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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>GAMUT - Grieg Academy Music Therapy Research Centre (NORCE &amp;
               University of Bergen)</publisher-name>
         </publisher>
      </journal-meta>
      <article-meta>
         <article-id pub-id-type="doi">10.15845/voices.v20i1.2797</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 in Music Therapy
               Supervision</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>Appalachian State University, USA</aff>
         <contrib-group>
            <contrib contrib-type="editor">
               <name>
                  <surname>McCaffrey</surname>
                  <given-names>Tríona</given-names>
               </name>
            </contrib>
         </contrib-group>
         <contrib-group>
            <contrib contrib-type="reviewer">
               <name>
                  <surname>Higgins</surname>
                  <given-names>Paula</given-names>
               </name>
            </contrib>
            <contrib contrib-type="reviewer">
               <name>
                  <surname>Ahessy</surname>
                  <given-names>Bill</given-names>
               </name>
            </contrib>
         </contrib-group>
         <pub-date pub-type="pub">
            <day>1</day>
            <month>2</month>
            <year>2020</year>
         </pub-date>
         <volume>20</volume>
         <issue>1</issue>
         <history>
            <date date-type="received">
               <day>20</day>
               <month>3</month>
               <year>2019</year>
            </date>
            <date date-type="accepted">
               <day>29</day>
               <month>1</month>
               <year>2020</year>
            </date>
         </history>
         <permissions>
            <copyright-statement>Copyright: 2020 The Author(s)</copyright-statement>
            <copyright-year>2020</copyright-year>
            <license license-type="open-access"
               xlink:href="http://creativecommons.org/licenses/by/4.0/">
               <license-p>This is an open-access article distributed under the terms of the
                     <uri>http://creativecommons.org/licenses/by/4.0/</uri>, which permits
                  unrestricted use, distribution, and reproduction in any medium, provided the
                  original work is properly cited.</license-p>
            </license>
         </permissions>
         <self-uri xlink:href="https://voices.no/index.php/voices/article/view/2797"
            >https://voices.no/index.php/voices/article/view/2797</self-uri>
         <abstract>
            <p>Although music therapists have discussed the importance of multicultural training in
               supervision, few approaches and applications have been developed to assist music
               therapy students and professionals in moving towards multicultural competence.
               Multicultural experiential learning is an approach that supervisors and supervisees
               can utilize to learn and maintain multicultural skills across the supervision
               continuum and throughout their careers. This paper explores the responsibilities of
               supervisors and supervisees who participate in this approach as well as
               recommendations to determine supervisee eligibility. The role of music in
               multicultural experiential learning is also discussed to provide opportunities to
               enhance these types of experiences. Examples of multicultural experiential learning
               and their instructions are provided for qualified supervisors who want to learn about
               this approach and implement it in their supervision practice.</p>
         </abstract>
         <kwd-group kwd-group-type="author-generated">
            <kwd>multicultural training</kwd>
            <kwd>supervision</kwd>
            <kwd>experiential learning</kwd>
            <kwd>music therapy</kwd>
         </kwd-group>
      </article-meta>
   </front>
   <body>
      <!-- sec lvl 2 begin -->
      <sec>
         <title>Preface</title>
         <p>According to Hardy and Bobes (<xref ref-type="bibr" rid="HB2017">2017</xref>),
            supervision “requires extraordinary vision, the ability to look beyond what is spoken,
            make the invisible visible, and cast a wide net to continually search for all relevant
            contexts and meanings” (p. 5). Similarly, this paper intends to envision a new process
            in supervision and contains a collection of ideas from the literature, theories, and the
            author that may support multicultural competence of music therapists and trainees in
            music therapy supervision. Although the proposed approach on multicultural experiential
            learning in supervision has yet to be translated into practice, a previous “practical
            context” of the approach holds merit as discussed below (<xref ref-type="bibr"
               rid="D2018">Donley, 2018</xref>; <xref ref-type="bibr" rid="S2015">Stige, 2015, p.
               3</xref>). The author hopes music therapy supervisors will consider the premise of
            these ideas for their practice and research, which may shape future theories and
            practices on music therapy multicultural training (<xref ref-type="bibr" rid="B2012"
               >Bruscia, 2012</xref>).</p>
      </sec>
      <!-- sec lvl 2 end -->
      <!-- sec lvl 2 begin -->
      <sec>
         <title>Introduction</title>
         <p>The music therapy field continues to make advancements in multicultural training, but
            integration of multicultural training and supervision is still needed (<xref
               ref-type="bibr" rid="A2011">Ahessy, 2011</xref>; <xref ref-type="bibr" rid="E2001"
               >Estrella, 2001</xref>; <xref ref-type="bibr" rid="HN2016">Hadley &amp; Norris,
               2016</xref>; <xref ref-type="bibr" rid="SK2019">Swamy &amp; Kim, 2019</xref>; <xref
               ref-type="bibr" rid="WP2019">Whitehead-Pleaux, 2019</xref>; <xref ref-type="bibr"
               rid="Y2009">Young, 2009</xref>). When program curriculums are unable to cover all
            multicultural topics thoroughly, supervision can address multicultural issues that are
            historically less prominent in the literature (<xref ref-type="bibr" rid="A2011">Ahessy,
               2011</xref>). If music therapy programs and associations desire to cultivate a strong
            workforce of multicultural competent music therapists, multicultural training must
            continue to change to improve clinical outcomes (<xref ref-type="bibr" rid="S1996">Sue,
               1996</xref>; <xref ref-type="bibr" rid="Y2009">Young, 2009</xref>). Multicultural
            experiential learning may provide this opportunity for change and further integration
            between multicultural training and supervision.</p>
         <!-- sec lvl 3 begin -->
         <sec>
            <title>Multicultural Experiential Learning Defined</title>
            <p>Multicultural experiential learning is 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="D2018">Donley, 2018, p. 5</xref>). Multicultural
               experiential learning gives trainees an opportunity to broaden their awareness of
               multicultural issues, personally reflect on their worldview, and understand the
               worldview of individuals from other cultures (<xref ref-type="bibr" rid="ACA2002"
                  >Achenbach &amp; Arthur, 2002</xref>; <xref ref-type="bibr" rid="AA2002">Arthur
                  &amp; Achenbach, 2002</xref>; <xref ref-type="bibr" rid="B1997">Bradt,
               1997</xref>; <xref ref-type="bibr" rid="B2002">Brown, 2002</xref>). This learning
               occurs in informal learning environments, such as conferences, religious and member
               organizations and associations, community events, civic government, and other
               locations of community engagement for a short period of time. Although short
               international trips may be considered informal learning by some educators, these
               trips are not included in the multicultural experiential learning supervision model.
               Short international trips create more complex learning environments that may make it
               difficult for individuals to understand and conceptualize systemic issues that impact
               music therapy clients there. In addition, more research is needed to understand how
               study abroad and international travel impact exoticism and ethnocentrism in travelers
               despite mixed findings (<xref ref-type="bibr" rid="AN2018">Akpovo &amp; Nganga,
                  2018</xref>; <xref ref-type="bibr" rid="GT2013">Gullekson &amp; Tucker,
                  2013</xref>). Multicultural experiential learning varies according to individual
               and group identities as well as the interactions they have among one another, their
               clients, peers, supervisor, and environment (<xref ref-type="bibr" rid="HS2012"
                  >Hawkins &amp; Shohet, 2012</xref>). Multicultural experiential learning combines
               Kolb’s experiential learning theory with traditional multicultural training to create
               teaching applications (<xref ref-type="bibr" rid="ACA2002">Achenbach &amp; Arthur,
                  2002</xref>; <xref ref-type="bibr" rid="AA2002">Arthur &amp; Achenbach,
                  2002</xref>; <xref ref-type="bibr" rid="D2018">Donley, 2018</xref>; <xref
                  ref-type="bibr" rid="KL2003">Kim &amp; Lyons, 2003</xref>; <xref ref-type="bibr"
                  rid="K2014">Kolb, 2014</xref>). Kolb defined experiential learning as the:</p>
            <disp-quote>
               <p>aims to create, through a synthesis of the works of the foundational scholars, a
                  theory that helps explain how experience is transformed into learning and reliable
                  knowledge. Truth is not manifest in experience; it must be inferred by a process
                  of learning that questions preconceptions of direct experience, tempers the
                  vividness and emotion of experience with critical reflection, and extracts the
                  correct lessons from the consequences of action. (<xref ref-type="bibr"
                     rid="K2014">2014, par. 7</xref>)</p>
            </disp-quote>
            <p>Simulations utilized in health professions, such as nursing contain similar teaching
               concepts. However, they are not usually considered multicultural experiential
               learning, because simulations commonly occur in formal learning environments.
