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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.v17i2.859</article-id>
         <article-categories>
            <subj-group>
               <subject>Essay</subject>
            </subj-group>
         </article-categories>
         <title-group>
            <article-title>“Let Your Secrets Sing Out”: An Auto-Ethnographic Analysis on How Music
               Can Afford Recovery From Child Abuse</article-title>
         </title-group>
         <contrib-group>
            <contrib contrib-type="author">
               <name>
                  <surname>Lewis</surname>
                  <given-names>Georgina</given-names>
               </name>
               <xref ref-type="aff" rid="aff1"/>
               <address>
                  <email>g.h.lewis@exeter.ac.uk</email>
               </address>
            </contrib>
         </contrib-group>
         <aff id="aff1"><label>1</label>University of Exeter, United Kingdom</aff>
         <contrib-group>
            <contrib contrib-type="editor">
               <name>
                  <surname>Oosthuizen</surname>
                  <given-names>Helen</given-names>
               </name>
            </contrib>
         </contrib-group>
         <contrib-group>
            <contrib contrib-type="reviewer">
               <name>
                  <surname>Clementes-Cortes</surname>
                  <given-names>Amy</given-names>
               </name>
            </contrib>
         </contrib-group>
         <pub-date pub-type="pub">
            <day>1</day>
            <month>7</month>
            <year>2017</year>
         </pub-date>
         <volume>17</volume>
         <issue>2</issue>
         <history>
            <date date-type="received">
               <day>30</day>
               <month>11</month>
               <year>2015</year>
            </date>
            <date date-type="accepted">
               <day>20</day>
               <month>2</month>
               <year>2017</year>
            </date>
         </history>
         <permissions>
            <copyright-statement>Copyright: 2017 The Author(s)</copyright-statement>
            <copyright-year>2017</copyright-year>
         </permissions>
         <abstract>
            <p>There is extensive literature documenting that music can enable recovery and healing
               through various means such as performance and memory-work. However, an understanding
               of ‘how’ music achieves this is less clear. A combination of academic enquiry and
               reflective writing from a survivor who uses music to recover offers a compelling
               perspective on music’s functions and abilities. This article explores how music
               affords recovery following the chronological timeline of an abuse survivor’s own
               recovery, and this chronology is presented through four main phases. As a
               communication device, music can initiate disclosures and expression of trauma. Music
               can also ground a survivor into the present and thus allow recovery to be manageable.
               Music can create a safe space through its various qualities; crucially – the musical
               use of boundaries and in this space recovery can occur. Finally, music can afford the
               development and maintenance of safe attachments and an understanding of worth,
               fostering healing from the damage inflicted from abuse. These themes together provide
               a unique perspective and understanding of how music can afford recovery.</p>
         </abstract>
         <kwd-group kwd-group-type="author-generated">
            <kwd>trauma</kwd>
            <kwd>child abuse</kwd>
            <kwd>recovery</kwd>
            <kwd>affordance</kwd>
            <kwd>reflexivity</kwd>
            <kwd>healing</kwd>
         </kwd-group>
      </article-meta>
   </front>
   <body>
      <!-- sec lvl 2 begin -->
      <sec>
         <title>Introduction</title>
         <disp-quote>
            <p>
               Let me hear the songs of the silence that you captured…Let your secrets sing
               out. <uri xlink:href="https://voices.no/index.php/voices/rt/suppFiles/859/765">(‘Songs from the Ashes’, Appendix 1, see supplemental files)</uri>
            </p>
         </disp-quote>
         <p>Music can afford healing from traumatic events through means such as song-writing (<xref
               ref-type="bibr" rid="DBD2009">Day, Baker, &amp; Darlington, 2009</xref>; <xref
               ref-type="bibr" rid="R2010">Rolvsjord, 2010</xref>; ) rhythm (<xref ref-type="bibr"
               rid="KLBBS2008">Koen, Lloyd, Barz, &amp; Brummel-Smith, 2008</xref>), and enabling
            memory work (<xref ref-type="bibr" rid="WPB2002">Wigram, Pedersen, &amp; Bonde,
               2002</xref>). Memory work in this context may be the process of exploring and
            reconciling with memories, and developing methods of managing invasive memories in
            present life (<xref ref-type="bibr" rid="R1998">Roy, 1998</xref>). The affordances of
            music can work within daily lives (<xref ref-type="bibr" rid="NBCN2013">NBC News,
               2013</xref>) and also within the music therapy setting (<xref ref-type="bibr"
               rid="KLBBS2008">Koen et al., 2008</xref>). It seems evident then that music can be
            healing and potentially transformative. But, there is a need to understand <italic>how
            </italic>music can afford recovery (<xref ref-type="bibr" rid="KLBBS2008">Koen et al., 2008</xref>)
            and this essay will tentatively begin answering this question from the personal view of
            a survivor of abuse.</p>
         <p>Storr (<xref ref-type="bibr" rid="S1997">1997</xref>) noted that music can be
            transformative for our emotions and even existence – indeed he likened this
            transformative experience to being in love. Further, Storr explained how a person’s
            sound is an expression of their current emotion, fosters a type of social bonding, and
            perhaps provides a “mnemonic framework” in which one can express the “structure of their
            knowledge and social relations” (p.19). Both Rolvsjord (<xref ref-type="bibr"
               rid="R2010">2010</xref>) and DeNora (<xref ref-type="bibr" rid="DN2000"
               >2000</xref>) explained that music can be resourceful within one’s normal, daily
            life. Unlike in standard therapy, music can explore and enable a person’s strengths as
            much as their trauma and pain. DeNora (<xref ref-type="bibr" rid="DN2000">2000</xref>)
            explored the role of music as a communicative device, a concept also discussed by
            Rolvsjord (<xref ref-type="bibr" rid="R2010">2010</xref>). For example, Rolvsjord
            described the case of a woman named ‘Maria’ who expressed anger in music and her voice
            changed in accordance with the emotions she was feeling. DeNora (<xref ref-type="bibr"
               rid="DN2000">2000</xref>) and Budd (<xref ref-type="bibr" rid="B1985"
               >1985</xref>) explored and supported this notion of music being a method of
            expressing emotion. Rigoni (<xref ref-type="bibr" rid="R2009">2009</xref>) explored
            the notion of ‘grounding’ – that of strategically removing oneself away from emotional
