diversity in a participatory situation where
            “everyone participates in the sound and motion of the performance” (<xref
               ref-type="bibr" rid="T2008">Turino, 2008, p. 29</xref>). In participatory music making the attention is on the activity and on
            the other participants, rather than on the end result of the activity. The group members
            are deemed to share melodies, improvisations, and rhythms they make, and these are the
            elements they get to empower and establish inter-subjective communication in the group
            space.</p>
         <p>In the same perspective, Small (<xref ref-type="bibr" rid="S1998">1998</xref>)
            considers music making as a collective action that results from the relationship
            established among participants. The musical production is a collaborative practice that
            occurs within a sociocultural context in which the individuals share the action of
            playing, singing, improvising, composing, listening, and in doing so, they create a
            specific space of interaction. Group music making is essentially a human activity, which
            is situated within a context. From this point of view, group music making is an action
            interconnected to the affective, cognitive, and physical dimensions that reverberates
            the ways of feeling, thinking, and being of the people involved in the activity.</p>
      </sec>
      <!-- sec lvl 2 end -->
      <!-- sec lvl 2 begin -->
      <sec>
         <title>Methodological Procedures</title>
         <p>In order to understand the aspects we wanted to observe, we adopted the concept of
            “musicking” stated by Small (<xref ref-type="bibr" rid="S1998">1998, p. 9</xref>) and Turino’s (<xref ref-type="bibr"
               rid="T2008">2008</xref>) perception of participatory performance. Following these
            ideas, taking part in a musical activity is a complex action, which involves listening,
            watching, touching, feeling, as well as having experiences that include body expression.
            We considered the collective music making as an encounter where the musical experience
            is validated by the set of relationships people establish while participating in the
            group production.</p>
         <p>In this study, qualitative methodological strategies were adopted in line with the
            concepts presented above. Qualitative methodology sustains the interaction between
            researchers and participants in a naturalistic setting (<xref ref-type="bibr"
               rid="BGA2002">Bauer et al., 2002</xref>). Members of the cleaning staff of a
            university that hosts an undergraduate music therapy program in Southern Brazil were
            invited to join a music therapy study. They were five women, older than 30-years, whose
            work was to sweep and scrub classrooms, bathrooms, and alleys crowded with students,
            teachers, and technicians going up and down to their appointments. Maria, Hanna, Donna,
            Sue, and Laura (all pseudonyms), had no formal music education, and the average level of
            their education was primary school.</p>
         <p>Hanna was the workers’ leader; she was responsible for the organization of the cleaning
            work in the entire building. She knew lots of songs but preferred funk and rap to other
            kinds of music. Maria was fond of country music and her strong voice was remarkable.
            Sue’s favourite music genre was rock and she loved the distorted sound of the rock
            guitars. Donna knew hymns but preferred dancing to singing. Laura, who replaced Maria
            when she left the group to work at another institution, said she was a fan of Brazilian
            popular music.</p>
         <p>The participants were chosen due to the oppressed position they have in their working
            place, struggling to keep it clean. They were asked to take part in the music therapy
            study and they accepted the challenge. We obtained ethical approval, the authorization
            of the Principal of the University, and the consent of the outsource company that hired
            the workers<italic>.</italic>
         </p>
         <p>As a teacher, I supervised the six female final year students of the music therapy
            degree course, who conducted the group work. Their ages ranged from 20 to 28 years, and
            all of them were able to play the guitar, percussion instruments, sing songs, and
            perform circular dances. Together, we were 12 participants: five workers, six students,
            and the teacher. The music therapy group met weekly for one hour and a half for 8
            weeks.</p>
         <p>Along with the ethical bureaucratic process, which took us 2 months, the students read
            Paulo Freire’s texts (<xref ref-type="bibr" rid="F2005">2005</xref>) on oppression,
            liberty, and dialogue and Pavlicevic’s (<xref ref-type="bibr" rid="P2006"
            >2006</xref>) texts on group process. To collect data, structured observation was deemed
            appropriate to this study because we pre-determined affective, cognitive, and physical
            aspects of the musical interaction we may observe during the group work. Based on Cunha
            and Lorenzino (<xref ref-type="bibr" rid="CL2012">2012</xref>), we organized paper
            charts containing the preselected categories, which we called ‘maps’ of the
            participants’ manifestations. The written observations were collected at each encounter
            in form of field notes. Each of us completed eight maps during the group process. We
            compared and discussed the maps at the end of each encounter. The coding process
            involved recognizing and grouping the recurrent manifestations registered in the maps.
