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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">10.15845/voices.v18i2.985</article-id>
         <article-categories>
            <subj-group subj-group-type="heading">
               <subject>Reflections on Practice</subject>
            </subj-group>
         </article-categories>
         <title-group>
            <article-title>Multicultural Experiential Learning: An Approach to Learning, Developing,
               and Maintaining Multicultural Skills</article-title>
         </title-group>
         <contrib-group>
            <contrib contrib-type="author">
               <name>
                  <surname>Donley</surname>
                  <given-names>Jessica</given-names>
               </name>
               <xref ref-type="aff" rid="J_Donley"/>
               <address>
                  <email>donleyjm@gmail.com</email>
               </address>
            </contrib>
         </contrib-group>
         <aff id="J_Donley"><label>1</label>United States</aff>
         <contrib-group>
            <contrib contrib-type="editor">
               <name>
                  <surname>Rickson</surname>
                  <given-names>Daphne</given-names>
               </name>
            </contrib>
         </contrib-group>
         <contrib-group>
            <contrib contrib-type="reviewer">
               <name>
                  <surname>Bates</surname>
                  <given-names>Debbie</given-names>
               </name>
            </contrib>
         </contrib-group>
         <pub-date pub-type="pub">
            <day>1</day>
            <month>7</month>
            <year>2018</year>
         </pub-date>
         <volume>18</volume>
         <issue>2</issue>
         <history>
            <date date-type="received">
               <day>25</day>
               <month>1</month>
               <year>2018</year>
            </date>
            <date date-type="accepted">
               <day>6</day>
               <month>3</month>
               <year>2018</year>
            </date>
         </history>
         <permissions>
            <copyright-statement>Copyright: 2018 The Author(s)</copyright-statement>
            <copyright-year>2018</copyright-year>
         </permissions>
         <self-uri xlink:href="https://dx.doi.org/10.15845/voices.v18i2.985"
            >https://dx.doi.org/10.15845/voices.v18i2.985</self-uri>
         <abstract>
            <p>Multicultural experiential learning is an approach that offers a unique way for music
               therapy students and professionals to learn, develop, and maintain multicultural
               skills that are necessary when working with any client. This approach may help music
               therapists and students, particularly those that identify as White and female in
               gaining a greater awareness of themselves in relation to diverse clients.
               Multicultural learning is a process that involves three steps: self-examination,
               learning about other cultures, and developing clinical skills. Because of the varied
               experiences and training of music therapists, this approach offers opportunities for
               music therapists to take initiative in their own multicultural learning. It also
               provides new developments in university and college curriculums. Examples of
               multicultural experiential learning and the process of the author and music therapist
               are discussed to provide insight into how these tasks impacted her and her awareness
               of multicultural issues.</p>
         </abstract>
         <kwd-group kwd-group-type="author-generated">
            <kwd>music therapy</kwd>
            <kwd>multicultural</kwd>
            <kwd>experiential learning</kwd>
            <kwd>training</kwd>
         </kwd-group>
      </article-meta>
   </front>
   <body>
      <p/>
      <!-- sec lvl 2 begin -->
      <sec>
         <title>Introduction</title>
         <p>There has been an increased interest of multicultural topics in music therapy as seen in
            conference programs, continuing music therapy education courses, and changing higher
            education curriculums (10<sup>th</sup> European Music Therapy Conference, 2016; American
            Music Therapy Association, 2016; Mid-Atlantic Region of the Music Therapy Association,
            2017; The World Federation of Music Therapy, 2017a; The World Federation of Music
            Therapy, 2017b). These topics are being integrated into professional development and
            training for music therapists and music therapy students at the local, regional,
            national, and international levels. The 2016 American Music Therapy Association national
            conference emphasized international and multicultural issues through its theme and
            conference program, which included the Global Perspectives Session (<xref
               ref-type="bibr" rid="AMTA2016">American Music Therapy Association, 2016</xref>). The
            conference committee continued the Global Perspectives Session in 2017 and is continuing
            the tradition in this year’s conference in November (<xref ref-type="bibr"
               rid="AMTA2017a">American Music Therapy Association, 2017</xref>; <xref ref-type="bibr" rid="AMTA2018">American Music Therapy
               Association, 2018</xref>). The 15th World Congress of Music Therapy in Tsukuba, Japan
            also hosted presentations on multicultural music therapy, cross-cultural music therapy,
            and intercultural topics (<xref ref-type="bibr" rid="WFMT2017b">The World Federation of
               Music Therapy, 2017b</xref>). A cultural
            program with experiential learning opportunities about Japanese culture relative to the
            host city was available to attendees (<xref ref-type="bibr" rid="WFMT2017a">The World
               Federation of Music Therapy, 2017a</xref>).</p>
         <p>Some music therapy programs at institutes of higher education have adapted their
            curriculum to encourage student understanding of other cultures. This creates an
            encouraging environment for students from underrepresented backgrounds, such as students
            of indigenous or international cultures to study music therapy, which helps diversify a
            predominantly White female profession (<xref ref-type="bibr" rid="M2015">Mahoney,
               2015</xref>; <xref ref-type="bibr" rid="MTTU"
               >Music Therapy at Temple University, n.d.</xref>; <xref ref-type="bibr"
               rid="UL">University of Limerick, n.d.</xref>; <xref