               Simulations also offer trainees opportunities to relearn a set scenario in a
               protected and safe environment (<xref ref-type="bibr" rid="CR2017">Crawley &amp;
                  Ross, 2017</xref>). Unlike simulations, multicultural experiential learning does
               not provide a chance for trainees to repeat the same experience twice. The process
               and outcome remain unpredictable (<xref ref-type="bibr" rid="C2004">Crowe,
                  2004</xref>). This may be related to the individual’s internal process, their
               surrounding environment, and other factors. These small changes may produce a
               different outcome from the one originally anticipated (<xref ref-type="bibr"
                  rid="B2014">Bruscia, 2014</xref>; <xref ref-type="bibr" rid="C2004">Crowe,
                  2004</xref>).</p>
            <p>While little evidence-based research exists describing the benefits of multicultural
               experiential learning, these experiences and knowledge acquired may assist
               participants in developing cultural humility and cultural empathy (<xref
                  ref-type="bibr" rid="B2002">Brown, 2002</xref>; <xref ref-type="bibr"
                  rid="WPT2017">Whitehead-Pleaux &amp; Tan, 2017</xref>). In turn, these two
               qualities may further promote continued and advanced cultural competence with
               lifelong introspective self-reflection (<xref ref-type="bibr" rid="WP2019"
                  >Whitehead-Pleaux, 2019</xref>). The next section discusses applications of Kolb’s
               experiential learning theory in the counseling and music therapy profession and
               demonstrates ways to teach multicultural competence while merging theory and practice
                  (<xref ref-type="bibr" rid="ACA2002">Achenbach, &amp; Arthur, 2002</xref>; <xref
                  ref-type="bibr" rid="AA2002">Arthur &amp; Achenbach, 2002</xref>; <xref
                  ref-type="bibr" rid="D2018">Donley, 2018</xref>; <xref ref-type="bibr"
                  rid="KL2003">Kim &amp; Lyons, 2003</xref>).</p>
         </sec>
         <!-- sec lvl 3 end -->
         <!-- sec lvl 3 begin -->
         <sec>
            <title>Multicultural Experiential Learning in the Literature</title>
            <p>Achenbach and Arthur (<xref ref-type="bibr" rid="ACA2002">2002</xref>; <xref
                  ref-type="bibr" rid="AA2002">Arthur &amp; Achenbach, 2002</xref>) discussed
               experiential learning as a pedagogical approach in multicultural counseling.
               Role-plays were utilized by researchers as multicultural experiential learning
               exercises, such as Barnga and Bafa Bafa. Barnga is a card game that assists trainees
               in understanding cultural issues, such as acculturation, culture shock, and language
               needs. Participants are divided into groups and given a deck of cards and a set of
               rules (<xref ref-type="bibr" rid="S1990">Steinwachs, 1990</xref>; <xref
                  ref-type="bibr" rid="UHT2010">Ushida, Hattori, &amp; Takdama, 2010</xref>). In
               addition to rules established by the facilitator, each group has their own set of
               rules. For instance, each group may have a different trump card that wins. Groups
               play a short game while only communicating nonverbally with their peers. Afterwards,
               participants move to play peers in other groups. However, participants now have more
               difficulty determining who wins and loses each turn, because there are multiple rules
               at play in each group. Achenbach and Arthur (<xref ref-type="bibr" rid="ACA2002"
                  >2002</xref>) studied Barnga with graduate students in Canada to understand how
               students perceived multicultural issues. When participants found the experience less
               purposeful, experiential learning had less of an impact on multicultural competence
               and was not translated to clinical practice (<xref ref-type="bibr" rid="ACA2002"
                  >Achenbach &amp; Arthur, 2002</xref>). Arthur and Achenbach (<xref ref-type="bibr"
                  rid="AA2002">2002</xref>) suggested that emotional responses may assist students
               in developing competence through gained awareness and reflection. This integration of
               cognitive and emotional responses is what makes experiential learning unique.</p>
            <p>In another experiential learning exercise, Bafa Bafa, participants in two groups
               embody qualities of a predetermined culture (<xref ref-type="bibr" rid="AA2002"
                  >Arthur &amp; Achenbach, 2002</xref>). Then, each group shares their assigned
               culture with the other group. Gannon and Poon (<xref ref-type="bibr" rid="GP1997"
                  >1997</xref>) suggested that Bafa Bafa promoted students’ cultural awareness. In
               the three multicultural training approaches they researched, they found no
               differences between integrated, video-based, and experiential learning groups. The
               researchers, however, reported that participants in the experiential learning group
               reported higher satisfaction and had more positive responses to the approach. Other
               examples of experiential learning have included trainees choosing a disability from a
               list that they would rather live with to ‘uncover perceptions about a “hierarchy of
               abilities”’ (<xref ref-type="bibr" rid="AA2002">Arthur &amp; Achenbach, 2002, p.
                  7</xref>), having medical and nonmedical staff role-play the experience of
               inpatients, and a variety of games (<xref ref-type="bibr" rid="KL2003">Kim &amp;
                  Lyons, 2003</xref>). One of these games is called Step Forward, Step Back, which
               resembles a modern-day privilege walk (<xref ref-type="bibr" rid="KL2003">Kim &amp;
                  Lyons, 2003</xref>; <xref ref-type="bibr" rid="NG2017">Ngoasheng &amp; Gachago,
                  2017</xref>).</p>
            <p>Donley (<xref ref-type="bibr" rid="D2018">2018</xref>) reflected on her experiences
               as a music therapist and a participant of multicultural experiential learning in a
               multicultural counseling course. To understand the socioeconomic, sexual orientation,
               and religious dimensions of diversity, her professor assigned tasks to course
               participants. These tasks included acquiring a public assistance application,
               displaying three behaviors that suggested she identified as a different sexual
               orientation, and attending a prayer at a Muslim mosque. Following each task, the
               professor facilitated a discussion around the group’s experiences. This case example
               carries important implications for multicultural training in music therapy. The
               author’s reflexivity on multicultural experiential learning as a White female
               therapist may encourage other White females, the majority identity of music
               therapists, to participate. This may also create more allies for minority music
               therapists and promote equity in the profession. In addition, the task descriptions
               and author’s reflexive writing may encourage other music therapists to develop
               multicultural experiential learning or similar tools for themselves, students, or
               supervisees (<xref ref-type="bibr" rid="WP2019">Whitehead-Pleaux, 2019</xref>). This
               would provide a wealth of resources for future music therapists.</p>
            <p>Although this case example carries important implications, there are still many
               unknowns. First, it remains uncertain how music therapists with other intersectional
               identities perceive this method. It is also uncertain how multicultural experiential
               learning impacts supervisees long-term (<xref ref-type="bibr" rid="AA2002">Arthur
                  &amp; Achenbach, 2002</xref>). When students perceive this type of learning as
               negative, their perception may also remain negative post-experience. For this reason,
               it is possible that multicultural experiential learning may decrease multicultural
               competency in some students. For instance, in Brushke, Gartner, and Seiter (<xref
                  ref-type="bibr" rid="BGS1993">1993</xref>), student views of ethnocentrism
               increased. Similar results were found in another study where an experiential learning
               exercise promoted competition instead of cultural empathy (<xref ref-type="bibr"
                  rid="B1990">Barak, 1990</xref>). This demonstrates the delicate nature of
               implementing experiential learning. Despite the sensitivity involved, helping
               professionals must not shy away from this potentially beneficial tool in
               multicultural training. Instead, organizations and their member clinicians must have
               an acute awareness and precision of multicultural skills and recognize their
               responsibilities when implementing and choosing experiential learning exercises
                  (<xref ref-type="bibr" rid="AA2002">Arthur &amp; Achenbach, 2002</xref>).</p>
         </sec>
         <!-- sec lvl 3 end -->
         <!-- sec lvl 3 begin -->
         <sec>
            <title>Organization Responsibilities</title>
            <p>Organizations have a responsibility to their members and employees as well as their
               students, interns, and volunteers. These organizations set the directive for
               professional and advanced competencies, standards of practice, codes and ethics, and
               policies and procedures. According to the seven-eyed model of supervision, as part of
               the seventh mode, organizational requirements influence the decisions and direction
               that supervisees and supervisors pursue together in the supervisory and client
               relationship (<xref ref-type="bibr" rid="HS2012">Hawkins &amp; Shohet, 2012</xref>).