            pain, which can be fundamental to a person’s wellbeing when trying to recover from
            trauma. Musically, there are manners in which to achieve this. Storr (<xref
               ref-type="bibr" rid="S1997">1997</xref>) stated that one’s assimilation with the
            setting and world around them is closely linked to one’s hearing – in this sense a
            person could use their ability to hear in order to balance them in their present world,
            by turning music on for example.</p>
         <p>Music as a starting point offers a relevant and complex space in which trauma recovery
            can potentially happen. Trauma, such as child abuse, can have long term effects on
            survivors – including symptoms such as emotional distress, post-traumatic distress such
            as flashbacks and a damaged sense of self, difficulties with relationships, and
            cognitive difficulties (<xref ref-type="bibr" rid="BE1994">Briere &amp; Elliot,
               1994</xref>; <xref ref-type="bibr" rid="GH2016">Good &amp; Hinton, 2016</xref>). As
            such, music has qualities and abilities that may be healing to the traumatised
            person.</p>
         <p>Whilst there are interviews with service users (<xref ref-type="bibr" rid="R2010"
               >Rolvsjord, 2010</xref>) and considerable literature on what music does (<xref
               ref-type="bibr" rid="DN2000">DeNora, 2000</xref>, <xref ref-type="bibr" rid="DN2013"
               >2013</xref>; <xref ref-type="bibr" rid="R1993">Rogers, 1993</xref>; <xref
               ref-type="bibr" rid="S1997">Storr, 1997</xref>) a gap seems to be the analytical
            voice of a survivor who has been restored through music. There are very few personal,
            auto-ethnographic accounts of these experiences in the research field. This piece is
            framed as an auto-ethnography, supported by literature throughout. This use of
            auto-ethnography combined with academic understanding grants me access that may
            otherwise have been unethical or challenging to achieve in other methods of enquiry. It
            is not distressing for me to reflect deeply on my own recovery and music’s key role
            within that. I know what topics would be too painful for me, and fundamentally it would
            be extremely difficult for me to therefore inadvertently push myself too far. In an
            interview with abuse survivors, there lie risks – of triggering memories or of the
            interviewee becoming distressed. Whilst interviews provide depth (<xref ref-type="bibr"
               rid="M2002">Mason, 2002</xref>), with this particular topic understanding how ‘deep’
            is appropriate or safe to explore is difficult (<xref ref-type="bibr" rid="R2010"
               >Rolvsjord, 2010</xref>). I am in the unique and privileged position of being
            survivor, musician, and academic student. This grants me the ability to analyse how
            music can afford recovery in the academic sense, entwined with a deep insight as a
            reflective survivor. Whilst I may have my own biases and subjectivity that may not
            support experiences of other survivors, this personal exploration nonetheless adds a
            unique depth to the research in this area.</p>
      </sec>
      <!-- sec lvl 2 end -->
      <!-- sec lvl 2 begin -->
      <sec>
         <title>Methodology</title>
         <p>This article does not follow the traditional conventions of academic enquiry in that it
            is not aiming to be a piece of empirical research, but rather a uniquely grounded
            insight into the role music can play in recovery. As this insight is from my own
            reflective perspective, it does not attempt to pose as an objectively measurable piece
            of social science but rather takes advantage of the profound depth that may emerge from
            emotional engagement with the study focus (<xref ref-type="bibr" rid="BH2014">Bhatia,
               2014</xref>). Emotions in themselves are signals as to the reality of a person and
            guide us in our reflective work (<xref ref-type="bibr" rid="BH2014">Bhatia, 2014</xref>).
            The aim is to offer a unique viewpoint and comprehension that academics and
            professionals within the field may wish to build on or explore further in their own
            empirical work.</p>
         <p>In organizing this essay, I first ‘mapped’ out my recovery. Where did I start, where did
            that develop, and where am I now? I had to understand my recovery story and from that
            reflect on where music featured, and from there develop relevant themes to organize this
            essay. The following four themes will include reference to my personal experiences,
            substantiated by relevant literature.</p>
         <p><bold>1. Music as a Communicative Device</bold></p>
         <p>In terms of recovery, I first had to remember the repressed memories of the abuse and
            then find the courage and manner in which to communicate these memories.</p>
         <p>Thus, the initial idea of this essay is exploring music as a communication device,
            understanding music’s role in memory (<xref ref-type="bibr" rid="DN2000">DeNora,
               2000</xref>; <xref ref-type="bibr" rid="KLBBS2008">Koen et al., 2008</xref>), and then its
            symbolic and critical affordance in communication (<xref ref-type="bibr" rid="R2010"
               >Rolvsjord, 2010</xref>; <xref ref-type="bibr" rid="S2007">Sacks, 2007</xref>).</p>
         <p><bold>2. Music as a Grounding Tool</bold></p>
         <p>Following my recovery experience, once I had remembered and started to talk, I needed to
            find coping strategies and ways in which to still function in my daily life whilst
            managing the distressing and often traumatic, memory recovery process. When trying to
            manage my recovery, I often talked about “grounding” myself. Rigoni (<xref
               ref-type="bibr" rid="R2009">2009</xref>) described the process of grounding as
            finding a balance in our conscious state. For me this meant finding methods of holding
            myself in the present and not allowing the past to overwhelm me. For example, I needed
            to be able to prevent intrusive memories or flashbacks (an intense form of remembering
            in which a person may re-live a traumatic experience) from constantly imposing on my
            daily life. Such methods included turning music on to drown out the sounds of memories,
            counting the number of ‘yellow’ items in a room in order to refocus my vision, or
            following mindfulness techniques to soothe. Mindfulness (<xref ref-type="bibr"
               rid="B2014">Bearance, 2014</xref>) is a form of grounding, a method in which one is
            “fully aware in the present moment” (p. 60). Fundamentally, this prevents the past (or
            indeed the future) from overwhelming the current present state.</p>
         <p>I therefore analyse in this section how music helped ground me as a refuge from chaos
               (<xref ref-type="bibr" rid="S1997">Storr, 1997</xref>) or as a form of reconciliation
            with my past and present self (<xref ref-type="bibr" rid="DN2000">DeNora, 2000</xref>).