               ref-type="bibr" rid="VUW">Victoria University
               of Wellington, n.d.</xref>). Multicultural topics in concurrent sessions (<xref
               ref-type="bibr" rid="EMTC2016">10th European Music Therapy Conference, 2016</xref>;
               <xref ref-type="bibr" rid="AMTA2016">American Music Therapy Association, 2016</xref>;
               <xref ref-type="bibr" rid="HN2016">Hadley &amp; Norris, 2016</xref>; <xref
               ref-type="bibr" rid="WFMT2017b">The World Federation of Music Therapy, 2017b</xref>), CMTE’s, and in the curriculum (Music
            Therapy at Temple University, n.d.; Slippery Rock University, n.d.; University of
            Limerick, n.d.; Victoria University of Wellington, n.d.) require an exploration of the
            identity of the music therapist and other cultures.</p>
         <p>Music therapists can explore their cultural identity and the cultures of others using
            multicultural learning. According to Orozco, Lee, Blando, and Shooshani (<xref
               ref-type="bibr" rid="OLBS2014">2014</xref>), multicultural learning contains
            practicum and internship learning opportunities for counselors working with individuals
            from diverse cultures. Counselors may have difficulty generalizing explorations of the
            self and other if the context of professional development and training activities does
            not include a diversity of people (<xref ref-type="bibr" rid="B2000">Bateson,
               2000</xref>). For instance, some universities are located in rural areas. For this
            reason, music therapists could struggle to translate what is learned in the classroom or
            professional development setting to the therapeutic setting. It is unclear if these
            traditional learning experiences prepare music therapists to meet multicultural needs of
            clients. Multicultural learning can assist, and is an “ongoing,” “lifelong process”
            (Orozco et al., 2014, pp.14–17). It is an important form of professional development for
            the music therapy profession. Different types of multicultural experiential learning
            that the author has participated in will be discussed.</p>
      </sec>
      <!-- sec lvl 2 end -->
      <!-- sec lvl 2 begin -->
      <sec>
         <title>Multicultural Competencies and Requirements of Music Therapy Associations</title>
         <p>The American Music Therapy Association, the Canadian Music Therapy Association, the
            Australian Music Therapy Association, and the British Association for Music Therapy have
            adopted ethical and professional requirements for music therapists concerning
            multicultural issues (<xref ref-type="bibr" rid="AMTA2013">American Music Therapy
               Association, 2013</xref>; <xref ref-type="bibr" rid="AMTA2014">American Music Therapy
               Association, 2014</xref>; <xref ref-type="bibr" rid="AMTA2015">American Music Therapy
               Association, 2015</xref>; <xref ref-type="bibr" rid="AMTA2014">Australian Music
               Therapy Association, 2014</xref>; <xref ref-type="bibr" rid="BAMT2008">British
               Association for Music Therapy, 2008</xref>; <xref ref-type="bibr" rid="KS2002">Kerr
               &amp; Sergeant, 2002</xref>). The American Music Therapy Association’s <italic>Code
               of Ethics</italic> states, “The MT will not discriminate in relationships with
            clients/students/research subjects because of race, ethnicity, language, religion,
            marital status, gender, gender identity or expression, sexual orientation, age, ability,
            socioeconomic status or political affiliation” (<xref ref-type="bibr" rid="AMTA2014"
               >2014</xref>; <xref ref-type="bibr" rid="M2015">Mahoney, 2015</xref>). The term
            discrimination is also utilized in the Australian Music Therapy Association’s
               <italic>Code of Ethics</italic> (<xref ref-type="bibr" rid="AUMTA2014">2014</xref>).
            Although the association takes important advances toward multicultural
            inclusion, it needs to address the importance of cultural identity
            exploration in various contexts and how to find meaning in them
            (<xref ref-type="bibr" rid="AUMTA2014">Australian Music
               Therapy Association, 2014</xref>; <xref ref-type="bibr" rid="S2014">Swamy,
               2014</xref>). A music therapist with little multicultural training may be unaware of
            their discrimination and bias toward certain groups. Then, the music therapist is unable
            to uphold the ethical code. The <italic>Code of Ethics</italic> by the Canadian
            Association of Music Therapy emphasizes this self-exploration. It states, music
            therapists will “evaluate how their experience, attitudes, culture, beliefs, values,
            social context, individual differences, and stresses influence their interaction with
            others, and integrate this awareness into all efforts to benefit and not harm others”
               (<xref ref-type="bibr" rid="KS2002">Kerr &amp; Sergeant, 2002, p. 11</xref>).</p>
         <p>Music therapists are ethically responsible to meet professional competencies and
            encouraged to work toward advanced competency. The <italic>Advanced
               Competencies</italic> of the American Music Therapy Association (<xref
               ref-type="bibr" rid="AMTA2015">2015</xref>) address the music therapists’
            self-awareness, insight, and cultural identity. The British Association for Music
            Therapy (<xref ref-type="bibr" rid="BAMT2008">2008</xref>) also emphasizes
            self-awareness, but focuses instead on not letting the music therapists’ views affect
            their treatment of clients. These are progressive, but they lack the words previously
            described in the Canadian Music Therapy Association’s <italic>Code of Ethics</italic>
               (<xref ref-type="bibr" rid="KS2002">Kerr &amp; Sergeant, 2002</xref>).</p>
         <p>Professional organizations, such as the European Music Therapy Confederation (<xref
               ref-type="bibr" rid="ECATE2005">2005</xref>) encourage professional development.
            Multicultural experiential learning has the potential as a professional development tool
            and can assist music therapists and trainees to develop and ensure professional
            competencies, advanced competencies, and abide by the Code of Ethics (<xref
               ref-type="bibr" rid="AMTA2014">American Music Therapy Association, 2014</xref>).