            Results were compared in a reflexive and interactive process in which we discussed the
            findings. The map’s contents are shown in Table 1.</p>
         <table-wrap id="tbl1">
            <label>Table 1</label>
            <!-- optional label and caption -->
            <caption>
               <p>Items observed within the cognitive, affective and physical domains</p>
            </caption>
            <table>
               <thead>
                  <tr>
                     <th>Cognitive Domains</th>
                     <th>Affective Domains</th>
                     <th>Physical Domains</th>
                  </tr>
               </thead>
               <tbody>
                  <tr>
                     <td>Attention<break/>Concentration<break/>Peer Learning<break/>Problem Solving</td>
                     <td>Anxiety<break/>Anger<break/>Sadness<break/>Happiness</td>
                     <td>Body Language<break/>(proximity, distance, tension, relaxation)<break/>Body Movement<break/>(facial
                        expression, eye contact,postures, gestures)</td>
                  </tr>
               </tbody>
            </table>
         </table-wrap>
         <p/>
         <p>We also decided that, at the end of the music therapy work, a semi-structured interview
            would be appropriate to allow the participants the opportunity to speak about their
            involvement in the music activities. We formulated a set of open-ended questions as
            follows: (1) Before participating in the music therapy group, what did you think it
            would be? (2) How did you feel at the end of the process? (3) What was your role in the
            process? (4) What were your co-workers’ roles in the process? Finally, we decided a
            schedule to specify the day each student would coordinate the encounter. We also agreed
            to meet a half an hour before the beginning of each encounter to discuss the group
            process and to share ideas about the musical activities the group would develop on that
            day. This discussion intended not to guarantee a fixed routine; on the contrary, our
            intention was to interact with the participants, to know the ways they use to express
            their music and feelings, and to support the group’s spontaneous interaction. So,
            structuring the group’s activities was an attempt to give sequence to the activities
            developed in the previous encounters. Finally, I would attend and oversee the group
            work, as well as conduct the interviews at the end of the process.</p>
         <p>The interviews were recorded and transcribed to compare our interpretation of data with
            the participants’ verbal and non-verbal manifestations. The interviews supported the
            researcher to control excessive subjectivity when searching for overall meaning in the
            written material.</p>
         <p>To get the real comprehension of the reality we were studying, the analysis was grounded
            on Freire’s method (<xref ref-type="bibr" rid="F2005">2005</xref>) which suggests a
            two-step observation process: deconstruction and reconstruction. Deconstruction is based
            on the prime sight of any event when we are supposed to get the idea of the observed
            totality. First, the totality of the obtained information would be deconstructed in its
            details, elements, and singularities. The second step consists of the reconstruction of
            the totality, which is deemed to rebuild the phenomenon piece by piece in order to gain
            an in-depth understanding of the reality.</p>
         <p>To present the results of the analysis process, the three clusters below show the
            details comprised in the observed reality. These groups of data correspond to the first
            stage of Freire’s method, which is the deconstruction process. According to Kasznar and
            Gonçalves (<xref ref-type="bibr" rid="KG2014">2014</xref>), clustering consists in
            grouping data from its similarities in order to build a class of values. Following the
            clusters description, an overview of the interviews displays the participants’
            impressions about the music therapy work. Finally, the second step, the reconstruction
            of the studied events, is presented at the conclusion of this study.</p>
      </sec>
      <!-- sec lvl 2 end -->
      <!-- sec lvl 2 begin -->
      <sec>
         <title>Affective Aspects</title>
         <p>Musical practice has the potential to evoke a range of different feelings and can be
            considered as a factor to arouse different feelings (<xref ref-type="bibr" rid="S1998"
               >Small, 1998</xref>; <xref ref-type="bibr" rid="T2008">Turino, 2008</xref>). As such,
            the social and musical interaction that occurred during the collective practices
            engendered affective manifestations within the group. In fact, a particular way of
            communication was triggered in the group space by the exchange of timbres, pitches,
            intensities, rhythms, and melodies. Throughout the process, the participants established
            a ritual – a repetitive set of behaviours performed at the encounters: they usually
            arrived on time, greeted everyone in the room, and sat down quietly on the chairs. They
            played shakers and tambourines, sang songs in moderated intensity of their voices, and
            took turns to speak or suggest a song to be sung by the group. Although they were
