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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.v18i1.915</article-id>
         <article-categories>
            <subj-group subj-group-type="heading">
               <subject>Reflections on Practice</subject>
            </subj-group>
         </article-categories>
         <title-group>
            <article-title>We All Came From Somewhere</article-title>
         </title-group>
         <contrib-group>
            <contrib contrib-type="author">
               <name>
                  <surname>Coombes</surname>
                  <given-names>Elizabeth</given-names>
               </name>
               <xref ref-type="aff" rid="aff1"/>
               <address>
                  <email>elizabeth.coombes@southwales.ac.uk</email>
               </address>
            </contrib>
         </contrib-group>
         <aff id="aff1"><label>1</label>University of South Wales, UK</aff>
         <contrib-group>
            <contrib contrib-type="editor">
               <name>
                  <surname>Gilboa</surname>
                  <given-names>Avi</given-names>
               </name>
            </contrib>
         </contrib-group>
         <contrib-group>
            <contrib contrib-type="reviewer">
               <name>
                  <surname>Bolger</surname>
                  <given-names>Lucy</given-names>
               </name>
            </contrib>
         </contrib-group>
         <pub-date pub-type="pub">
            <day>1</day>
            <month>3</month>
            <year>2018</year>
         </pub-date>
         <volume>18</volume>
         <issue>1</issue>
         <history>
            <date date-type="received">
               <day>22</day>
               <month>2</month>
               <year>2017</year>
            </date>
            <date date-type="accepted">
               <day>20</day>
               <month>11</month>
               <year>2017</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.v18i1.915"
            >https://dx.doi.org/10.15845/voices.v18i1.915</self-uri>
         <abstract>
            <p>This reflection on practice concerns a short-term music therapy project undertaken in
               2014 with asylum seeking families in a major city in S. Wales. The project was
               designed to support these families in settling in their new home, and was the first
               music therapy initiative for the charity who funded it. The work itself caused the
               therapist to reflect on the countertransference engendered by the experience and how
               this aspect of the work enabled her to gain a deeper understanding of issues faced by
               those who find themselves seeking asylum in another country.</p>
         </abstract>
         <kwd-group kwd-group-type="author-generated">
            <kwd>music therapy</kwd>
            <kwd>asylumseekers</kwd>
            <kwd>countertransference</kwd>
            <kwd>reflection</kwd>
         </kwd-group>
      </article-meta>
   </front>
   <body>
      <!-- sec lvl 2 begin -->
      <sec>
         <title>Prelude</title>
         <p>In 2014, I led an 8-week music therapy project for asylum seeking families with
            pre-school children. The work was located in a major city in South Wales. Funding was
            provided by a large UK charity dedicated to improving the lives of the most vulnerable
            children and young people in society. The purpose of the work was to make connections
            between newly dispersed asylum-seeker families and the charity and to assist them in
            becoming part of their new community. The charity was interested in broadening the range
            of therapies it offered and wanted to use unallocated funds to explore the option of
            music therapy.</p>
         <p>The original idea for the project had developed from a chance meeting with a manager of
            part of the charity’s provision. We had met at a play therapy clinic opening and had
            discovered a mutual interest in developing services for asylum-seeking families. There
            was at the time a paucity of therapeutic support for this population in the city. My
            thinking around the difficulties of transitioning to a new country and culture and how
            music therapy might play a part in supporting this population piqued the manager’s
            interest. A few weeks after the meeting, I received an email from the charity asking me
            to devise a short project for the client group mentioned above, and I began to seek out
            ideas and frameworks to help me think about this work.</p>
         <p>Although I had experience in working using music therapy and skillsharing in the
            Occupied Palestinian Territories (OPT) (<xref ref-type="bibr" rid="C2011">Coombes,
               2011</xref>; <xref ref-type="bibr" rid="CTK2017">Coombes &amp; Tombs-Katz,
               2017</xref>), I had not worked in my own country, Wales, with the asylum-seeker
            population. I located a body of literature discussing music therapy and music work in
            this area of practice in a multitude of geographical locations (<xref ref-type="bibr"
               rid="B2012">Behrens, 2012</xref>; <xref ref-type="bibr" rid="SWR2010">Storsve,
               Westby, &amp; Ruud, 2010</xref>; <xref ref-type="bibr" rid="S2002">Sutton
            2002</xref>). There were descriptions of work in clinical, community and school settings
            in the countries into which refugees (for so they were designated in these papers) had
            been placed (<xref ref-type="bibr" rid="C2010">Choi, 2010</xref>; <xref ref-type="bibr"
               rid="JBD2004">Jones, Baker &amp; Day, 2004</xref>; <xref ref-type="bibr" rid="O2005"
               >Orth, 2005</xref>; <xref ref-type="bibr" rid="SB2006">Signorelli &amp; Bright,
               2006</xref>). Whilst these were of interest in that they discussed matters relevant
            to the population in general, it was not until I located the writing of
            Zharinova-Sanderson (<xref ref-type="bibr" rid="ZS2004">2004</xref>) that I began to
            gather my thoughts in a more coherent manner. She talked about the potential for
            musicking with this client group to build trust and community engagement, moving from a
            position of social isolation to one of integration. Her thinking appeared to support the