               Due to organizations’ possible influence on multicultural competence and
               multicultural experiential learning in supervision practice, the author researched
               international music therapy organization and association websites to identify
               expectations for credentialed music therapists. Music therapy organizational websites
               were located using the American Music Therapy Association, World Federation of Music
               Therapy, European Music Therapy Federation, and Google websites. When a music therapy
               organizational website was in the author’s non-native language, the author utilized
               Google translate in Google Chrome to identify multicultural issues within their Code
               of Ethics and Standards of Proficiency. All associations that provided directives on
               multicultural training and supervision were included in this paper. The author also
               reviewed the American Counseling Association’s resources, which provided an important
               guide in a similar article (<xref ref-type="bibr" rid="D2018">Donley, 2018</xref>).
               The author was unable to access several websites that were out of date. In a few
               instances, the author managed to access the website but still had difficulty
               accessing information without login information. The author emailed organizations
               that provided contact information.</p>
            <p>According to the American Music Therapy Association’s advanced competencies, music
               therapists are encouraged to “apply knowledge of norms and practices of diverse
               cultures to the supervisory process” (<xref ref-type="bibr" rid="AMTA2015a">American
                  Music Therapy Association, 2015a, par. 5</xref>). The Canadian Music Therapy
               Association (<xref ref-type="bibr" rid="CMTA2002">2002</xref>) stated more generally
               that music therapists are obligated to “facilitate the professional development of
               their students, interns, and employees assuring that these persons understand the
               values and ethical standards of the profession, and by providing or arranging
               for…opportunities for experience” (p. 17). The European Music Therapy Confederation,
               which comprises of 44 member associations, addressed equal opportunity and access for
               clients, trainees, and professionals in its ethical code (<xref ref-type="bibr"
                  rid="EMTC2005">European Music Therapy Confederation, 2005</xref>). Unfortunately,
               there were no specific directives on multicultural training and supervision that were
               able to be located on the confederation or any of their member associations’
               websites. Although not specific to multicultural training and supervision, the Irish
               Association of Creative Arts Therapists and YAHAT, Israel Association for Creative
               Arts Therapies (abbreviated for “Creation, Expression, Therapy” in Hebrew) addressed
               cultural issues more in depth by requiring therapists and members to study, develop,
               and acquire knowledge of cultures different from their own (<xref ref-type="bibr"
                  rid="IACAT2005">Irish Association of Creative Arts Therapists, 2005</xref>; <xref
                  ref-type="bibr" rid="YAHAT">YAHAT, n.d.</xref>). The American Music Therapy
               Association has followed the American Counseling Association’s lead with a newly
               revised Code of Ethics (<xref ref-type="bibr" rid="AMTA2019">American Music Therapy
                  Association, 2019</xref>). Supervisors who want to implement multicultural
               experiential learning need to review and uphold this ethical code. According to Dileo
                  (<xref ref-type="bibr" rid="D2000">2000</xref>), “one can go so far as to question
               whether it is ethical not to include experiential training in the music therapy
               curriculum” (p. 244) It must also be ethical then to include multicultural
               experiential training in the music therapy curriculum particularly with practicum and
               clinical training. See Table 1 below for initial guidance of ethical considerations
               in multicultural experiential learning.</p>
            <table-wrap id="tbl1">
               <label>Table 1</label>
               <!-- optional label and caption -->
               <caption>
                  <p>Sections from Music Therapy Organizations’ Code of Ethics</p>
               </caption>
               <table>
                  <thead>
                     <tr>
                        <th>Organization</th>
                        <th>Sections</th>
                        <th>Description</th>
                     </tr>
                  </thead>
                  <tbody>
                     <tr>
                        <td>American Music Therapy Association</td>
                        <td>1.8</td>
                        <td>acquire knowledge and information about the specific cultural group(s)
                           with whom they work, seeking supervision and education as needed.</td>
                     </tr>
                     <tr>
                        <td>American Music Therapy Association</td>
                        <td>2.6</td>
                        <td>seek peer/professional supervision to assist with reflection and
                           practice improvement.</td>
                     </tr>
                     <tr>
                        <td>American Music Therapy Association</td>
                        <td>4.2</td>
                        <td>use resources available to them to enhance and better their practice
                           (e.g., peer/professional supervision).</td>
                     </tr>
                     <tr>
                        <td>American Music Therapy Association</td>
                        <td>5.3</td>
                        <td>use caution, critical thinking, and strong consideration of the best
                           available evidence when incorporating new and evolving interventions and
                           technologies into their practice, education, or supervision.</td>
                     </tr>
                  </tbody>
               </table>
            </table-wrap>
            <p>Other music therapy professional organizations should consider including more
               specific language in their ethical codes and competencies to encourage members and
               future clinicians to integrate multicultural training with supervision practice.
