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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.v20i2.2916</article-id>
         <article-categories>
            <subj-group subj-group-type="heading">
               <subject>Research</subject>
            </subj-group>
         </article-categories>
         <title-group>
            <article-title>Gender Affirming Voicework</article-title>
            <subtitle>A Queer Autoethnographic Account</subtitle>
         </title-group>
         <contrib-group>
            <contrib contrib-type="author">
               <name>
                  <surname>Gumble</surname>
                  <given-names>Maevon</given-names>
               </name>
               <xref ref-type="aff" rid="M_Gumble"/>
               <address>
                  <email>maevon@becomingthroughsound.com</email>
               </address>
            </contrib>
         </contrib-group>
         <aff id="M_Gumble"><label>1</label>Slippery Rock University of Pennsylvania, Becoming Through Sound, USA</aff>
         <contrib-group>
            <contrib contrib-type="editor">
               <name>
                  <surname>Crooke</surname>
                  <given-names>Alexander</given-names>
               </name>
            </contrib>
         </contrib-group>
         <contrib-group>
            <contrib contrib-type="reviewer">
               <name>
                  <surname>Scrine</surname>
                  <given-names>Elly</given-names>
               </name>
            </contrib>
            <contrib contrib-type="reviewer">
               <name>
                  <surname>Christenbury</surname>
                  <given-names>Katurah</given-names>
               </name>
            </contrib>
         </contrib-group>
         <pub-date pub-type="pub">
            <day>1</day>
            <month>7</month>
            <year>2020</year>
         </pub-date>
         <volume>20</volume>
         <issue>2</issue>
         <history>
            <date date-type="received">
               <day>7</day>
               <month>11</month>
               <year>2019</year>
            </date>
            <date date-type="accepted">
               <day>7</day>
               <month>2</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/2916"
            >https://voices.no/index.php/voices/article/view/2916</self-uri>
         <abstract>
            <p>I’ve previously offered an initial introduction to gender affirming voicework (<xref
                  ref-type="bibr" rid="G2019b">Maevon Gumble, 2019b</xref>) as informed by personal
               experiences, my queer autoethnographic research (<xref ref-type="bibr" rid="G2019a"
                  >Maevon Gumble, 2019a</xref>), and literature from the fields of speech-language
               pathology, vocal pedagogy, and music therapy. Gender affirming voicework is a new
               holistic method aimed at assisting individuals with accessing and embodying affirming
               gender expressions, particularly vocal expressions. I encourage you to read the
               aforementioned introductory text (<xref ref-type="bibr" rid="G2019b">2019b</xref>)
               prior to moving forth. In this current article, I will expand upon those
               understandings by offering a queer autoethnographic account of engaging within
               intensive personal work as a nonbinary trans person. This article will more deeply
               consider my personal experiences and journey of engaging with literature as well as
               participating in the following: voice lessons with a former voice teacher; several
               Alexander Technique lessons; both full and adapted Guided Imagery and Music (GIM)
               sessions; and solo voicework sessions, where I more directly explored the
               possibilities of gender affirming voicework. This queer story – or rather set of
               stories – that I tell here is a version of what is presented within my thesis
               research (<xref ref-type="bibr" rid="G2019a">2019a</xref>); however, in queer
               autoethnographic fashion, revisiting my stories to put together this current story
               has led to further ‘becomings’ of something new. It is my hope that this creative
               text provides one personal example of what gender affirming voicework might be within
               the field of music therapy.</p>
         </abstract>
         <kwd-group kwd-group-type="author-generated">
            <kwd>voicework</kwd>
            <kwd>gender affirming</kwd>
            <kwd>transgender</kwd>
            <kwd>nonbinary</kwd>
            <kwd>queer</kwd>
            <kwd>autoethnography</kwd>
            <kwd>music therapy</kwd>
            <kwd>embodiment</kwd>
            <kwd>gender</kwd>
            <kwd>queer theory</kwd>
         </kwd-group>
      </article-meta>
   </front>
   <body>
      <!-- sec lvl 2 begin -->
      <sec>
         <title>‘Becoming’ together through queerly telling stories</title>
         <disp-quote>
            <p><italic>You are a myth born to the wrong age. You are the kind of book that has magical
               stories trapped in every single page.</italic></p>
            <p>(Nikita Gill, <italic>Untitled VI</italic>, italics in original)</p>
         </disp-quote>
         <p>Before more deeply sharing my stories of exploring gender affirming voicework, it is
            important to consider what it might mean to queerly tell stories. While this story arose
            alongside both the tensions and love I have for my voice and gender, it also arose
            concurrently to identifying a thesis research project that I might pursue to complete my
            Master of Music Therapy degree at Slippery Rock University. The intersections of these
            areas quickly led to the realization that an autoethnography, more specifically a queer
            autoethnography, would serve as my research method. </p>
         <p>Autoethnography is a research method that involves the author writing about “epiphanies
            that stem from, or are made possible by, being part of a culture or by possessing a
            particular cultural identity” (Carolyn Ellis,<sup>
               <xref ref-type="fn" rid="ftn1">1</xref>
            </sup> Tony Adams, &amp; Arthur Bochner, 2011, para. 8). Pulling from
               <italic>autobiography </italic>and <italic>ethnography</italic>, it is a study of the
            self in culture (<xref ref-type="bibr" rid="AE2012">Tony Adams &amp; Carolyn Ellis,
               2012</xref>) and is both a process for engaging in research and a product with its
            finished text (<xref ref-type="bibr" rid="AE2012">Tony Adams &amp; Carolyn Ellis,
               2012</xref>; <xref ref-type="bibr" rid="EAB2011">Carolyn Ellis, Tony Adams, &amp;
               Arthur Bochner, 2011</xref>; <xref ref-type="bibr" rid="EB2006">Carolyn Ellis &amp;
               Arthur Bochner, 2006</xref>). In autoethnography, authors pull together their
            experiences, reflexively drawing upon many different kinds of materials, including
            personal memories, interviews, journals, memos, and recordings, and creatively working
            with them through writing, music, art, poetry, creative endeavors – all in efforts to
            share epiphanies of lived experience (<xref ref-type="bibr" rid="AE2012">Tony Adams
               &amp; Carolyn Ellis, 2012</xref>; <xref ref-type="bibr" rid="EAB2011">Carolyn
               Ellis, Tony Adams, &amp; Arthur Bochner, 2011</xref>; <xref ref-type="bibr"
               rid="EB2006">Carolyn Ellis &amp; Arthur Bochner, 2006</xref>). Reflexivity is vital
            for autoethnography, with authors deeply engaging with their own stories to more
            complexly understand them. In telling these stories, autoethnographers are mindful of
            aesthetics and use conventions of storytelling such as character, scene, and plot
            development and by showing, telling, alternating points of view, and using thick
            descriptions (<xref ref-type="bibr" rid="AE2012">Tony Adams &amp; Carolyn Ellis,
               2012</xref>; <xref ref-type="bibr" rid="EAB2011">Carolyn Ellis, Tony Adams, &amp;
               Arthur Bochner, 2011</xref>). </p>
         <p>More specifically considering queer autoethnography, Tony Adams and Stacy Holman Jones
               (<xref ref-type="bibr" rid="AHJ2008">2008</xref>) have avoided clearly defining this
            research method because of the ways it would pin down and hem in the complexities of
            what it <italic>could</italic> be into something easily digestible and identifiable.
            They have, however, hinged together queer theory with autoethnography. </p>
         <p>Simply, although incompletely described because of the ways it can have many meanings,
            queer theory is a critical theory and theoretical framework which involves
            deconstructing and destabilizing normal, fixed, and binary understandings. Queer
            theories have their birthplace in the work of Judith Butler (<xref ref-type="bibr"
               rid="B1990">1990</xref>, <xref ref-type="bibr" rid="B1993">1993</xref>, <xref
               ref-type="bibr" rid="B2004">2004</xref>), Michel Foucault (<xref ref-type="bibr"
               rid="F1975">1975</xref>, <xref ref-type="bibr" rid="F1978">1978</xref>), and
            many others. Common features of queer theories include “resisting the categorization of
            people; challenging the idea of essential identities; questioning binaries like
            gay/straight, male/female; demonstrating how things are contextual, based on geography,
            history, culture, etc.; and examining the power relations underlying certain
            understandings, categories, identities, etc.” (<xref ref-type="bibr" rid="BS2016"
               >Meg-John Barker &amp; Julia Scheele, 2016, p. 31</xref>). Queer can be an adjective
            (i.e., a queer person), a derogatory noun and slur (i.e., the queer), identity (i.e., I
            am queer), or a verb (i.e., to queer something). Here, I turn to queer as a verb,
            meaning to take action. This draws upon common features of queer theories in efforts to
            destabilize and dismantle normative understandings, stories, and knowledge.</p>
         <p>Tony and Stacy have expressed that both queer theory and autoethnography disrupt
            traditional narratives around research and the ‘norm’; commit themselves to novelty and
            innovation through reflexivity; embrace the fluidity and instability of identity; serve
            as sites of “discursive trouble” to call out social injustices (referencing Judith
            Butler’s work); and are critiqued in similar ways due to their commitment to reflexivity
               (<xref ref-type="bibr" rid="AHJ2008">2008</xref>, <xref ref-type="bibr"
               rid="HJA2010">2010</xref>, <xref ref-type="bibr" rid="AHJ2011">2011</xref>, <xref
               ref-type="bibr" rid="HJA2016">2016</xref>). What I particularly love about the
            writings of Tony and Stacy is the way they leave room for me, in reading their texts, to
            arrive at my own understandings of what autoethnography, and more specifically
               <italic>queer</italic> autoethnography, is. Autoethnography as queer seems to be
            aimed at an autoethnographic process of writing and rewriting, of engaging in creative
            practices, to hinge together meaning and unhinge that meaning all in one breath, to find
            partial understandings that continue to change and develop. “Queering autoethnography
            embraces fluidity, resists definitional fixity, looks to self and structures as
            relational accomplishments, and takes seriously the need to create more livable,
            equitable, and just wants of living” (<xref ref-type="bibr" rid="AHJ2008">Tony Adams
               &amp; Stacy Holman Jones, 2008, p. 384</xref>). I understand that this method
            encourages us to move outside of clear categories and to dismantle set labels and
            understandings by embracing languages’ failure to fully or accurately capture or contain
            us. Further, it involves positioning identity as shifting and changing over time, thus
            requiring constant negotiation and navigation through different contexts (<xref
               ref-type="bibr" rid="HJA2010">Tony Adams &amp; Stacy Holman Jones, 2010</xref>). It
            embraces “stories of pleasure, of gratification, of the mundane, as they intersect,
            crisscrossing rhizomatically with stories of subjugation, abuse, and oppression” (<xref
               ref-type="bibr" rid="HJA2010">2010, p. 385</xref>). </p>
         <p>Due to the permanent nature of texts in that they often cannot be altered once
            published, Tony and Stacy describe texts as fixed identities. Understanding this, a
            queer autoethnographer:</p>
         <disp-quote>
            <p>recognizes that bodies are immersed in, and fixed by, texts, but also recognizes
               these bodies as doing, speaking, and understanding beings, forthrightly incomplete,
               unknown, fragmented, and conflicting. Failing to recognize these contingencies,
               ellipses, and contradictions, autoethnographers textually paint themselves into a
               corner … (<xref ref-type="bibr" rid="HJA2016">2016, p. 211</xref>).</p>
         </disp-quote>
         <p>This corner further creates a fixed, unmoving, static identity where, “[i]n the place of
            relationality, performativity, and transitivity, we create singularity, clarity, and
            certainty” (<xref ref-type="bibr" rid="HJA2016">2016, p. 211</xref>). I understand this
            to mean that the queer autoethnographer tells stories that: lack clarity due to the
            author moving away from fixed understandings, lack clarity due to the author being in
            the midst of ever-evolving conflict (i.e., no resolution of the story), or do not offer
            the kind of concreteness that academia tends to value. I further understand this as
            leaving the author in a vulnerable space, subject to criticism and outright rejection
            for their failure to offer ‘meaningful’ ‘academic’ understandings. This is particularly
            true when considering more creative texts.</p>
         <p>Relatedly, Tony and Stacy have written about the queer autoethnographic process as a
            cyclical one that circles around three important pieces: the autoethnographic (the
            personal cultural story), the queer (the parts of the story that draw attention to a
            problem), and the reflexive (the understanding of how we frame ourselves and others)
               (<xref ref-type="bibr" rid="AHJ2011">2011</xref>). This way of engaging with the
            author’s stories involves embracing a stance of “never becoming comfortable, always
            already wanting and being ready to (re)create” (<xref ref-type="bibr" rid="HJA2010"
               >Tony Adams &amp; Stacy Holman Jones, 2010, p. 150</xref>), understanding that both
            author and reader continue to “become” while engaging with the author’s stories. Tony
            and Stacy described this as writing without endings (<xref ref-type="bibr"
               rid="AHJ2011">2011</xref>). With all this in mind, queer autoethnography can be
            considered a queer political action in the ways it challenges dominant discourse and
            grand narratives (<xref ref-type="bibr" rid="AHJ2008">Tony Adams &amp; Stacy Holman
               Jones, 2008</xref>). </p>
         <p>In terms of representing and more deeply exploring my early wanderings of gender
            affirming voicework, queer autoethnography has served as an ideal playground, providing
            me with tools to tell my story grounded in queer theory while continuing to queer my
            thought processes as well as the foundations of what gender affirming voicework might
            be. </p>
      </sec>
      <!-- sec lvl 2 end -->
      <!-- sec lvl 2 begin -->
      <sec>
         <title>Childlike explorations</title>
         <p>With their living room as their underwater ocean trove, a young child wholeheartedly
            belts, on repeat, at the top of their lungs:</p>
         <verse-group>
         <verse-line>I wanna be where the people are</verse-line>
         <verse-line>I wanna see, wanna see ‘em dancin’</verse-line>
         <verse-line>Walkin’ around on those – whad-ya call ‘em? – oh, feet</verse-line>
         <verse-line>Flippin’ your fins you don’t get too far</verse-line>
         <verse-line>Legs are required for jumpin’, dancin’</verse-line>
         <verse-line>Strollin’ along down a – what’s that word again? – street</verse-line>
         <verse-line>Up where they walk</verse-line>
         <verse-line>Up where they run</verse-line>
         <verse-line>Up where they stay all day in the sun</verse-line>
         <verse-line>Wanderin’ free – wish I could be</verse-line>
         <verse-line>Part of that world</verse-line>
            <attrib>(“Part of Your World,” <italic>The Little Mermaid</italic>)</attrib>
         </verse-group>
         <p>Watching ‘The Little Mermaid’ as a child, they see themself in Ariel’s story – the
            mermaid with the beautiful voice who wanted more than what she had…who wanted to be
            where the people are. They intuitively know something then that they wouldn’t<sup>
               <xref ref-type="fn" rid="ftn2">2</xref>
            </sup> fully realize until their 20’s. They love Ariel because she is curious and
            adventurous. She wants to be a part of something different from what she is
               <italic>told</italic> she is a part of. She doesn’t want the ocean … she wants
            something … <italic>more</italic>. She wants land, streets, fire, feet. And she is
            determined and independent, knowing that she doesn’t solely belong where she is and
            standing up for that. Doing something about it, with or without permission. And her
            voice is one of the most important aspects of her identity. It is what makes her
            recognizable to others, what others use to define <italic>who</italic> she is. Without
            it, she isn’t Ariel. Just a girl without a voice, walking on dry land. Misperceived and
            misunderstood.</p>
         <fig id="fig1">
            <label>Figure 1</label>
            <caption>
               <p>Image shows a mandala from a personal music therapy session on 2/28/2019, with
                  teal sweeps of color that look like ocean waves.</p>
            </caption>
            <graphic id="graphic1"
               xlink:href="Pictures/10000000000002A3000002DFE8ED867534394FD9.jpg"/>
         </fig>
         <p/>
         <p>A twenty-three-year-old childlike person begins research, still intuitively knowing
            themself to be Ariel walking on dry land, having an intimate knowledge of who they are.