            diverse in expressing the affective aspects of their participation in the group,
            recurrently when they were singing, their faces demonstrated emotional reactions such as
            smiles, laughter, or tears.</p>
         <p>Maria regularly suggested songs; she said her “head was full of melodies.” Sue was sad,
            expressed few smiles, provided little verbal participation, and excused herself for her
            “bad mood”. Hanna and Donna were interested in playing the instruments, dancing, and
            sharing comments on their feelings. The participants’ repertoire ranged from country
            music (Maria), rock (Sue), rap and funk (Hanna), to traditional folk music (Donna), and
            it was from these music styles each of them expressed their musical suggestions and
            thoughts during the encounters.</p>
         <p>One specific day Sue, Hanna, and Donna sat apart from Maria revealing their irritation
            regarding her country music repertoire and the strong sound she produced on the drums.
            Maria’s exclusion was evident, and the participants expressed the disruption through the
            sound and motions they performed. Despite the tense situation, Maria was smiling,
            suggesting different songs, playing, and singing out loud. She appeared to manage the
            situation by reinforcing her own musical abilities in order to get more involved with
            the students and teacher than with the other participants. The disagreement resonated
            within the collective music making. Hanna told us at the end of the encounter that they
            had disagreed regarding the cleaning tasks they were supposed to assume. Maria did not
            accept Hanna’s suggestions about the cleaning tasks; Sue, Donna, and Hanna were
            uncomfortable with Maria’s attitude. A few days later, Maria was transferred to a
            different building. After her departure, the participants did not return to the subject
            until Sue’s comment before starting her interview, “Everything was better when Maria was
            gone.”</p>
         <p>We worked on the conflict together with the participants creating a music therapy space
            where they could express feelings and make choices. We understood that power relations
            were influencing the resolution of the situation; as a staff leader Hanna made her
            decision supported by Sue and Hanna’s alliance. We respected their opinions and the
            results they obtained. It was clear that the collective music making empowered and
            sustained the group, but it also fostered its partition. Maria sounded strong and left;
            the others refused to hear her voice and let her go. She left after four encounters. At
            the sixth encounter Laura replaced Maria both in the staff and in the music therapy
            group.</p>
         <p>Another recurrent topic the participants mentioned was their “invisibility in the work
            space.” They were referring to the way they felt in the university environment where
            students and teachers pass them and never say a word or smile. In fact, we noticed this
            social invisibility prior to the beginning of the group. During supervision, a strong
            discussion on this contradictory situation emerged; although the open minded, artistic,
            academic environment was supposed to be inclusive, the employee’s exclusion was a fact.
            Our preoccupation was about the oppressor- oppressed relationship (<xref ref-type="bibr"
               rid="F2005">Freire, 2005</xref>) present in the social interactions at the
            university. In fact, a critical action was required to change this situation. Thus,
            whenever we met the participants, we greeted them, calling them by their names, shaking
            hands in honest joy. Following our leads, other teachers and students in the music
            therapy program started doing the same. Even if restricted to the interaction with
            people from the music therapy course, a change happened.</p>
         <p>Another point regarding distinction and separation emerged in the social-cultural
            context of this research. We did not choose the participants on a gender basis, but
            because they were staff workers at the university. It was a coincidence that all of them
            were women since men and women could form the cleaning team. What we intended to achieve
            was a participatory space where no distinctions would disturb the in-group interactions
            during the encounters. Although there were class and educational hierarchies operating,
            we were firmly grounded in Freire’s (<xref ref-type="bibr" rid="F2005">2005</xref>)
            ideas about changing situations of oppression, where individuals are considered not as a
            person but as an object. The dialogue was our tool (<xref ref-type="bibr" rid="F2005"
               >Freire, 2005</xref>), both musical and verbal dialog. In addition, Turino’s (<xref
               ref-type="bibr" rid="T2008">2008</xref>) perspective on art as “a special form of
            communication that has an integrative function-integrating and uniting the members of
            social groups but also integrating individual selves, and selves with the world” (p. 3),
            supported the approach developed during the process. These thoughts added to the
            community music therapy framework, nourished, empowered, and sustained the group work.