            Multicultural experiential learning may be new to the profession, but multicultural
            understanding and training were discussed as far back as 1967 in Iverson’s (<xref
               ref-type="bibr" rid="I1967">1967</xref>) prose for a multidisciplinary approach
            following the writings of helping professionals who worked with minorities in mental
            health. In order for music therapy professionals to develop multicultural skills,
            associations must change and adapt their <italic>Code of Ethics</italic> to reflect
            current literature. Then, music therapists may begin to address the “self” and
            multicultural training (<xref ref-type="bibr" rid="M2015">Mahoney, 2015</xref>).</p>
      </sec>
      <!-- sec lvl 2 end -->
      <!-- sec lvl 2 begin -->
      <sec>
         <title>Multicultural Learning is a Process</title>
         <p>Multicultural learning is process-oriented rather than outcome-oriented through an
            ongoing process (<xref ref-type="bibr" rid="B2011">Bruscia, 2011</xref>; <xref
               ref-type="bibr" rid="OLBS2014">Orozco et al., 2014</xref>; <xref ref-type="bibr"
               rid="RP2014">Ratts &amp; Pederson, 2014</xref>; <xref ref-type="bibr" rid="SAMD1992"
               >Sue, Arrendodo, &amp; McDavis, 1992</xref>). To become competent in multicultural
            skills, counseling, psychology, and higher education researchers believed that a
            three-part process was necessary (<xref ref-type="bibr" rid="OLBS2014">Orozco et al.,
               2014</xref>; <xref ref-type="bibr" rid="RP2014">Ratts &amp; Pederson, 2014</xref>;
               <xref ref-type="bibr" rid="SAMD1992">Sue et al., 1992</xref>). In the first step,
            they discussed the importance of the therapist becoming self-aware of their cultural
            identity. They also believed it was important to understand the societal structure as it
            exists for their cultural identity. The second step was to learn about other cultures,
            which we often learn about in world music. This can include different types of music and
            instruments used in various cultures, but also the role of music within cultures. For
            instance, Bradt (<xref ref-type="bibr" rid="B1997">1997</xref>) talked about the
            importance of music in healing and communicating with the dead in the Xhosa community in
            South Africa. The final step discussed the importance of learning skills to work with
            individuals of different cultures. These can include music experiences, techniques, and
            other practices to be inclusive of culture (<xref ref-type="bibr" rid="HN2016">Hadley
               &amp; Norris, 2016</xref>).</p>
         <!-- sec lvl 3 begin -->
         <sec>
            <title>Examination of the Self</title>
            <p>While a sequential step process is outlined above, multicultural training needs to be
               non-sequential. Instead of thinking about it linearly or in a sequence, music
               therapists need to be responsible in revisiting these aspects of multicultural
               training. As humans we constantly grow and change, and so understanding the self
               needs to be revisited often. I think the same changing nature of societal structures
               and cultures also need to be considered in this way as well, especially with the
               consideration of globalization (<xref ref-type="bibr" rid="S2014">Swamy,
               2014</xref>). In fact, Ratts and Pederson (<xref ref-type="bibr" rid="RP2014"
                  >2014</xref>) discussed further about the influence that globalization has on
               multicultural competency. They focused on global context and technology, such as the
               internet and social media. We can now connect to people in other regions of the world
               within a matter of minutes or seconds.</p>
            <p>While our culture is a reflection of our global context, it is also within each of us
                  (<xref ref-type="bibr" rid="RP2014">Ratts &amp; Pederson, 2014</xref>). Today,
               more emphasis must be placed on the “self-examination” of the therapist and their
               multicultural identity that includes race, class, ethnicity, ability, religion,
               gender, and sexual orientation (<xref ref-type="bibr" rid="M2015">Mahoney,
                  2015, p. 1</xref>). The self is created
               from these multiple identities and each identity intersects with another creating
               what we call intersectionality (<xref ref-type="bibr" rid="H2013">Hadley,
               2013</xref>). Intersectionality goes against the neo-colonial music therapy idea of
               homogenous groups and that individuals are the same within one identity (<xref
                  ref-type="bibr" rid="C2016">Comte, 2016</xref>).</p>
            <p>It is within this examination of ourselves that we begin to have a new awareness for
               multicultural competency (<xref ref-type="bibr" rid="RP2014">Ratts &amp; Pederson,
                  2014</xref>). Training of music therapy students at the institutional level may
               only inform them about other cultures with no reference to their own. From this,
               students may face difficulty developing effective experiences for their clients or
               advanced competency. The connection between coursework and cultural identity may not
               be realized in order to translate to the music therapy session. Because music
               therapists may have only one session with someone from a different culture, it is
               important that the music therapist understand their cultural identity in order to
               develop rapid rapport (<xref ref-type="bibr" rid="D2017">Donley, 2017</xref>; <xref
                  ref-type="bibr" rid="OLBS2014">Orozco et al., 2014</xref>). Otherwise, the
               opportunity for a second session is diminished.</p>
            <p>Music therapists also need to examine their race and views on race to learn how they
               contribute to the therapeutic relationship (<xref ref-type="bibr" rid="M2015"
                  >Mahoney, 2015</xref>). According to Bryson (<xref ref-type="bibr" rid="B2016"
                  >2016</xref>) and Tatum (<xref ref-type="bibr" rid="T2003">2003</xref>), when
               students are given an opportunity to describe their identity, White students will
               name other identifiers that do not involve race. This is different from minority
               students. White people are given safety and comfort in our society unlike minority
               groups (<xref ref-type="bibr" rid="Y2015">Yancy, 2015</xref>). Self-exploration of
               White privilege is a continuous process, and the music therapy field could benefit
               from this exploration (<xref ref-type="bibr" rid="H2013">Hadley, 2013</xref>; <xref
                  ref-type="bibr" rid="HN2016">Hadley &amp; Norris, 2016</xref>). Music therapists
               may experience a relearning or reexamining of values and beliefs that have attributed
               to their cultural identity, interactions with others, and interactions with their
               environment (<xref ref-type="bibr" rid="HN2016">Hadley &amp; Norris, 2016</xref>;
                  <xref ref-type="bibr" rid="Y2015">Yancy, 2015</xref>). The process can be
               mentally, emotionally, and physically exhausting. Music therapists may argue that
               this process is unnecessary, “if music therapists practice empathically and
               sensitively” (<xref ref-type="bibr" rid="B2002">Brown, 2002, p. 1</xref>). As we encourage our clients to move
               towards change, we also need to move in a similar direction despite any discomfort
               involved (<xref ref-type="bibr" rid="A1994">Arredondo, 1994</xref>). Development
               requires change, and “change is core to our professional work” (1994, p.
               308–309).</p>
         </sec>
         <!-- sec lvl 3 end -->
         <!-- sec lvl 3 begin -->
         <sec>
            <title>Learning about Other Cultures</title>
            <p>The music therapy community likely feels most confident in this area of multicultural
               training. In a survey study by Darrow and Molloy (<xref ref-type="bibr"
                  rid="DM1998">1998</xref>), 75 percent of music therapists indicated they knew
               multicultural music generally and in relation to their clients. It is uncertain how
               music therapy students and professionals learn about cultures and their music in the
               university setting in the United States, Australia, and other schools
               internationally, such as in Norway. Each country has different accreditation methods
               for its music therapy degree programs (<xref ref-type="bibr" rid="AUMTA2012"
                  >Australian Music Therapy Association, 2012</xref>; <xref ref-type="bibr"
                  rid="DM1998">Darrow &amp; Molloy, 1998</xref>; <xref ref-type="bibr"
                  rid="ECATE2017">European Consortium for Art Therapies Education, 2017</xref>).