            Nonbinary. Neither singularly man nor woman. Something much more complicated. They hold
            the fluidity of both fins and feet, their gender as fluid as the magic that shifts Ariel
            from one state of being to another. But people do not hear them for who they are. Their
            voice does not carry with it any real or perceivable sound for who they know themself to
            be. It carries ‘girl’, ‘woman’, ‘female’. They are not heard. At times, it is like they
            have no voice at all.</p>
         <p>Yet their voice – <italic>my </italic>voice – is such an important and intimate part of
            me. As a musician – more specifically, a singer – it is often my instrument of choice,
            an instrument that I carry around with me into every space I occupy. It is one of the
            very first instruments I started studying in middle school and that I continued to study
            throughout college as my primary instrument. My voice is something I take pride in and
            often receive compliments about. I know my voice well and how to use it to engage in
            quality music. In fact, making music with my voice is one of my favorite things to do.
            It is self-soothing, both a resource and strength. It vibrates my body with warmth,
            filling up the spaces within me and extending into the spaces around me. My voice
            connects me with other people, and yet it also separates me in the way it offers one of
            many ways to misgender me. Of course, my voice is not the only site of misperception, as
            my body makeup and gender expressions also play important roles. However, it cannot be
            denied that when someone hears my voice paired with my body and expressions, whether I
            am singing or speaking, they often make assumptions about who I am and how I must
            identify. I love this voice even as I am frustrated by it.</p>
         <p>Early on in my voice explorations, I emailed the following to my professor and thesis
            advisor, Susan Hadley, with whom I had been sharing the complexities of gender:</p>
         <disp-quote>
            <p>I’m finding that my own experiences with my voice interesting because from high
               school up until this point, I have been all over the place vocally, flipping from
               high soprano to mezzo-soprano and back…and then back again. I’ve worked with several
               teachers who have followed me with this, either working with me within soprano
               territory or moving me towards mezzo land. I mean that in terms of pitch range but
               also in terms of voice color and in some ways the themes of the repertoire itself.
               Sopranos typically have a lighter, more delicate or what I would perceive as
               “feminine” sound. Mezzos typically have a warmer, richer, and more “masculine” sound.
               I’m interested in the context of me being connected with either, or rather both, of
               these sounds. Meaning, did my feeling connected with my assigned gender let me feel
               more comfortable with that more “feminine” part of my voice which led me to have an
               easier time in singing soprano repertoire? And then on the flip side, did not feeling
               connected with my assigned gender lead me to feel a sense of wrongness and a
               struggling with using that “feminine” voice? [Reflecting back,] I don’t think that I
               can really know the answers to these questions, but I know that there have been times
               where I have had a lot of difficulty in navigating my voice – where anxiety takes
               over, and I end up vocally given up because of a feeling of being uncomfortable
                  (2/2/2017).<sup><xref ref-type="fn" rid="ftn3">3</xref></sup>
            </p>
         </disp-quote>
         <p>As I reflected more on what I expressed in this email, I thought of times where my high
            notes would blossom – where the sound would pour out of me and everything would just
            work. I recalled these moments as feeling ‘good,’ ‘right,’ filled with confidence, like
            it all just made sense. My voice was an extension of me, expanding into the room, taking
            up as much space as it could. And in sharp contrast, I thought of specific moments where
            I shut down and these notes would not work, regardless of how hard I tried to access
            them. The sound – lost somewhere within me, not finding its way out. My voice – clunky,
            forced, harsh, pushed into a space that wasn’t working. I recalled how some of these
            moments occurred in the presence of others, particularly in voice lessons, and how this
            often brought me to the verge of tears, halting the work I was doing.</p>
         <p>These questions and reflections arose within a desire to understand my voice and gender
            in all their complexities and to access vocal sounds that accurately and authentically
            reflect how I know myself to be. I’ve been humbled by the way I have, at times, found
            myself attempting to leave the fixed box of female/feminine/woman only to attempt to box
            and limit my sound and gender to “one true authentic” way of existing. I’ve instead been
            trying to embrace the idea of queer voicings – of accessing something that feels
            authentic <italic>at least for this moment</italic>, recognizing that it might change
            and shift with the passage of time. Since writing the above email over two and a half
            years ago, I’ve realized that there are certainly moments of singing and speaking where
            I openly embrace the femininity of my voice, with/for myself, with friends and family,
            and with those I work with clinically. Sometimes this feels right, wholesome, affirming.
            However, more often than not, this comes with discomfort, especially as these sounds
            often arise within my personal life when I am feeling ungrounded or when I’m navigating
            feelings of vulnerability. I often feel much more connected with my gender when I sit
            within sounds that would likely be associated with masculinity or androgyny. Not always
            – but often. Further, musically, I have found that I am most at home when singing in the
            lower and richer parts of my voice. In particular, I love the way these sounds rattle
            and vibrate my chest, neck, and body in ways that bring about a sense of aliveness and
            fullness. Again, not always – but often.</p>
         <verse-group>
         <verse-line>There are parts of my home I spend more time in,</verse-line>
         <verse-line>but I travel around,</verse-line>
         <verse-line>sometimes up to the attic,</verse-line>
         <verse-line>sometimes down to the basement,</verse-line>
         <verse-line>sometimes out in the garden,</verse-line>
         <verse-line>sometimes settled in the kitchen.</verse-line>
         </verse-group>
         <verse-group><verse-line>But I am drawn to the basement</verse-line>
         <verse-line>I keep coming back,</verse-line>
         <verse-line>finding comfort there</verse-line>
         <verse-line>even though it’s cold</verse-line>
         <verse-line>and damp</verse-line>
         <verse-line>and there’s no furniture</verse-line>
         <verse-line>to sit on.</verse-line>
         <verse-line>I’m drawn to the basement.</verse-line>
            <attrib>(Maevon Gumble, <italic>Untitled</italic>)</attrib>
         </verse-group>
      </sec>
      <!-- sec lvl 2 end -->
      <!-- sec lvl 2 begin -->
      <sec>
         <title>A creative attempt at defining my gender</title>
         <fig id="fig2">
            <label>Figure 2.</label>
            <caption>
               <p> "The Ocean": Image of ocean waves with a black silhouette of Ariel, the mermaid.
                  On this image is the text by Rumi: "You are not a drop in the ocean. You are the
                  entire ocean, in a drop."</p>
            </caption>
            <graphic id="graphic2"
               xlink:href="Pictures/10000000000004E8000003AEF793CC27F9F896AB.jpg"/>
         </fig>
         <verse-group>
         <verse-line>My gender is an ocean:</verse-line>
         <verse-line>fluid</verse-line>
         <verse-line>shifting</verse-line>
         <verse-line>unsettled</verse-line>
         <verse-line>untethered</verse-line>
         <verse-line>an ever-expansive body of water</verse-line>
         <verse-line>that holds every part of me</verse-line>
            <attrib>(Maevon Gumble, Facebook post, 9/15/2019)</attrib>
           </verse-group>
         <verse-group>
         <verse-line>on the land</verse-line>
         <verse-line>there are two poles:</verse-line>
         <verse-line>Woman</verse-line>
         <verse-line>and Man.</verse-line>
         <verse-line>to resist one,</verse-line>
         <verse-line>you must approach the other.</verse-line>
        </verse-group>
         <verse-group><verse-line>I bind<sup>
               <xref ref-type="fn" rid="ftn4">4</xref>
            </sup> my body</verse-line>
         <verse-line>to fit into a carefully constructed,</verse-line>
         <verse-line>narrow</verse-line>
         <verse-line>space</verse-line>
         <verse-line>where only a few</verse-line>
         <verse-line>will find me.</verse-line>
         <verse-line>it reads, </verse-line>
         <verse-line>“Other.”</verse-line></verse-group>
         
         <verse-group><verse-line>this space is not a pole.</verse-line>
         <verse-line>magnets tug from both sides.</verse-line>
         <verse-line>they pull at my bones.</verse-line>
         <verse-line>I hold myself together.</verse-line></verse-group>
         
         <verse-group><verse-line>sometimes, I run</verse-line>
         <verse-line>like the little boy I was</verse-line>
         <verse-line>on my second-grade soccer team</verse-line>
         <verse-line>a little wild</verse-line>
         <verse-line>but powerful</verse-line>
         <verse-line>and my lungs scream</verse-line>
         <verse-line>to take up more space</verse-line></verse-group>
         
         <verse-group><verse-line>sometimes, I sing</verse-line>
         <verse-line>holding an infant</verse-line>
         <verse-line>in a room full of new mothers</verse-line>
         <verse-line>and only the baby knows</verse-line>
         <verse-line>how my chest</verse-line>
         <verse-line>is not for her</verse-line></verse-group>
         
        <verse-group> <verse-line>on the land,</verse-line>
         <verse-line>I pose</verse-line>
         <verse-line>and adjust</verse-line>
         <verse-line>the dial of my appearance</verse-line>
         <verse-line>I cannot paint myself</verse-line>
         <verse-line>green, gold, and sky blue</verse-line>
         <verse-line>here.</verse-line>
         <verse-line>we are given</verse-line>
         <verse-line>only black and white</verse-line>
         <verse-line>so I attempt</verse-line>
         <verse-line>the most perfect shade of grey.</verse-line></verse-group>
         
         <verse-group><verse-line>in the water</verse-line>
         <verse-line>my chest is unbound</verse-line>
         <verse-line>but I do not mind.</verse-line>
         <verse-line>there is no word</verse-line>
         <verse-line>for “woman”</verse-line>
         <verse-line>here.</verse-line></verse-group>
         
         <verse-group><verse-line>in the water</verse-line>
         <verse-line>I am expansive</verse-line>
         <verse-line>fluid</verse-line>
         <verse-line>illegible</verse-line></verse-group>
         
         <verse-group><verse-line>my arms stretch</verse-line>
         <verse-line>my legs kick</verse-line>
         <verse-line>my lungs expand</verse-line>
         <verse-line>my hair flows</verse-line>
         <verse-line>my body flips and curves</verse-line></verse-group>
         
         <verse-group><verse-line>my spine realigns</verse-line>
         <verse-line>from the slouch of bound resignation</verse-line>
         <verse-line>to the stretch and curve</verse-line>
         <verse-line>of an otter’s playful dance.</verse-line>
         <verse-line>my back no longer hurts.</verse-line></verse-group>
         
         <verse-group><verse-line>here, I understand</verse-line>
         <verse-line>how the octopus</verse-line>
         <verse-line>enacts perfect camouflage</verse-line>
         <verse-line>despite being colorblind.</verse-line>
         <verse-line>I know what it is</verse-line>
         <verse-line>to create colors</verse-line>
         <verse-line>that, where I’m from,</verse-line>
         <verse-line>do not exist.</verse-line>
            <attrib>(Vee Gilman Fansler, <italic>on the land _ in the water</italic>)</attrib>
         </verse-group>
      </sec>
      <!-- sec lvl 2 end -->
      <!-- sec lvl 2 begin -->
      <sec>
         <title>I cannot abandon this home</title>
         <p>I longed for a voice, particularly a speaking voice, that would be perceived in a more
            androgynous-something-outside-of-man-and-woman kind of way – something that would not as
            easily lead to female perceptions of gender and that would hold my gender in all the
            ways it shifts. Importantly, I desired for this voice to exist simultaneously to the
            singing voice that is such a strength and resource for me. That is, I wanted my voice to
            be more androgynous, to hold the ways I embody both my masculinity and femininity, but I
            did not want to lose the familiarity I had with my singing voice, the instrument that I
            felt (and feel) so intimately connected with.</p>
         <p>I began engaging with various bodies of literature from the field of speech-language
            pathology as well as other fields specific to musical vocal training and vocal health,
            all of which considered trans (and subsumed within that, nonbinary) voices. I learned
            that many trans men and female-assigned nonbinary persons pursue hormone therapy<sup>
               <xref ref-type="fn" rid="ftn5">5</xref>
            </sup> (i.e., they take testosterone) given how permanent and effective it is at not
            only creating vocal changes but other bodily changes (<xref ref-type="bibr" rid="CBBCKDCF2012">Eli Coleman, Walter Bockting,
            Marsha Botzer, Peggy Cohen-Kettenis, Griet DeCuypere, Jamie Feldman, Lin Fraser, Jamison
            Green, Gail Knudson, Walter Meyer, Stan Monstrey, Richard Adler, George Brown, Aaron
            Devor, Randall Ehrbar, Randi Ettner, Evan Eyler, Rob Garofalo, Dan Karasic, Arlene Istar
            Lev, Gal Mayer, Heino Meyer-Bahlburg, Blaine Paxton Hall, Friedmann Pfäfflin, Katherine
            Rachlin, Bean Robinson, Loren Schechter, Vin Tangpricha, Mich van Trotensburg, Anne
            Vitale, Sam Winter, Stephen Whittle, Kevan Wylie, &amp; Ken Zucker, 2012</xref><sup>
               <xref ref-type="fn" rid="ftn6">6</xref>
            </sup>; <xref ref-type="bibr" rid="DG2006">Shelagh Davies &amp; Joshua Goldberg, 2006</xref>; <xref ref-type="bibr" rid="DPA2015">Shelagh Davies, Viktória Papp, &amp;
               Christella Antoni, 2015</xref>). I further learned that a person can experience specific vocal
            problem areas in using testosterone (e.g., pitch range/variability, vocal control/stability, vocal power, vocal
               endurance, glottal function, the singing voice, breathing, muscle tension/posture,
               and other functions not specified; <xref ref-type="bibr" rid="ANSNR2017"
               >David Azul, Ulrika Nygren, Maria Södersten, &amp; Christiane Neuschaefer-Rube,