            needs of the target client group for this pilot: asylum-seeker families with young or
            pre-school children.</p>
         <p>As well as the immediate issues of settling in a new community, there were also the well
            established frameworks of attachment theory to consider (<xref ref-type="bibr"
               rid="A1963">Ainsworth, 1963</xref>; <xref ref-type="bibr" rid="B1969">Bowlby,
               1969</xref>). It seemed that due to the pressures of the situation in which they were
            living, some caregivers may have been struggling to be emotionally accessible to their
            children. This could disrupt the early relating experiences so important for the child’s
            development and relationship between carers and child. There seemed to be links showing
            the potential for the development of healthy attachment styles and music therapy work
            which supported my position (<xref ref-type="bibr" rid="P2012">Pasiali,
            2012</xref>).</p>
         <p>There is a wealth of writing on the topic of musical connections with parent-child
            interaction and bonding. Amongst others, Abad and Edwards (<xref ref-type="bibr"
               rid="AE2004">2004</xref>) discussed the inviting nature of such interactions;
            Oldfield, Adams and Bunce (<xref ref-type="bibr" rid="OAB2003">2003</xref>) described
            how using music could be seen as a natural extension of communication between parent and
            child. Oldfield and Bunce (<xref ref-type="bibr" rid="OB2001">2001</xref>) also
            suggested that short-term music therapy with mothers and children can be an effective
            treatment for certain client groups. There was, then, the potential for this model of
            structured sessions with social time for conversation after sessions to be a useful
            framework for this pilot.</p>
         <p>I was also mindful of my own position as insider/outsider in the work. As a Welsh music
            therapist, would the clients’ perceptions of me as an authority figure impact negatively
            on their experiences in the group? What was I bringing to the group musically and in
            terms of preconceived notions, perhaps? Bridges (<xref ref-type="bibr" rid="B2001"
               >2001</xref>), writing about what he described as outsider research, posits that only
            those who have been part of a particular experience can understand that experience. He
            also suggested that utilising existing frames of reference relevant to the outsider
            themselves and their culture may actually be damaging to the work being undertaken. My
            background as a psychodynamically trained music therapist, with experience of the model
            of infant observation developed by the Tavistock Clinic in London, seemed incredibly
            foreign to the worlds of the asylum-seeker families. However, my previous work in the
            OPT, in which I had utilised these very frameworks, as well as those of Winnicott (<xref
               ref-type="bibr" rid="W1960">1960</xref>, <xref ref-type="bibr" rid="W1971"
               >1971</xref>) and Stern (<xref ref-type="bibr" rid="S2001">2001</xref>), had
            provided a useful underpinning for my thinking. Whilst it was imperative to be mindful
            of these matters, I felt I could work in an appropriate way with these families and
            offer them a useful experience in what was to be their new home.</p>
         <p>I was allocated a support worker to assist me during the sessions. Gemma was a primary
            school teacher by training and was now working for the charity. She was to make the
            practical arrangements associated with the project, including locating the families,
            arranging the initial meetings and weekly session times. It was the first project she
            had set up and worked on in this position. Our first task, once the families had been
            offered a place on the project was to meet each of them individually in their homes,
            before the work started, to build up a rapport. We wanted to offer a personal touch to
            what otherwise could have seemed a rather intimidating invitation by letter. None of the
            families offered the project contained a male figure, so the group in the event was a
            mother-child group, with two mothers bringing two children with them to the group.</p>
      </sec>
      <!-- sec lvl 2 end -->
      <!-- sec lvl 2 begin -->
      <sec>
         <title>The first home visit</title>
         <disp-quote>
            <p>It was a clear, cold, breezy day in January when we drove across town, heading south
               and passing under the railway track. There were rows of terraced houses, small shops,
               and curving streets that pulled you in different directions.</p>
         </disp-quote>
         <disp-quote>
            <p>We squeezed the Fiat Uno into a parking space and climbed out, blinking in the
               sunlight and shading our eyes to read the street names. I carried a bag of percussion
               instruments meant to invite and entice. Gemma packed a sheaf of papers, permission
               slips and explanations translated into several languages. We were prepared.</p>
         </disp-quote>
         <disp-quote>
            <p>Or were we? Disorientated, we turned around, craning and twisting our necks. The
               wrong street - or was it? The name was almost right. The house numbers weren't in
               order; some were missing. A nagging feeling crept over me, like something picking at
               the back of my neck. This wasn't the address, but it had to be. We checked our
               watches; we mustn't be late. Gemma took action and started knocking at a door that
               had a number near to the one we were seeking. No answer. Anxiety rose in my stomach.
               I crossed the road and stood in a patch of sunlight allowing the warmth to fill my
               body. There was a bakery on the corner. The smell of freshly baked goods wafted over
               to us. I entered and asked for the address. “Oh yes, love. It’s a new build. Just
               behind here. Hard to find. Everyone misses it”. It wasn't on the map. No way to tell.