               Some may offer more flexibility within the curriculum (<xref ref-type="bibr"
                  rid="AUMTA2012">Australian Music Therapy Association, 2012</xref>).</p>
            <p>Previously, some claimed “a music therapist’s university education cannot be
               considered complete without a required course in world music or ethnomusicology,”
                  (<xref ref-type="bibr" rid="M1988">Moreno, 1988, p. 20</xref>) but now
               multicultural counseling also needs to be considered (<xref ref-type="bibr"
                  rid="B1997">Bradt, 1997</xref>; <xref ref-type="bibr" rid="DM1998">Darrow &amp;
                  Molloy, 1998</xref>; <xref ref-type="bibr" rid="T1995">Toppozada, 1995</xref>).
               Already, music therapy students are required to complete extensive coursework, and
               music therapy faculty struggle for a lack of personnel or their experience in
               teaching multicultural topics (<xref ref-type="bibr" rid="T1995">Toppozada,
                  1995</xref>). Internationally, some music therapy programs stated that
               multicultural issues were not currently significant in the field (<xref
                  ref-type="bibr" rid="B2002">Brown, 2002</xref>). International travel can also be
               fruitful to learn about one’s worldview, other cultures, and multicultural issues.
               Local cultural events can also be considered (<xref ref-type="bibr" rid="S2014"
                  >Swamy, 2014</xref>).</p>
         </sec>
         <!-- sec lvl 3 end -->
         <!-- sec lvl 3 begin -->
         <sec>
            <title>Developing Clinical Skills</title>
            <!-- sec lvl 4 begin -->
            <sec>
               <title>Listening to Client Issues</title>
               <p>In order to develop clinical skills with diverse cultures, music therapists need
                  to listen to client issues to understand what the client or group of clients face
                  as a minority within societal constructs. Mahoney (<xref ref-type="bibr"
                     rid="M2015">2015</xref>) discussed this as it relates to the LGBTQIA
                  community and individuals with disabilities. Andrew Lightstone focused on
                  listening first with a client in the First Nations community in Ontario (<xref
                     ref-type="bibr" rid="LH2013">Lightstone &amp; Hadley, 2013</xref>). Instead of
                  instructing his client, he created a space for her to be heard as she found her
                  voice through her native music.</p>
               <p>Therapists may need to include an interpreter (<xref ref-type="bibr" rid="RP2014"
                     >Ratts &amp; Pederson, 2014</xref>). This allows the client to express
                  themselves in their native language when the English translation or interpretation
                  is not as meaningful. Schwantes (<xref ref-type="bibr" rid="S2015">2015</xref>)
                  wrote about utilizing an interpreter in music therapy. When an interpreter was
                  unable to attend, Schwantes said that communicating and facilitating musical
                  experiences became more difficult. Through the complex web of communication, music
                  therapists can overlook significant words or statements spoken by their clients.
                  Getano Bann used a different approach by listening and observing clients (<xref
                     ref-type="bibr" rid="BH2013">Bann &amp; Hadley, 2013</xref>). He listened for silence, read
                  body language of clients, and remained present with the energy in the space.</p>
            </sec>
            <!-- sec lvl 4 end -->
            <!-- sec lvl 4 begin -->
            <sec>
               <title>Client Interaction</title>
               <p>Today, we interact with more diverse individuals (<xref ref-type="bibr"
                     rid="B2002">Brown, 2002</xref>). Societies are becoming more multicultural and
                  diverse (<xref ref-type="bibr" rid="B1997">Bradt, 1997</xref>). We may find that
                  our relationships with our clients develop more in depth with those with whom we
                  share similar cultural identities (<xref ref-type="bibr" rid="H2013">Hadley,
                     2013</xref>). Lightstone talked about his experience at a youth camp for
                  children who were disadvantaged (<xref ref-type="bibr" rid="LH2013">Lightstone
                     &amp; Hadley, 2013</xref>). Although Lightstone had developed great
                  relationships with the campers, his colleague had a similar background to the
                  participants, and therefore, a deeper connection with them. While this may be true
                  for this scenario, music therapists must consider each case as unique. Encouraging
                  the client to teach the music therapist music about their culture may support the
                  development and preservation of the therapeutic relationship.</p>
            </sec>
            <!-- sec lvl 4 end -->
            <!-- sec lvl 4 begin -->
            <sec>
               <title>Developing Skills</title>
               <p>There are three types of skills for music therapists to learn when developing
                  multicultural competency (<xref ref-type="bibr" rid="B2002">Brown, 2002</xref>).
                  First, the music therapist develops communication skills that are culturally
                  appropriate and empathetic. Secondly, clinicians utilize music therapy
                  interventions appropriate to the context and culture of the client. This includes
                  the understanding and importance of musical instruments in cultures. The third
                  involves the therapist learning and advocating for clients (<xref ref-type="bibr"
                     rid="S2004">Stige, 2004</xref>). The music therapist becomes an activist for
                  their client and supports the integrity of the therapeutic relationship.</p>
            </sec>
            <!-- sec lvl 4 end -->
         </sec>
         <!-- sec lvl 3 end -->
      </sec>
      <!-- sec lvl 2 end -->
      <!-- sec lvl 2 begin -->
      <sec>
         <title>Importance of Multicultural Experiential Learning</title>
         <p>When considering these areas in multicultural learning and training, there seems to be a
            gap between learning about cultures in informal and formal learning environments and the
            development of those clinical skills (<xref ref-type="bibr" rid="M1988">Moreno,
               1988</xref>). This may be especially true for music therapists who are trained and
            practice in rural environments (<xref ref-type="bibr" rid="B2002">Brown, 2002</xref>).