            I explore how I feel music is more complex
            than that of a device holding us in a set emotional place; it is a
            metaphorical 'anchor', (<xref ref-type="bibr" rid="WPB2002"
               >Wigram et al., 2002</xref>) but it can also be something
            more elaborate than this. I conclude exploring how this experience of grounding
            through music guided me towards an experience of safety.</p>
         <p><bold>3. Musical Space</bold></p>        
         <p>Building on this concept of music affording safety, I develop the third theme – musical
            space – and analyse how musical boundaries foster a critical healing opportunity for the
            abuse survivor. After surviving trauma that inherently destroys and manipulates
            boundaries, music holds structure (<xref ref-type="bibr" rid="S1997">Storr, 1997</xref>)
            and grants the user more ownership within their environment (<xref ref-type="bibr"
               rid="DN2000">DeNora, 2000</xref>). I explore how this allowed me to help regain the
            sense of loss after having my boundaries so violated.</p>
         <p><bold>4. Music to Afford Attachments</bold></p>
         <p>Finally, in my recovery, once I had worked to this point of the process – remembering,
            talking, coping, gaining control – I began to experience healing of my shattered ability
            to form and trust attachments and relationships with others, through music. In this
            theme I explore how the act of performing music can nurture attachments in a
            non-intimidating manner (<xref ref-type="bibr" rid="S1951">Schutz, 1951</xref>), and how
            music afforded a new sense of social identity (<xref ref-type="bibr" rid="B1994">Bunt,
               1994</xref>). For me, this gradually soothed my emerging identity as an abuse
            survivor. Music enabled me to become aware of, and accept that, my body and soul are
            valuable (<xref ref-type="bibr" rid="R2010">Rolvsjord, 2010</xref>) and with this
            new-found awareness, I was able to develop healthy attachments.</p>
         <p>The literature I draw from offers a mixture between an understanding of musical features
            in their literal sense and how music can, in general, afford psychological wellbeing
               (<xref ref-type="bibr" rid="S2007">Sacks, 2007</xref>; <xref ref-type="bibr"
               rid="S1997">Storr, 1997</xref>; <xref ref-type="bibr" rid="DN2000">DeNora,
               2000</xref>). The views of Rolvsjord (<xref ref-type="bibr" rid="R2010"
               >2010</xref>) are of pertinent value to this essay as her book is so largely focused
            on her role as a music therapist for two abuse survivors. Her professional analysis,
            alongside the interviews with the young women, tied in closely and entwined with my own
            reflective insight. I now describe these four themes in more depth, paying particular
            attention to my own recovery and use of music.</p>
         <!-- sec lvl 3 begin -->
         <sec>
            <title>Music as a communication device</title>
            <disp-quote>
               <p>
                  The music expressed something that I could not bear the emotions of.
                     (<xref ref-type="bibr" rid="R2010">Rolvsjord, 2010, p. 163, quoting
                        ‘Emma’</xref>).
               </p>
            </disp-quote>
            <!-- sec lvl 4 begin -->
            <sec>
               <title>Music and traumatic recall</title>
               <p>One may assume that a starting point in recovery is being able to disclose the
                  trauma, but for me the journey started before that. I needed to remember.
                  Following the trauma, the vast majority of my memories were repressed. The
                  repression was a tool for survival, allowing me to function and store the memories
                  until I was safe enough to manage them. This repression is also known as
                  dissociation (<xref ref-type="bibr" rid="MUK2013">Mind UK, 2013</xref>).</p>
               <p>Music was a key component in granting me my memory, which supports the research
                  highlighting how music triggers images and memories (<xref ref-type="bibr"
                     rid="KLBBS2008">Koen et al., 2008</xref>). This ‘trigger’ effect of music can be
                  used as a tool in music therapy (<xref ref-type="bibr" rid="B1994">Bunt,
                     1994</xref>). Many of us can relate to the notion of hearing a song from years
                  ago and it triggering a memory of some kind (<xref ref-type="bibr" rid="DN2000"
                     >DeNora, 2000</xref>). For me, music offered a refuge in which I could deposit
                  the memories as a child, and reclaim them safely as an adult. This use of a
                  musical refuge was not a conscious act, but it was nonetheless invaluable.</p>
               <p>I played steel drums throughout my teenage years, and in playing them again at
                  University, I discovered my memories were waiting for me. The mere sound of a
                  steel drum could be enough for a traumatic memory to start its ascent as it was a
                  sound so strongly associated with my childhood. I learned that how I played
                  indicated what kind of memory would surface next; sad and gentle related to grief,
                  whilst loud and dissonant indicated fear or anger. If I stared at the drum and
                  suddenly could not remember how to play, then I was aware that the memory would be
                  of my younger years before I had started playing the steel drums. The drums became
                  a voice for me when I had not yet managed to comprehend or even remember the
                  words. The drums symbolised my childhood, and carried some of it, and this
                  symbolisation of instruments allowed me to start expressing myself, similar to how
                  an abused girl, described by Rogers (<xref ref-type="bibr" rid="R1993"
                     >1993</xref>), expressed her feelings towards her parents through instrumental
                  symbolism. The drums not only enabled some memories to surface but also made me
                  consciously aware that music helped me and that music is everywhere. With the safe
                  knowledge of music being a permanent and consistent feature, I dared to
                  recover.</p>
               <p>Emma, a young girl described by Rolvsjord (<xref ref-type="bibr" rid="R2010"
                     >2010</xref>) was enabled by her own songs to manage her memories and sometimes
                  listened to her songs to remind her of the events she had survived. It is
                  important that individuals can make sense of their traumatic story, as this allows
                  physical and psychological processing and healing to take place (<xref
                     ref-type="bibr" rid="S2011">Schick, 2011</xref>). As my memory started to
                  return, and feeling safe within the music setting, I found the courage to try
                  speaking.</p>
            </sec>
            <!-- sec lvl 4 end -->
            <!-- sec lvl 4 begin -->
            <sec>
               <title>Music to express, represent, and verbalise.</title>
               <p>The abusers’ forbade me to talk as a child – to disclose the abuse. Not only was I
                  forbidden, I was firmly convinced that my voice was “disgusting” and nobody wanted
                  to hear me anyway. As such, both during the abuse and afterwards as I started my
                  recovery journey, I spoke quietly, felt ashamed of exposing my voice, and later
                  found a comfort in singing whilst playing piano. “Music cannot be hurt” (<xref
                     ref-type="bibr" rid="B1994">Bunt, 1994, p. 97</xref>). This notion was a fundamental value in my own
                  experience, in making my first disclosure to a piano. I could not traumatise a
                  piano or bring harm to it with my memories. Equally I could not be scolded for my
                  tears nor punished for my openness, and as DeNora (<xref ref-type="bibr"
                     rid="DN2000">2000</xref>) stated, self-expression enables moving forwards,
                  which certainly rang true for me. Rolvsjord (<xref ref-type="bibr" rid="R2010"
                     >2010</xref>) worked with Emma, whose abusive father had called her voice
                  “ugly”, and she had reduced her singing voice in response to this (p. 127). Like
                  Emma, I had to manage singing before I could verbalise the abuse properly.