               No way to know we were nearly there. We had to ask.</p>
         </disp-quote>
         <disp-quote>
            <p>Relieved, I called to Gemma, and we walked the few steps to the small mews houses
               tucked away in a cul-de-sac. The house numbers were plain to see. We took a breath
               and knocked on the door.</p>
         </disp-quote>
      </sec>
      <!-- sec lvl 2 end -->
      <!-- sec lvl 2 begin -->
      <sec>
         <title>Reflections</title>
         <p>Feelings of “being lost” were very present for me throughout this project. At the time,
            while the work was ongoing, it was hard to think about this, hard even to identify it in
            the moment. It was as though in order to work with the group, these feelings had to be
            managed and held well enough to continue the music therapy. Perhaps there was something
            unbearable about them. It seems now, some time later, that these emotions were an
            important part of the countertransference not only for this particular piece of work,
            but also potentially for the client group of asylum seekers itself. It is interesting to
            note, however, that those who have worked with and written about their experiences with
            asylum-seekers do not reference this particular aspect of the work in any detail.</p>
         <p>Mary Priestley (<xref ref-type="bibr" rid="P1994">1994</xref>) emphasised the
            importance of using countertransference responses to deepen understanding and direct the
            responses of the therapist to the clients’ material. She identified two kinds of
            countertransference, both of which must be worked with to enable the therapist to work
            effectively. Empathic countertransference (E-countertransference), where the therapist
            develops a psychological awareness of the processes at work through an empathic
            identification with the clients, served to allow me to experience these feelings and use
            them as a frame of reference for this work. Her description of these feelings as a form
            of resonance supported me in staying with this work in an emotional sense, as at times,
            it felt very difficult to remain present with the group. The complementary
            countertransference (C-countertransference) occurs where the therapist identifies with
            strong relationships from the clients’ past. Here I felt there was an ambivalence
            present for the families. Although we had few details about how the families had arrived
            in the UK, the bits and pieces of information we did have showed a fragmentation of
            family life. While it seemed that there were positive relationships in the past, there
            were also some other more troubling aspects of their lives that seemed omnipresent. In
            this group setting, it seemed that the families were working towards providing nurturing
            relationships and environments for their children. It was important that I continually
            check-in with myself by remaining curious and vigilant as to my interventions and the
            communications I made with the group. By working with this construct, I felt that even
            in this short pilot, I was able to support the mothers to work with their feelings and
            feel supported by the project. It also seemed that I was able in some way to be part of
            their experience, despite Bridges (<xref ref-type="bibr" rid="B2009">2009</xref>)
            discussion of the impossibility of this for the outsider.</p>
         <p>On that first day of the project when we met further members of the asylum-seeker family
            group, “being lost” became a thread woven through the fabric of the encounters. The
            second home we visited was also challenging to access. Although we could see the house,
            somehow we couldn’t work out how to gain access to the parking in front of it. We ended
            up driving round in circles, glimpsing it a number of times before we could see how to
            draw nearer and park outside. The third home had two front doors on different sides of
            the house. We spent 20 minutes knocking on the wrong door before realising there was in
            fact another entrance. At the end of the day, we were exhausted; I wanted nothing more
            than to be in my own home, surrounded by familiar belongings and people. I felt a strong
            sense of dislocation after a day spent visiting three recently resettled families, and
            this needed to be countered by self-nurturing experiences to bring some balance to the
            day.</p>
         <p>The symbolic meaning of these practical struggles to access the clients and “being lost”
            in the process was a very powerful one. Thoughts explored when devising the project were
            to introduce families to the culture of Wales, their new home, while reciprocally
            learning about their indigenous culture. Each of the families had children in school or
            about to access school, and part of their experience would be learning Welsh and being
            taught Welsh songs. This project, then, could form a bridge between the worlds of their
            indigenous culture and their new home, as suggested by Scroope and Signorelli (<xref
               ref-type="bibr" rid="SS2010">2010</xref>). Freeman-Sharpe (<xref ref-type="bibr"
               rid="FS1978">1978</xref>) discussed the power of curiosity in developing
            psychological understanding from the point of view of therapist and client. This was
            something I strove to maintain, as for me it signalled an openness to learn and
            experience, something I was hoping the families would also feel. Ansdell (<xref
               ref-type="bibr" rid="A2014">2014</xref>) wrote compellingly of the importance of
            belonging in a community and how ‘musicking’ provides an opportunity for this to happen.
            Somehow, my feelings had to be contained and transformed to enable me to engage and
            attune with the group, assisting them to move towards a position of hopefulness about
            their current situation. Using Priestley’s countertransference framework undoubtedly
            supported me in my way of working, offering guidance and support when at times the
            turmoil in the group felt too chaotic to work with.</p>
         <p>As the short project progressed, moments of being ‘in-tune’ with each other developed;
            one child brought some exuberant Albanian folk dance moves to the ‘Move to the Music’
            section. On another occasion, rhythms akin to those familiar to the family from Pakistan
            emerged with ululation and hand clapping as we improvised together. Questions about the
            Welsh foods we offered in the tea and cake time after the music led to curiosity about
            each other’s cuisine. Common ground was emerging, and families began to arrive by bus or
            on foot, declining our offers of taxis to help them attend the sessions. They were
            finding their own way, and so were we.</p>
         <p>Nonetheless, the group was still fragile. The Albanian family missed one session, and
            the following week we discovered that they had got off at the wrong bus stop. They had
            wandered around the area not being able to find the centre; the 3-year old sobbing and
            fighting his mother with disappointment, the 8-week old baby screaming in the pushchair.