            Nevertheless, all of us were aware that different roles were at stake, but despite being
            teacher, students, and cleaning staff, we wanted to make music together, to create a
            bond of respect and confidence. We noticed that the cooperation among us did not avoid
            contradictions and conflicts, neither did it prevent disruptions among the
            participants.</p>
         <p>Despite the changes we were facing in the group, during the last three encounters Sue
            brought in a foreign band’s DVDs to be listened to as the first activity of the day. The
            fact that we all were watching and listening to the music she selected seemed to be very
            important to her. As a strategy to reinforce her repertoire, we put the songs she
            selected in syllables like <italic>la-la</italic> in order to make them easier for the
            group to sing along with the harmony a student played on the guitar. Other participants
            also sang the melodies they loved along with the guitar and percussion instruments.
            Prior to the music therapy work they had no access to the musical instruments we played.
            They had seen students handling and playing the instruments in different spaces and
            circumstances at the university, but that was the first time they took part of a musical
            group similar to those they had observed or listened to during their work hours.</p>
         <p>At this point, thoughts about equality, commonness, and differences were inevitable
            throughout the team meetings. In the academic, sociocultural context we were immersed,
            class and educational hierarchies were operating; as such, making music together with
            the cleaning staff caused political impacts over the entire process. First, a strong
            bureaucratic process was required so that the workers could leave the cleaning to
            participate in music making. Next, the process was an educational activity students were
            developing to get grades. Finally, the teacher-student relationship was focused on the
            academic achievements, whereas the connection with the participants was oriented to a
            democratic and participatory interaction. We recognized that positions of power were at
            stake. As such, the perspective adopted to deal with this complex situation was to
            enhance students’ and participants’ potential for action, while providing space for
            discussion and feedback. As a result, we constructed an environment where every topic
            could be voiced and every situation reconstructed, in the view of the welfare of all
            involved.</p>
      </sec>
      <!-- sec lvl 2 end -->
      <!-- sec lvl 2 begin -->
      <sec>
         <title>Cognitive Aspects</title>
         <p>The sounds we hear instigate connections inside the brain that allow us to perceive
            patterns such as melodies, rhythms, variations, and repetitions encompassed in a piece
            of music<italic> </italic>(<xref ref-type="bibr" rid="S1998">Small, 1998</xref>). More
            than this, collective music making is an arena to communicate, concentrate, and listen
            to each other (<xref ref-type="bibr" rid="R1998">Ruud, 1998</xref>). These cognitive
            dynamics were noticed in the course of the musical interactions revealing the way we
            understood our role within the group.</p>
         <p>The pattern established for the group work, of warming up-evolving-wrapping up the
            encounter, seemed to be a positive surprise for the participants. It took them three
            encounters to understand this dynamic and to take advantage of the time we got to spend
            together. At first, they waited for our invitation to the music making, performing only
            the actions we suggested, and overextending the encounters by talking too much at the
            end of the activities. This behaviour changed over the encounters when they realized
            that along with the musical activity there was time and space for them to talk about
            their daily experiences. After that, they seemed more comfortable to engage in dancing,
            singing, playing percussion instruments, or listening to the songs they brought to be
            shared with the group. While performing any of these activities they experienced
            different musical instruments, listened to various sounds, observed how each of them
            played the instruments, danced, or selected their musical repertoire.</p>
         <p>As making music together was something new for them, during the first and second
            encounters they were led by curiosity when creating sounds, and they produced random
            sounds while exploring the percussion. In the course of time, participatory performance
            became a social event. They paid attention to each other’s verbal and musical
            interaction, created short musical phrases on the instruments, and played rhythms on the
            instruments. However, in spite of all these positive points, memorizing songs, even a
            chorus, was a difficult task for them. It is worth noting that Donna was not familiar