               2017</xref>). More specifically, singers can experience difficulties with a decrease
            in pitch range (<xref ref-type="bibr" rid="ACB2012">Richard Adler, Alexandros
               Constansis, &amp; John van Borsel, 2012</xref>) and resonance (<xref ref-type="bibr"
               rid="C2009">Alexandros Constansis, 2009</xref>).</p>
         <disp-quote>
            <p>I am a music therapist and my main instrument is my voice…my voice is a huge part of
               my identity, both personally and professionally. Not only do I need my voice for
               speaking, but it is my musical instrument and one that I have been using for a large
               portion of my life. Musically, I have a particularly intimate relationship with it. I
               know how to ‘play’ it, how it functions, and which notes and vowels I need to pay
               more attention to than others – meaning, I know the nuances of my own voice and how
               to make it do what I want it to do when I am singing. With this, the voice is
               different from other instruments in that it cannot be picked up and put down as
               others can. It is a part of my being as I carry it with me, regardless of whether I
               use it or not. With hormone therapy, I could pick up a new instrument by taking
               testosterone, and I could find that I love this new instrument, even more so than my
               current one. However, I could also find that I regret the change, and given the fact
               that vocal changes from testosterone are permanent and irreversible, I would not be
               able to put this new instrument down. (personal
                  reflection, Spring 2017).</p>
         </disp-quote>
         <p>Yes, it is true that if I had pursued hormone therapy, my voice post-testosterone would
            essentially function in the same way it did pre-testosterone (i.e., the mechanics behind
            how my voice is able to produce sound would be the same). But there
               <italic>would</italic> be differences to that functionality which would change how I
               <italic>know</italic> how to use my voice.</p>
         <p>For instance, imagine this situation on any other instrument you might know well; I will
            use the cello as an example. Imagine you’ve been playing a specific model and type of
            cello for most of your playing life. Because of the length of time you’ve been playing,
            you know the intricacies of the cello. Further, because you’ve been playing that
               <italic>particular</italic> cello throughout this time, you know <italic>that
            </italic>cello intimately. You know what string tends to go out of tune. You know how
            much pressure is needed by your fingers or the bow to create a specific kind of sound.
            You know how long the endpin needs to be for the cello to feel most right in your body.
            You know how your hand needs to be placed to jump from one note to the next. You know
            the physical experience of playing that cello and the ways it vibrates across your body
            and into the room around you. You <italic>know</italic> that instrument in an intimate
            way. </p>
         <p>Now let’s imagine that you start playing the upright bass for the first time. Sure, the
            mechanics behind how the cello and bass function are essentially the same, but there are
            subtle and perhaps drastic differences that make those instruments uniquely different.
            You would likely fumble in playing the bass, at least at first, not
               <italic>knowing</italic> it in the same kind of intimate ways that you know the
            cello. The strings would feel different at the point they meet your fingertips. The
            instrument’s size and shape – settled cautiously and perhaps clumsily in your hands and
            on your body. The bow held at new and perhaps strange angles by your arm. The
            vibrational feedback experienced with a uniqueness. The bass would in many ways be
            foreign territory, even as it might feel vaguely familiar. Perhaps this vagueness would
            be a kind of change that you want. Perhaps you would find that the bass is <italic>your
            </italic>instrument in a way the cello never was. Perhaps it feels like home, perfectly
            sitting on your body, in your hands, at your fingertips – as though it is simply an
            extension of who you are and how you exist in this world. If so –
               <italic>beautiful</italic> – you keep playing the bass. If not, then you simply put
            it down and pick up your cello or even another instrument altogether.</p>
         <p>But again, the voice cannot be picked up and put down like other instruments. That
            intimacy and connection that I have with my singing voice is something that is more
            important to me than something that I could <italic>potentially</italic> connect more
            with. Perhaps I lacked the willingness to venture into the unknown – to relearn my
            instrument and the ways testosterone would give it new intricacies. Or, perhaps, I
            instead wanted the voice I know and love – even as it doesn’t always fit me, even as it
            at times frustrates me – to be my home.</p>
      </sec>
      <!-- sec lvl 2 end -->
      <!-- sec lvl 2 begin -->
      <sec>
         <title>Dropped in an ocean</title>
         <verse-group><verse-line>The growing, aching quiet of this home</verse-line>
         <verse-line>has led me to reading space theories.</verse-line>
         <verse-line>The notions are slowly wrapping around my bones, </verse-line>
         <verse-line>settling between my heart and ribcage with intricacy.</verse-line>
            <attrib>(Nikita Gill, <italic>Multiverse, first stanza</italic>)</attrib>
         </verse-group>
         <p>I continued to have tensions with the possibility of taking testosterone, simultaneously
            understanding that testosterone is an important and valuable resource for many trans and
            nonbinary people. I learned that in addition to vocal surgeries (something I knew for
            certain I did not want to pursue), speech therapy was a possibility, one that was often
            used in conjunction with testosterone (<xref ref-type="bibr" rid="CBBCKDCF2012">Coleman
               et al., 2012</xref>). Clinical guidelines suggested that speech therapy can be used
            to make clinical changes around gendered parameters of the voice including pitch,
            intonation, resonance, articulation, speech rate, strength, language usage, and
            nonverbal communication, all of which influence perceptions of gender (<xref
               ref-type="bibr" rid="A2015">David Azul, 2015</xref>; <xref ref-type="bibr"
               rid="ACB2012">Richard Adler, Alexandros Constansis, John van Borsel, 2012</xref>;
               <xref ref-type="bibr" rid="DG2006">Shelagh Davies &amp; Joshua Goldberg,
               2006</xref>; <xref ref-type="bibr" rid="DPA2015">Shelagh Davies, Viktória Papp,
               &amp; Christella Antoni, 2015</xref>). </p>
         <p>Despite knowing that there isn’t a universal feminine or masculine voice given how
            perceptions of the voice are steeped within cultural understandings, there
               <italic>are</italic> patterns of speech that are more likely to be perceived in
            feminine or masculine ways. Patterns that tend to be perceived in more feminine ways and
            therefore lead to people more likely being identified as women/girls include those who
            tend to speak within the range of 180-220 Hz (around F3-A3) (<xref ref-type="bibr"
               rid="DPA2015">Shelagh Davies, Viktória Papp, &amp; Christella Antoni,
            2015</xref>); with a greater range of inflection; with higher head resonances and
            brighter, more nasalized, breathy, and weaker sounds; and with lighter but more drawn
            out articulation (<xref ref-type="bibr" rid="A2012">Richard Adler, Sandy Hirsch,
               &amp; Michelle Mordaunt, 2012</xref>; <xref ref-type="bibr" rid="CBBCKDCF2012"
               >Coleman et al., 2012</xref>; <xref ref-type="bibr" rid="DG2006">Shelagh Davies
               &amp; Joshua Goldberg, 2006</xref>; <xref ref-type="bibr" rid="DPA2015">Shelagh
               Davies, Viktória Papp, &amp; Christella Antoni, 2015</xref>). Speech patterns that
            tend to be perceived in more masculine ways, leading to identification as men/boys,
            include those who tend to speak within the range of 100-140 Hz (around G2-Db3; <xref ref-type="bibr" rid="DPA2015"
               >Shelagh Davies, Viktória Papp, &amp; Christella Antoni, 2015</xref>); with a more
            level or monotone kind of inflection; with lower chest resonances and richer, warmer,
            stronger, and clearer sounds; and with staccato-like and punched out articulation (<xref
               ref-type="bibr" rid="A2012">Richard Adler, Sandy Hirsch, &amp; Michelle
               Mordaunt, 2012</xref>; <xref ref-type="bibr" rid="CBBCKDCF2012">Coleman et al.,
               2012</xref>; <xref ref-type="bibr" rid="DG2006">Shelagh Davies &amp; Joshua
               Goldberg, 2006</xref>; <xref ref-type="bibr" rid="DPA2015">Shelagh Davies,
               Viktória Papp, &amp; Christella Antoni, 2015</xref>).</p>
         <p>I learned that of these parameters, there are certain ones that are more significant for
            gender perception, particularly when considering work with trans and nonbinary
            individuals. Pitch (or fundamental frequency) is one of the most important cues of
            gender (<xref ref-type="bibr" rid="PGB2013">Marylou Pausewang Gelfer &amp; Quinn
               Bennett, 2013</xref>; <xref ref-type="bibr" rid="PGM2005">Marylou Pausewang Gelfer
               &amp; Viktoria Mikos, 2005</xref>; <xref ref-type="bibr" rid="HC2009">James
               Hillenbrand &amp; Michael Clark, 2009</xref>; <xref ref-type="bibr" rid="SS2014"
               >Verena Skuk &amp; Stefan Schweinberger, 2014</xref>). Within the space between more
            feminine and masculine speech patterns is an androgynous range of 145-175 Hz (around D3-F3; <xref ref-type="bibr"
               rid="DPA2015">Shelagh Davies, Viktória Papp, &amp; Christella Antoni,
            2015</xref>), where resonance actually becomes the most important cue of gender, more
            specifically the formant<sup>
               <xref ref-type="fn" rid="ftn7">7</xref>
            </sup> frequencies of vowels (<xref ref-type="bibr" rid="CW1991">Donald Childers &amp;
               Ke Wu, 1991</xref>; <xref ref-type="bibr" rid="DG2006">Shelagh Davies &amp; Joshua
               Goldberg, 2006</xref>; <xref ref-type="bibr" rid="DPA2015">Shelagh Davies,
               Viktória Papp, &amp; Christella Antoni, 2015</xref>; <xref ref-type="bibr"
               rid="PGB2013">Marylou Pausewang Gelfer &amp; Quinn Bennett, 2013</xref>; <xref
               ref-type="bibr" rid="HC2009">James Hillenbrand &amp; Michael Clark, 2009</xref>;
               <xref ref-type="bibr" rid="SS2014">Verena Skuk &amp; Stefan Schweinberger,
               2014</xref>). Further, resonance is important even outside of that androgynous range
            as words/phrases get longer and more complex, moving from vowels all the way to full
            connected speech (<xref ref-type="bibr" rid="PGB2013">Marylou Pausewang Gelfer &amp;
               Quinn Bennett, 2013</xref>). This means that when working with trans and nonbinary
            voices, resonance is uniquely important to perceptions of gender (<xref ref-type="bibr"
               rid="ACB2012">Richard Adler, Alexandros Constansis, John van Borsel, 2012</xref>;
               <xref ref-type="bibr" rid="CBBCKDCF2012">Coleman et al., 2012</xref>; <xref
               ref-type="bibr" rid="DG2006">Shelagh Davies &amp; Joshua Goldberg, 2006</xref>;
               <xref ref-type="bibr" rid="DPA2015">Shelagh Davies, Viktória Papp, &amp;
               Christella Antoni, 2015</xref>; <xref ref-type="bibr" rid="HPG2012">Sandy Hirsch
               &amp; Marylou Pausewang Gelfer, 2012</xref>; <xref ref-type="bibr" rid="T2008">Jane
               Thornton, 2008</xref>).</p>
        <verse-group> <verse-line>Words</verse-line>
         <verse-line>language</verse-line>
         <verse-line>bodies</verse-line>
         <verse-line>wrapped in gender</verse-line>
         <verse-line>like the water</verse-line>
         <verse-line>wraps around my skin</verse-line>
         <verse-line>as I swim. </verse-line></verse-group>
         
        <verse-group> <verse-line>I swim within</verse-line>
         <verse-line>these waves</verse-line>
         <verse-line>trying to</verse-line>
         <verse-line>grab onto</verse-line>
         <verse-line>the slipperiness</verse-line>
         <verse-line>of their gender.</verse-line>
           <attrib>(Maevon Gumble, <italic>Untitled</italic>)</attrib>
        </verse-group>
         <p>Through these explorations, I found a Voice and Communication Program specific to trans
            (and nonbinary) individuals that was developed by Richard Adler (<xref ref-type="bibr"
               rid="A2012">2012</xref>), which was focused on vocal feminization but would also
            be relevant to vocal masculinization. It was suggested that throughout treatment, a
            client’s voice should be measured for visual and auditory feedback and that clients
            should keep a journal of their successes and failures. Further, the use of diaphragmatic
            breathing exercises, speech therapy protocols, various speech therapy assessment tools,
            and progressive relaxation exercises should be incorporated. Richard advised that the
            client practice new speech patterns by reading short and long poems, taking part in
            spontaneous conversations with the clinician, and employing these techniques in their
            everyday social environments. Lastly, working on singing techniques, if appropriate, was
            mentioned. Richard Adler, Alexandros Constansis, and John van Borsel (<xref
               ref-type="bibr" rid="ACB2012">2012</xref>) have further offered suggestions specific
            to working with those who are masculinizing their voices: working to maintain a lower
            pitch and comfortable range; establishing chest resonance; establishing diaphragmatic
            breathing patterns and stabilizing posture; producing a strong, easy vocal onset;
            eliminating the harsh glottal attack; releasing tension from the jaw and tongue; and
            releasing body tension. </p>
         <p>At this point, I had not begun any kind of intentional voicework. However, I had grown
            more attentive and aware – sometimes hyperaware – of my own vocal tendencies.</p>
         <verse-group><verse-line>In voicing, I hear the disconnect</verse-line>
         <verse-line>like a sound you don’t quite expect</verse-line>
         <verse-line>to be coming out of the body you see</verse-line>
         <verse-line>but somewhere in the water</verse-line>
         <verse-line>there must be some semblance</verse-line>
         <verse-line>of sound</verse-line>
         <verse-line>that can hold me</verse-line>
         <verse-line>in the ways I know myself.</verse-line>
            <attrib>(Maevon Gumble, <italic>Untitled</italic>, 5/5/2019)</attrib>
         </verse-group>
         <p>Further engaging with the literature specific to feminizing or masculinizing the voice
            through speech therapy, there were disparities identified by the authors I was reading.