            She hadn't felt able to ask for help and had only just managed to find her way home in
            time to pick up her other children from school. In that week’s session, the soft, quiet
            music that often arose near the end, where families had time to cuddle and be together
            without words seemed very important. The intrusive reminder of the delicate state of the
            families was a sobering one; it hung over the group like a cloud that day and remained
            long after the session had ended. The sense of fragility was real; many families had
            been moved to different cities multiple times, and although they were now regarded as
            settled in Wales while their refugee status was determined, they shared their thoughts
            that any day, for some reason, any reason, no reason, they could be moved again.</p>
         <p>When the 8-week project ended, we presented each child with a certificate of
            achievement, detailing special moments in the group. An 18-month-old boy was praised for
            ‘good listening’. We remembered his face shining and beaming as he watched his older
            brother playing with the castanets, his own fingers grasping at them as his mother
            supported him. Another certificate mentioned kindness to the very young baby girl in the
            group; one boy had been very rambunctious at the beginning of the project but had been
            able to show tenderness towards younger members. The mothers were very appreciative of
            these offerings.</p>
         <p>As for the mothers themselves, they cried during the last session. They all said how
            important the home visits at the start of the work had been. They had given them a sense
            that we, the therapist and project worker were ordinary people, eager to learn about
            their culture. They felt the city could be their home too. It was very moving to hear
            these words.</p>
      </sec>
      <!-- sec lvl 2 end -->
      <!-- sec lvl 2 begin -->
      <sec>
         <title>Conclusion</title>
         <p>Although the music therapy project had ended, the charity offered the families other
            ways of engaging. There were trips that the families could join, and other general play
            groups the charity ran that they could access. They were all keen to continue meeting at
            the centre and this seemed to bode well for future work with the families.</p>
         <p>The charity was preparing an evaluation of the project, but I was never to see this.
            Gemma was going on maternity leave at the end of the week in which the project finished,
            and in fact this last session was the end of my involvement with the families and this
            project. Despite attempting to access the final report, it was not forthcoming. I
            wondered if it had in fact ever been finalised and signed-off. Funding issues meant the
            pilot, which we all felt had fulfilled its aims of improving community engagement and
            supporting families as they began to make connections with the area, was never repeated.
            In one sense, then, the families were lost to me. The work itself seemed to have
            vanished as swiftly as it had arrived.</p>
         <p>The project itself, however, did validate the theoretical approaches and frameworks I
            chose to use. My own psychodynamic training was of use in my reflections and supervision
            in unpicking the countertransference and working with the emotions present in the group.
            Oldfield and Bunce’s (<xref ref-type="bibr" rid="OB2001">2003</xref>) project work
            gave a model for my own, and I felt that there was room for this model to develop. In
            writing this article, I came across a paper by Comte (<xref ref-type="bibr"
               rid="C2016">2016</xref>), and this has given me food for further thought regarding
            the frameworks we ourselves import into work with this client group. There is further
            thinking and writing to be done to explore these matters.</p>
         <p>For myself, 3 years later, I still find it hard to shake the feelings of disorientation
            and of being off-balance that this work evoked. What was striking at the time, and
            remains so, is that some level of a commonality of experience between the group and
            myself emerged. Being lost, not knowing where to go; these moments were powerful and
            have now woven themselves into my world-view and inform my work with this client group.
            As the poet Benjamin Zephaniah (<xref ref-type="bibr" rid="WR2017">“We Refugees”,
               2017</xref>) wrote:</p>
         <verse-group>
            <verse-line>We can all be refugees</verse-line>
            <verse-line>Sometimes it only takes a day</verse-line>
            <verse-line>Sometimes it only takes a handshake</verse-line>
            <verse-line>Or a paper that is signed.</verse-line>
            <verse-line>We all came from refugees</verse-line>
            <verse-line>Nobody simply just appeared,</verse-line>
            <verse-line>Nobody’s here without a struggle,</verse-line>
            <verse-line>And why should we live in fear</verse-line>
            <verse-line>Of the weather or troubles?</verse-line>
            <verse-line>We all came from somewhere.</verse-line>
         </verse-group>
      </sec>
      <!-- sec lvl 2 end -->
   </body>
   <back>
      <ref-list>
         <ref id="AE2004">
            <!--Abad, V., & Edwards, J. (2004). Strengthening families: A role for music therapy in contributing to family centred care. <italic>Australian Journal of Music Therapy, 15</italic>, 3-17.-->
            <element-citation publication-type="journal" publication-format="print">
               <person-group person-group-type="author">
                  <name>
                     <surname>Abad</surname>
                     <given-names>V</given-names>
                  </name>
                  <name>
                     <surname>Edwards</surname>
                     <given-names>J</given-names>
                  </name>
               </person-group>
               <year>2004</year>
               <source>Australian Journal of Music Therapy</source>
               <volume>15</volume>
               <fpage>3</fpage>
               <lpage>17</lpage>
            </element-citation>
         </ref>
         <ref id="A1963">