            with any lullabies or Brazilian folk music while Sue knew how to sing English lyrics
            along with the foreign bands’ DVDs. Regarding their musical interaction, when singing
            along together, sustaining the pulse, singing in the key, performing rhythmic elements
            composed of quarters and eighths were easily performed by the participants. The
            predominant repertoire we explored during the process covered Metallica and Guns and
            Roses’ rock music; Brazilian popular music as Metamorfose Ambulante, by Raul Seixas, Boa
            sorte, by Vanessa da Mata, Já Foi, by Jota Quest, and other musical genres as Brazilian
            funk and Brazilian country music.</p>
         <p>In our aims to understand the connection the participants had with music in their
            everyday life, we exchanged stories about previous experiences with songs and
            instruments when we first met. Hanna told us that she joined her husband on the weekends
            when he played dance parties as a DJ. Sue said she loved to watch DVDs. Donna sang hymns
            at the church, and Maria listened to radio shows any time she could. Small (<xref
               ref-type="bibr" rid="S1998">1998</xref>) posited that music is not a simple
            sequence of sounds, but a collection of different settings, actions, and meanings.
            “Music is not a thing at all but an activity, something that people do” (p. 2). The
            author’s idea seems to support the participants’ ways of music making. What they
            experienced was a different form of being together, of being participative. It was “in
            the doing” (<xref ref-type="bibr" rid="T2008">Turino, 2008, p. 44</xref>) that the direct experience of sharing thoughts and
            collaborative learning happened (<xref ref-type="bibr" rid="H2016">Hallam, 2016</xref>),
            although the differences were perceived in their pre-existing musical experiences.</p>
         <p>Nevertheless, they disapproved of Maria’s musical practices. Freire (<xref
               ref-type="bibr" rid="F2005">2005</xref>) stated that it is appropriate for people
            to be conscious about themselves in situations of confrontation when dialectic position
            between constraints and freedom happens. Although we have supported Maria while the
            other participants made it clear her music was not valued by them, the action-reflection
            interplay that results in authentic dialog was not reached. We listened to Maria’s
            voice, sang, and played with her. Although we stimulated the discussion of the
            situation, Maria and her colleagues opted to sing and play. As Biancalana (<xref
               ref-type="bibr" rid="B2016">2016</xref>) stated, voice results from the
            materiality of a moving body, so, when a person assigns a strong presence of the voice
            he may touch the sensitivity of the audience by the power of his voice. Perhaps Maria’s
            choice to sound out loud and then leave the group expressed her emotional and
            intellectual strength.</p>
      </sec>
      <!-- sec lvl 2 end -->
      <!-- sec lvl 2 begin -->
      <sec>
         <title>Physical Aspects</title>
         <p>Human daily interaction is grounded in body language, since gestures, voice intensity,
            eye direction, silence, and sounds inform people’s feelings and thoughts. So, when
            participating in collective movement activities these signals are central to get the
            sense of sharing and being together (<xref ref-type="bibr" rid="T2008">Turino,
               2008</xref>). Because we are so used to these signals, they remain lower in focal
            awareness even though we understand that movement styles, postures, facial expressions,
            timbre, and vocal inflections are all details that comprise body language (<xref
               ref-type="bibr" rid="S1998">Small, 1998</xref>). These authors stated that body
            messages are a means to establish and maintain relationships with people.</p>
         <p>In the same sense, Balgaonkar (<xref ref-type="bibr" rid="B2010">2010, p. 55</xref>) studied the impact of dance motor
            therapy on the cognitive development of children. She defined dance as the balance,
            understanding, and coordination of the body in which the intense articulation between
            body and mind can be oriented for therapy. Under the American Dance Therapy Association
            perspective, dance/movement therapy is the psychotherapeutic use of movement to further
            emotional, cognitive, physical, and social integration of the individual
               (<uri>https://adta.org/</uri>).</p>
         <p>The participants’ body signals were contradictory along the first five encounters; they
            presented small, shy gestures to confident behaviour; tense facial expression to
               relaxed<italic> </italic>smiles; introspection and apathy to openness initiative to
            establish verbal or musical interaction. It was only in the last three meetings they
            expressed more spontaneous motions. Some questions came in mind when this set of body