                  Rolvsjord (<xref ref-type="bibr" rid="R2010">2010</xref>) was acutely aware of
                  the importance of Emma finding her voice, to be finally heard (p. 127). Just as
                  Emma wrote a song and shared it with staff, I wrote “Broken” and shared it with my
                  music lecturer <uri xlink:href="https://voices.no/index.php/voices/rt/suppFiles/859/765">(Appendix 1, see supplemental files)</uri>. Emma, and I, were both finding a safe method in which
                  our silence could finally start breaking - a trusted device (music) given to a
                  trusted person.</p>
               <p>The voice is in some ways the most raw and ‘naked’ instrument (<xref
                  ref-type="bibr" rid="WPB2002">Wigram et al., 2002, p. 210</xref>). I argue that to express intimate trauma in a
                  safely ‘naked’ fashion is a unique healing possibility that singing offers.
                  Through singing I learned that exposure did not result consistently with abuse,
                  but conversely could result in empowerment.</p>
               <p>Furthermore, music can afford feelings of “grief and pain” whilst simultaneously
                  affording relief and comfort (<xref ref-type="bibr" rid="S2007">Sacks,
                     2007, p. 301</xref>). Music can
                  therefore be paradoxical. Trauma is inherently perverse; an experience that is the
                  opposite of expectation and desire– repressing memories to cope but in that,
                  losing coherent narrative for example, or the conflict in victim and survivor
                  identities (<xref ref-type="bibr" rid="FHM2013">Fisher, Howard, &amp; Monteith,
                     2013</xref>). I argue that music, with its various effects and functions,
                  allows the space for a paradoxical event(s) to be expressed and processed.</p>
               <p>With Emma (<xref ref-type="bibr" rid="R2010">Rolvsjord, 2010</xref>), the music
                  could articulate anger for her until she came to accept the anger was rightfully
                  hers to feel. The music thus initiated emotion, safely contained it, and became an
                  ally holding some of the pain until she felt ready to own it. Similarly, music can
                  cry for me. My experience is supported by that of Budd (<xref ref-type="bibr"
                     rid="B1985">B1985</xref>); I can pour out the power of emotion and perform
                  it, which is especially useful when I feel too afraid to cry or to let my
                  vulnerability become safely tangible. As DeNora (<xref ref-type="bibr"
                     rid="DN2000">2000</xref>) suggested, it allows me to explore this
                  vulnerability and make sense of where I am. Storr (<xref ref-type="bibr"
                     rid="S1997">1997</xref>) argued that dissonance in music is a musical plea
                  for a resolution. My music contains many dissonances and this holds many searches
                  for a sense of resolve and closure. This resolution never happens until I find the
                  words to convey that closure; the music and lyrics work in a partnership, guided
                  by my memories. Suddenly my memories are a leader, not an enemy. Descending piano
                  lines communicate my tears, my voice can be grainy with pain or pure with
                  strength, and volume is used to articulate the extremity of my emotions.</p>
               <p>My song writing is more than revealing a story. My composing is, as supported by
                  Storr (<xref ref-type="bibr" rid="S1997">1997, p. 75</xref>), establishing a “new reality” that has developed
                  from my narrative – a reality in which I am not only able to feel, but I am
                     <italic>allowed </italic>to feel. Music fundamentally granted me my right to
                  cry and communicate those tears but equally my right to feel love and happiness.
                  Unlike standard therapy, the focus in music does not have to always be towards the
                  damage or alternatively the strength; it can be both (<xref ref-type="bibr"
                     rid="R2010">Rolvsjord, 2010</xref>; <xref ref-type="bibr" rid="S2007">Sacks,
                     2007</xref>). In allowing me to own my emotions, music afforded my humanity and
                  courage. Emma discussed music letting her “dare” to show her whole self, to “dare”
                  to process and understand “both sides” of her. She dares to feel loneliness, a
                  wish to die, and equally to feel strength (<xref ref-type="bibr" rid="R2010"
                     >Rolvsjord, 2010, p. 165</xref>).