            <!--Ainsworth, M.D.S. (1963). The development of infant-mother interaction among the Ganda. In B. M. Foss (Ed.), <italic>Determinants of infant behavior II</italic> (pp. 67–104) London, England: Methuen.-->
            <element-citation publication-type="book-chapter" publication-format="print">
               <person-group person-group-type="author">
                  <name>
                     <surname>Ainsworth</surname>
                     <given-names>MDS</given-names>
                  </name>
               </person-group>
               <year>1963</year>
               <chapter-title>The development of infant-mother interaction among the
                  Ganda</chapter-title>
               <person-group person-group-type="editor">
                  <name>
                     <surname>Foss</surname>
                     <given-names>B M</given-names>
                  </name>
               </person-group>
               <source>Determinants of infant behavior II</source>
               <fpage>67</fpage>
               <lpage>104</lpage>
               <publisher-loc>London, England</publisher-loc>
               <publisher-name>Methuen</publisher-name>
            </element-citation>
         </ref>
         <ref id="A2014">
            <!--Ansdell, G. (2014). <italic>How music helps in music therapy and everyday life</italic>. London, England: Ashgate Publishing Ltd.-->
            <element-citation publication-type="book" publication-format="print">
               <person-group person-group-type="author">
                  <name>
                     <surname>Ansdell</surname>
                     <given-names>G</given-names>
                  </name>
               </person-group>
               <year>2014</year>
               <source>How music helps in music therapy and everyday life</source>
               <publisher-loc>London, England</publisher-loc>
               <publisher-name>Ashgate Publishing Ltd</publisher-name>
            </element-citation>
         </ref>
         <ref id="B2012">
            <!--Behrens, G. (2012). Use of traditional and nontraditional instruments with traumatized children in Bethlehem, West Bank. <italic>Music Therapy Perspectives 30</italic>,196–202. <uri>https://doi.org/10.1093/mtp/30.2.196</uri>-->
            <element-citation publication-type="journal" publication-format="web">
               <person-group person-group-type="author">
                  <name>
                     <surname>Behrens</surname>
                     <given-names>G</given-names>
                  </name>
               </person-group>
               <year>2012</year>
               <article-title>Use of traditional and nontraditional instruments with traumatized
                  children in Bethlehem, West Bank</article-title>
               <source>Music Therapy Perspectives</source>
               <volume>30</volume>
               <fpage>196</fpage>
               <lpage>202</lpage>
               <uri>https://doi.org/10.1093/mtp/30.2.196</uri>
            </element-citation>
         </ref>
         <ref id="B1969">
            <!--Bowlby, J. (1969). Preface. In B. M. Foss (Ed.), <italic>Determinants of infant behaviour IV</italic> (pp. xiii–xiv). London, England: Methuen & Co.-->
            <element-citation publication-type="book-chapter" publication-format="print">
               <person-group person-group-type="author">
                  <name>
                     <surname>Bowlby</surname>
                     <given-names>J</given-names>
                  </name>
               </person-group>
               <year>1969</year>
               <chapter-title>Preface</chapter-title>
               <person-group person-group-type="editor">
                  <name>
                     <surname>Foss</surname>
                     <given-names>B M</given-names>
                  </name>
               </person-group>
               <source>Determinants of infant behavior IV</source>
               <fpage>xiii</fpage>
               <lpage>xiv</lpage>
               <publisher-loc>London, England</publisher-loc>
               <publisher-name>Methuen</publisher-name>
            </element-citation>
         </ref>
         <ref id="B2001">
            <element-citation publication-type="journal" publication-format="web">
               <person-group person-group-type="author">
                  <name>
                     <surname>Bridges</surname>
                     <given-names>D</given-names>
                  </name>
               </person-group>
               <year>2001</year>
               <article-title>The ethics of outsider research</article-title>
               <source>Journal of Philosophy of Education</source>
               <volume>35</volume>
               <issue>3</issue>
               <fpage>371</fpage>
               <lpage>386</lpage>
               <uri>https://doi.org/10.1111/1467-9752.00233</uri>
            </element-citation>
         </ref>
         <ref id="B2009">
            <!--Bridges, D. (2001). Education and the possibility of outsider understanding. <italic>Ethics and Education4</italic>(2),105–123. <uri>https://doi.org/10.1080/17449640903326714</uri>-->
            <element-citation publication-type="journal" publication-format="web">
               <person-group person-group-type="author">
                  <name>
                     <surname>Bridges</surname>
                     <given-names>D</given-names>
                  </name>
               </person-group>
               <year>2009</year>
               <article-title>Education and the possibility of outsider
                  understanding</article-title>
               <source>Ethics and Education</source>
               <volume>4</volume>
               <issue>2</issue>
               <fpage>105</fpage>
               <lpage>123</lpage>
               <uri>https://doi.org/10.1080/17449640903326714</uri>
            </element-citation>
         </ref>
         <ref id="C2010">
            <!--Choi, C. M. (2010). A pilot analysis of the psychological themes found during the CARING at Columbia-music therapy program with refugee adolescents from North Korea. <italic>Journal of Music Therapy,47</italic>, 380–407. <uri>https://doi.org/10.1093/jmt/47.4.380</uri>-->
            <element-citation publication-type="journal" publication-format="web">
               <person-group person-group-type="author">
                  <name>
                     <surname>Choi</surname>
                     <given-names>C M</given-names>
                  </name>
               </person-group>
               <year>2010</year>