               Currently, the music therapy literature offers only a few models and best practices
               for this integration (<xref ref-type="bibr" rid="NH2019">Norris &amp; Hadley,
                  2019</xref>; <xref ref-type="bibr" rid="SK2019">Swamy &amp; Kim, 2019</xref>;
                  <xref ref-type="bibr" rid="WP2019">Whitehead, 2019</xref>). Multicultural
               experiential learning is an approach that may assist trainees and professionals at
               all levels of supervision to become more competent in multicultural skills. Through
               this approach to multicultural training, supervisors can adapt traditional
               supervision models derived from colonialist ideals (<xref ref-type="bibr" rid="C2016"
                  >Comte, 2016</xref>; <xref ref-type="bibr" rid="E2001">Estrella, 2001</xref>).</p>
         </sec>
         <!-- sec lvl 3 end -->
         <!-- sec lvl 3 begin -->
         <sec>
            <title>Supervisor Responsibilities</title>
            <p>Although several music therapy associations and organizations lack multicultural
               training language in their code of ethics or standards of practice, they describe
               responsibilities of the supervisor, which are critical to the implementation of
               multicultural experiential learning (<xref ref-type="bibr" rid="AMTA2015b">American
                  Music Therapy Organization, 2015b</xref>; <xref ref-type="bibr" rid="AMTA2014"
                  >Australian Music Therapy Association, 2014</xref>; <xref ref-type="bibr"
                  rid="CMTA2002">Canadian Music Therapy Association, 2002</xref>; <xref
                  ref-type="bibr" rid="NZMTRB2012">New Zealand Music Therapy Association,
                  2012</xref>). The following sections of organizations’ resources are just a few
               that apply:</p>
            <table-wrap id="tbl2">
               <label>Table 2</label>
               <!-- optional label and caption -->
               <caption>
                  <p>Sections from Music Therapy Organizations’ Resources on Supervisor
                     Responsibilities.</p>
               </caption>
               <table>
                  <thead>
                     <tr>
                        <th>Organization</th>
                        <th>Reference</th>
                        <th>Sections</th>
                        <th>Description</th>
                     </tr>
                  </thead>
                  <tbody>
                     <tr>
                        <td>American Music Therapy Association</td>
                        <td>Standards of Clinical Practice</td>
                        <td>8.2</td>
                        <td>It is the responsibility of the Music Therapist providing supervision to
                           maintain knowledge of current developments in research, theory, and
                           techniques in music therapy supervision and supervision in general.</td>
                     </tr>
                     <tr>
                        <td>American Music Therapy Association</td>
                        <td>Standards of Clinical Practice</td>
                        <td>8.2.1</td>
                        <td>The Music Therapist providing supervision will be familiar with current
                           federal, state, and local laws as well as the AMTA Code of Ethics as they
                           pertain to supervision and confidentiality within supervision.</td>
                     </tr>
                     <tr>
                        <td>American Music Therapy Association</td>
                        <td>Standards of Clinical Practice</td>
                        <td>8.2.2</td>
                        <td>The Music Therapist providing supervision is required to will adhere to
                           all AMTA Standards of Clinical Practice and will assure that the Music
                           Therapist supervisee has read and agrees to adhere to the AMTA Standards
                           of Clinical Practice. The Music Therapist providing supervision shall
                           hold the supervisee accountable for adhering to the AMTA Standards of
                           Clinical Practice.</td>
                     </tr>
                     <tr>
                        <td>Australian Music Therapy Association</td>
                        <td>Standards of Clinical Practice</td>
                        <td>4.4</td>
                        <td>RMTs create and maintain a safe auditory environment.</td>
                     </tr>
                     <tr>
                        <td>Australian Music Therapy Association</td>
                        <td>Code of Ethics</td>
                        <td>4.8</td>
                        <td>Registered Music Therapists in supervising the work of students have a
                           responsibility to model and promote awareness of, and adherence to, the
                           provisions of this Code, particularly regarding confidentiality</td>
                     </tr>
                     <tr>
                        <td>Canadian Music Therapy Association</td>
                        <td>Code of Ethics</td>
                        <td>I.1</td>
                        <td>Demonstrate respect for the dignity, worth, experience, and knowledge of
                           all people</td>
                     </tr>
                     <tr>
                        <td>Canadian Music Therapy Association</td>
                        <td>Code of Ethics</td>
                        <td>II.2</td>
                        <td>Avoid doing harm to clients, students, research participants,
                           colleagues, and others.</td>
                     </tr>
                     <tr>
                        <td>Canadian Music Therapy Association</td>
                        <td>Code Ethics</td>
                        <td>II.7</td>
                        <td>Keep themselves up to date with relevant knowledge, research methods,
                           and techniques, through the reading of relevant literature, peer
                           consultation, supervision, and continuing education activities.</td>
                     </tr>
                     <tr>
                        <td>Canadian Music Therapy Association</td>
                        <td>Code of Ethics</td>
                        <td>III.15</td>
                        <td>Act on their obligation to facilitate the professional development of
                           their students, interns, and employees by assuring that these persons
                           understand the values and ethical standards of the profession, and by
                           providing or arranging for adequate working conditions, timely
                           evaluations, constructive consultation, and opportunities for
                           experience.</td>
                     </tr>
                     <tr>
                        <td>New Zealand Music Therapy Registration Board</td>
                        <td>Standards of Practice</td>
                        <td>9(c)</td>
                        <td>treat all persons with dignity and respect;</td>
                     </tr>
                     <tr>
                        <td>New Zealand Music Therapy Registration Board</td>
                        <td>Standards of Practice</td>
                        <td>10(a)</td>
                        <td>demonstrate the ability to establish and maintain a safe practice
                           environment;</td>
                     </tr>
                     <tr>
                        <td>New Zealand Music Therapy Registration Board</td>
                        <td>Standards of Practice</td>
                        <td>10(e)</td>
                        <td>be committed to regularly updating, reviewing and documenting clinical
                           knowledge and skills through a variety of professional development
                           opportunities.</td>
                     </tr>
                  </tbody>
               </table>
            </table-wrap>
            <p>Supervisors and university program directors must responsibly consider aspects of
               this multicultural training tool before implementing with trainees. One of these
               considerations is that multicultural experiential learning must align with
               competencies and advanced competencies (<xref ref-type="bibr" rid="AMTA2013">American
                  Music Therapy Association, 2013</xref>; <xref ref-type="bibr" rid="AMTA2015a"
                  >American Music Therapy Association, 2015a</xref>; <xref ref-type="bibr"
                  rid="AA2002">Arthur &amp; Achenbach, 2002</xref>). According to Hardy (<xref
                  ref-type="bibr" rid="H2017">2017</xref>), supervisors also have the option of
               aligning multicultural experiential learning with multicultural topics, such as
               family, gender, religion, sexual orientation, race, socioeconomic status, and
               intersectionality to name a few.</p>
            <p>Supervisors also fulfill extensive and multiple roles in multicultural experiential
               learning. According to Vasquez (<xref ref-type="bibr" rid="V1992">1992</xref>),
               supervisors model ethical practice through their expertise and training. At a
               minimum, it is recommended that supervisors take two advanced level courses and
               participate in any multicultural experiential learning exercises prior to presenting
               them to their supervisees (<xref ref-type="bibr" rid="V1992">Vasquez, 1992</xref>).
               Each year, the University of the West of England holds an advanced level course on
               supervision training one day a month. This supervision training includes
               multicultural issues, educational factors in supervision, and ethical and
               professional requirements that apply to participants’ contexts (<xref ref-type="bibr"
                  rid="UWE2019">University of the West of England, 2019</xref>). One example of a
               potential multicultural experiential exercise that the author located on the British
               Association for Music Therapy website was the Céilí &amp; Gala Buffet, which is
               offered during their upcoming 2020 conference (British Association for Music Therapy,
               n.d.). The event includes a buffet supper and Irish dancing with a live band and
               caller. This traditional form of Irish dancing dates back to the 1500s
                  (<uri>https://www.ceilidancing.com/</uri>, n.d.). These advanced level courses and
               experiences provide settings for critical and higher conceptual level of thinking.