            Most notably, much of the literature focused on the experiences of trans women (and
            subsumed within that, male-assigned nonbinary persons). Although present, literature on
            vocal masculinization is sorely lacking in comparison to literature regarding vocal
            feminization through the use of speech therapy (<xref ref-type="bibr" rid="ACB2012"
               >Richard Adler, Alexandros Constansis, &amp; John van Borsel, 2012</xref>; <xref
               ref-type="bibr" rid="A2015">David Azul, 2015</xref>; <xref ref-type="bibr"
               rid="ANSNR2017">David Azul, Ulrika Nygren, Maria Södersten, &amp; Christiane
               Neuschaefer-Rube, 2017</xref>; <xref ref-type="bibr" rid="DG2006">Shelagh Davies
               &amp; Joshua Goldberg, 2006</xref>; <xref ref-type="bibr" rid="DPA2015">Shelagh
               Davies, Viktória Papp, &amp; Christella Antoni, 2015</xref>). I learned that this
            difference within the literature is likely attributed to the impacts of testosterone on
            the voice. For male-assigned individuals who went through puberty, they’ve already
            experienced the permanent and irreversible effects of high levels of testosterone in the
            body. Because of this, hormone therapy (using feminizing hormones and not testosterone)
            does not impact the vocal cords of male-assigned individuals in the drastic ways
            masculinizing hormones can impact female-assigned persons (<xref ref-type="bibr"
               rid="CBBCKDCF2012">Coleman et al., 2012</xref>). This means that trans women and
            male-assigned nonbinary persons must pursue other options such as speech therapy and/or
            vocal surgeries, while trans men and female-assigned persons are more likely to use
            hormone therapy (i.e., taking testosterone) because of how effective it is. However,
            given the difficulties that may be experienced by individuals who take testosterone to
            masculinize the voice (<xref ref-type="bibr" rid="ANSNR2017">David Azul, Ulrika
               Nygren, Maria Södersten, &amp; Christiane Neuschaefer-Rube, 2017</xref>; <xref
               ref-type="bibr" rid="ACB2012">Richard Adler, Alexandros Constansis, &amp; John van
               Borsel, 2012</xref>; <xref ref-type="bibr" rid="C2009">Alexandros Constansis,
               2009</xref>), speech-language pathologists expressed that speech therapy for vocal
            masculinization needs to be further explored (<xref ref-type="bibr" rid="ACB2012"
               >Richard Adler, Alexandros Constansis, &amp; John van Borsel, 2012</xref>; <xref
               ref-type="bibr" rid="A2015">David Azul, 2015</xref>; <xref ref-type="bibr"
               rid="ANSNR2017">David Azul, Ulrika Nygren, Maria Södersten, &amp; Christiane
               Neuschaefer-Rube, 2017</xref>). I suggest this needs to happen not just for those
            taking testosterone but for others such as myself who are reluctant to pursue its usage.
         </p>
      </sec>
      <!-- sec lvl 2 end -->
      <!-- sec lvl 2 begin -->
      <sec>
         <title>Finding myself in the ocean</title>
        <verse-group> <verse-line>And finally</verse-line>
         <verse-line>I will open the doors</verse-line>
         <verse-line>and welcome myself home.</verse-line>
           <attrib>(Nikita Gill, <italic>Homes</italic>, third stanza)</attrib>
        </verse-group>
         <p>All of this knowledge still left me with tension that I couldn’t quite shake. I thought,
            “This is great – but also – what does this mean for me?” All of this literature
            discussed trans men or trans women, yet the literature that I might relate to more as a
            female-assigned nonbinary person was not explored to the depth that satisfied the
            uncertainty and ambiguity I was experiencing. I knew the information that I was soaking
            up was important, but I struggled to understand myself in relation to it. </p>
         <p>I found aspects of myself in two paragraphs that existed in a larger forty-two-page
            article authored by Shelagh Davies, Viktória Papp, and Christella Antoni (<xref
               ref-type="bibr" rid="A2015">2015</xref>):</p>
         <disp-quote>
            <p>Many people identify as being under the gender nonconforming “umbrella” and there is
               great variation in the extent to which voice and communication changes are undertaken
               or desired by gender nonconforming individuals. Some gender nonconforming persons
               seek to develop two speech patterns (one more masculine and one more feminine) either
               because they identify as bigendered [i.e., nonbinary] or because external pressures
               (family, employment, cultural community, friends) prevent living full time in a way
               that is consistent with their felt sense of self. Some people may have a sense of
               gender that is not at either pole of the cismale/cisfemale scale [i.e., man to woman
               spectrum] but is on a continuum of masculine and feminine. They would like a more
               flexible gender presentation to reflect this gender identity.</p>
         </disp-quote>
         <disp-quote>
            <p>Further, most current transgender speech and voice protocols do not support bimodal
               speech as a treatment goal, based on the belief that to achieve maximal change it is
               necessary to have a consistent single speech pattern. Switching back and forth
               between two speech patterns may be too difficult for some clients and inconsistent
               use decreases practice opportunities to acquire the new speech/voice habits. However,
               the human capacity to learn and speak more than two languages or dialects, develop a
               specific accent for an acting role, and develop a singing voice that is different
               from the speaking voice suggests it may be possible to develop bigender speech/voice.
               We encourage speech-language therapists to be open to this possibility and not to
               routinely exclude clients who have two speech/voice patterns as their treatment goal.
               We recommend that speech services be made available to the full spectrum of the
               gender nonconforming community (pp. 120-121). </p>
         </disp-quote>
         <p>And in an earlier clinical guideline authored by Shelagh Davies and Joshua Goldberg
               (<xref ref-type="bibr" rid="DG2006">2006</xref>) which utilized similar, if not
            identical, language as the above, there was also the statement that “[s]ome transgender
            persons who desire changes to speech and voice seek maximum feminization or
            masculinization, while others experience relief with a more androgynous presentation”
            (p. 168). </p>
         <p>I was both excited and put off by the collective of these statements. I felt excited by
            the way they recognized my existence as a nonbinary person for the first time in the
            literature. Because of this, I stayed in this space of excitement, perhaps because it
            felt safer than feeling the anger that existed beneath. These statements were one
            nonbinary drop of water in the vast binary ocean of trans vocal experiences that were
            explored within these clinical guidelines. Again, they were two paragraphs in a larger
            42-page article and were almost verbatim to those found in a 30-page guide published
            almost 10 years earlier. There had been no movement, except the removal of any vague
            statement about those seeking androgynous voices – that is, me. Further, I experienced
            the way ‘bimodal’ speech patterns were discussed as dismissive in some regards, as if
            this queer vocal fluidity was often explained away by the medical community as
               <italic>improbable</italic>…or worse <italic>impossible</italic>…or even worse
               <italic>unhealthy</italic>. This caused tension that I now recognize as being tied to
            the ways vocal fixity (i.e., one singular speech pattern that isn’t variable) is
            antithetical to understandings grounded in queer theory, and it was also not aligned
            with my own experience of my voice and gender.</p>
         <p>I eventually found the work of David Azul, who seemed to embrace more fluid
            understandings of the voice, emphasizing that</p>
         <disp-quote>
            <p>Changes that are achieved [in speech therapy] are generally reversible and can be
               fine-tuned according to a speaker’s wishes. This makes the behavioral development of
               vocal communication skills [i.e., speech therapy] also suited for speakers who
               present with shifting subjective gender positionings and for those who are interested
               in adopting idiosyncratic vocal gender presentations that may deviate from
               generalized notions of female [i.e., feminine] or male [i.e., masculine]
               communication patterns (<xref ref-type="bibr" rid="A2015">2015, p. 80</xref>).</p>
         </disp-quote>
         <p>David’s work felt unique from the larger narrative surrounding trans and nonbinary vocal
            experiences, instead alluding to the fact that not all people seeking vocal
            masculinization have the same needs (<xref ref-type="bibr" rid="A2016">2016</xref>)
            and that there is a need to shift to client-centered perspectives (<xref ref-type="bibr"
               rid="A2015">2015</xref>) for vocal change. I found great comfort in David’s work,
            even as it remained only one small corner of the literature that I had engaged with.
         </p>
      </sec>
      <!-- sec lvl 2 end -->
      <!-- sec lvl 2 begin -->
      <sec>
         <title>Moments of queer clarity</title>
         <p>As I explored in my recent article where I introduced gender affirming voicework (<xref
               ref-type="bibr" rid="G2019b">2019b</xref>), “Also present within the majority of
            the literature was an emphasis on <italic>either</italic> the speaking voice
               <italic>or</italic> the singing voice with little to no discussion of the overlap
            that exists between them” (p. 7), with discussions of the speaking voice focusing on
            vocal feminization and the experiences of trans women (and nonbinary, male-assigned
            persons) and discussions of the singing voice focusing on vocal masculinization and the
            experiences of trans men (and nonbinary, female-assigned persons). There was very little
            variation to these patterns, and they were reflective of my own thinking in relation to
            my voice.</p>
         <fig id="fig3">
            <label>Figure 3</label>
            <caption>
               <p>"The Split": Image of a mandala from a personal music therapy session on
                  2/10/2018. Pictured is an hourglass figure with reds, oranges, and yellows on the
                  top and blue, purple, and black on the bottom. Notes read "disconnected but
                  connected."</p>
            </caption>
            <graphic id="graphic3"
               xlink:href="Pictures/10000000000004CA000004DDF10BC7296AD7F77A.jpg"/>
         </fig>
         <verse-group>
         <verse-line>Disconnection</verse-line>
         <verse-line>detachment</verse-line>
         <verse-line>separation</verse-line>
         <verse-line>a pulling apart of sound.</verse-line>
         </verse-group>
         <verse-group>
         <verse-line>however, there must</verse-line>
         <verse-line>be something</verse-line>
         <verse-line>different.</verse-line>
         <verse-line>there must</verse-line>
         <verse-line>be something</verse-line>
         <verse-line>in the middle.</verse-line>
            <attrib>(Maevon Gumble, <italic>Untitled</italic>)</attrib>
         </verse-group>
         <p>There was a pivotal moment that shifted my understandings of all of this that I remember
            with such clarity. Before this, I knew my research project would be exploring the
            intersections of speech-language pathology and music therapy, but I still held tension
            about whether I could do this with or without testosterone in a safe way. I asked Sue
            Hadley if we could set up a time to Skype and talk about the tension I was experiencing.