               <article-title>A pilot analysis of the psychological themes found during the CARING
                  at Columbia-music therapy program with refugee adolescents from North
                  Korea</article-title>
               <source>Journal of Music Therapy</source>
               <volume>47</volume>
               <fpage>380</fpage>
               <lpage>407</lpage>
               <uri>https://doi.org/10.1093/jmt/47.4.380</uri>
            </element-citation>
         </ref>
         <ref id="C2016">
            <!--Comte, R. (2016). Neo-colonialism in music therapy: A critical interpretive synthesis of the literature concerning music therapy practice with refugees <italic>Voices: A World Forum for Music Therapy, 16</italic>(3). <uri>https://doi.org/10.15845/voices.v16i3.865</uri>-->
            <element-citation publication-type="journal" publication-format="web">
               <person-group person-group-type="author">
                  <name>
                     <surname>Comte</surname>
                     <given-names>R</given-names>
                  </name>
               </person-group>
               <year>2016</year>
               <article-title>Neo-colonialism in music therapy: A critical interpretive synthesis of
                  the literature concerning music therapy practice with refugees</article-title>
               <source>Voices: A World Forum for Music Therapy</source>
               <volume>16</volume>
               <issue>3</issue>
               <uri>https://doi.org/10.15845/voices.v16i3.865</uri>
            </element-citation>
         </ref>
         <ref id="C2011">
            <!--Coombes, E. (2011). Project Bethlehem: Training educators and health workers in the therapeutic use of music in the West Bank. <italic>Voices: A World Forum for Music Therapy,11</italic>(1). <uri>https://doi.org/10.15845/voices.v11i1.291</uri>-->
            <element-citation publication-type="journal" publication-format="web">
               <person-group person-group-type="author">
                  <name>
                     <surname>Coombes</surname>
                     <given-names>E</given-names>
                  </name>
               </person-group>
               <year>2011</year>
               <article-title>Project Bethlehem: Training educators and health workers in the
                  therapeutic use of music in the West Bank</article-title>
               <source>Voices: A World Forum for Music Therapy</source>
               <volume>11</volume>
               <issue>1</issue>
               <uri>https://doi.org/10.15845/voices.v11i1.291</uri>
            </element-citation>
         </ref>
         <ref id="CTK2017">
            <!--Coombes, E., & Tombs-Katz, M. (2017). Interactive therapeutic music skill-sharing in the West Bank: An evaluation report of project Beit Sahour. <italic>Approaches: An Interdisciplinary Journal of Music Therapy, </italic>9(1), 67–79.-->
            <element-citation publication-type="journal" publication-format="print">
               <person-group person-group-type="author">
                  <name>
                     <surname>Coombes</surname>
                     <given-names>E</given-names>
                  </name>
                  <name>
                     <surname>Tombs-Katz</surname>
                     <given-names>M</given-names>
                  </name>
               </person-group>
               <year>2017</year>
               <article-title>Interactive therapeutic music skill-sharing in the West Bank: An
                  evaluation report of project Beit Sahour</article-title>
               <source>Approaches: An Interdisciplinary Journal of Music Therapy</source>
               <volume>9</volume>
               <issue>1</issue>
               <fpage>67</fpage>
               <lpage>79</lpage>
            </element-citation>
         </ref>
         <ref id="WR2017">
            <!--Capriccio. (2017). We refugees. Retrieved February 18, 2017, from <uri>http://benjaminzephaniah.com/rhymin/we-refugees/</uri>-->
            <mixed-citation publication-format="web">Capriccio. (2017). We refugees. Retrieved
               February 18, 2017, from <uri>http://benjaminzephaniah.com/rhymin/we-refugees/</uri>
            </mixed-citation>
         </ref>
         <ref id="FS1978">
            <!--Freeman-Sharpe, E. (1978). <italic>Collected papers on psychoanalysis</italic>. London, England: Chatto & Windus.-->
            <element-citation publication-type="book" publication-format="print">
               <person-group person-group-type="author">
                  <name>
                     <surname>Freeman-Sharpe</surname>
                     <given-names>E</given-names>
                  </name>
               </person-group>
               <year>1978</year>
               <source>Collected papers on psychoanalysis</source>
               <publisher-loc>London, England</publisher-loc>
               <publisher-name>Chatto &amp; Windus</publisher-name>
            </element-citation>
         </ref>
         <ref id="JBD2004">
            <!--Jones, C. J., Baker, F., & Day, T. (2004). From healing rituals to music therapy: Bridging the cultural divide between therapist and young Sudanese refugees. <italic>The Arts in Psychotherapy31</italic>(2), 89-100 <uri>https://doi.org/10.1016/j.aip.2004.02.002</uri>-->
            <element-citation publication-type="journal" publication-format="web">
               <person-group person-group-type="author">
                  <name>
                     <surname>Jones</surname>
                     <given-names>C J</given-names>
                  </name>
                  <name>
                     <surname>Baker</surname>
                     <given-names>F</given-names>
                  </name>
                  <name>
                     <surname>Day</surname>
                     <given-names>T</given-names>
                  </name>
               </person-group>
               <year>2004</year>
               <article-title>From healing rituals to music therapy: Bridging the cultural divide
                  between therapist and young Sudanese refugees</article-title>
               <source>The Arts in Psychotherapy</source>
               <volume>31</volume>
               <issue>2</issue>
               <fpage>89</fpage>
               <lpage>100</lpage>
               <uri>https://doi.org/10.1016/j.aip.2004.02.002</uri>
            </element-citation>
         </ref>
         <ref id="OB2001">
            <!--Oldfield, A., & Bunce, L. (2001). Mummy can play too - short-term music therapy with mothers and young children. <italic>British Journal of Music Therapy,15</italic>(1), 27–36. <uri>https://dx.doi.org/10.1177/13594575010500107</uri>-->