            After completion of coursework and requirements for accreditation, the responsibility
            for multicultural learning falls on the music therapist (<xref ref-type="bibr"
               rid="T1995">Toppozada, 1995</xref>).</p>
      </sec>
      <!-- sec lvl 2 end -->
      <!-- sec lvl 2 begin -->
      <sec>
         <title>Multicultural Experiential Learning Defined</title>
         <p>For this paper, multicultural experiential learning will be defined as the obtainment of
            knowledge about multicultural identities and the people within them through experiences
            within the self or between the self and other that goes beyond conventional classroom
            learning (<xref ref-type="bibr" rid="B2000">Bateson, 2000</xref>). This type of learning
            must occur outside the formal classroom and in informal learning environments in order
            to generalize classroom and professional development knowledge to the community and
            clinical space. Multicultural experiential learning is expected to occur for a brief
            period of time as opposed to cultural immersion in a foreign context abroad.</p>
         <!-- sec lvl 3 begin -->
         <sec>
            <title>Overview of Multicultural Experiential Learning</title>
            <p>According to Kolb (<xref ref-type="bibr" rid="K2014">2014</xref>), the founder of
               experiential learning theory, experiential learning has been defined in many ways
               making the meaning unclear and ambiguous to researchers and educators. Fenwick (<xref
                  ref-type="bibr" rid="F2000">2000</xref>) believed that this ambiguity
               surrounding the definition was due to the difficulty in separating the term from
               formal education practice. Among its many definitions, experiential learning has been
               defined as “a particular form of learning from life experience; often contrasted with
               lecture and classroom learning” (<xref ref-type="bibr" rid="K2014">2014, para. 2</xref>). Kolb understood
               experiential learning differently as a holistic process that one could use to relate
               to all aspects of their life. While it is possible to view experiential learning as
               occurring in formal and informal learning environments, I want to focus on
               experiential learning as it includes informal learning environments. Currently, the
               literature about multicultural experiential learning is lacking in music therapy and
               few in other professions, such as counseling.</p>
            <p>Arthur and Achenbach (<xref ref-type="bibr" rid="AA2002b">2002</xref>; <xref
                  ref-type="bibr" rid="AA2002">Achenbach &amp; Arthur, 2002</xref>) explored the
               impact of experiential learning in cross-cultural training, counseling, and their
               multicultural counseling curriculum. One of the experiential learning exercises they
               discussed was BAFA BAFA, which explores culture shock (<xref ref-type="bibr"
                  rid="AA2002b">Arthur &amp; Achenbach, 2002</xref>). In BAFA BAFA, students are
               separated into two groups that represent two imaginary cultures (<xref
                  ref-type="bibr" rid="BGS1993">Bruschke, Gartner, &amp; Seiter, 1993</xref>; <xref
                  ref-type="bibr" rid="GP1997">Gannon &amp; Poon, 1997</xref>). Each group is given
               information about the culture they role-play. After engaging with members from their
               cultural group, members are asked to exchange cultural ideas with the second group.
               Two studies on BAFA BAFA found strikingly different results. <xref ref-type="bibr"
                  rid="BGS1993">Bruschke et al. (1993)</xref> found that BAFA BAFA encouraged
               ethnocentrism in students while Gannon and Poon (<xref ref-type="bibr" rid="GP1997"
                  >1997</xref>) found that the experience heightened students’ multicultural
               awareness. Arthur and Achenbach (<xref ref-type="bibr" rid="AA2002b">2002</xref>)
               also mentioned a second experiential tool and card game called Barnga, which is
               “designed to reflect cultural clashes and communication barriers that occur in real
               life situations” (<xref ref-type="bibr" rid="AA2002">p. 3</xref>; <xref
                  ref-type="bibr" rid="S1990">Steinwachs, 1990</xref>). Achenbach and Arthur (<xref
                  ref-type="bibr" rid="AA2002">2002</xref>) utilized Barnga to study how
               experiential learning affected students’ multicultural awareness, the students’
               process of multicultural learning, the translation of experiential learning to
               counseling practice, and its potential to improve the university curriculum in
               counseling programs. Like BAFA BAFA, Barnga gives students the opportunity to learn
               about culture shock. Students in the experience assume that everyone is playing using
               the same instructions, but the instructions vary slightly among participants. Through
               the varying rules, students learn to navigate different cultural dynamics. Using
               grounded theory, Achenbach and Arthur recruited and retained 19 participants over the
               three stages of the study: the simulation exercise, individual interviews, and focus
               groups. Three cultural schemas were identified in the results including the cultural
               condition or environment, cultural other, and cultural self, which were found to
               promote student understanding and growth in cultural empathy.</p>
            <p>Kim and Lyons (<xref ref-type="bibr" rid="KL2003">2003</xref>) discussed
               experiential learning in multicultural counseling with a greater emphasis on games
               and gaming. These games included Multicultural Jeopardy; Cultural Bingo; and Step
               Forward, Step Back. In Step Forward, Step Back, students are asked to move forward or
               back according to their responses to statements about privilege (<xref
                  ref-type="bibr" rid="KL2003">Kim &amp; Lyons, 2003</xref>). In this experience,
               students are given a piece of paper with a cultural identity different from their
               own, and their responses are based on this cultural identity. Students may also
               respond based on their own cultural identity. More recently, Step Forward, Step Back
               has been known as a Privilege Walk (<xref ref-type="bibr" rid="NG2017">Ngoasheng
                  &amp; Gachago, 2017</xref>). Teachers may modify the Privilege Walk in multiple
               ways. The teachers can direct statements about cultural identity or the students’
               cultural identity. Instead of moving forward and backward, teachers can also instruct
               students to move only forward or only backward. These experiences assist students in
               seeing privilege and disadvantages from their own and others’ perspectives. They are
               especially powerful. Students may feel guilt or shame as their privilege and
               disadvantages are vividly brought to the forefront. Aspects of these experiences,
               such as the size of the steps taken can lead students to new awareness and
               understanding. In another example of experiential learning, indirect care staff at a
               hospital participated as a patient in the hospital for a day to better understand
               inpatient experiences (<xref ref-type="bibr" rid="AA2002b">Arthur &amp; Achenbach,
                  2002</xref>). Direct care staff and indirect care staff had mixed reviews about
               the experience. Direct care staff held more negative views while observing others
               participate, and indirect staff that participated felt they benefited from the
               experience.</p>
            <p>Role-playing may be important for learning and professional development, such as in
               supervision, but,role-playing a cultural group or population must be avoided (<xref
                  ref-type="bibr" rid="S2001">Stige, 2001</xref>). Role-playing a group or
               population may encourage oppression toward groups that the neo-colonial music
               therapist labels as homogenous (<xref ref-type="bibr" rid="C2016">Comte,
               2016</xref>). Although experiential learning may offer benefits to its participants,
               faculty need to carefully and cautiously incorporate this tool into the university
               curriculum. Firstly, educators need to understand how experiential learning meets the
               training needs of participants (<xref ref-type="bibr" rid="AA2002b">Arthur &amp;
                  Achenbach, 2002</xref>). Educators also need to create safe spaces for
               participants to identify and explore thoughts and emotions. For these reasons and
               based on my previous experience with experiential learning, I think the examples
               below align more closely with this paper’s ideas of multicultural experiential
               learning and the music therapy profession.</p>
            <p>The music therapy field and clients of music therapists will continue to benefit from
               music therapists’ professional development in multicultural competence as long as
               music therapists continue to pursue those opportunities. According to Arthur and
               Achenbach (<xref ref-type="bibr" rid="AA2002b">2002</xref>), students who
               discontinued practice in multicultural competence were more likely to regress to
               their innate cultural beliefs. Students and professionals need to have a strong
               initiative to continue their practice in multicultural training and learning.