               Murphy (<xref ref-type="bibr" rid="M2019">2019</xref>) wrote that supervisors’
               ethical responsibilities include having the knowledge of cultural complexities in
               supervision and clinical practice and creating an exploratory space for dialogue on
               cultural complexities and differences.</p>
            <p>Supervisors also model cultural humility and cultural empathy. According to
               Whitehead-Pleaux &amp; Tan (<xref ref-type="bibr" rid="WPT2017">2017</xref>),
               “Cultural competence comes from a place of humility, genuine interest, and seeking to
               understand how another person’s culture influences their worldview and the way in
               which they live their lives” (p. 273). The supervisor assumes these qualities
               recognizing that they cultivate and stem from cultural competence (<xref
                  ref-type="bibr" rid="WPT2017">Whitehead-Pleaux &amp; Tan, 2017</xref>). Other
               beneficial skills for the ethical practitioner include multicultural counseling and
               group processing for when strong feelings and emotions arise in the supervisory
               process (<xref ref-type="bibr" rid="D2018">Donley, 2018</xref>; <xref ref-type="bibr"
                  rid="HB2017">Hardy &amp; Bobes, 2017</xref>). In addition to these requirements,
               the supervisor supports and validates the supervisee’s experience by creating and
               holding a safe space (<xref ref-type="bibr" rid="F2001">Feiner, 2001</xref>; <xref
                  ref-type="bibr" rid="HB2017">Hardy &amp; Bobes, 2017</xref>). Supervisors remain
               transparent about expectations with supervisees that multicultural experiential
               learning is voluntary and will not affect their performance evaluation or grade
                  (<xref ref-type="bibr" rid="D2000">Dileo, 2000</xref>). The supervisor’s
               responsibility does not include the overseeing of the supervisee’s participation in
               multicultural experiential learning. Instead, an overall evaluation of the
               supervisee’s multicultural competency may be completed for gatekeeping purposes if
               later deemed necessary (<xref ref-type="bibr" rid="F2000">Forinash, 2000</xref>). The
               supervisor also helps supervisees to develop sustainable practices in multicultural
               learning by first setting a foundation and allowing the supervisee to explore outward
               from the initial safety net that was introduced.</p>
            <p>Supervisors must consider other roles as well, such as teacher, counselor,
               consultant, and cultural facilitator (<xref ref-type="bibr" rid="D2001">Dileo,
                  2001</xref>; <xref ref-type="bibr" rid="F2001">Feiner, 2001</xref>; <xref
                  ref-type="bibr" rid="HB2017">Hardy &amp; Bobes, 2017</xref>; <xref ref-type="bibr"
                  rid="N1999">Neufeldt, 1999</xref>; <xref ref-type="bibr" rid="S2001">Stige,
                  2001</xref>). The supervisor balances these roles to address the unique
               supervision needs of the trainee (<xref ref-type="bibr" rid="S2001">Stige,
                  2001</xref>). In the roles of teacher and therapist, the supervisor guides
               difficult dialogue with the supervisee or supervisees. This allows supervisees to
               learn these skills through a professional and personal process, which supports
               Dileo’s (<xref ref-type="bibr" rid="D2001">2001</xref>) intention for supervision.
               Supervisors may also need to fill the role of consultant for supervisees who have a
               greater awareness of their cultural identity and multicultural issues. These may be
               supervisees from underrepresented or marginalized groups who have faced oppression.
               In this role of consultant for multicultural training, the supervisor can enter into
               an alliance with the supervisee (<xref ref-type="bibr" rid="N1999">Neufeldt,
                  1999</xref>; <xref ref-type="bibr" rid="S2011">Swamy, 2011</xref>). This alliance
               encourages a greater displacement of power to the supervisee and more opportunity for
               supervisors to seek cultural humility (<xref ref-type="bibr" rid="F2000">Forinash,
                  2000</xref>; <xref ref-type="bibr" rid="N1999">Neufeldt, 1999</xref>; <xref
                  ref-type="bibr" rid="S2011">Swamy, 2011</xref>; <xref ref-type="bibr"
                  rid="WPT2017">Whitehead-Pleaux &amp; Tan, 2017</xref>). When supervisors act as
               the “listening coauthor” and “not-knowing listener” as titled by Stige (2001, p.
               164–166), power can shift to the supervisee who begins formulating independent
               conclusions from their own knowledge and developing independent reflexivity.
               Validation is vital for the student, especially after the student forms conclusions
               following their first multicultural experiential learning task. This validation will
               support them in their lifelong multicultural learning process (<xref ref-type="bibr"
                  rid="D2018">Donley, 2018</xref>; <xref ref-type="bibr" rid="OLBS2014">Orozco et
                  al., 2014</xref>).</p>
         </sec>
         <!-- sec lvl 3 end -->
         <!-- sec lvl 3 begin -->
         <sec>
            <title>Eligible Supervisees</title>
            <p>Before introducing the multicultural experiential learning tool, supervisors should
               evaluate the supervisees’ strengths, needs, level of supervision, and competencies.
               Supervisees who are willing to listen and participate are the most desired. It is
               also helpful for supervisees to already have a working knowledge of the
               cross-cultural and multicultural literature. Supervisees in their first practicum,
               the beginning of their internship, or a new professional position may not be the best
               candidates for participation. These phases are more likely to be filled with
               transition and readjustment while the trainee develops their identity and foundation
               within the profession. Supervisees identified with severe professional competency
               problems are encouraged to address priority competency areas first (<xref
                  ref-type="bibr" rid="H2014">Hsiao, 2014</xref>). Then, the supervisee may reenter
               the multicultural learning process (<xref ref-type="bibr" rid="HN2016">Hadley &amp;
                  Norris, 2016</xref>). Supervisees with problematic behaviors may benefit if they
               experience “discomfort with various types of diversity in clients” (<xref
                  ref-type="bibr" rid="D2001">Dileo, 2001, p. 34</xref>). Supervisors must carefully
               evaluate supervisees in this instance to measure potential gains for that individual
               as well as risks to others.</p>
         </sec>
         <!-- sec lvl 3 end -->
         <!-- sec lvl 3 begin -->
         <sec>
            <title>Supervisee Responsibilities</title>
            <p>In some cases, such as with the Canadian Association of Music Therapy (<xref
                  ref-type="bibr" rid="CMTA2002">2002</xref>), music therapy students and
               supervisees are required to uphold the same responsibilities as credentialed music
               therapists. Within this and other associations, the supervisor remains responsible
               for the professional obligations of their supervisee (<xref ref-type="bibr"
                  rid="AMTA2015a">American Music Therapy Association, 2015a</xref>; <xref
                  ref-type="bibr" rid="CMTA2002">Canadian Music Therapy Association, 2002</xref>).
               The supervisor also needs to communicate these responsibilities and guide the
               supervisee to the appropriate resources.</p>
         </sec>
         <!-- sec lvl 3 end -->
         <!-- sec lvl 3 begin -->
         <sec>
            <title>Across the Supervision Continuum</title>
            <p>Multicultural experiential learning can be utilized at different times in training
               and program curriculums to meet the unique supervision needs of trainees (<xref
                  ref-type="bibr" rid="AA2002">Arthur &amp; Achenbach, 2002</xref>; <xref
                  ref-type="bibr" rid="F2001">Feiner, 2001</xref>). Although it is unclear when it
               would be most effective to introduce to trainees, multicultural experiential learning
               addresses a need for the continuation of multicultural competence (<xref
                  ref-type="bibr" rid="AA2002">Arthur &amp; Achenbach, 2002</xref>; <xref
                  ref-type="bibr" rid="D2018">Donley, 2018</xref>). Bernard (<xref ref-type="bibr"
                  rid="B1994">1994</xref>) suggested “supervision is not an appropriate place for an
               awareness of multicultural dynamics to begin-not for the trainee, and especially not
               for the supervisor” (p. 160). Bernard’s suggestion is valid, but multicultural
               ethical issues may arise due to a lack of multicultural competency. During these
               cases, supervisors must take immediate action for remediation (<xref ref-type="bibr"
                  rid="B1997">Bradt, 1997</xref>). Because Bernard’s (<xref ref-type="bibr"
                  rid="B1994">1994</xref>) statement remains unclear to the supervision type
               involved, certain types of supervision may be more appropriate than others. This may
               include pre-professional supervision, internship supervision, professional
               supervision, group supervision, and peer supervision. Multicultural experiential
               learning may have positive implications for the majority White female workforce in
               music therapy (<xref ref-type="bibr" rid="HN2016">Hadley &amp; Norris, 2016</xref>).