            <element-citation publication-type="journal" publication-format="web">
               <person-group person-group-type="author">
                  <name>
                     <surname>Oldfield</surname>
                     <given-names>A</given-names>
                  </name>
                  <name>
                     <surname>Bunce</surname>
                     <given-names>L</given-names>
                  </name>
               </person-group>
               <year>2001</year>
               <article-title>Mummy can play too - short-term music therapy with mothers and young
                  children</article-title>
               <source>British Journal of Music Therapy</source>
               <volume>15</volume>
               <issue>1</issue>
               <fpage>27</fpage>
               <lpage>36</lpage>
               <uri>https://dx.doi.org/10.1177/13594575010500107</uri>
            </element-citation>
         </ref>
         <ref id="OAB2003">
            <!--Oldfield, A., Adams, M., & Bunce, L. (2003). An investigation into short-term music therapy with mothers and young children. <italic>British Journal of Music Therapy, 17</italic>, 26–45. <uri>http://dx.doi.org/10.1177/135945750301700105</uri>-->
            <element-citation publication-type="journal" publication-format="web">
               <person-group person-group-type="author">
                  <name>
                     <surname>Oldfield</surname>
                     <given-names>A</given-names>
                  </name>
                  <name>
                     <surname>Adams</surname>
                     <given-names>M</given-names>
                  </name>
                  <name>
                     <surname>Bunce</surname>
                     <given-names>L</given-names>
                  </name>
               </person-group>
               <year>2003</year>
               <article-title>An investigation into short-term music therapy with mothers and young
                  children</article-title>
               <source>British Journal of Music Therapy</source>
               <volume>17</volume>
               <fpage>26</fpage>
               <lpage>45</lpage>
               <uri>http://dx.doi.org/10.1177/135945750301700105</uri>
            </element-citation>
         </ref>
         <ref id="O2005">
            <!--Orth, J. (2005). Music therapy with traumatized refugees in a clinical setting. <italic>Voices: A World Forum for Music Therapy, 5</italic>(2). <uri>http://dx.doi.org/10.15845/voices.v5i2.227</uri>-->
            <element-citation publication-type="journal" publication-format="web">
               <person-group person-group-type="author">
                  <name>
                     <surname>Orth</surname>
                     <given-names>J</given-names>
                  </name>
               </person-group>
               <year>2005</year>
               <article-title>Music therapy with traumatized refugees in a clinical
                  setting</article-title>
               <source>Voices: A World Forum for Music Therapy</source>
               <volume>5</volume>
               <issue>2</issue>
               <uri>http://dx.doi.org/10.15845/voices.v5i2.227</uri>
            </element-citation>
         </ref>
         <ref id="P2012">
            <!--Pasiali, V (2012) Resilience, music therapy, and human adaptation: nurturing young children and families. <italic>Nordic Journal of Music Therapy, </italic>21 (1), 36-56. doi.org10.1080/08098131.2011.571276-->
            <element-citation publication-type="journal" publication-format="print">
               <person-group person-group-type="author">
                  <name>
                     <surname>Pasiali</surname>
                     <given-names>V</given-names>
                  </name>
               </person-group>
               <year>2012</year>
               <article-title>Resilience, music therapy, and human adaptation: nurturing young
                  children and families</article-title>
               <source>Nordic Journal of Music Therapy</source>
               <volume>21</volume>
               <issue>1</issue>
               <fpage>36</fpage>
               <lpage>56</lpage>
               <uri>https://dx.doi.org/10.1080/08098131.2011.571276</uri>
            </element-citation>
         </ref>
         <ref id="P1994">
            <!--Priestley, M. (1994). <italic>Essays in analytical music therapy.</italic> Philadelphia, PA: Barcelona Books.-->
            <element-citation publication-type="book" publication-format="print">
               <person-group person-group-type="author">
                  <name>
                     <surname>Priestley</surname>
                     <given-names>M</given-names>
                  </name>
               </person-group>
               <year>1994</year>
               <source>Essays in analytical music therapy</source>
               <publisher-loc>Philadelphia, PA</publisher-loc>
               <publisher-name>Barcelona Books</publisher-name>
            </element-citation>
         </ref>
         <ref id="SS2010">
            <!--Scroope, M. & Signorelli, R. (2010). Music therapy helps traumatised refugees. <italic>Refugee Transitions23</italic>, 36–39.-->
            <element-citation publication-type="journal" publication-format="print">
               <person-group person-group-type="author">
                  <name>
                     <surname>Scroope</surname>
                     <given-names>M</given-names>
                  </name>
                  <name>
                     <surname>Signorelli</surname>
                     <given-names>R</given-names>
                  </name>
               </person-group>
               <year>2010</year>
               <article-title>Music therapy helps traumatised refugees</article-title>
               <source>Refugee Transitions</source>
               <volume>23</volume>
               <fpage>36</fpage>
               <lpage>39</lpage>
            </element-citation>
         </ref>
         <ref id="SB2006">
            <!--Signorelli, R., & Bright, R. (2006). <italic>From trauma to tope: A music therapy journey with refugees</italic>. Paper presented at the National Conference of the Australian Music Therapy Association Sydney, NSW.-->
            <element-citation publication-type="book" publication-format="print">
               <person-group person-group-type="author">
                  <name>