            signals revealed the tension and relaxation character of the interpersonal connections
            created within the group. Presumably, being familiar with the music therapy space,
            making live music together with a team of students and a teacher, and the situation that
            led to the split of their work staff were a strain on interactive situations. It seemed
            that at the beginning of the process, the inequalities inherent to the constitution of
            our group were more important to the participants than our commonalities. Their body
            messages expressed that they assimilated to the situations they went through “by the
            sensations, that are not separate from the imagination and the reason and, therefore,
            are liable to the constitution of meanings” that are proper to the experience of making
            music and dancing (<xref ref-type="bibr" rid="L2015">Laranjeira, 2015, p. 616</xref>).</p>
         <p>The body distance between Hanna, Sue, Donna, and Maria showed how disrupted their
            relationship was. We attempted to work on that difficult situation with them. First of
            all we sat among them, trying to avoid the separation; however, the organization of
            their bodies in the space seemed to be the way they found to emphasize the conflict
            within the group. Despite this evident partition, Sue, Hanna, and Donna were comfortable
            with eye contact, hugs and holding hands with each other and the team. Maria directed
            her body position, more to the students than to the other participants to form a
            personal narrative in which her body had become “a site of political relevance” (<xref
               ref-type="bibr" rid="R1998">Ruud, 1998</xref>). She took responsibility for her own
            decisions regarding the in-staff conflict; her body messages meant she was no longer
            connected to her colleagues. She was fighting her own invisibility in the workspace
            through the body messages she conveyed.</p>
         <p>Body rhythmic movements in circular dances were Hanna and Donna favourite activities.
            While dancing, they smiled while executing the choreography, made jokes about their
            errors, explored the space through body movements, made eye contact, and performed
            gestures according to the rhythm of the music. Joy was the word they chose to name the
            feelings they experienced while dancing. Here Balgaonkar’s (<xref ref-type="bibr"
               rid="B2010">2010</xref>) voice resonates again, “Dance movement therapy
            strengthens the body/mind connection through body movements to improve both the mental
            and physical well-being of individuals”. Moving creatively offered those participants
            opportunity to be bodily expressive, “while discovering new aspects of the surrounding”
            (p.55)</p>
         <p>At the sixth encounter, Laura, the worker who replaced Maria, joined the group. She was
            invited by other participants to attend the music therapy encounters. She participated
            only in two meetings by listening to the music her colleagues were making and watching
            the activities they performed.</p>
      </sec>
      <!-- sec lvl 2 end -->
      <!-- sec lvl 2 begin -->
      <sec>
         <title>Interviews</title>
         <p>Following the predetermined schedule, the interviews were conducted after the end of the
            group process. A little room designed to store the cleaning material and the women’s
            personal belongings was the place they chose to talk to me. Curiously, they had a
            similar behavior along the interviews: they stopped talking and thought a little before
            answering some of the questions and smiled and made eye contact with me while talking
            about their feelings regarding the group music therapy work.</p>
         <p>In this study the interviews were a source in which I compared my subjective impressions
            whenever any doubt about the field notes analysis arose. The semi-structured interview
            guiding questions left the participants free to move the conversation in the direction
            they wanted. Consequently, they broadly explored the pre-determined topics selected for
            this study during the conversation. The recorded and transcribed interviews resulted in
            a table of contents in which I could check and recheck data enhancing the reliability of
            the study (<xref ref-type="bibr" rid="T2006">Trochim, 2006</xref>). The following is an
            overview of the participants’ opinions.</p>
         <p>In response to what they first thought about participating in music therapy, their
            opinions ranged from embarrassment, indifference and discomfort, regarding the social
            distance between the group of workers and the student-teacher team. Compared to these
            early opinions, at the end of the process their ideas were about tranquility, freedom,
            and joy. They also said the music therapy work gave them an opportunity to learn more
            about each other, to release their bodies from stress, and to experience spontaneity.