                  With music, I have dared to live and dared to be whole. Music has afforded the
                  integration of all of me and ensures I recover as a whole being. When I write my
                  songs, I am composing who I am, both internally to myself and externally to the
                  outside world. As DeNora (<xref ref-type="bibr" rid="DN2000">2000, p. 63</xref>) indicated, music can be both the
                  creation of and reconciliation with one’s own identity.</p>
               <p>Music has the ability to communicate what is impossible or too painful to
                  verbalise (<xref ref-type="bibr" rid="B1994">Bunt, 1994</xref>; <xref
                     ref-type="bibr" rid="R1993">Rogers, 1993</xref>; <xref ref-type="bibr"
                     rid="R2010">Rolvsjord, 2010</xref>) which Emma and Maria discovered in writing
                  their lyrics, despite confronting some harrowing topics (<xref ref-type="bibr"
                     rid="R2010">Rolvsjord, 2010</xref>). It is less frightening to convey memories
                  and emotions through music than through just talking (<xref ref-type="bibr"
                     rid="R2010">Rolvsjord, 2010</xref>). My songs <uri xlink:href="https://voices.no/index.php/voices/rt/suppFiles/859/765">(Appendix 1, see supplemental files)</uri> allow me to convey
                  words that may either be too difficult for me to speak, or too difficult for
                  others to receive in the verbal medium. Music offers a bridge between worlds, an
                  ability for people to hear me without distress, and for me to communicate some of
                  the pain, journey, and strength, mingled with the elegance of music.</p>
               <p>For me, music has been a beautiful means of disclosure, a method that ensures
                  people not only <italic>hear </italic>me, but also <italic>feel </italic>me. Of
                  course, like Emma (<xref ref-type="bibr" rid="R2010">Rolvsjord, 2010</xref>), I am
                  reassured by the knowledge that people can translate a song how they wish, and
                  indeed keep it simply as a song if that is more manageable. The disclosure is not
                  forced upon them, and I can protect them and me with that.</p>
               <p>Whatever pain I might be conveying, there is an endless undercurrent of musical
                  grace; it is never wholly depressed even if I want it to be. Performing trauma in
                  music allows the collision of a haunting beauty with pain - the communication
                  perhaps of a thread of hope within the hurt. My song “The River” <uri xlink:href="https://voices.no/index.php/voices/rt/suppFiles/859/765">(Appendix 1, see supplemental files)</uri>
                  communicated my wish to die, something that is especially difficult to do in the
                  spoken word, but the song affords the entwined intimacy of singing with the
                  vulnerability of my own life. Whilst the words are desperately sad, the piano has
                  some stunning chords and melody lines. I knew then if I could write something
                  beautiful then I could keep living – music provided me the chance to communicate
                  to myself that whilst I was in pain, and had a right to feel and express it, I
                  still had life in me. In the song, I lived safely within the paradox of expressing
                  severe pain whilst realising my will to live. In his book, Sacks (<xref
                     ref-type="bibr" rid="S2007">2007</xref>) clearly depicted this musical
                  enigma of experiencing pain whilst simultaneously establishing strength, that
                  “whilst music makes one experience pain and grief more intensely, it brings solace
                  and consolation at the same time” (p. 301). The use of verbs in this description
                  is interesting; that music “makes” the experience of pain, as if music can be the
                  creator of that experience, acting as an emotional force. However, it also
                  “brings” consolation. It brings us the solution. It’s as though music has the
                  capacity to open one’s mind and spirit to the pained emotions within them, but it
                  does not neglect us and leave us alone with those emotions – it also soothes,
                  reconciles and heals. I believe the paradox described exists due to music being
                  both our creator of emotion, and solution for emotion. For me this rings true; the
                  music made me truly feel the pain I was in, but it also brought me the chance to
                  turn that pain into something hauntingly beautiful, and for that I lived.</p>
               <p>Conversely, I can sing my songs “Don’t Look Down” or “Freedom” <uri xlink:href="https://voices.no/index.php/voices/rt/suppFiles/859/765">(Appendix 1, see supplemental files)</uri> and
                  ensure the world hears my strength; that I am not damaged beyond repair. Emma
                     (<xref ref-type="bibr" rid="R2010">Rolvsjord, 2010</xref>) gave her songs to
                  other practitioners to tell her story. Music is a practical method to share the
                  narrative without having to completely re-live the trauma each time. I argue that
                  music can become an advocate for the traumatised person, as it has done for
                  me.</p>
               <p>Performing my songs allows music to portray not only my story but that I am
                  capable. I can write songs; I can sing on stage. It empowers me even if I am
                  afraid. Music expresses not only trauma, but also the survival, the fear of that
                  survival, and strength (<xref ref-type="bibr" rid="R2010">Rolvsjord, 2010</xref>).
                  For me, it also offers a sense of relief. It communicates the contradictions and
                  perversity of the abuse, whilst allowing a sense of connection and closure.
                  Ultimately, music has the power to communicate all aspects of survivor-hood and
                  recovery.</p>
            </sec>
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         </sec>
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         <sec>
            <title>Music as a grounding tool</title>
            <disp-quote>
               <p>
                  Music of the right kind can serve to orient and anchor a patient when
                  nothing else can. (<xref ref-type="bibr" rid="S2007">Sacks, 2007, p. 337</xref>).
               </p>
            </disp-quote>
            <p>After learning to communicate, I needed to learn how to function in recovery, one
               example being how to prevent the re-living of memories and emotions from entirely
               consuming my daily existence. I did not want to surrende­­r my present to my past,
               however much I needed to process the memories. Finding the balance was difficult.
               Achieving a sense of balance is called ‘grounding’, and this can happen using various
               mechanisms. By grounding, this essay is using the definition of Rigoni (<xref
                  ref-type="bibr" rid="R2009">2009</xref>), an ability to exist between
               consciousness and an allowance of that conscious reality. DeNora (<xref
                  ref-type="bibr" rid="DN2000">2000</xref>) emphasized that music “is both an
               instigator and a container of feeling” (<xref ref-type="bibr" rid="DN2000"
                  >2000, p. 58</xref>). Music can
               ground me by either holding the emotion or feeling until I am ready to explore it, or
               by initiating and processing the feeling based on whatever memory from my past is
               threatening my present space. It is not a dismissal of intrusive memories but a
               management of them. It is a way of preventing the past from overwhelming the present
               but without determining our past as of less importance. It is a way of engaging with
               our present consciousness whilst also <italic>using</italic> that involvement to
               manage the past.</p>
            <p>An awareness of the movements and balances within one’s body enhances well- being
                  (<xref ref-type="bibr" rid="S1997">Storr, 1997</xref>), thus is arguably a key to
               recovery– hence the importance of grounding. There is some debate over whether music
               is more purposeful for a refuge, or an adaptation to life (<xref ref-type="bibr"
                  rid="S1997">Storr, 1997</xref>). Storr examined how Schopenhauer viewed music as
               an escape from turbulences, whereas Nietzsche viewed music as an ability to
               “reconcile us with life rather than detach us from it.” (<xref ref-type="bibr"
                  rid="S1997">Storr, 1997, p.157</xref>).
               DeNora (<xref ref-type="bibr" rid="DN2000">2000</xref>) described how music can
               “frame or re- focus” (p. 97) our current reality so our struggles can diminish
               temporarily, and <xref ref-type="bibr" rid="WPB2002">Wigram et al. (2002)</xref>
               found that to recognise music allowed a survivor to recognise some aspect of herself
               and connected her past to her present identity (<xref ref-type="bibr" rid="WPB2002"
                  >2002, p. 190</xref>). I therefore
               argue that music does not have to be slotted firmly into either a ‘refuge’ or a
               ‘reconciliation’ box; it can be both. From this then, music can ground people either
               by allowing them to temporarily dissociate their current reality from a past that
               might feel overwhelming, or enabling them to associate the present with the past.</p>
            <p>It is important to acknowledge the simple functions of music as well as the complex.