               Using a parallel process in supervision, multicultural experiential learning could
               develop competence in the supervisor and supervisee, especially when didactic models
               of multicultural training may not be as effective alone (<xref ref-type="bibr"
                  rid="AA2002">Arthur &amp; Achenbach, 2002</xref>; <xref ref-type="bibr"
                  rid="D2000">Dileo, 2000</xref>; <xref ref-type="bibr" rid="F2001">Forinash,
                  2001</xref>; <xref ref-type="bibr" rid="KL2003">Kim &amp; Lyons, 2003</xref>).</p>
            <!-- sec lvl 4 begin -->
            <sec>
               <title>Preprofessional Supervision</title>
               <p>In preprofessional supervision, supervisors will need to make several
                  considerations for offering multicultural experiential learning with students and
                  interns. In general, it is recommended that student trainees in their final year
                  of clinical training, or interns in their final two months of clinical placement
                  or internship be approached with this opportunity. By then, it is estimated that
                  trainees will have the groundwork for clinical practice as well as tools and
                  resources available to them from which multicultural experiential learning may be
                  built upon. This will depend on each supervisee, and on clinical requirements that
                  may vary internationally. Terminology for clinical requirements may also vary
                  internationally in different countries as well as organizations (<xref
                     ref-type="bibr" rid="HS2012">Hawkins &amp; Shohet, 2012</xref>). The supervisor
                  acknowledges this difference and determines when students at their site or at the
                  institutional level have laid the clinical groundwork.</p>
            </sec>
            <!-- sec lvl 4 end -->
            <!-- sec lvl 4 begin -->
            <sec>
               <title>Institutional Supervision</title>
               <p>Supervisors’ determination of utilizing multicultural experiential learning in
                  this setting will depend on their assessment of eligible supervisees. In some
                  cases, supervisors and program directors may find that designations for
                  undergraduate or graduate students are helpful. However, this is not a designation
                  that can be relied upon. When supervisors supervise a dyad or group of student
                  trainees, it would be best for the supervisor to assess trainee eligibility and
                  only include this approach if all are determined eligible. If introduced to select
                  trainees, these select trainees may feel targeted. For other trainees, they may
                  desire the opportunity to participate and be concerned about their clinical skills
                  and abilities. In extraordinary cases, such as problem behaviors with client
                  diversities; the supervisor may choose to introduce the learning opportunity to a
                  trainee during a private meeting. Graduate student supervisors who have less than
                  two years clinical experience and one year of supervising are not recommended as
                  institutional facilitators of this approach.</p>
            </sec>
            <!-- sec lvl 4 end -->
            <!-- sec lvl 4 begin -->
            <sec>
               <title>Internship Supervision</title>
               <p>Supervisors may facilitate multicultural experiential learning at the internship
                  level. Because internship creates many new challenges for the supervisee, the
                  supervisor must be careful to offer a choice in the process (<xref ref-type="bibr"
                     rid="F2001">Feiner, 2001</xref>). Supervisees already are given few choices at
                  their internship. Although each intern is unique in their needs at internship, it
                  is recommended that the supervisor wait to incorporate multicultural experiential
                  learning during the “structure building” or “reciprocity and well-being” (Chazan,
                  1990, p. 110–112) phases prior to termination. During these phases, the intern has
                  become more independent. It is also helpful when the supervisor has established
                  trust with the supervisee. Multicultural experiential learning must be allowable
                  hours towards the intern’s required clinical hours.</p>
            </sec>
            <!-- sec lvl 4 end -->
            <!-- sec lvl 4 begin -->
            <sec>
               <title>Professional Supervision</title>
               <p>In professional supervision, supervisors may facilitate multicultural experiential
                  learning and offer space for supervisees to discuss those experiences. However,
                  because this career phase is marked with greater autonomy and independence,
                  supervisees may determine their eligibility and seek out these opportunities on
                  their own. Professional music therapy supervisees are expected to have a level of
                  awareness that helps them to adhere to their organizations’ standards of practice,
                  code of ethics, and professional competencies while also acknowledging areas they
                  need to address in clinical practice and outside events that may impact this work.
                  This awareness may also assist professional supervisees by determining the best
                  time for multicultural experiential learning participation, especially when
                  working with a new population, theirs or clients’ stuckness, or during difficult
                  seasons of life. Professional music therapists may also participate individually
                  or with other colleagues outside of professional supervision. If through
                  individual participation, music therapists need to consider how they will process
                  their experience. Some options may include reflexive writing, songwriting, musical
                  improvisation, music playing, and sharing in professional supervision or personal
                  therapy. Supervisees may also seek out multicultural experiential learning
                  opportunities at conferences or continuing music therapy education events. These
                  opportunities provide professional supervisees avenues for engaging with diverse
                  music therapists and trainee participants. In some cases, it may be beneficial for
                  the music therapist supervisee and music therapist supervisor to participate in
                  multicultural experiential learning either separately or together and process
                  their experiences together. This may promote the parallel process mentioned
                  earlier (<xref ref-type="bibr" rid="AA2002">Arthur &amp; Achenbach, 2002</xref>;
                     <xref ref-type="bibr" rid="D2000">Dileo, 2000</xref>; <xref ref-type="bibr"
                     rid="F2001">Forinash, 2001</xref>; <xref ref-type="bibr" rid="KL2003">Kim &amp;
                     Lyons, 2003</xref>).</p>
            </sec>
            <!-- sec lvl 4 end -->
            <!-- sec lvl 4 begin -->
            <sec>
               <title>Group Supervision</title>
               <p>In group supervision, supervisors and supervisees can structure multicultural
                  experiential learning in several ways. Supervisees can choose to complete these
                  experiences as an individual, in pairs, or groups. The supervisor should challenge
                  the supervisee to explore their decision about how to participate if they
                  repeatedly choose the same option out of comfort. For instance, therapists who
                  often choose to participate in a group may gain greater insight by participating
                  in experiential learning independently. In addition to this role and others
                  previously listed, supervisors may also serve as moderator to help make the group
                  cohesive in group supervision settings (<xref ref-type="bibr" rid="FH2001"
                     >Frohne-Hagemann, 2001</xref>). Processing multicultural experiential learning
                  in group supervision offers music therapists and trainees insights to “different
                  theoretical and philosophical approaches” (<xref ref-type="bibr" rid="FH2001"
                     >Frohne-Hagemann, 2001, p. 233</xref>).</p>
            </sec>
            <!-- sec lvl 4 end -->
            <!-- sec lvl 4 begin -->
            <sec>
               <title>Peer Supervision</title>
               <p>In some cases, traditional music therapy supervision may not be available to music
                  therapists, especially those in developing countries. There, the therapist is the
                  sole therapist or one of only a few in that area (<xref ref-type="bibr"
                     rid="S2001">Stige, 2001</xref>). Likely, these music therapists have to rely on
                  Internet communication. In these instances, multicultural experiential learning
                  may be challenging and differ significantly based on the context of the therapists
                     (<xref ref-type="bibr" rid="H2017">Hardy, 2017</xref>). Peer supervision will