               Multicultural learning experiences may open possibilities for music therapists in the
               majority in any context to gain understanding about the perspectives of
               minorities.</p>
         </sec>
         <!-- sec lvl 3 end -->
         <!-- sec lvl 3 begin -->
         <sec>
            <title>Multicultural Experiential Learning in Music Therapy</title>
            <p>At this time, there are only a few articles about experiential learning in the music
               therapy literature (<xref ref-type="bibr" rid="D2000">Dileo,
                  2000</xref>; <xref ref-type="bibr" rid="L2001">Langdon,
                     2001</xref>; <xref
                        ref-type="bibr" rid="L2013">Lindvang, 2013</xref>; <xref ref-type="bibr" rid="M2007">Murphy, 2007</xref>; <xref ref-type="bibr" rid="MW2005">Murphy &amp; Wheeler,
                  2005</xref>; <xref ref-type="bibr"
                  rid="W1996">Wigram, 1996</xref>). None of these mentions experiential learning
               theory in conjunction with multicultural issues (<xref ref-type="bibr" rid="D2000">Dileo,
                  2000</xref>). Instead, they focus on music therapy
               training overall and personal therapy and self-care (<xref ref-type="bibr" rid="L2001">Langdon,
                  2001</xref> ; <xref ref-type="bibr" rid="L2013">Lindvang,
                     2013</xref> ; <xref ref-type="bibr" rid="M2007">Murphy,
                        2007</xref> ; <xref ref-type="bibr" rid="MW2005">Murphy &amp; Wheeler,
                           2005</xref> ; <xref ref-type="bibr" rid="W1996">Wigram,
                              1996</xref>).</p>
            <p>Faculty may implement a holistic approach, as described by Kolb (<xref
                  ref-type="bibr" rid="K2014">2014</xref>), throughout the curriculum for
               students. A professional trained in multicultural counseling would be ideal since
               they have participated in group processes and may also have experience in leading
               groups towards this skill set. A faculty member with training in world music or
               ethnic studies may lack this skill for facilitating difficult dialogues. Faculty
               members with limited experience need to seek guidance and collaboration with other
               members at their institutions. Faculty members may not feel qualified to implement
               this in their programs alone (<xref ref-type="bibr" rid="T1995">Toppozada,
                  1995</xref>).</p>
            <p>Beyond graduation, interns and early career professionals can be subjected to
               multicultural learning in combination with other client needs at internship and
               during clinical training. While these formal settings can include multicultural experiences, they lack
               an opportunity for isolated acquisition of these skills. Isolated learning concentrates on one application at a time and simplifies the
               process. Music therapists must consider the importance of learning these skills alone
               before integrating them into music therapy practice. For example, a great musician
               and music therapist often practices their music by isolating the voice, guitar,
               piano, etc., before integrating instruments together. In this same way, the music
               therapist must isolate multicultural learning from their clinical work in order to
               proceed toward multicultural competence.</p>
         </sec>
         <!-- sec lvl 3 end -->
      </sec>
      <!-- sec lvl 2 end -->
      <!-- sec lvl 2 begin -->
      <sec>
         <title>Multicultural Discoveries of a White Music Therapist</title>
         <p>In this section, I share insight into my process of multicultural experiential learning
            while participating in a multicultural counseling course during my graduate program.
            Specifically, I want to talk about how my experiences have impacted me. I hope to be
            vulnerable about my realization of “White innocence” (<xref ref-type="bibr" rid="Y2015"
               >Yancy, 2015, par. 8</xref>) in my life
            and to encourage others to look at the racism, prejudices, and judgments they have made
            toward people they have oppressed.</p>
         <!-- sec lvl 3 begin -->
         <sec>
            <title>About the Author</title>
            <p>I am a White female Christian cisgender heterosexual abled-bodied music therapist who
               grew up in Shreveport, Louisiana. Financially, I felt comfortable and at ease with
               what my White parents were able to provide. I earned an undergraduate degree in Music
               Performance at the University of Louisiana at Monroe, and my graduate degree in Music
               Therapy from Appalachian State University. I consider myself fierce, blunt, honest,
               and resilient about multicultural issues in the field of music therapy.</p>
         </sec>
         <!-- sec lvl 3 end -->
         <!-- sec lvl 3 begin -->
         <sec>
            <title>My Process</title>
            <p>Appalachian State University is in rural Boone, North Carolina. In the 2016 American Community Survey, 92.9% of the population was White
               according to the United States Census Bureau (2016).
               (<xref
                  ref-type="bibr" rid="USCB2016">2016</xref>). Blacks and African Americans consisted of 2.3%, Hispanics and Latinos 2.6%,
               American Indians 0.5%, and Asians 1.5% of the population there.
               The lack of diversity was shocking in Boone. I remember describing my new community
               as a utopia as depicted in <italic>Lost Horizon</italic>, because of the low crime
               rate. Unconsciously and regrettably, I associated this low crime rate with a lack of
               diversity based on my prejudice towards Blacks that I learned from my family,
               friends, and the media.</p>
            <p>Despite these statistics, there was a good representation of individuals in my class
               who identified within various races, genders, and sexual orientations. This included
               my professor, a Black male. With his instruction, I began to challenge and unlearn my
               racism, prejudices, and judgments of Black people and other minority groups. While
               discussion with a diverse group of peers was an important part of the course, I felt
               unhinged and anxious about the tasks<sup>
                  <xref ref-type="fn" rid="ftn1">1</xref>
               </sup> presented to us by my professor. I often sat numb hoping my professor would
               reveal how to complete the assignments. I was certain that the best result was to
               reach the outcome without moving through the process. It took a lot of courage to
               enter this process, for each task where it seemed all new and unmapped territory.