            They thought that each of them had a specific role such as pushing forward the group
            musical expression, stimulating fellowship, observing, and learning. They concluded that
            the roles they observed were interchanged along the encounters. They also highlighted
            cognitive dynamics such as talking, learning about each other, and interacting in
            musical and personal relations that conveyed joy and relief.</p>
      </sec>
      <!-- sec lvl 2 end -->
      <!-- sec lvl 2 begin -->
      <sec>
         <title>Reconstruction of the Totality: Conclusion</title>
         <p>Following Freire’s (<xref ref-type="bibr" rid="F2005">2005</xref>) proposal for the
            deconstruction/ reconstruction observational process, the conclusion of this study is
            dedicated to the reconstruction of the reality we observed in order to achieve a
            distinguished and original perspective of it. As a qualitative researcher, my attempt
            was to become immersed in the group work to share the cultural and social relation that
            the unique group created. So I presented here one perspective from which the affective,
            cognitive, and physical aspects produced within group music therapy encounters can be
            analysed. As such, my personal perceptions were not absent in this study, although data
            have been managed within qualitative patterns. It is also important to note that the
            Western culture perspective, mainly represented by the Brazilian social custom and
            values, is reflected in this research.</p>
         <p>CoMT gathers together people interested in creating a collaborative space where the
            group members can share their interpretation of the world. We intended to do the same by
            avoiding the fragmentation in the group relational and musical space. However, it was
            clear that the participants noted that our subgroup was bigger than theirs as we were
            seven whereas they were five. This disparity emphasized the need to stimulate intragroup
            socialization and interaction by mingling the teacher, students, and cleaning workers
            into one single group. Despite all the effort, at first they sat side-by-side
            highlighting the group’s double composition: “they” and “us”. We were uncomfortable with
            that physical disposition, so, we mixed ourselves with them attempting to achieve an
            integrative musical space. The mixed group organization facilitated interaction,
            although it pointed out the fact that each subgroup had its own history, which was
            constituted at one side by working relationships, and on the other side, by the
            teaching-learning process. Through reinforcing the in-group social relationships we
            intended to stimulate a sense of belonging, of group involvement. Even so, Maria
            isolated herself from her counterparts and aligned with the team; perhaps this alliance
            elicited her desire to be accepted and included. I found myself limited by the short
            process schedule and the little research time to foster a deep debate of the conflicting
            issues with the participants. Although we observed benefits the participants got when
            sharing the music therapy work, this limitation was also a result of our interventions
            in the group work.</p>
         <p>The interpersonal communication developed during the music making generated a variety of
            musical and non-musical manifestations that revealed the multifaceted context of that
            specific group space. The roles each of us performed were some of these outcomes. The
            participants’ participation encompassed the roles of coworkers, friends, members of the
            group, and participants of the study. The students considered themselves colleagues,
            members of the group, and observers. I performed as the teacher, researcher, and group
            member. Despite these collections of roles, the CoMT theory, and Paulo Freire’s concepts
            inspired in us the construction of an integrative and participatory environment where
            our interactions could be mediated by dialogue, reflection, and action. Given the
            complexity of the situation, the meetings with the students and the participants’ verbal
            feedback were vital to assure we were establishing healthy and democratic relationships.