            I sat on my bed in my apartment on the verge of tears talking about how most of the
            literature on female-assigned people focused on those who took testosterone, telling her
            that I wasn’t sure how to gain access to the kind of voice I desired. I felt like I had
            to pick one voice or the other and that by choosing a more gender affirming voice, I
            would have to choose taking testosterone and lose (or at least experience difficulties
            with) my singing voice. Sue supported me and reflected back everything I shared but also
            questioned and challenged me. Specifically, she said a series of words that drastically
            altered my understandings of my voice and the kind of work I might engage in.</p>
         <disp-quote>
            <p>“I’m not a singer and don’t know about the voice like you might, but I imagine
               there’s a connection there between your singing and speaking voice…”</p>
         </disp-quote>
         <disp-quote>
            <p>… We sat in silence for a few moments, me digesting her words, her seeming to ponder
               what she had just said…</p>
         </disp-quote>
         <disp-quote>
            <p>“… What if you tried to access a speaking voice through your singing voice? … ”</p>
         </disp-quote>
         <disp-quote>
            <p>I sat in further silence, still digesting what Sue said, but feeling her words open
               up a door to something I did not fully understand (3/2017).</p>
         </disp-quote>
         <fig id="fig4">
            <label>Figure 4</label>
            <caption>
               <p>Image of a mandala from a personal music therapy session on 5/6/2018. The mandala
                  is completely filled with one side green and one side blue. The blue and green
                  fade into each other.</p>
            </caption>
            <graphic id="graphic4"
               xlink:href="Pictures/10000000000005040000052302E022538FC7889A.jpg"/>
         </fig>
         <p/>
         <p>Relief poured into and out of me. These words made sense of all the knowledge I already
            had about myself, my voice, how to use my voice as a singer, and all the literature I
            had been engaging with. As I’ve previously written (<xref ref-type="bibr"
               rid="G2019b">2019b</xref>),</p>
         <disp-quote>
            <p>although I might use my singing voice in a slightly different way than I might use my
               speaking voice, these voices and others come from the same place, the same
               instrument. My thoughts shifted to: If when I am singing I am able to access certain
               timbres and qualities of sound that feel so connected to who I am as a person, can’t
               I also access these sounds when I am speaking (p. 7)?</p>
         </disp-quote>
         <p>This moment of embracing the both/and of my singing and speaking – this moment of
            queering – offered such clarity, even as it might seem so simple now. </p>
         <verse-group><verse-line>It is the day</verse-line>
         <verse-line>I will finally return</verse-line>
         <verse-line>to myself.</verse-line>
         <verse-line>Learn how to call</verse-line>
         <verse-line>my own arms home.</verse-line>
            <attrib>(Nikita Gill, <italic>Baptism</italic>, third stanza)</attrib>
         </verse-group>
         <p>With newfound excitement and energy, I turned to Christopher Scott, my former
            undergraduate voice teacher and (at the time) current graduate chamber choir director. I
            told him of my vocal desires, some of the tensions that I had been experiencing, and
            about this voicework. His excitement was palpable and validated that this was important
            work. We met in his office and after talking, jumped into playing around on the piano
            and with my voice, similar to my previous voice lesson experiences with him. It was
            familiar but also new and exciting.</p>
         <disp-quote>
            <p>We’re exploring playing with resonance and with the lower pitches of my voice. He
               encourages me to just let the sound fall out. “Okay.” I find myself staring at the
               space on the wall that I would often fixate on during lessons, just across the piano,
               not really looking at anything – but attentive to the inner experiences of my voice –
               physically, mentally willing myself to let it open up. “You’re already naturally
               lowering your larynx for these notes – that’s good,” he says. I think “This is sort
               of working…maybe I can do this…” We continue to explore.</p>
         </disp-quote>
         <disp-quote>
            <p>While he moves down and around the piano, he asks, “Are you supporting it?” knowing
               full well that I am not. Chris often uses these kinds of yes/no questions when the
               answer is no. Although it is at times frustrating, I personally value the questions
               over being bluntly told that I’m not doing something correctly. It keeps me engaged
               and thoughtful about my own experiences, rather than shutting down. It’s
               constructively critical. With his question here, I chuckle because I don’t think I
               can count how many times he’s asked me this in previous lessons. He says, “Put it
               lower in your body.” “Okay.”</p>
         </disp-quote>
         <disp-quote>
            <p>We continue to play with my voice, exploring breath support and engaging my full
               body. I attend to my breath, focusing on how deep I allow it to go – “am I forcing
               it?” I breathe in…feeling the compression of my binder against my chest. I breathe
               out…feeling the compression push my air out further, quicker than it used to. The
               length of my phrases has gotten shorter since binding. Supporting my sound has always
               been one of my biggest challenges and binding just made it harder. “This work will
               require you to support your voice or you’ll vocal fry – that won’t be good for your
               health.”</p>
         </disp-quote>
         <disp-quote>
            <p>We continue playing: him, as always, interjecting with helpful comments to support my
               voice and sound – and me, as always, struggling to keep my voice in my body. This is
               not unusual – I often struggle to stay present to myself. I aim for a full-bodied
               sound – breath expanded, rooted in the ground, feeling the support all the way down
               to my feet. We continue playing and exploring for about ten minutes or so. Until
               eventually, he stops and says, “Yes, I think you can do this!” (reflective account of 3/2017, meeting with Christopher Scott).</p>
         </disp-quote>
         <p>I can’t express how affirming it was to hear these words. It was a validation that I
            think I needed to hear in order to move on.</p>
         <p>From this meeting with Chris and my conversation with Sue, I left with more questions
            than answers. But I also left with a drive to more deeply understand the possibilities
            of these ideas. I returned to the literature, first more deeply exploring formant
            frequencies and technical understandings of the voice, then tying these understandings
            and knowledge from speech-language pathology into that of music therapy. </p>
         <verse-group><verse-line>The growing, aching quiet of this home</verse-line>
         <verse-line>has led me to [continue] reading space theories.</verse-line>
         <verse-line>The notions[, further] <strike>are slowly</strike> wrapping around my bones,</verse-line>
         <verse-line>settling between my heart and ribcage with intricacy.</verse-line>
            <attrib>(Nikita Gill, <italic>Multiverse</italic>, revised first stanza, brackets and strikeouts added)</attrib>
         </verse-group>
         <p>Before going on, I encourage you to pause here and read through what I’ve already
            written on more technical understandings of the voice as well as relevant literature in
            music therapy (<xref ref-type="bibr" rid="G2019b">2019b, pp. 8-12</xref>), as I have decided not to more deeply explore them here
            to avoid redundancy and preserve space.</p>
      </sec>
      <!-- sec lvl 2 end -->
      <!-- sec lvl 2 begin -->
      <sec>
         <title>Gender affirming voicework</title>
         <verse-group><verse-line>Every time you think you are broken,</verse-line>
         <verse-line>know this: you are never really breaking.</verse-line>
         <verse-line>No one can break an ocean,</verse-line>
         <verse-line>darling, all you are doing,</verse-line>
         <verse-line>is breaking the glass that is holding you back,</verse-line>
         <verse-line>diving deeper into your own depths,</verse-line>
         <verse-line>discovering yourself in pockets</verse-line>
         <verse-line>of the most somber waves,</verse-line>
         <verse-line>rebuilding your heart with coral,</verse-line>
         <verse-line>with seaweed, with moon coloured sand dust.</verse-line>
         <verse-line>So stop trying to hold yourself back inside that glass,</verse-line>
         <verse-line>it was never meant to hold you.</verse-line>
         <verse-line>Instead, break it,</verse-line>
         <verse-line>shatter it into a thousand pieces…</verse-line>
         <verse-line>and become who you were always meant to be,</verse-line>
         <verse-line>an ocean, proud and whole.</verse-line>
            <attrib>(Nikita Gill, <italic>The Ocean You</italic>)</attrib>
         </verse-group>
         <p>Throughout my voicework journey, I engaged in a variety of experiences both on my own
            and with others. Much of my work with others consisted of consulting with Chris on
            technique within vocal exercises and repertoire, and even engaging in some speech work
            with him. It also consisted of me engaging in solo voicework sessions where I pooled
            together my experiences and knowledge and explored what this work might be within a more
            therapeutic space, although this was sometimes difficult to do because I was working on
            myself. I began very focused on my physical voice and vocal function, working in a
            similar way to what might be experienced in a voice lesson. However, in a messy,
            unclear, and simultaneous manner, this eventually shifted into more in-the-moment ways
            of working. This voicework also included a focus on both body/breath-based work as well
            as emotionally-driven experiences. </p>
         <p/>
         <p>
            <bold>Voice-lesson-like work. </bold>After working with my body and remaining attentive
            to my breath, I would start voicing.</p>
         <p>
            <uri>https://soundcloud.com/maevongumble/collage-of-vocal-warm-ups</uri>.</p>
         <disp-quote>
            <p>… I hum, singing the vocal pattern 1-2-1-7-1, focusing on keeping my voice in a nice
               smooth legato. I pay attention to the ways I sometimes grab onto my tongue creating
               unnecessary tension to switch between notes. This tension would cause a kind of
               mechanical click with each pitch change. I move the legato pattern up and down the
               piano, and down into the lower parts of my voice, supporting my sound with some
               gentle accompaniment. …</p>
         </disp-quote>
         <disp-quote>
            <p>… On the pattern 1-5—4-3-2-1, I sing “ee,” moving up and down the piano, focusing on
               creating my sound from within a supported place, letting the sound come from low
               within my body. I sometimes forget to breathe and gently remind myself to take full
               breaths…</p>
         </disp-quote>
         <disp-quote>
            <p>… I sing “ee” on a staccato 1-3-5-3-1, attentive to my breath and to breathing deep
               into my body. I ask myself if my sound is supported, if the sound is connected to my
               body. I play the piano with the kind of energy and engagement that my voice needs
                  (reflective accounts based on 1/28/2018, 1/26/2018,&amp; 2/22/2018, voicework sessions).</p>
         </disp-quote>
         <p>
            <uri>https://soundcloud.com/maevongumble/speech-work-excerpt</uri>. </p>
         <disp-quote>
            <p>On “ee” I create what sounds like an engine rev in attempts to loosen my tongue, then
               let this fluidly shift into a five-note pattern of 5-4-3-2-1, moving into the phrase
               “easy is this sound” at the end of the pattern, attentive to the liminal space
               between song and speech. How can I carry this sound out of the context of an exercise
               and into my speech? How can I move up and down the piano and still maintain the
               sound? My struggles come with staying in the timbre and resonance of the sound,
               letting it be grounded and supported within my body. Where does the sound ‘fall’ out
               of support? Where am I closing off the space, not voicing within the warmth of my
               voice? Am I letting go of the sound or attempting to control it? (reflective account of 11/6/2017, voicework session). </p>
         </disp-quote>
         <p>In working in this liminal space between singing and speaking, I grew attentive to how I
            was engaging in the fluidity of song and speech naturally, working with the space
            between exercises where I would insert little comments, either in talking with Chris (in
            our meetings) or talking aloud to myself about what just happened within my voice.</p>
         <disp-quote>
            <p>I sing “ee” on the same vocal pattern and stop myself mid-through to say “okay, how
               about I do this,” but the difference between the sound I am working towards when
               singing is a striking contrast to the sound I fall into with these
               outside-the-exercise comments. My speech is much smaller and more forward in sound.
               It’s not the warmth of that “ee.” It is very different and doesn’t feel at all
               connected to what I am doing. It is frustrating to access something so warm and then
               to not have it transition (reflective account of
                  11/6/2017, voicework
                  session). </p>
         </disp-quote>
         <fig id="fig5">
            <label>Figure 5</label>
            <caption>
               <p>Image shows a mandala from a personal music therapy session on 12/1/2018 where the
                  top half is a red/orange/yellow and the bottom half is a teal blue. Separating
                  both halves is a white line of space. Notes read "disconnected."</p>
            </caption>
            <graphic id="graphic5"
               xlink:href="Pictures/10000000000002510000027AEC46CA881B4DABC9.jpg"/>
         </fig>
         <p/>
         <p>I was attempting to navigate an exercise that originated outside the context of my
            everyday speaking experiences. I wasn’t necessarily working with how my speech was
               <italic>already</italic> being voiced. I was doing an exercise and expecting that
            work within my singing to automatically shift into my speech.</p>
         <verse-group><verse-line>Sing.</verse-line>
         <verse-line>Speak.</verse-line>
         <verse-line>Sing.</verse-line>
         <verse-line>Speak.</verse-line>
         <verse-line>But wait, are they not the same?</verse-line>
         <verse-line>Sing-Speak-Si-Sp-ng-eak.</verse-line>
         <verse-line>Whatever happened to that?</verse-line>
            <attrib>(Maevon Gumble, <italic>Untitled</italic>, 5/2019)</attrib>
         </verse-group>
         <p>Sometimes this more voice-lesson-like work involved engaging with technique or expanding
            pitch rage while singing a song – often changing the key of the song to do so.</p>
         <p>
            <uri>https://soundcloud.com/maevongumble/the-promise</uri>. </p>
         <disp-quote>
            <p>I sit at the piano, singing and playing Tracy Chapman’s “The Promise.” I love Tracy’s
               voice – it’s warmth and richness, the ways it unsettles expectations, sitting in this
               queer and fluid space. In attempting to embody that sound, I question: Am I
               supporting the sound? Where does the sound sit in my body? Am I opening up the vowel
               to fill it with warmth? I spend time with the lower notes of the song, taking them
               out of the context of the song to let them expand into a larger and warmer space. I
               work to keep the sound consistent as I move throughout my voice and the song. Being
               fully immersed in the music is so enjoyable, particularly when the notes vibrate the
               full of me (reflective account of
                  11/6/2017, voicework
                  session). </p>
         </disp-quote>
         <p>There was a point during my own voicework when I became very aware of how I was shifting
            sound to access the lower, richer parts of my voice with ease and deep resonance. To
            access that kind of sound requires patience, an opening up, a blossoming of sound, an
            awareness of sensation – all to access what feels like some deeper-than-my-chest
            register. These sensations clue me into being more connected with a voice that resonates
            with me.</p>
         <disp-quote>
            <p>It’s not another register, but the way I’m approaching it is similar to how I would
               approach an intentional switch between my chest-to-head or head-to-chest voice. This
               lower space felt like it was just blooming out of my chest and the back of my head.