               At its most basic music can help overwrite other auditory stimuli (<xref
                  ref-type="bibr" rid="DN2000">DeNora, 2000</xref>). If I am experiencing auditory
               flashbacks, in which I hear the memory but have no visual context, then I may ‘turn a
               song on’ either in my head or literally on my phone. I will either imagine it loud or
               turn it loud, and literally drown the auditory memory out. I focus on using the
               present music to keep me firmly rooted in my current reality, thus grounding me in
               the here and now. A melody can act as an “anchor” (<xref ref-type="bibr" rid="S2007"
                  >Sacks, 2007</xref>; <xref ref-type="bibr" rid="WPB2002">Wigram et al.,
                  2002</xref>), but I would tentatively suggest that it is beyond a simple anchor. I
               find the concept of an anchor too permanent and too stationary. Grounding does not
               trap me or tie me down; it frees me and enables me. Therefore, using the same
               analogy, I argue that music is the wind that affects where the boat will sail –
               either to an established present, or to reconciliation with the past. Grounding does
               not lock me in one place as an anchor would; it moves me either away from memories
               when they may be intrusive to my present life, or towards memories when it is
               important to reflect upon and process what has happened. As Storr (<xref
                  ref-type="bibr" rid="S1997">1997</xref>) also indicated, music helps enable
               this process of moving with time.</p>
            <p>Another manner in which music helps ground me is through its elements. I can listen
               to a new song and become fascinated by its structures, melody and patterns, learning
               the story behind the composer, and listening to the harmonies the music creates. As
               Sacks (<xref ref-type="bibr" rid="S2007">2007</xref>) stated, listening to music
               is an active process. If I am actively involved in anything, then ultimately I am
               grounded in the present on some level; the past is not overwhelming me.</p>
            <p>Finally, music can serve as a reminder of my safety. There was a period where if my
               friends sang a particular song <uri xlink:href="https://voices.no/index.php/voices/rt/suppFiles/859/765">(“Soduato” – Appendix 2, see supplemental files for score)</uri> to me when I was
               flashbacking, I appeared to calm down. We had sung this together safely in a choir.
               Somehow, if I heard the song whilst trapped in an unconscious memory, some part of my
               mind acknowledged that the song took part in another time, another reality. It so
               often felt like the hand reaching down to me and pulling me out of the traumatic
               depths; a link between my past and present and was inherently more powerful and
               effective if sung than if spoken. Even if I could not hear the words, the melody made
               its way and acted as a memory tool. As musical memory can survive after other
               memories have faded (<xref ref-type="bibr" rid="S2007">Sacks, 2007</xref>), the sound
               of the safe melody grounded me almost immediately. The song itself is filled with
               polyphony, with individual parts working together to create a coherent and intricate
               piece; singing it always filled me with a sense of connection, because of the sense
               of disconnected parts working together to build a coherent whole. The memory of
               feeling connected in the song, to the music itself but also to others who could
               support me, grounded me on hearing the melody, and even today, I will sometimes
               listen to the piece to aid my wellbeing. Music can be used in various ways to ground
               someone, then, and is a valuable asset for recovery, preventing the process of
               remembering from overwhelming the present (<xref ref-type="bibr" rid="B1994">Bunt,
                  1994</xref>).</p>
         </sec>
         <!-- sec lvl 3 end -->
         <!-- sec lvl 3 begin -->
         <sec>
            <title>Musical space</title>
            <disp-quote>
               <p>
                 Music structures time. (<xref ref-type="bibr" rid="S1997">Storr,
                    1997, p. 30</xref>)
               </p>
            </disp-quote>
            <p>It has been important for me to find means of establishing boundaries – my own
               boundaries as a child were either absent or violated, and as part of recovery it is
               therefore crucial that I resolve this loss. Music has played an essential part in
               achieving this.</p>
            <p>Trauma is chaotic, and music, if nothing else, has helped me stabilise this chaos, a
               concept also explored by Storr (<xref ref-type="bibr" rid="S1997">1997, p. 64</xref>) who stated that musical
               “systems are ways of ordering sound.” It has been through my use of musical
               structure, and understanding the rules within musical composition and systems, that I
               have been able to reconcile with some of my more traumatised parts and hold some of
               my chaotic emotions during recovery. I wrote “Ghosts in Mirrors” <uri xlink:href="https://voices.no/index.php/voices/rt/suppFiles/859/765">(Appendix 1, see supplemental files)</uri> at a
               point in my life of great disconnect and turbulence, with the absolute sense of being
               pulled between worlds. I spent a lot of time with the sensation of floating, of being
               almost invisible, and at times no longer recognised my reflection in a mirror. I
               identified simultaneously as a frightened child, a stressed student, and an empowered
               survivor, and I had not quite managed to sit with these entirely different states
               simultaneously. The result was a sense of having lost control, something that
               terrified me, as there were times where this indicated danger to the traumatised
               parts of me. At that point, I accepted I needed to find a way to gain control of this
               chaos to prevent me from becoming engulfed. Bunt (<xref ref-type="bibr"
                  rid="B1994">1994, p. 38</xref>)
               noted that composing can act as a defensive strategy against feeling “overwhelmed.” I
               therefore chose songwriting, and wrote “Ghosts in Mirrors” <uri xlink:href="https://voices.no/index.php/voices/rt/suppFiles/859/765">(Appendix 1, see supplemental files)</uri>. The various
               parts of me presented themselves in my voice; no matter how hard I tried, I could not
               open the song with a strong adult voice - the little girl needed to be heard and the
               survivor did not appear until well into the second half of the piece. I recorded it
               with other student musicians, establishing my role as a student, and on hearing the
               recording, I finally felt like the chaos in this particular moment of my life had
               been treated with care and resolved.</p>
            <p>There is structure in music with rules and ways to bend the structure (<xref
                  ref-type="bibr" rid="S1997">Storr, 1997</xref>), and there can be consistency and
               repetition (<xref ref-type="bibr" rid="S2007">Sacks, 2007</xref>), which for my
               sometimes-frightened mind was and still can be very reassuring. The crucial aspect
               for me is what researchers described as the boundaries within music (<xref
                  ref-type="bibr" rid="B1994">Bunt, 1994</xref>; <xref ref-type="bibr" rid="WPB2002"
                  >Wigram et al., 2002</xref>). Music works within a time frame. If I write a
               5-minute song, the emotions and memory are contained within those 5 minutes. These
               can only be accessed if either in a musical space or via headphones (if recorded),
               and even then, it is my <italic>choice</italic>, a concept which I had little access
               to as a child. I can walk away from the music room and leave the chaos there, having
               put the turmoil into a coherent piece of music. I am allowed to express disorder in
               music; it is safe and interesting for the listener to experience (<xref
                  ref-type="bibr" rid="S1997">Storr, 1997</xref>). I can experiment with
               dissonances; I can hang in the silence or fill the space with sound. I can fill the
               piece with sequences or not, and I have entire control of the environment in which I
               am a part (<xref ref-type="bibr" rid="DN2000">DeNora, 2000</xref>). Ultimately, the
               piano cannot play itself – it is up to me if that chaos is going to be explored
                  <italic>within that structured space </italic>or not. I set the rules, and music
               sets the boundaries in space.</p>
            <p>In my world where boundaries had been dangerous and violated, music afforded the
               ability to practice my own boundaries and to learn the safety and refuge that comes
               from such processes. Fundamentally, music not only helped me realise and understand
               my rights that had been previously robbed, but held my emotions within a safe space
               whilst I processed the trauma. When I first started songwriting, I stuck rigidly to
               musical rules. My former abused self had fought hard to gain a sense of control,
               something I still carry with me because of the abuse, and discovering I could find
               control and safe boundaries through music felt especially precious. I was frightened
               to break or lose these boundaries. Further, key to my survival when younger was
               adhering to the abusers’ rules, and as such I developed a fear of breaking rules.