                     <surname>Signorelli</surname>
                     <given-names>R</given-names>
                  </name>
                  <name>
                     <surname>Bright</surname>
                     <given-names>R</given-names>
                  </name>
               </person-group>
               <year>2006</year>
               <source>From trauma to tope: A music therapy journey with refugees</source>
               <comment>Paper presented at the National Conference of the Australian Music Therapy Association Sydney, NSW</comment>
            </element-citation>
         </ref>
         <ref id="S2002">
            <!--Sutton, J. (Ed.) (2002) <italic>Music, Music Therapy and Trauma. </italic>London. England: Jessica Kingsley Publishers.-->
            <element-citation publication-type="book" publication-format="print">
               <person-group person-group-type="author">
                  <name>
                     <surname>Sutton</surname>
                     <given-names>J</given-names>
                  </name>
               </person-group>
               <year>2002</year>
               <source>Music, Music Therapy and Trauma</source>
               <publisher-loc>England</publisher-loc>
               <publisher-name>Jessica Kingsley Publishers</publisher-name>
            </element-citation>
         </ref>
         <ref id="S2001">
            <!--Stern, D. (2001). <italic>The interpersonal world of the infant: A view from psychoanalysis and developmental psychology.</italic> New York, NY: Basic Books.-->
            <element-citation publication-type="book" publication-format="print">
               <person-group person-group-type="author">
                  <name>
                     <surname>Stern</surname>
                     <given-names>D</given-names>
                  </name>
               </person-group>
               <year>2001</year>
               <source>The interpersonal world of the infant: A view from psychoanalysis and
                  developmental psychology</source>
               <publisher-loc>New York, NY</publisher-loc>
               <publisher-name>Basic Books</publisher-name>
            </element-citation>
         </ref>
         <ref id="SWR2010">
            <!--Storsve, V., Westby, I. A., &Ruud, E. (2010). Hope and recognition. A music project among youth in a Palestinian refugee camp. <italic>Voices; A World Forum for Music Therapy 10</italic>(1). <uri>http://dx.doi.org/10.15845/voices.v10i1.158</uri>-->
            <element-citation publication-type="journal" publication-format="web">
               <person-group person-group-type="author">
                  <name>
                     <surname>Storsve</surname>
                     <given-names>V</given-names>
                  </name>
                  <name>
                     <surname>Westby</surname>
                     <given-names>I A</given-names>
                  </name>
                  <name>
                     <surname>Ruud</surname>
                     <given-names>E</given-names>
                  </name>
               </person-group>
               <year>2010</year>
               <article-title>Hope and recognition. A music project among youth in a Palestinian
                  refugee camp</article-title>
               <source>Voices; A World Forum for Music Therapy</source>
               <volume>10</volume>
               <issue>1</issue>
               <uri>http://dx.doi.org/10.15845/voices.v10i1.158</uri>
            </element-citation>
         </ref>
         <ref id="W1960">
            <!--Winnicott, D.W. (1960). <italic>The Maturational Processes and the Facilitating Environment. </italic>London, England: Hogarth Press.-->
            <element-citation publication-type="book" publication-format="print">
               <person-group person-group-type="author">
                  <name>
                     <surname>Winnicott</surname>
                     <given-names>D W</given-names>
                  </name>
               </person-group>
               <year>1960</year>
               <source>The Maturational Processes and the Facilitating Environment</source>
               <publisher-loc>England</publisher-loc>
               <publisher-name>Hogarth Press</publisher-name>
            </element-citation>
         </ref>
         <ref id="W1971">
            <!--Winnicott, D.W. (1971). <italic>Playing and reality. </italic>London, England: Routledge.-->
            <element-citation publication-type="book" publication-format="print">
               <person-group person-group-type="author">
                  <name>
                     <surname>Winnicott</surname>
                     <given-names>D W</given-names>
                  </name>
               </person-group>
               <year>1971</year>
               <source>Playing and reality</source>
               <publisher-loc>England</publisher-loc>
               <publisher-name>Routledge</publisher-name>
            </element-citation>
         </ref>
         <ref id="ZS2004">
            <!--Zharinova-Sanderson, O. (2004). Promoting integration and socio-cultural change: Community music therapy with traumatized refugees in Berlin. In M. Pavlicevic & G. Andsell (Eds.), <italic>Community music therapy</italic>.(pp. 358–387). London, England: Jessica Kingsley Publishers.-->
            <element-citation publication-type="book-chapter" publication-format="print">
               <person-group person-group-type="author">
                  <name>
                     <surname>Zharinova-Sanderson</surname>
                     <given-names>O</given-names>
                  </name>
               </person-group>
               <year>2004</year>
               <chapter-title>Promoting integration and socio-cultural change: Community music
                  therapy with traumatized refugees in Berlin</chapter-title>
               <person-group person-group-type="editor">
                  <name>
                     <surname>Pavlicevic</surname>
                     <given-names>M</given-names>
                  </name>
                  <name>
                     <surname>Andsell</surname>
                     <given-names>G</given-names>
                  </name>
               </person-group>
               <source>Community music therapy</source>
               <fpage>358</fpage>
               <lpage>387</lpage>
               <publisher-loc>London, England</publisher-loc>
               <publisher-name>Jessica Kingsley Publishers</publisher-name>
            </element-citation>
         </ref>
      </ref-list>
   </back>
</article>