               It was incredibly validating, comforting, and freeing (journal entry regarding 2/23/2018, voice lesson). </p>
         </disp-quote>
         <p>Accessing that sound required me to realize specific sensations experienced within
            myself that opened up the space so that I could more intentionally enter it outside of
            just sheer luck. For me this included: focusing on the sensations felt on my hard
            palate, feeling the vibrations of that and tuning into it to connect with my chest
            voice; focusing on letting the space between my top back teeth grow wider and bigger;
            engaging my whole body in the creation of sound; and focusing on the imagery of “raw and
            real” sound.</p>
         <disp-quote>
            <p>When I get <bold>out</bold> of it [this sound], I need to think about: What do I need
               to do with my body – my voice – to get back in that space? What’s happening that’s
               preventing me from staying there? That takes some effort to recenter myself, but I
               feel that since I’ve more concretely realized what needs to happen in my singing to
               access this space, I have more understanding of what needs to happen in my speech.
               Once I’m in it, it just clicks. Before it was all happenstance…it felt like pure
               chance that I could do it. And I don’t know that I ever <bold>really</bold>
               successfully accessed that space while speaking before. It felt forced and took a lot
               of thought. All of this excites me even more because I have had some concern about
               whether accessing that sound through my speech would require a lot of effort – all
               day everyday – or that it wouldn’t feel natural…but, over the past day or so, there
               have been moments, conversations, instances where it <bold>doesn’t</bold> require
               conscious effort and when it feels <bold>completely</bold> natural. I’m just talking
                  (journal entry from 3/3/2018).</p>
         </disp-quote>
         <fig id="fig6">
            <label>Figure 6</label>
            <caption>
               <p>Image shows a mandala from a personal music therapy session on 1/16/2019 that is
                  filled with different hues of teal blue as well as a gold-brown color. The notes
                  read "being an ocean, being present to all of me, drastically opposite to [feeling
                  like] the pinpoint."</p>
            </caption>
            <graphic id="graphic6"
               xlink:href="Pictures/100000000000024400000256A374519920396199.jpg"/>
         </fig>
         <p>
            <bold>In-the-moment work.</bold> Although I have found great value in this
            voice-lesson-like work, it often invoked a kind of performance anxiety where I just
            wanted to “do it right” – to sing/speak androgyny in the “right” way. Given my history
            as a voice student, I associated lesson and practice spaces as those in which I was
            focused on doing something correctly, improving my technique and being “right.” This
            wasn’t helpful or productive. Nor was it queer. Nor was it really “me” in that it was
            focused on performing and doing “right” – that is, not just being with myself. It was
            quite distant from the raw imagery that I eventually realized was important. However,
            there was a gradual and almost unnoticeable shift from “How am I being heard by others?”
            to “What am I hearing from within myself?” And that shifted me out of more
            voice-lesson-like work and into more in-the-moment ways of working.</p>
         <p>I would warm-up around different “givens” of improvisation (<xref ref-type="bibr"
               rid="W2004">Tony Wigram, 2004</xref>). </p>
         <disp-quote>
            <p>I sit at the piano and start a vocal and piano improvisation. I focus specifically on
               the sounds “s,” “ts,” and “z” to help me engage my support, my diaphragmatic breathing.<sup>
                  <xref ref-type="fn" rid="ftn8">8</xref>
               </sup> I play with my voice rhythmically, my fingers adding to this rhythm along the
               black keys. I’m less focused on supporting myself and more focused on just being in
               the music, letting my voice sit alongside the piano. While this is enjoyable, I keep
               forgetting to breathe down into my back. Eventually, I gradually transition from the
               “z” sound into vocal sighs on “ah,” following my inner urge to sing and voice. The
               sighs soon turn into an “ng” sound. I feel the sound moving around my mouth, my voice
               returning to the rhythms from before. I let my voice wander around the piano,
               allowing it to morph from “ng” to an open “ah” and then back and forth between an
               “ah” and hum. My fingers still following my voice on the black keys. There’s freedom
               in just being with my voice while playing, although it is a struggle to both sing
               within that freedom and support myself on the piano in the ways that I want my voice
               to be supported (reflective account of
                  10/28/2017, voicework
                  session). </p>
         </disp-quote>
         <p>I so desired for the kinds of music-making I was doing to be musically rich – to have a
            kind of depth to it instead of a thinner kind of support. It was hard to fulfill this
            need on my own while still attempting to voice and be attentive to the work I was doing
            in that capacity.</p>
         <p>I also worked around improvisational givens focused on technique or different
            thoughts.</p>
         <p>
            <uri>https://soundcloud.com/maevongumble/improvisational-warm-up</uri>. </p>
         <disp-quote>
            <p>I hum throughout the improvisation, letting my voice settle to where it wants to be
               in the moment. Playing around on the piano, I realize that I am singing in the key of
               Db. There’s some tension in my voice at the start. However, the entire improvisation
               has this “coming home” kind of feel to it, and the further I go along, I hear the way
               my voice opens up into a warmer and freer space. I felt so much contentment coming
               out of this improvisation, not only because my voice was in this really engaged
               space, but the piano was such a presence underneath me. At several points, I join the
               piano in unison, entering this both fragile and strong space that I am so connected
               with (reflective account of 2/22/2018, voicework session).</p>
         </disp-quote>
         <fig id="fig7">
            <label>Figure 7</label>
            <caption>
               <p>Image of a mandala from a personal music therapy session on 1/30/2019 that is
                  filled with mixtures of deep blue, purple, and black. Swirling lines are etched
                  into the colors. Notes read "beautiful."</p>
            </caption>
            <graphic id="graphic7"
               xlink:href="Pictures/1000000000000279000002B2F12DF9EDD14EC3E1.jpg"/>
         </fig>
         <p/>
         <p>Although I was focused on technique and more deeply experiencing my voice by tuning into
            physical sensation, this improvisation moved into just being with my voice within the
            music, finding the ways that I wanted to engage in that moment. It was so grounding, and
            it satisfied the desire I had to be contained and expanded upon within the music. </p>
         <p>There was a pivotal moment that shifted me more deeply into in-the-moment ways of
            working.</p>
         <p>
            <uri>https://soundcloud.com/maevongumble/coretone-variation</uri>.</p>
         <disp-quote>
            <p>Beginning a variation of Sanne Storm’s CoreTone exercise,<sup>
                  <xref ref-type="fn" rid="ftn9">9</xref>
               </sup> I begin talking to myself and it feels incredibly awkward. Not only am I very
               aware that I am talking to myself, but I am also aware that I am recording myself
               talking to myself. It’s strange and doesn’t feel natural at all. It’s outside the
               context of my ‘normal’ speech. I want to quickly move into the toning part of this. I
               speak, letting my words become longer, letting there be more space between the
               consonants where the sound can be sustained. But I don’t sit in this liminal space as
               long as I could have, perhaps because it feels awkward.</p>
         </disp-quote>
         <disp-quote>
            <p>While toning what feels like my CoreTone on an open “ah,” I let it move to a hum and
               then continue to go back and forth between these two sensations. Sanne’s exercise
               calls for me to sing a singular pitch on an “ah,” but I really enjoy the sensation of
               the hum in my chest and within my body. Searching for this note on the piano, I
               realize that it is an E3. I create what feels like waves of sound on the piano by
               sustaining an E minor chord in various octaves, moving my voice and the piano
               together, letting the piano lighten up as I pause to breathe and letting it come back
               in as I exhale sound out of me (reflective
                  account of 11/6/2017, voicework session).</p>
         </disp-quote>
         <p>After listening back to the recording of this, I recognized that when I first began
            searching for my CoreTone, I was actually closer to an F3 or G3 than I was to an E3.
            Further, I even jumped up higher than that at times to a B3. At first, I thought: “Well,
            I did that wrong.” But then I thought: “Does it really matter? Perhaps that can give me
            important information.” I started off at F3/G3 but didn’t stay with those notes, despite
            the fact that these were really where my voice was. <italic>I desired to sit lower
               within my voice</italic>. That feels important. I wondered how working with the
            CoreTone in this kind of work could give me insight into where the
               <italic>first</italic> sound starts (where the voice is itself) and then where the
            voice <italic>wants</italic> to be (where it gravitates toward). There was movement
            within my voice, and on the piano, I unintentionally was supporting the extremes of my
            voice (E-B) by playing an E minor chord.</p>
         <p>Then I shifted outside of isolating the CoreTone, instead focusing on larger melodic
            phrases of speech. This began with poetry and song lyrics because that felt safer and
            less awkward. Eventually though, this moved into more intentionally working with my
            organic conversational speech. </p>
         <p>
            <uri>https://soundcloud.com/maevongumble/poetry-speech-work</uri>.</p>
         <verse-group><verse-line>Womanhood</verse-line>
         <verse-line>is rich with unlearning.</verse-line>
         <verse-line>How to unlearn the way</verse-line>
         <verse-line>you hate your body,</verse-line>
         <verse-line>how to rebuild your spirit</verse-line>
         <verse-line>after the supernova of love</verse-line>
         <verse-line>finally bursts,</verse-line>
         <verse-line>how to understand that</verse-line>
         <verse-line>there are a million</verse-line>
         <verse-line>new versions of you,</verse-line>
         <verse-line>hiding under your skin.</verse-line>
         <verse-line>How each one is born from suffering agonisingly,</verse-line>
         <verse-line>unlearning what others</verse-line>
         <verse-line>want you and your body to be,</verse-line>
         <verse-line>finding moments</verse-line>
         <verse-line>and seconds by metaphors</verse-line>
         <verse-line>in everything</verse-line>
         <verse-line>that make you feel good</verse-line>
         <verse-line>make you feel</verse-line>
         <verse-line>how you are supposedto feel.</verse-line>
         <verse-line>Reiterating them</verse-line>
         <verse-line>till there is finally understanding</verse-line>
         <verse-line>and accepting inside your very soul.</verse-line>
         <verse-line>The only thing that truly matters</verse-line>
         <verse-line>is how often you say</verse-line>
         <verse-line>on your journey,</verse-line>
         <verse-line>“This, all of this,</verse-line>
         <verse-line>is for me.”</verse-line>
            <attrib>(Nikita Gill, <italic>Unlearning</italic>)</attrib>
         </verse-group>
         <disp-quote>
            <p>I read the text of the above poem aloud, the entire thing first, just to get the
               sound and words in my mouth. The second time through, I spend time with each phrase,
               working slower to feel the way each sound exists within my voice and boy. With the
               second time through, I search for the CoreTone on the piano – an Eb3 – and I teeter
               back and forth between this note and F3. On the piano, I mostly move back and forth
               between an Eb major chord and F major chord, but I also occasionally include a Db
               major chord. I spend time with a few notes and words, ‘reiterating them,’ humming and
               focusing on the sensations on the palate, enjoying the way the words feel like they
               blossom into something warmer and richer within my body and voice. Most of my phrases
               drop off on the end, not really existing on any pitch, but fading off into the fabric
               of my speech. These are moments where I am not quite supporting my sound. There’s a
               moment where I pop out of the context of the poem and attend to my speech, which
               slightly shifted into a smaller space. </p>
         </disp-quote>
         <disp-quote>
            <p>I question if the sound is free, relaxed, open. I question if the sound is grounded
               in my body. I question if I feel connected to the sound, if it is a representation of
               who I know myself to be. I question how I might be holding the sound back only
               letting some small part of it out into the world. These questions encourage me to be
               present to myself and to open my own sound. After slowly working through the poem, I
               read it back through again returning to my using speech speed, playing the piano
               underneath in attempts to capture some of the moment of my voice. The words of this
               poem so perfectly sit alongside this experience (reflective account of 4/3/2019, voicework session). </p>
         </disp-quote>
         <p>Some of the most exciting work for me has come out of engaging in this kind of
            chant-like, opening up of sound, where with repetition, the sound becomes freer, more
            relaxed, more grounded. More often than not, I’ve left these kinds of experiences and
            have remained in the vocal sound that I had just spent however long improvising/toning
            within. It’s like the repetition made it easier to come back home because I had been
            “living” within that space for a little bit. </p>
         <verse-group><verse-line>My basement,</verse-line>
         <verse-line>warm and furnished</verse-line>
         <verse-line>a place where I can live,</verse-line>
         <verse-line>a place where I can find comfort.</verse-line>
         <verse-line/></verse-group>
         <verse-group><verse-line>I still go to the attic.</verse-line>
         <verse-line>I still go to the garden.</verse-line>
         <verse-line>I still go to the kitchen.</verse-line>
         <verse-line>But I am <italic>home</italic> in the basement.</verse-line>
            <attrib>(Maevon Gumble, <italic>Untitled</italic>, 5/2019)</attrib>
         </verse-group>
         <p>
            <bold>Breath and body-based work. </bold>Partway through this voicework, I also began
            working with an Alexander Technique<sup>
               <xref ref-type="fn" rid="ftn10">10</xref>
            </sup> teacher focused on body awareness, releasing unnecessary tension, and becoming
            more comfortable with my body through chair work and constructive rest. Many musicians
            pursue Alexander Technique to decrease tension and improve their own body awareness,
            and, in agreement with Chris, this felt supportive of the kind of work I was focused on.
            Based on some of my experiences in Alexander Technique, I felt the importance of
            spending time with my body; however, I struggled with the ways Alexander Technique is
            such a hands-on approach, with the teacher having you lay on a table or sit in a chair.