                  also differ structurally needing a designated individual to redirect the group
                  during dialogue and discussion. Typically, peer supervision has “no single
                  overseer” (<xref ref-type="bibr" rid="BBHMDS2001">Baratta, Bertolami, Hubbard,
                     MacDonald, &amp; Spragg, 2001, p. 183</xref>), and the group carries the
                  responsibility of the direction of the group. For this reason, clear boundaries
                  are strongly recommended. Music therapists transitioning from university to early
                  career positions may also benefit from multicultural experiential learning in peer
                  supervision, because it is an affordable means for accountability in the field. It
                  is important for early career therapists and others in their peer supervision
                  group to assess early career music therapists’ level of awareness and foundation
                  in the workplace prior to implementation. The overseer is critical for any peer
                  supervision group desiring to participate in multicultural experiential learning
                  followed by group discussion. Group dynamics can be challenging and may vary
                  depending on individuals with similar or dissimilar mindsets.</p>
            </sec>
            <!-- sec lvl 4 end -->
            <!-- sec lvl 4 begin -->
            <sec>
               <title>Using music</title>
               <p>As a field that uses music as a method (<xref ref-type="bibr" rid="C2002">Clark,
                     2002</xref>), music is already ingrained as a learning experience. Langdon
                     (<xref ref-type="bibr" rid="L2001">2001</xref>) even gave his model of
                  professional supervision the name experiential music therapy program. In this
                  approach Langdon stated, ‘One of the most important needs for support is in
                  nurturing the way of thinking that allows us to move back and forth between words
                  and music, and particularly, being able to nurture what can be called the “musical
                  mind”’ (p. 211). This blend gives supervisees an opportunity to move back and
                  forth between the music experience and verbal processing, which “greatly enhances
                  the opportunities to explore connections between thoughts and feelings, actions
                  and reactions, and so forth” (Hardy &amp; Bobes, 2017, pp. 6–7). This proposed
                  model of supervision has the potential to use multicultural experiential learning
                  exercises with a synthesis between experiences, verbal processing or debriefing,
                  and music. Through this triangular synthesis, a supervisee can develop a mind that
                  has greater awareness for multicultural issues in our field. The supervisor or
                  supervisee may integrate music in multiple forms according to Langdon’s model of
                  supervision. Music can solely be used before, after, or before and after the
                  multicultural experiential learning exercise. Songwriting, improvisations, lyric
                  discussion, singing, and movement to music may all be utilized in addition to
                  other forms not listed here. Those listed below are just a few of many
                  possibilities for the supervisor and supervisee.</p>
            </sec>
            <!-- sec lvl 4 end -->
            <!-- sec lvl 4 begin -->
            <sec>
               <title>Songwriting</title>
               <p>Supervisees may choose to utilize songwriting to process a multicultural
                  experiential learning exercise after it occurs. For instance, supervisees can
                  write a song or songs using words from themselves or an entire supervision group
                  that musically expresses what was experienced. Supervisees may also choose to
                  incorporate lyrics from persons they interacted with or observed. If supervisees
                  participated in an exercise involving music or a musical event, supervisees can
                  include musical elements from that experience to write a song.</p>
            </sec>
            <!-- sec lvl 4 end -->
            <!-- sec lvl 4 begin -->
            <sec>
               <title>Improvisations</title>
               <p>Prior to the multicultural experiential learning exercise, supervisees may
                  improvise musically. Supervisors may find this helpful in understanding the
                  current feelings and thoughts of supervisees related to the upcoming experience.
                  According to Eyre (<xref ref-type="bibr" rid="E2019">2019</xref>), the use of
                  music may also offer important information about supervision direction in addition
                  to therapeutic direction. Music provides an outlet for supervisees to express
                  anxiety or other feelings and dive deeper. This may also give supervisees a
                  greater awareness of their feelings related to safety prior to participation.
                  Improvisations may also be beneficial post-experience. When supervisees are not
                  able to identify words that speak to their experience, they can use music. In
                  particular, it may be helpful for supervisees with an incongruent affect with what
                  they are expressing verbally. Improvisations also have the ability to meet all of
                  the expressive and processing needs of one supervisee or an entire group.</p>
            </sec>
            <!-- sec lvl 4 end -->
            <!-- sec lvl 4 begin -->
            <sec>
               <title>Lyric discussions</title>
               <p>Supervisees can choose a song that they believe aligns with a multicultural
                  experiential learning exercise. Supervisees may make this determination using the
                  song’s history, lyrics, musical qualities, or other elements. Prior to the
                  exercise, the supervisee can discuss with the supervisor or other supervisees
                  their impression of the song, why they chose it, and how it coincides with the
                  exercise. During the exercise, supervisees are asked to remain conscious of the
                  song. Afterwards, supervisees report their experience and insights in connection
                  with the song. In addition to this example, supervisees also have the option to
                  bring a song post-experience that represents their experience or how they
                  feel.</p>
            </sec>
            <!-- sec lvl 4 end -->
            <!-- sec lvl 4 begin -->
            <sec>
               <title>Singing</title>
               <p>Although this is not limited to singing, supervisees who have felt that they lost
                  their voice as a result of racism, oppression, prejudice, and other systemic
                  disadvantages; may re-experience similar feelings when participating in
                  multicultural experiential learning. A supervisee or supervisor with their
                  intuition and good judgement may identify a song for the supervisee to sing in a
                  supervisory or private setting depending on the depth of process needed. Singing
                  repetitious song lyrics may also affirm the supervisee’s experience bringing it
                  greater value and meaning.</p>
            </sec>
            <!-- sec lvl 4 end -->
            <!-- sec lvl 4 begin -->
            <sec>
               <title>Movement to music</title>
               <p>Some supervisees may prefer a different form of expression, such as movement. A
                  supervisor can play music while the supervisee or supervisees move expressively to
                  process their experience. A group can also choose to collectively create a
                  movement work together. In addition, supervisees can direct others, such as
                  supervisees and the supervisor how to move based on their own experience
                  completing the exercise.</p>
            </sec>
            <!-- sec lvl 4 end -->
            <!-- sec lvl 4 begin -->
            <sec>
               <title>Music Imagery</title>
               <p>Music imagery interventions, such as the Bonny Method of Guided Imagery and Music
                  (BMGIM) may provide powerful opportunities for multicultural experiential learning
                  participants to move through aspects of the multicultural experiential learning
                  exercise again. While the supervisee will not re-experience the multicultural
                  experiential learning exercise in the same way, the BMGIM session may serve to
                  make the unconscious conscious for supervisees or supervisors (<xref
                     ref-type="bibr" rid="BR2002">Bruscia, 2002</xref>). It is recommended that a
                  supervisee seek out their own therapist for BMGIM to avoid dual relationships in
                  supervision. Other forms of music imagery, such as Guided Imagery and Music may
                  also be helpful to the supervisee and easily accessed with online resources and
                  applications.</p>
               <p>When using music to enhance multicultural experiential learning, it would be wise
                  for supervisors and supervisees to discuss comfortableness and boundaries.