               Therefore, musical rules were of huge importance to my fragile emerging
               survivor-self. Now, I like to experiment; to see how far I can go with musical
               boundaries and still feel safe. I enjoy realizing that breaking or playing with
               musical rules does not result in danger, but quite often something rather beautiful
               and unique. Music affords my learning that I can explore more, safely, whilst still
               having the boundaries of musical form, structure, and time to hold me when
               necessary.</p>
            <p>Finally, it would seem sometimes that even my body becomes aware of the safe
               boundaries within music and conforms to this safety. Whereas I can write and say the
               word ‘rape’, I have never yet been able to sing the word in a song. If I go to sing
               it, my body physically stops me; my voice closes up, no sound will come out, and my
               hands will stop playing the piano. In this sense, music helps me to recognise my
               limits – that to sing such a word may enable a deeper emotional connection than I am
               able to handle, and therefore not to cross this threshold. Ultimately, music keeps me
               safe, and my mind and body have learned to trust it and respond appropriately to its
               boundaries.</p>
            <p>Personally, this sense of developing, understanding, and utilizing musical boundaries
               has over time allowed me to recover a better sense of boundaries outside of the
               musical space. Over the last 5 years especially, in which I was more involved in
               musical groups and music-making than ever, I have established a greater sense of
               personal respect and ability to recognise and adhere to my own limits, as well as
               understand and respect those of others around me. Whereas I used to be a very
               submissive person, unable to recognise my right to say ‘no’ (even in situations such
               as being asked to do some work as a favour when my workload was already unmanageable)
               I am now much better at establishing my own healthy boundaries and space. Whilst it
               would be naïve to entirely place music as responsible for this aspect of healing and
               ignore other aspects of recovery (such as psychotherapy, actually being safe, and
               developing a strong support network), music has nonetheless played a critical role.
               My boundaries started healing before I began therapy, for example, but in accordance
               with how strongly music featured in my life. Whilst I do have a strong support
               network, a lot of this came from friends I made in the music groups and the sense of
               empathy and bonding I had developed with them through music. It seems clear to me
               that music and its qualities have played a fundamental role in my development of
               healthy boundaries, which enabled me to put measures in place to establish my safety,
               and develop strong friendships that supported me throughout my recovery. Music was,
               and is, essential.</p>
         </sec>
         <!-- sec lvl 3 end -->
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         <sec>
            <title>Music to form attachments</title>
            <disp-quote>
               <p>
                  The processes inherent in musical interaction are strong antidotes to the
                     inhuman experiences of torture, helping the clients to connect with the core of
                     their humanity and establish connections with other people. (<xref
                        ref-type="bibr" rid="ZS2004">Zharinova-Sanderson, 2004, p. 241</xref>)
               </p>
            </disp-quote>
            <p>Learning to trust again was a key aspect of my recovery, and indeed at times learning
               to believe in blind trust – a terrifying prospect given the unpredictability of it –
               was essential if I was to recover. I had to trust acquaintances, or professional
               strangers such as therapists not to harm me if I made a disclosure. At times of
               dissociative amnesia (<xref ref-type="bibr" rid="MUK2013">Mind UK, 2013</xref>) where
               I entirely forgot the identity of my friends, I had to blindly trust in their word
               when they assured me – as strangers – that they would not abuse me in this house I no
               longer recognised (my home). My friends are fellow musicians; we have sung, played,
               stressed, and celebrated together as musicians. I fully believe that these shared
               experiences allowed some part of my mind to have blind faith in them until my memory
               returned.</p>
            <p>There are ‘human’ aspects to music itself, for example the ability for emotional
               agitation to be represented musically through tempo, accents, trills, and pitch
               (<xref ref-type="bibr" rid="B1985">Budd, 1985, p. 46</xref>). Secondly, in order to connect with and understand a
               new piece of music, one requires a degree of empathy (<xref ref-type="bibr"
                  rid="S1997">Storr, 1997</xref>). If one becomes more familiar with a piece and can
               recognise its patterns and relationship between notes and parts, then one stands a
               greater chance to understand it and perform it as the composer intended it to be
               performed, which I would argue is a safe attachment to create. I certainly was never
               aware of the attachments I made with pieces of music, but in hindsight can see that
               there was always some form of attachment to the composer. When I performed a piece, I
               did not want to feel alienated from it – from a musician’s perspective I simply did
               not want that stress – and in order to understand the purpose and use of the notes, I
               had to engage emotionally within the piece to try and understand the composer’s
               written intentions.</p>
            <p>Throughout my life, where attachments could be dangerous or used against me, my
               attachment with music remained consistent and reliable. This is not to say I view
               music in the way I would a friend or partner. I simply view music as providing me
               with a sense of empathy and understanding. Music provides me the chance to speak, and
               in turn, I listen to music and to what other composers are trying to say. In any
               musical environment then, I am intrinsically more empathetic and aware of musicians
               around me and this fosters attachments. Schutz (<xref ref-type="bibr" rid="S1951"
                  >1951</xref>) described the simultaneous consciousness of orchestral players; how
               members of an orchestra are at any one time reading their score, observing the
               conductor, and unconsciously taking in the body language of those around them in
               order to work with the musicians near them. This allows the orchestra to perform as a
               whole, not as many individuals creating a sound, and ultimately builds
               attachments.</p>
            <p>When performing or rehearsing together, people are in sync physiologically (<xref
                  ref-type="bibr" rid="S1951">Schutz, 1951</xref>; <xref ref-type="bibr" rid="S1997"
                  >Storr, 1997</xref>). I stand in a choir and collectively we not only create
               sound, we work with the conductor to create an almost unconscious pulse. Our
               breathing syncs to allow flow within the music (or indeed, in some pieces we stagger
               breathing for the same effect), and the phrasing of our words relate not simply to
               the notated score, but to the movement of the conductor. Our bodies are working
               together: singer, instrumentalist, and conductor establishing physical harmony
               through the music to develop and achieve the quality performance. Whilst the primary
               goal here may not be to form attachments, it nonetheless is a result. Working
               together musically and physically develops a sense of belonging and group identity
                  (<xref ref-type="bibr" rid="B1994">Bunt, 1994</xref>). For anyone this is surely
               advantageous, as feeling a human attachment and connection to others is an innate
               desire (<xref ref-type="bibr" rid="BR2007">Brandell &amp; Ringel, 2007</xref>).