            They’ll go through various body parts, picking up your arm, leg, foot, head, etc. to
            support them and ask you to give them the weight of that body part, letting go of
            unnecessary tension. As I’ve previously expressed,</p>
         <disp-quote>
            <p>I experienced a lot of discomfort in attempting to give the weight of my body to the
               teacher who was touching me. I barely knew this person, and I didn’t know their
               perspective on trans and nonbinary individuals. Further, the gender of this person
               [cis man] also influenced the way I experienced these lessons (<xref ref-type="bibr"
                  rid="G2019b">2019b, p. 15</xref>). </p>
         </disp-quote>
         <p>While I strongly believe that the perfect amount of discomfort can lead to growth, the
            amount of discomfort that I was experiencing in these lessons was simply too much and
            very triggering for me.</p>
         <fig id="fig8">
            <label>Figure 8</label>
            <caption>
               <p>Image shows a mandala from a personal music therapy session on 3/8/2018, where
                  about two-thirds of the mandala is filled with the overlaps of a red-orange color
                  and black. The notes read "discomfort."</p>
            </caption>
            <graphic id="graphic8"
               xlink:href="Pictures/1000000000000223000002554A8D98E77CA475A0.jpg"/>
         </fig>
         <p/>
         <p>I instead found ways of integrating some of the tenets of Alexander Technique,
            particularly that of releasing unnecessary tension. This would be incorporated into the
            body and breathe experiences that I almost always started with during my solo voicework
            sessions, prior to voicing.</p>
         <disp-quote>
            <p>I put on Sergei Rachmaninoff’s Op. 34: No. 14, Vocalise arranged for cello and piano,
               enjoying the sensation of the cello – it feels free and yet grounded.<sup>
                  <xref ref-type="fn" rid="ftn11">11</xref>
               </sup> I listen to the piece once, lying on my back, feeling the carpet against my
               body. I focus solely on my breath – specifically breathing down and into my back.
               Binding compresses my chest, but the back of my binder has a thinner material that
               expands much more easily than the front does. I’ve realized that focusing on that
               part of my body while breathing is helpful. I follow the phrasing of the music, being
               intentional to take deep breaths but also willing my breath to be as natural as
               possible. It feels good to just be in the music.</p>
         </disp-quote>
         <disp-quote>
            <p>The piece starts again, and I turn my attention to the rest of my body. I do a
               progressive muscle relaxation, moving from my toes and feet all the way up to my head
               and down and out through my arms. I tense each muscle a few times, then let the
               tension fade into relaxation. I struggle with tuning into each part of my body. I
               feel myself disconnect and struggle to stay present, my mind drifting to the sounds
               outside the practice room. While the stretching feels good, the hyperawareness of
               physical sensation brings about discomfort. I feel silly/ridiculous in taking time to
               be with my body. This is shame. I come back to my breath and continue to move through
               the progressive muscle relaxation, willing myself to be present and release
               unnecessary tension.</p>
         </disp-quote>
         <disp-quote>
            <p>Having finished, I move into a seated cross-legged position, still on the floor but
               with my back now against the wall, music still playing. I freely massage my face,
               neck, and shoulders, I find myself humming along to the recording, enjoying the
               experience of my voice alongside the cello. This further morphs into free stretching,
               continuing to work out the tension that remains in my body. I don’t leave a seated
               position, but I allow my legs to come uncrossed, to let my body, muscles, breath, and
               voice move freely, following my intuition, feeling the way my body wants to stretch
               and move, willing it to unwind and relax. I ask myself: “How am I holding myself?
               What’s the least amount of work that I can do to just be here as I am? How am I
               feeling the energy of me here within this space?” This feels good, but I have to keep
               myself from giving into the “silliness,” the shame that I also experience.</p>
         </disp-quote>
         <disp-quote>
            <p>Sometimes it is so difficult for me to realize where in my body I am holding tension,
               to be present to myself physically. That can be overwhelming. Turning into myself,
               into my body, requires so much awareness. The progressive muscle relaxation is
               particularly helpful for me as it is focused on slowly isolating individual parts of
               the body. When I <bold>am</bold> able to be more present to myself, I can work on
               getting physically grounded. I can be connected with my breath, my body, my
               instrument (reflective account based on
                  10/28/2017, 1/20/2018, &amp; 1/23/2018, voicework sessions). </p>
         </disp-quote>
         <p>I also had ideas about embodiment experiences based on Michael Chekhov’s Imaginary Body
            acting exercise (<xref ref-type="bibr" rid="C2002">2002</xref>)<sup>
               <xref ref-type="fn" rid="ftn12">12</xref>
            </sup> and using gender imagery (i.e., imagery that specifically serves as a
            representation of gender). This was something that I minimally explored personally due
            to my own significant discomfort around the body, but I did have opportunities to lead a
            few experientials with classmates and during a CMTE with colleagues to explore what this
            work might be. These experientials asked others to tune into the way they sit/stand/move
            in gendered ways – to the ways that their body and movements are a part of their gender
            and gender expression. It also asked of them to consider what it would be to
            sit/stand/move in the most authentic gender affirming way. Many individuals shared
            feelings of shame around their bodies, regardless of whether they identified as cis,
            trans, and/or nonbinary.</p>
         <p>On paper, these ideas of being so present to your body perhaps sound so simple, yet, in
            practice, it personally feels quite difficult, almost impossible. Wading through the
            waters of “me” versus “not me” when I’m swimming in an ocean that seems to just keep
            getting larger and larger is beyond overwhelming. It’s so easy to drown in something
            that’s that big. And if I’m able to swim through it, to breathe in enough oxygen to keep
            myself alive, if I’m able to find myself within the water, owning the fullness of that
            requires a vulnerability – a kind of nakedness to the entire world. Letting that child
            rise to the water’s surface feels so radically brave and courageous. Authenticity means
            nakedly existing as I am, despite what might come of that.</p>
         <fig id="fig9">
            <label>Figure 9</label>
            <caption>
               <p>Image shows a mandala from a personal music therapy session on 11/9/2018, with the
                  background of the mandala in a various shades of teal and my pale skin tone blurry
                  image overtop. Notes read "naked."</p>
            </caption>
            <graphic id="graphic9"
               xlink:href="Pictures/10000000000004A5000004D75669FEBE8639E053.jpg"/>
         </fig>
         <p/>
         <p>With reflection, I recognize the ways I have been resistant to more deeply engaging in
            the intersections of body-based and imagery work. Words fail to express how difficult
            that work is, at least for me. My naked, vulnerable body – both as a metaphor (i.e.,
            imagery) and as a reality (i.e., my physical body) – is something that I look upon with
            disgust. Writing these words feels unsafe because of the way they are so very real. It
            is easy to silence a metaphor out of existence, to look upon myself and cast them to the
            bottom of the ocean. It is harder to deny a physical body its reality, to open my eyes
            and see my own skin, to say that that skin is not real. Writing these words only for
            myself invokes deep shame and hurt. Writing them with the thought of these words being
            read by you, the reader, invokes fear – fear of being seen, of being witnessed, of being
            unworthy. A naked self at the bottom of the ocean cannot be seen by anyone, even myself.
            Hence the avoidance of body-based work. I am still working on this, and it is
            unbelievably hard. </p>
         <p>
            <bold>Emotions/identity-based work. </bold>After starting this work, I also began
            working with a music therapist who was trained in the Bonny method of GIM<sup>
               <xref ref-type="fn" rid="ftn13">13</xref>
            </sup> and ways of adapting this work to use music and imagery at various levels. This
            was in order to engage in intensive (bi)weekly psychotherapeutic work. Although my
            reasonings for seeking out a music therapist did not seem based in voicework but rather
            other personal life challenges, it soon became apparent that these spaces which
            initially seemed very separate within my mind were quite connected. Many of the themes
            from both spaces seemed to overlap, although it took me a long while to realize this.
            Interestingly, the focus of my work with this therapist grew to be on authenticity and
            integration, among other things, both of which obviously parallel voicework focused on
            accessing and embodying an affirming voice. A dichotomy of voicework and therapy work
            existed in my mind; however, a queering eventually took place where I embraced the
            overlap and then reviewed my experiences in therapy to relate them to my experiences of
            voicework. This included pulling out my therapy mandalas, which are often used as a way
            of processing experiences within GIM. Within this autoethnography, I have included
            significant mandalas that voice some of the emotional experiences I was having in
            voicework but that I didn’t verbalize outside of my therapy until embracing the both/and
            of these spaces. I have grown substantially from these overlaps, (un)intentionally
            exploring within therapy many of the resistances that I experienced while engaging in
            gender affirming voicework. </p>
         <p>Of great significance, my work with this music therapist eventually led to voicing and
            exploring my inner experiences of childhood trauma which profoundly influence my intense
            discomfort with bodywork. Although the more intimate details of that therapeutic work
            are beyond the scope of this current paper, more than I am willing to share, and not
            always completely related to gender affirming voicework, spending time with my body led
            to me spending time with the impacts of past experiences. However, from the overlaps of
            my personal therapy work and gender affirming voicework eventually came the
            understanding that this voicework surrounds healing from gender-based trauma. My own GIM
            imagery captures so much of the experiences that have led me to gender affirming
            voicework and also the work itself.</p>
         <fig id="fig10">
            <label>Figure 10</label>
            <caption>
               <p>Image shows a mandala from a personal music therapy session, with the mandala
                  filled and colored outside-the-lines with black. On top of the black is a faint
                  blue-white figure. Notes from session read "walls pushing back, truth coming out,
                  buried alive."</p>
            </caption>
            <graphic id="graphic10"
               xlink:href="Pictures/10000000000002D0000002AF83F3A2CF7E1E559A.jpg"/>
         </fig>
         <p/>
         <p>When I began this voicework, my experiences of myself were disconnected from a larger
            holistic understanding of myself – that is, considering my voice within the scope of my
            physical body, emotions, internal world, and so on. I was more focused on working with
            areas of vocal function and not on a more holistic understanding of gender affirming
            voicework. Further, I was not “in sync” with myself. The innermost parts of me were
            quite frankly a mess, a never-ending ocean that I felt like some miniscule pinpoint
            within.</p>
         <fig id="fig11">
            <label>Figure 11</label>
            <caption>
               <p>Image shows a mandala from a music therapy session on 1/9/2019 which shows a
                  yellow-orange sky meeting with a fading blue ocean. Where they meet, is a small
                  black dot. Notes read "floating between worlds."</p>
            </caption>
            <graphic id="graphic11"
               xlink:href="Pictures/10000000000004C20000044F9ACE546C3EC68FBB.jpg"/>
         </fig>
         <p/>
         <p>Further, my experiences with my body more often than not led to tension, hesitance,
            discomfort, and feeling overwhelmed. I was compartmentalized – my voice separate from my
            body separate from my emotions separate from my gender separate from my larger internal
            world.</p>
         <p>I strongly believe that this deep personal work unconsciously began in voicework and
            then shifted to my therapy space. With that, I am intrigued by the ways that it could
            have perhaps been contained within a singular therapeutic space of gender affirming
            voicework, had I already been working with a therapist knowledgeable in this kind of
            voicework and prepared for the ways trauma-based work might arise. For instance, more
            emotion-based work did arise in the gender affirming voicework I explored; however, I
            believe it was more largely contained within my personal therapy.</p>
         <p>
            <uri>https://soundcloud.com/maevongumble/improvising-to-hold-emotion</uri>. </p>
         <disp-quote>
            <p>I read aloud Roger Quilter’s “Weep You No More,” spending time with the first two
               lines of the song, attending to the melody of my speech, which surrounds the notes F,
               G, G#, and A. I play around on these notes, taking them out of the specific melodic
               pattern they began in. I tone on them, focused on letting them grow out into
               something else. I work with playing with overtones of these notes, and there’s an
               opening up that comes with this. However, as I progress, I find myself getting very
               frustrated because my voice wasn’t quite working the way I want it to be working. I
               experience it with a heavy, clunky, and tense ungroundedness. Eventually, I give up
               on continuing with more technically focused work and seamlessly move into an
               improvisation not focused on anything in particular. I can’t recall the specific
               point at which I moved away from the ‘work.’ I am so connected to this improvisation,
               using the same notes I had just been working with, although I added various aspects
               of a minor scale to them as the improvisation progressed. As the improvisation begins
               to come to an end, it grows quite angsty, with some very strange vocal sounds and
               techniques coming out of my voice. I left my voicework session here, in this weird
               space. I experience my voice after this improvisation as sad, disappointed,
               discouraged. I feel disheartened about what just happened (reflective account of 2/1/2018, voicework session). </p>
         </disp-quote>
         <p>This experience was needed for what was going on internally for me, and honestly, is
            perhaps my “best” representation for what I imagine gender affirming voicework to be
            because of the ways this experience moved into a more holistic space. This was valuable
            work, but it could have been more deeply experienced had I been able to process it
            within a therapy space with a trained music therapist.</p>
         <p>I share the above experience not to suggest that emotion-based work in gender affirming
            voicework is the same as GIM or other music psychotherapeutic approaches – because they
            are not as they are different ways of working. However, a voicework space could have
            perhaps contained some of the themes/ideas that where indeed present within my voicework
            but that more specifically came up in working with that music therapist. This gender
            affirming voicework, for me, opened up a whole ocean of inner movement on multiple
            levels – physically in terms of my voice and body, and emotionally in the ways I
            experience myself in various capacities.</p>
      </sec>
      <!-- sec lvl 2 end -->