                  Supervisors and supervisees may prefer to utilize music outside of the supervision
                  setting and during clinical work with clients only. For some, using music to
                  process multicultural experiential learning may be a better fit with their
                  personal therapist, counselor, or clinician.</p>
            </sec>
            <!-- sec lvl 4 end -->
            <!-- sec lvl 4 begin -->
            <sec>
               <title>Online supervision</title>
               <p>For online supervision, integrating music into the process for multicultural
                  experiential learning may have its challenges. Recording and audio devices may not
                  provide the best music or sound quality. The musical space shifts when supervisor
                  and supervisees are unable to be present together. Other creative arts, such as
                  the expressive arts may be more beneficial for this type of supervision.</p>
            </sec>
            <!-- sec lvl 4 end -->
         </sec>
         <!-- sec lvl 3 end -->
         <!-- sec lvl 3 begin -->
         <sec>
            <title>Examples of Multicultural Experiential Learning</title>
            <p>Two examples of multicultural experiential learning are found below that may be
               modified to meet the needs of supervisees in individual, peer, group, or
               self-supervision. The first multicultural experiential learning exercise may be a
               great starting point for supervisees or supervisors who may be new to multicultural
               training. This experiential learning facilitates awareness of the supervisees’ and
               supervisors’ cultural identity and its relationship to other individuals in their
               context.</p>
            <table-wrap id="tbl3">
               <label>Table 3</label>
               <!-- optional label and caption -->
               <caption>
                  <p>(<xref ref-type="bibr" rid="AMTA2013">American Music Therapy Association,
                        2013</xref>; <xref ref-type="bibr" rid="HL1995">Hardy &amp; Laszloffy,
                        1995</xref>)</p>
               </caption>
               <table>
                  <thead>
                     <tr>
                        <th>Multicultural learning experience</th>
                        <th>Competencies addressed</th>
                        <th>Possible modifications</th>
                     </tr>
                  </thead>
                  <tbody>
                     <tr>
                        <td>1. Develop your cultural genogram</td>
                        <td>9.5 Demonstrate awareness of the influence of race, ethnicity, language,
                           religion, marital status, gender, gender identity or expression, sexual
                           orientation, age, ability, socioeconomic status, or political affiliation
                           on the therapeutic process.</td>
                        <td>In group supervision, supervisees could help each other to create their
                           cultural genogram. This could encourage cultural empathy with peers that
                           may create a parallel process with clients in music therapy
                           practice.</td>
                     </tr>
                  </tbody>
               </table>
            </table-wrap>
            <p>
               <bold>Directions</bold>
            </p>
            <p>Using Hardy and Laszloffy (<xref ref-type="bibr" rid="HL1995">1995</xref>) as a
               resource, the supervisee will design their own cultural genogram that defines their
               culture. The supervisee will record any responses they find meaningful including
               thoughts and feelings they have in creating their genogram. The supervisee has the
               option of sharing their cultural genogram with their supervisor. Following the
               creation of a cultural genogram, the supervisee is encouraged to attend a cultural
               event in their community or a neighboring community that represents an aspect of
               their cultural identity. Following this cultural event, the supervisee is encouraged
               to attend a cultural event in their community that represents a culture identity
               different from their own. Cultural events may include festivals, concerts, and
               marches. The supervisee should keep a journal of their thoughts and feelings in
               reflection of these experiences to promote their cultural competence.</p>
            <p>After the supervisee has gained an awareness of different aspects of their cultural
               identity, such as race, ethnicity, gender, and sexual orientation, the following
               exercise may be beneficial in encouraging an awareness of the supervisee’s spiritual
               and religious identity. This exercise could be helpful for supervisees working with
               individuals of different spiritualties and religions. It can be modified
               accordingly.</p>
            <table-wrap id="tbl4">
               <label>Table 4</label>
               <!-- optional label and caption -->
               <caption>
                  <p>(<xref ref-type="bibr" rid="AMTA2013">American Music Therapy Association,
                        2013</xref>; <xref ref-type="bibr" rid="AMTA2015a">American Music Therapy
                        Association, 2015a</xref>; N. Jordan, personal communication, August 22,
                     2017).</p>
               </caption>
               <table>
                  <thead>
                     <tr>
                        <th>Multicultural learning exercise</th>
                        <th>Competencies addressed</th>
                        <th>Possible modifications</th>
                     </tr>
                  </thead>
                  <tbody>
                     <tr>
                        <td>2. Attend a Muslim mosque service<sup>
                              <xref ref-type="fn" rid="ftn1">1</xref>
                           </sup>
                        </td>
                        <td><bold>Professional competencies:</bold><break/>9.5 Demonstrate awareness
                           of the influence of race, ethnicity, language, religion, marital status,
                           gender, gender identity or expression, sexual orientation, age, ability,
                           socioeconomic status, or political affiliation on the therapeutic process.<break/>
                           <bold>Advanced competencies:</bold>
                           <break/>2.7 Apply knowledge of norms and practices of diverse cultures to
                           the supervisory process as indicated.<break/>8.7 Implement music therapy
                           approaches based on knowledge of and sensitivity to the roles and
                           meanings of musics in diverse cultures.<break/> 8.8 Work with culturally
                           diverse populations, applying knowledge of how culture influences issues
                           regarding identity formation, concepts of health and pathology, and
                           understanding of the role of therapy.</td>
                        <td>Instead, supervisors or supervisees could attend another religious
                           service, such as at a Christian church, Jewish temple, or another place
                           of worship that would help them understand the experience of supervisees
                           or clients.</td>
                     </tr>
                  </tbody>
               </table>
            </table-wrap>
            <p>
               <bold>Directions</bold>
            </p>
            <p>The supervisee will attend a service at a Muslim mosque. It is up to the
               participant’s discretion to choose how they want to participate within the service.
               The supervisee must practice cultural empathy while in attendance and maintain an
               awareness of unearned advantages they hold in connection with this dimension of
               diversity. The supervisee may find it helpful to conduct their own research prior to
               their attendance of a religious service that is outside their own spiritual and
               religious identity. Following the experience, the supervisee will reflect on the
               experience by sharing their thoughts and feelings while attending. The supervisee
               will utilize the following prompts as a way of processing the experience:</p>
            <list>
               <list-item>
                  <p>How would you define your cultural identity in relation to this experience?</p>
               </list-item>
               <list-item>
                  <p>Describe your experience as well as any thoughts and feelings they came to your
                     awareness.</p>
               </list-item>
               <list-item>
                  <p>How may this experience support your clinical work with clients? How may this
                     experience support your supervisory work with supervisees?</p>
               </list-item>
            </list>
            <p>According to Hardy and Laszloffy (<xref ref-type="bibr" rid="HL1995">1995</xref>),
               there may be limitations to these experiential learning exercises for some
               individuals. For instance, some family systems are extensive in some cultures. Some
               trainees may also not have the ability to trace their cultural background due to
               adoption, immigration, or other historical events, such as the transatlantic slave
               trade.</p>
         </sec>
         <!-- sec lvl 3 end -->
      </sec>
      <!-- sec lvl 2 end -->
      <!-- sec lvl 2 begin -->
      <sec>
         <title>Conclusion</title>
         <p>Since music therapists at all professional levels utilize supervision, supervision may
            be an ideal conduit for developing and maintaining multicultural competence. This may
            ease the pressure off of university programs to develop new courses and compact
            information into already hearty curriculums. To date, few applications that combine
            multicultural learning and supervision practice have been identified. Multicultural
            experiential learning in supervision may fulfill this pressing need in music therapy and
            other helping professions. Unique to this proposed supervision model is its ability to
            synthesize multicultural experiences, verbal dialogue and reflection, and music. As a
            result of this triangular synthesis, participants may be more likely to gain qualities
            necessary to reach multicultural competence including cultural humility, cultural
            empathy, and multicultural awareness. Despite this model’s potential to transform
            supervision practice, the model also has its limitations. Currently, it has yet to be
            implemented in supervision practice. As a result, evidence is needed to support the
            effectiveness of this model. In addition, the author’s multicultural identity,
            professional experience, context, and worldview may have influenced the vision for this
            model. More input is needed from music therapy supervisors and experts internationally
            before a more refined model can be further developed.</p>
      </sec>
      <!-- sec lvl 2 end -->
      <!-- sec lvl 2 begin -->
      <sec>
         <title>About the author</title>
         <p>Jessica Donley, MMT, MT-BC is the Contracts &amp; Grants Manager for the Beaver College of
            Health Sciences at Appalachian State University in Boone, North Carolina. She received
            her Master of Music Therapy and Systemic Multicultural Counseling Certificate from
            Appalachian State University in 2017. She continues to explore and research
            multicultural training and education, culture, and business topics in the music therapy
            profession.</p>
      </sec>
      <!-- sec lvl 2 end -->
   </body>
   <back>
      <fn-group>
         <fn id="ftn1">
            <p> This task that was an assignment for a Multicultural Counseling course was
               originally an assignment by Dr. Mona Mittal, a former professor of professor, Dr.
               Nickolas Jordan.</p>
         </fn>
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