            Our dialogues were central to underpinning the research, therapeutic, and academic
            development. As a result, when with the students, we talked sincerely about our doubts,
            failures, and achievements, seeking to improve the in-group interaction. We trusted and
            supported each other. I believe this kind of communication encouraged their involvement
            in the music therapy work as well as in the observation process. All of them succeeded
            in both of the activities. The participants experienced the music therapy activities
            using the musical space they formed to express themselves, to relieve stress, to solve
            problems, and to know new ways of moving and dancing. I had the opportunity to practice
            musical interactions, share practical and theoretical contents with the students, and
            get to know the participants as workmates since we were employees of the same
            institution.</p>
         <p>As much as it was not our objective to approach gender issues, the amount of the women’s
            participation in this study cannot be ignored. Although Brazilian literature about
            feminism in the music therapy field is not available, through observation it can be
            inferred women are prevalent in courses, scientific events, professional lists, as well
            as group members in southern Brazil. However, neither texts exploring their personal
            view and professional experiences are available, nor an overview about women
            participants in groups or individual processes. As we have a little access to discussion
            about this topic, research publications from abroad (<xref ref-type="bibr" rid="C2013"
               >Curtis, 2013</xref>, <xref ref-type="bibr" rid="C2015">2015</xref>) may shed light
            on social identity, cultural commonalities and differences, ethics, and practices
            through a female frame. The same perspective may guide studies giving voice to male
            music therapists in Brazil.</p>
         <p>Joining the roles all of us performed, the music therapy space we constructed was shaped
            by our personal resources to share knowledge and musical experiences. As such, the group
            was unique in its fashion of creating and recreating songs, improvising melodies,
            dancing, and singing favourite songs. These actions altered the participants’ daily
            routine deeply marked by the sameness of the cleaning. These group characteristics were
            strongly expressed within the group work despite the low number of participants and the
            little time of the process. However, the field notes showed the growth of spontaneous
            body movements, song performances, and verbal interactions after Maria departed. When
            discussing with the students the data registered on the maps of the participants’
            expressions, the sense was that we overestimated the power of the collective music
            making to mediate the participants’ interrelationships. Nevertheless, we agreed to
            respect the solution the participants figured out for themselves since we were working
               <italic>together</italic>, <italic>with</italic> them, and not <italic>for</italic>
            them.</p>
         <p>Studying the maps filled out during our observations, we clustered the recurrent themes
            within the three prior selected domains: affective, cognitive, and physical. The
            affective signals of their interaction included smiles, laughs, tears, and feelings they
            expressed such as loneliness, joy, and sadness. Their cognitive dynamics encompassed
            attention, speech patterns, and agency. The physical dimension embodied personal body
            space (proximity and distance), gestures, postures, and the movements they performed
            while playing and dancing. This classification was a didactic strategy to improve the
            students’ observation skills, and at the same time the maps’ content served as guide to
            the understanding of the group process as a whole. As I was concerned about personal
            influence on the data analysis, the answers obtained in the interviews were not coded;
            on the contrary I revisited this material whenever doubts about the interpretation of
            data emerged. So, they served as a means of controlling subjectivity (<xref
               ref-type="bibr" rid="R1998">Ruud, 1998</xref>). As a result of these research
            procedures, I understood the relational framework depicted here as the way the
            participants expressed themselves in front of the others while interacting in the group.
            As such, they expressed the way they interpreted the everyday life on the topics related
            to their work reality that we debated, the songs of their own repertoire that we sang,
            and the complaints about the academic environment we discussed. The recognition of the
            participants’ relational characteristics expanded our interpersonal relationships to the
            outside of the music space as the students and participants came together in social
            conversations during their break time at the University; teachers and students greeted
            and talked with them at the University classrooms and corridors. Sue also asked me for a
            private conversation about a personal issue after the end of the music therapy process.
            In my view, these consequences of the music therapy process situated the participants as
            a part of a larger social and cultural group, than just the cleaning staff. These
            impacts represented a social turning point marked by the exchanging of brooms and
            buckets for musical instruments in an academic environment. This was just one among
            other social and political consequences we experienced along the research and the music
            therapy process.</p>
         <p>The reconstruction of the reality studied here leads us to think about our role as music
            therapist researchers. As we could see, even in a short time process, the sharing with
            students and participants resulted in material to be studied, but more than this, it was
            a unique opportunity for us to work together, to learn together, and to strengthen bonds
            of conviviality.</p>
         <p>Two months after the end of the eight encounters, Sue, Hanna, and Donna left the
            University; we never heard about them again. Laura, who is working there until today,
            was with whom I shared impressions about the group work in the course of different
            phases of the data analysis. Although her participation was restricted to the two last
            encounters, she stored some interesting memories about our musical interactions and also
            about the commentaries she shared with their colleagues regarding the whole process. I
            believe that, like Laura, we all have been moved both by the research and the musical
            relationships we went through. If so, the community music therapy approach helped all of
            us to form a new narrative of togetherness, which I hope will resonate in our further
            personal and professional interactions.</p>
      </sec>
      <!-- sec lvl 2 end -->
   </body>
   <back>
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