      <!-- sec lvl 2 begin -->
      <sec>
         <title>The return</title>
         <verse-group><verse-line>When I sing for them,</verse-line>
         <verse-line>I crave their love.</verse-line>
         <verse-line>I crave the applause.</verse-line>
         <verse-line>I crave their words</verse-line>
         <verse-line>to validate</verse-line>
         <verse-line>that my voice</verse-line>
         <verse-line>is worth using.</verse-line>
         <verse-line>When I sing for them,</verse-line>
         <verse-line>I don’t see myself</verse-line>
         <verse-line>I see their response,</verse-line>
         <verse-line>their praise, their pain.</verse-line>
         <verse-line>So I sing them things that make them smile.</verse-line>
         <verse-line>I sing them things I know they love.</verse-line>
         <verse-line>But you didn’t ask me this.</verse-line>
         <verse-line>You asked me what it <italic>means</italic> to sing for them.</verse-line></verse-group>
        
         <verse-group><verse-line>Singing for them</verse-line>
         <verse-line>means drowning myself</verse-line>
         <verse-line>in that ocean,</verse-line>
         <verse-line>sinking myself down</verse-line>
         <verse-line>to its bottom</verse-line>
         <verse-line>where I can’t breathe</verse-line>
         <verse-line>where I can’t sing,</verse-line>
         <verse-line>where I am lost,</verse-line>
         <verse-line>where some ghost of myself</verse-line>
         <verse-line>floats at the top,</verse-line>
         <verse-line>half-heartedly singing</verse-line>
         <verse-line>some fairytale of a song.</verse-line>
         <verse-line>Yet they don’t tell the difference.</verse-line>
         <verse-line>But you also asked what it means</verse-line>
         <verse-line>to be heard as my authentic self</verse-line>
         <verse-line>… and I cry …</verse-line>
         <verse-line>because I don’t know how</verse-line>
         <verse-line>to sing for them</verse-line>
         <verse-line>and simultaneously sing for myself.</verse-line>
         <verse-line>Because to be heard as myself</verse-line>
         <verse-line>means I will likely</verse-line>
         <verse-line>not be heard</verse-line>
         <verse-line>by them.</verse-line>
         <verse-line>At least not</verse-line>
         <verse-line>with praise,</verse-line>
         <verse-line>with love-like words,with applause.</verse-line></verse-group>
        
         <verse-group><verse-line>Because to be heard as myself</verse-line>
         <verse-line>means diving down</verse-line>
         <verse-line>to the deepest depths</verse-line>
         <verse-line>of this ocean</verse-line>
         <verse-line>to find the part of me</verse-line>
         <verse-line>that has morphed</verse-line>
         <verse-line>into some foreign,</verse-line>
         <verse-line>magical creature</verse-line>
         <verse-line>to survive.</verse-line>
         <verse-line>To find the part of me</verse-line>
         <verse-line>that has become water.</verse-line>
         <verse-line>That grew fins</verse-line>
         <verse-line>to swim and not die.</verse-line>
         <verse-line>That grew gills</verse-line>
         <verse-line>to keep singing</verse-line>
         <verse-line>in solo water caverns.</verse-line>
         <verse-line>That made home</verse-line>
         <verse-line>in this ocean,</verse-line>
         <verse-line>finding songs within the waves, </verse-line>
         <verse-line>echoes in the caves.</verse-line>
         <verse-line>That found safety</verse-line>
         <verse-line>in solitude and independence,</verse-line>
         <verse-line>because the authenticity</verse-line>
         <verse-line>of this creature</verse-line>
         <verse-line>was banished. </verse-line></verse-group>
         
        <verse-group> <verse-line>But nothing</verse-line>
         <verse-line>can live</verse-line>
         <verse-line>in darkness</verse-line>
         <verse-line>forever.</verse-line>
         <verse-line>And nothing</verse-line>
         <verse-line>can sing</verse-line>
         <verse-line>in silence</verse-line>
         <verse-line>forever.</verse-line></verse-group>
         
        <verse-group> <verse-line>You ask what it means</verse-line>
         <verse-line>to be heard as my authentic self.</verse-line>
         <verse-line>It means freedom.</verse-line>
         <verse-line>It means letting the comfort</verse-line>
         <verse-line>of those love-like words</verse-line>
         <verse-line>mean nothing</verse-line>
         <verse-line>because they alone</verse-line>
         <verse-line>don’t validate my worth.</verse-line>
         <verse-line>It means letting their manipulation</verse-line>
         <verse-line>roll off my skin</verse-line>
         <verse-line>like drops of water</verse-line>
         <verse-line>for I have survived</verse-line>
         <verse-line>deeper waters.</verse-line>
         <verse-line>For the water</verse-line>
         <verse-line>is as a part of me</verse-line>
         <verse-line>as my very breath.</verse-line>
         <verse-line>For I can breathe</verse-line>
         <verse-line>on land and in oceans.</verse-line>
         <verse-line>And perhaps</verse-line>
         <verse-line>that is the</verse-line>
         <verse-line>one gift</verse-line>
         <verse-line>all of this</verse-line>
         <verse-line>has given me.</verse-line>
           <attrib>(Maevon Gumble, <italic>Authenticity</italic>, 1/2019)<sup><xref ref-type="fn" rid="ftn14">14</xref></sup></attrib>
        </verse-group>
         <p>I return to that child from the opening pages of this autoethnography who wholeheartedly
            belts at the top of their lungs, throwing pure, unfiltered, radical sound at a world
            whose vastness they haven’t fully realized. That child sings of a desire to run, to
            jump, to dance, to wander, to be on the surface with the people, to be a part of
            something they knew they were always a part of. That child felt their humanness and knew
            their place within the world, within some alternative fairytale that we missed the
            beginning of. Because, before Ariel was a mermaid, she was human – not the other way
            around. My real story is that Ariel in her human state got thrown into the ocean, sank
            deep down into a place she never thought she’d go. To save her, Ursula used her magic to
            change Ariel from human to mercreature, meaning well although the damage was done.
            There’s a kind of death in transformation. But perhaps there’s also birth and new life.
            When it was finally safe enough, Ursula returned Ariel back into a human. And my inner
            child was always human. They lived through the trauma, but they want us to know that we
            all missed the point. We all focused on the wrong part of the story. <italic>We saw
               transformation. But it was always a return.</italic>
         </p>
      </sec>
      <!-- sec lvl 2 end -->
      <!-- sec lvl 2 begin -->
      <sec>
         <title>A moment of reflection</title>
         <p>I return to this story in true queer autoethnographic fashion, finding that my
            understanding of these experiences continues to shift and grow. This is particularly
            true as I have been relating them back to a music therapy context and to the clinical
            work that I am now doing to support other trans and nonbinary people in accessing and
            embodying their own voices and genders. I could go into some of these expanding thoughts
            here – interweaving my narrative into the theoretical and clinical, more concretely
            tying these experiences to academic literature and knowledge. However, I will not be
            doing this, partly because I have previously offered an introductory exploration of
            these ideas grounded in literature from the fields of speech-language pathology, vocal
            pedagogy, and music therapy (<xref ref-type="bibr" rid="G2019b">Maevon Gumble,
               2019b</xref>).</p>
         <p>To venture into an analysis of my lived experience in some way feels like boxing that
            experience up into a nice, neat package to give to you, as if to say, “This is what all
            of this meant.” I must critique myself because in my previous article (<xref
               ref-type="bibr" rid="G2019b">Maevon Gumble, 2019b</xref>), I feel as if I did this,
            thereby sanitizing myself, firmly pulling the ‘academic’ away from the deeply personal
            parts of this autoethnography. In actuality, my personal, emotional story <italic>is
            </italic>academic and a source of important knowledge without requiring literature to
            make sense of it. I have so many unanswered questions, but the one thing that I do know
            is that – as a nonbinary trans music therapist – my journeys of exploring my voice, my
            gender, my body, and the possibilities of gender affirming voicework have started me
            along a path that I will likely continue exploring for the rest of my life. I do hope
            others join me.</p>
      </sec>
      <!-- sec lvl 2 end -->
      <!-- sec lvl 2 begin -->
      <sec>
         <title>About the author</title>
         <p>Maevon Gumble, MMT, MT-BC, is a board-certified music therapist based in Pittsburgh,
            Pennsylvania (USA) working toward LPC licensure. They currently work as a mobile mental
            health therapist with older adults within their homes and other community settings
            (Familylinks). Maevon also maintains a small private practice (Becoming Through Sound)
            where they offer gender affirming voicework to those seeking to access and embody
            affirming gender expressions, particularly vocal expressions. Maevon completed their
            undergraduate and graduate studies at Slippery Rock University (Pennsylvania, USA) and
            has served as a guest editor on <italic>Voices: A World Forum for Music Therapy</italic>
            for the special issue on queering music therapy (No. 3-2019). Maevon's professional
            interest include continued development of gender affirming voicework.</p>
      </sec>
      <!-- sec lvl 2 end -->
   </body>
   <back>
      <fn-group>
         <fn id="ftn1">
            <p> Throughout this article, I am using authors’ full names. This is done on purpose as
               a way of queering the writing process, thereby providing a more personal and engaging
               text while also offering more context beyond that which is given when only utilizing
               last names.</p>
         </fn>
         <fn id="ftn2">
            <p> Throughout the entirety of this article, I am maintaining a more personal and
               conversational tone of voice, retaining my use of contractions. While this doesn’t
               adhere to ‘academic’ standards, it feels important that my queer autoethnography stay
               true to my personal voice, especially given that my autoethnography is about
               embodying vocal expression. I am also maintaining this language choice in efforts of
               queering and unsettling the notion of ‘academic’ language and the ways that it sets
               clear boundaries on the ways authors are given permission to communicate about
               ideas.</p>
         </fn>
         <fn id="ftn3">
            <p> In extracts of personal emails, journals, and reflections, I am choosing to maintain
               the original language despite occasional grammatical errors. This is in efforts of
               maintaining my personal voice within the autoethnography without imposing an
               ‘academic’ focus.</p>
         </fn>
         <fn id="ftn4">
            <p> Binding – the act of wearing a binder – is something that many trans men and some
               nonbinary, female-assigned persons do to compress their breasts and give a
               flat-chested appearance. A binder is made of elastic material that compresses the
               chest, causing the body to have to work harder to breathe. It’s obviously not ideal;
               however, the physical discomfort often relieves emotional discomforts. This voicework
               calls for a deep consideration of the impacts of binding on the ability to use the
               voice freely. Some days I have had to take breaks from binding because they put a lot
               of pressure on my ribs which occasionally leaves my skin feeling raw from the
               pressure or exacerbates my asthmatic symptoms. </p>
         </fn>
         <fn id="ftn5">
            <p> Hormone therapy encompasses several different types/options. This can include
               puberty suppressing hormones, which are fully reversible and provide youth with time
               to explore their gender by preventing the development of secondary sex
               characteristics (<xref ref-type="bibr" rid="CBBCKDCF2012">Coleman et al.,
               2012</xref>). Hormone therapy can also include taking hormones to create partially
               reversible bodily changes – estrogen to feminine and testosterone to masculinize. An
               exploration into these various types of hormone therapies is important for
               considering what gender affirming voicework might be in the future. However, I solely
               reflect on the possibility of taking testosterone given my positioning as a
               female-assigned nonbinary adult.</p>
         </fn>
         <fn id="ftn6">
            <p> In line with footnote 1, I am including each author for all references. Despite this
               not adhering to APA guidelines, I do this throughout the text in efforts to recognize
               that each author has contributed to the piece. However, for references with many
               authors, the reference will thereafter be referenced in APA style after the initial
               citation (in this case, Coleman et al.,
                  2012). </p>
         </fn>
         <fn id="ftn7">
            <p> Formant frequencies are the bands of frequencies of any sung/spoken pitch that are
               amplified within the vocal tract and are influenced by the size and shape of the
               vocal tract as well as the movements of the articulators (i.e., lips, tongue, teeth,
               jaw, soft palate). According to Johan Sundberg (<xref ref-type="bibr" rid="S2006"
                  >2006</xref>), “the frequencies of the two lowest formants determine most of the
               vowel quality, whereas the third, fourth, and fifth formants are of greater
               significance to personal voice timbre” (p. 105).</p>
         </fn>
         <fn id="ftn8">
            <p> Alexandros Constansis (<xref ref-type="bibr" rid="C2008">2008</xref>).</p>
         </fn>
         <fn id="ftn9">
            <p> Refer to music therapist Sanne Storm’s (<xref ref-type="bibr" rid="S2013"
                  >2013</xref>) dissertation work where she introduces a VOIAS voice assessment.
               This includes the CoreTone exercise which basically is focused on being present to
               the central pitch that a person is speaking around. This pitch is then elongated and
               toned on with the intention to let it open up and become relaxed and grounded within
               the body.</p>
         </fn>
         <fn id="ftn10">
            <p> The American Society for the Alexander Technique (<xref ref-type="bibr"
                  rid="TASAT2019">2019</xref>) states that Alexander Technique is a teaching method
               to “change faulty postural habits […to improve] mobility, posture, performance, and
               alertness along with relief of chronic stiffness, tension and stress” (para. 1). </p>
         </fn>
         <fn id="ftn11">
            <p> Performed by cellist Vladimir Ashkenazy and pianist Lynn Harrell from the Spotify
               playlist <italic>Solo Cello</italic>. I also used other pieces during similar
               experiences, particularly those that I deeply connected with during my personal music
               therapy sessions. </p>
         </fn>
         <fn id="ftn12">
            <p> As I’ve previously described (<xref ref-type="bibr" rid="G2019b">2019b</xref>),
               “this exercise involves an actor imagining ever aspect of a character […], stepping
               into the body of that person – from how they walk to how they wear their coat to how
               they wear their boots to how they talk. It’s about taking the actor’s body and
               filling it into the body of the character” (p. 13). </p>
         </fn>
         <fn id="ftn13">
            <p> According to the Association for Music &amp; Imagery (<xref ref-type="bibr"
                  rid="TAMI2019">2019</xref>), “the Bonny Method of Guided Imagery and Music is a
               music-centered consciousness-expanding therapy developed by Helen Bonny. Therapists
               trained in the Bonny Method choose classical music sequences that stimulate journeys
               of the imagination. Experiencing imagery in this way facilitates clients’ integration
               of mental, emotional, physical, and spiritual aspects of well-being” (para. 1).</p>
         </fn>
         <fn id="ftn14">
               <p>After discussing with my therapist, the overlaps that I was recognizing between my personal music therapy work and my gender affirming voicework journeys, my therapist encouraged me to journal. This poem came out of that journaling.</p>
         </fn>
      </fn-group>
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</article>