               Each task focused on a division of identity including socioeconomic status, gender,
               sexual orientation, and religion. In the process, I was most surprised by my family’s
               covert communication to construct barriers to change. My beliefs on multicultural
               issues were shifting, but my family and friends’ beliefs on the same issues remained
               the same.</p>
            <!-- sec lvl 4 begin -->
            <sec>
               <title>Socioeconomic status</title>
               <p>In the United States, the Health and Human Services department offers assistance
                  for eligible individuals and families based on their income. The expenses covered
                  include groceries, heating and cooling, and other living costs (<xref
                     ref-type="bibr" rid="USDHHS2015">U. S. Department of Health and Human Services,
                     2015</xref>). According to a report from the U.S. Census Bureau by Irving and
                  Loveless (<xref ref-type="bibr" rid="IL2015">2015</xref>), in 2012, 21.3 percent
                  of the U.S. population or 52.2 million people received assistance each month. My
                  knowledge about social services was limited to food stamps, which assist with food
                  costs through the Supplemental Nutrition Assistance Program (SNAP). I held a
                  negative impression, because I heard about the abuse of this program. I began to
                  acquaint social services with shame as a result.</p>
               <p>For the first experiential experience, I was required to obtain a public
                  assistance application without using online or digital resources. This was
                  designed to simulate what individuals in poverty may experience without access to
                  online resources. This process supported my multicultural learning, because
                  talking to people about my need for help facilitated my understanding of shame
                  around the cultural division of poverty. Shame appeared in my experience in a
                  different way. I had planned to ask city employees in local offices for help, but
                  they were closed. Instead, a man downtown helped me locate the building, because
                  he had received public assistance in the past. He initiated conversation with me
                  and asked me for money. Sadly, I admit he would have remained invisible to me
                  otherwise. After our talk, I felt ashamed, disgusted, and guilty becoming aware of
                  my hidden agenda. Completing the task was now easy. From the experience, I have a
                  greater awareness of my prejudices towards individuals who are impoverished. This
                  has encouraged me to recognize the false beliefs I have and to change my
                  interactions with this demographic. This small experience has helped me gain
                  empathy for people within this division of culture.</p>
            </sec>
            <!-- sec lvl 4 end -->
            <!-- sec lvl 4 begin -->
            <sec>
               <title>Sexual orientation</title>
               <p>I first became aware of sexual orientation in secondary school where there was
                  greater acceptance of individuals who identified as LGBTQ. A few of my friends
                  were LGBTQ, but I never felt comfortable when they displayed affection with
                  partners. In my multicultural counseling class, I was introduced to the Gender
                  Unicorn (<xref ref-type="bibr" rid="TSER2017">Trans Student Educational Resources,
                     2017</xref>). This image illustrates the complexity of gender identity and
                  sexual orientation. Initially, this was hard to process, but it helped me to
                  understand my identity within this dimension. I had greater emotional attraction
                  with women, but I was physically attracted to men. Because I was confused about
                  this awareness, I created boundaries, abstained from physical touch with women
                  that was beyond a hug, and displayed homophobic behavior.</p>
               <p>For this next task, we were encouraged to display three behaviors in public that
                  suggested we were of a different sexual orientation than how we identified. I
                  chose to ask a female friend to help me, because I was aware of my homophobia. I
                  felt uncomfortable, vulnerable, and paranoid during the experience. I worried
                  about assumptions and judgment from others. It was also difficult to participate
                  in the task because I knew that it was not my truth. While I was worried about the
                  thoughts of other people, I learned from one classmate that they were concerned
                  about their safety. My concerns seemed trivial, and my understanding shifted,
                  because I have never feared for my safety when I was with a partner. I felt like a
                  coward, and these individuals and couples seemed to grow in boldness and
                  courage. The experience gave me a new confidence in my sexual orientation and gave
                  me an opportunity to explore potential thoughts and feelings of individuals who
                  feel unsafe and are scrutinized for their cultural identities. Because I am a
                  cisgender heterosexual female, I am not questioned when I display physical
                  attraction with men or emotional attraction with women. On a later date, I
                  observed a same-sex couple holding hands. There was a presence of strength and an
                  abundance of love.</p>
            </sec>
            <!-- sec lvl 4 end -->
            <!-- sec lvl 4 begin -->
            <sec>
               <title>Religion</title>
               <p>In Boone, there is one Jewish temple, many Christian churches, and two Muslim
                  mosques an hour away. I previously lived in Morganton, North Carolina where I
                  attended a prayer. It surprised me there was a Muslim mosque in this small city of
                  the Bible Belt which is a grossly populated area of Southern Baptists, Methodists,
                  and evangelical Christians that spans from Virginia, down to Florida, and West to
                  Texas (<xref ref-type="bibr" rid="R2017">Rosenberg, 2017</xref>).</p>
               <p>I was not familiar with the proper clothing to wear to a prayer other than maybe a
                  hijab. After completing a preliminary search on the mosque’s website, I chose to
                  not wear one, and I wore a long dress that covered my shoulders and sandals
                  instead. I was nervous to attend, because I worried about what people thought.