               Traumatised people have been known to struggle with isolation and attachments (<xref
                  ref-type="bibr" rid="USDVA2014">U.S. Department of Veterans Affairs, 2014</xref>),
               and thus making music may be a crucial component in establishing worth and value
                  (<xref ref-type="bibr" rid="S2004">Stige, 2004</xref>).</p>
            <p>Personally, singing in a choir, the acts of working with singers to overcome
               difficult passages, growing to understand the body language of a conductor and my
               role within the music, have all been intrinsically healing. I may not have
               consciously realised at the time, but each time I sang with my friends, or discussed
               the music with the conductor, I learned that my person was <italic>beyond
               </italic>being objectified and used, as the abusers had led me to believe. My worth
               was affirmed and my own awareness of my worth grew. I had value as an alto singer;
               the contribution of my <italic>voice </italic>was appreciated, and my friendship
               within the group was meaningful, just as was the case with a group of isolated
               homeless men described by Davidson (<xref ref-type="bibr" rid="D2004"
               >2004</xref>), who found worth and a reason to live when singing in a group choir.
               From singing with people who were once strangers, I came to realise their security
               and develop strong friendships, which have been critical to my recovery.</p>
            <p>Music was a space in which I could address attachment trauma without consciously
               focusing on the trauma itself. Collaboration implies a sense of equality (<xref
                  ref-type="bibr" rid="R2010">Rolvsjord, 2010</xref>), so to be part of a collective
               music project allowed me to feel equal with those around me. This was critical, as
               the abuse had diminished my sense of worth so greatly. Furthermore, in working
               mutually with my fellow musicians, I inadvertently learned to trust properly again.
               People recovering from trauma seem able to recognise the humanity in others when
               taking part in a musical activity (<xref ref-type="bibr" rid="ZS2004"
                  >Zharinova-Sanderson, 2004</xref>) and making music with people can allow the
               person to alter how they view themselves and others. Through music, I learned that
               not everyone was dangerous, that everyone – including me – was of equal value, and
               that even my body was worth something. It is in the musical setting that I formed
               attachments and from that could recover.</p>
         </sec>
         <!-- sec lvl 3 end -->
      </sec>
      <!-- sec lvl 2 end -->
      <!-- sec lvl 2 begin -->
      <sec>
         <title>Conclusion</title>
         <p>Music can facilitate recovery following traumatic life events (<xref ref-type="bibr"
            rid="KLBBS2008">Koen et al., 2008</xref>; <xref ref-type="bibr" rid="R1993">Rogers, 1993</xref>;
               <xref ref-type="bibr" rid="R2010">Rolvsjord, 2010</xref>; ) and this essay has
            attempted to reflect on how music affords recovery, using an entwined mixture of
            auto-ethnography supported by relevant literature.</p>
         <p>I have briefly described how music can be safe, can establish attachments, aid
            grounding, and is a communication device. In this way, I have explored how these
            functions within music can afford recovery. Music can be an advocate, an ally able to
            hold and contain disturbing and painful emotions and memories. Through its symbolism,
            elements and abilities, music can motivate fostering attachments with others, allow
            trauma to be safely disclosed, and encourage a victim to realise their rights.</p>
         <p>Further research is needed, with more in-depth analysis of these topics, as well as
            further topics such as the use of music and rhythm in empowering those who have
            experienced trauma with their bodily healing (<xref ref-type="bibr" rid="B1994">Bunt,
               1994</xref>; <xref ref-type="bibr" rid="DN2000">DeNora, 2000</xref>; <xref
                  ref-type="bibr" rid="KLBBS2008">Koen et al., 2008</xref>; <xref ref-type="bibr" rid="S1997"
               >Storr, 1997</xref>). It would be valuable to offer more opportunities for survivors
            to speak and provide the insight that other methods may not have guaranteed or safe
            access to. An interesting starting point from here could in fact be discourse analysis
            of survivors’ songs (<xref ref-type="bibr" rid="R2010">Rolvsjord, 2010;</xref> <uri xlink:href="https://voices.no/index.php/voices/rt/suppFiles/859/765">Appendix 1, see supplemental files</uri>) to increase understanding of how
            people articulate the various complex aspects of trauma through music. What are
            consistent themes and imagery in songs written by abuse survivors, what do these themes
            mean, and how does music enable the expression of that meaning safely and powerfully?
            There is the opportunity not only to provide practitioners and researchers with greater
            depth and understanding, thus helping and equipping those they work with, but also
            perhaps something greater. There is the chance to allow the voices of those once
            threatened into silence, to reach those who are still silenced, and show them that they
            too have a voice worth hearing, that recovery from their trauma is possible. Music can
            help heal them, releasing their burden and letting their secrets sing out. Through
            articles such as this one, there is greater scope for music to provide more abuse
            survivors with a voice, with recovery, with freedom, and with the chance to be
            understood and heard.</p>
      </sec>
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   <back>
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