                  Also, I did not know the ritual and procedures during the prayer. It was necessary
                  for me to follow my instincts, ask questions, and follow instructions. A clear
                  divide was evident for spaces for different genders with men in the front and
                  women in the back. This seemed strange to me, but I felt comforted when a man
                  began talking about women’s rights. As he advocated for women, I felt my
                  nervousness and anxiety melt away.</p>
               <p>Two women sat in the women’s section with me. One went to a shelf to retrieve a
                  golden hijab in exchange for the black hijab on her head. I watched this ritual in
                  wonder. The second woman came towards me and extended her arms for a light
                  handshake. This action of invitation warmed my spirit. After the prayer, I had
                  planned to quickly retreat home. Instead, a man asked, “Do you have any
                  questions?” and I stopped. Together two men and I exchanged dialogue about Islam,
                  Christianity, and hardships they faced. It was difficult to hear their fear and
                  the repercussions of speaking in public about Islam. Hearing about their
                  experiences and learning about Islam exposed the false messages delivered by the
                  national media. This information demystified the stereotype and association of
                  terrorists and the Islam religion, and I felt more equipped and encouraged to
                  advocate for them in the future.</p>
            </sec>
            <!-- sec lvl 4 end -->
            <!-- sec lvl 4 begin -->
            <sec>
               <title>Reflecting on Experiences as a Minority (at the Micro and Macro
                  levels)</title>
               <p>Until my multicultural counseling and systemic multicultural counseling courses, I
                  never considered my identity in context. In context where I was the minority, I
                  found it difficult to be authentic. I felt agitated, because I was fighting to
                  find myself in a new environment with different conditions. These feelings that I
                  rarely experience as a White woman may help me understand and empathize with
                  minorities.</p>
            </sec>
            <!-- sec lvl 4 end -->
            <!-- sec lvl 4 begin -->
            <sec>
               <title>The Chinese Music Therapy Network</title>
               <p>At the American Music Therapy Association national conference in Sandusky, OH, I
                  attended the Chinese Music Therapy Network meeting. I was interested in connecting
                  with music therapy students and music therapists in this group to learn more about
                  their culture. I was nervous and searched for courage as I joined the meeting. I
                  did not want to be perceived as a White person who wants to be Asian as discussed
                  in the YouTube video titled, “The Egg: White Person Who Acts Asian” (<xref
                     ref-type="bibr" rid="OGW2013">Off the Great Wall, 2013</xref>). A guest speaker
                  and I were the minority, but only in this small context. If we exited the room, we
                  were able to return to a context where we were again in the majority. I was
                  thankful that the women were welcoming and kind, and I felt comforted as a member
                  of the gender majority. The meeting organizer thoughtfully informed me that the
                  group would be speaking in Mandarin. I was only a beginner Mandarin speaker at the
                  time, but I chose to stay and listen. I was able to follow some of the discussion
                  by watching gestures, facial expressions, and listening for English words.</p>
            </sec>
            <!-- sec lvl 4 end -->
            <!-- sec lvl 4 begin -->
            <sec>
               <title>Classroom Minority</title>
               <p>I also took a second multicultural counseling class called systemic multicultural
                  counseling when I first discovered that I was a minority within a micro context at
                  my school. I was the only music therapy major in a course with marriage and family
                  therapy and counseling majors. This challenged me, and discussions often included
                  theories and models that were not introduced in my music therapy classes. My
                  professor and classmates also held different orientations and perspectives on
                  therapy. Although the classroom environment felt inviting, I thought that my
                  contribution to the discussion would automatically be considered wrong. I
                  questioned how I could contribute to the course.</p>
               <p>In my music therapy classes, my behavior was different in class discussion.
                  Everyone in my music therapy graduate courses was White and mostly female. I was
                  always in the majority on campus and in music therapy classes. As a minority major
                  in the multicultural counseling course, I wanted to fit in with my peers, and my
                  behavior shifted. I became fearful and anxious before speaking. Upon this
                  realization, I was able to process and reflect why I thought and behaved the way I
                  did in that setting. This helped me to reestablish my identity and encouraged me
                  to exhibit my truth.</p>
            </sec>
            <!-- sec lvl 4 end -->
         </sec>
         <!-- sec lvl 3 end -->
      </sec>
      <!-- sec lvl 2 end -->
      <!-- sec lvl 2 begin -->
      <sec>
         <title>Conclusion</title>
         <p>The field of music therapy has encouraged music therapists to explore multicultural
            learning through professional development programs and by amending the professional and
            advanced competencies (<xref ref-type="bibr" rid="AMTA2013">American Music Therapy
               Association, 2013</xref>; <xref ref-type="bibr" rid="AMTA2015">American Music Therapy
               Association, 2015</xref>). University curriculums are also evolving to help prepare
            students for these competencies (<xref ref-type="bibr" rid="AMTA2013">American Music
               Therapy Association, 2013</xref>; <xref ref-type="bibr" rid="AMTA2015">American Music
               Therapy Association, 2015</xref>; <xref ref-type="bibr" rid="M2015">Mahoney,
               2015</xref>; <xref ref-type="bibr" rid="MTTU"
               >Music Therapy at Temple University, n.d.</xref>; <xref ref-type="bibr"
               rid="UL">University of Limerick, n.d.</xref>; <xref
               ref-type="bibr" rid="VUW">Victoria University
               of Wellington, n.d.</xref>). Outside university and professional development
            settings, music therapists must continue to address multicultural competence, which is a
            life-long process. During this process, mistakes are necessary and cultural humility
            must put into action multicultural learners at all levels (<xref ref-type="bibr"
               rid="WPT2017">Whitehead-Pleaux &amp; Tan, 2017</xref>).</p>
         <p>To grow as a profession in multicultural competence, we need to find ways to understand
            perspectives of minorities and marginalized groups through an insider’s perspective
               (<xref ref-type="bibr" rid="S2002">Stige, 2002</xref>). The three-part process of
            examining the self, learning about other cultures, and developing clinical skills
            discussed by several researchers must become a non-sequential process that includes
            multicultural experiential learning (<xref ref-type="bibr" rid="OLBS2014">Orozco et al.,
               2014</xref>; <xref ref-type="bibr" rid="RP2014">Ratts &amp; Pederson, 2014</xref>;
               <xref ref-type="bibr" rid="SAMD1992">Sue, Arrendodo, &amp; McDavis, 1992</xref>).
            Multicultural experiential learning offers music therapists the ability to practice
            skills in informal environments, which are isolated and separate from the clinical
            space. Through this learning, music therapists are able to explore their
            intersectionality within each dimension of culture generating a wide knowledge,
            understanding, and awareness of multiculturalism, especially as it relates to the self
               (<xref ref-type="bibr" rid="B2000">Bateson, 2000</xref>). The examples of
            multicultural experiential learning may be beneficial for music therapists and students,
            but individuals must exert caution in their implementation. Individuals with experience
            in multicultural counseling and group processing would be the best candidates to
            facilitate these types of experiences. From the narratives above, these experiences show
            potential to improve multicultural learning and competence in music therapy and other
            helping professions.</p>
      </sec>
      <!-- sec lvl 2 end -->
   </body>
   <back>
      <fn-group>
         <fn id="ftn1">
            <p> The tasks for the multicultural counseling course were
               originally an assignment by Dr. Mona Mittal, a former professor of my professor, Dr.
               Nickolas Jordan. He told me that he modified and added new “wrinkles” when making
               them a part of his coursework.</p>
         </fn>
      </fn-group>
      <ref-list>
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               <volume>17</volume>
               <issue>2</issue>
               <fpage>39</fpage>
               <lpage>45</lpage>
            </element-citation>
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