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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.v21i2.3075</article-id>
         <article-categories>
            <subj-group subj-group-type="heading">
               <subject>Reflections on Practice</subject>
            </subj-group>
         </article-categories>
         <title-group>
            <article-title>Adjusting the Pitch</article-title>
            <subtitle>An Ethnographic Exploration of Action Learning in an International Music
               Exchange Project</subtitle>
         </title-group>
         <contrib-group>
            <contrib contrib-type="author">
               <name>
                  <surname>Parker</surname>
                  <given-names>Deborah</given-names>
               </name>
               <xref ref-type="aff" rid="aff1"/>
               <address>
                  <email>deb@primamateria.it</email>
               </address>
            </contrib>
            <contrib contrib-type="author">
               <name>
                  <surname>Gentili</surname>
                  <given-names>Dario</given-names>
               </name>
               <xref ref-type="aff" rid="aff1"/>
            </contrib>
            <contrib contrib-type="author">
               <name>
                  <surname>Brown</surname>
                  <given-names>Henry</given-names>
               </name>
               <xref ref-type="aff" rid="aff1"/>
            </contrib>
            <contrib contrib-type="author">
               <name>
                  <surname>Balducci</surname>
                  <given-names>Alberto</given-names>
               </name>
               <xref ref-type="aff" rid="aff1"/>
            </contrib>
         </contrib-group>
         <aff id="aff1"><label>1</label>Associazione Prima Materia, Montespertoli, Italy</aff>
         <contrib-group>
            <contrib contrib-type="editor">
               <name>
                  <surname>McCaffrey</surname>
                  <given-names>Tríona</given-names>
               </name>
            </contrib>
         </contrib-group>
         <contrib-group>
            <contrib contrib-type="reviewer">
               <name>
                  <surname>Woodward</surname>
                  <given-names>Alpha</given-names>
               </name>
            </contrib>
            <contrib contrib-type="reviewer">
               <name>
                  <surname>Jaber</surname>
                  <given-names>Hala</given-names>
               </name>
            </contrib>
         </contrib-group>
         <pub-date pub-type="pub">
            <day>1</day>
            <month>7</month>
            <year>2021</year>
         </pub-date>
         <volume>21</volume>
         <issue>2</issue>
         <history>
            <date date-type="received">
               <day>7</day>
               <month>5</month>
               <year>2020</year>
            </date>
            <date date-type="accepted">
               <day>20</day>
               <month>10</month>
               <year>2020</year>
            </date>
         </history>
         <permissions>
            <copyright-statement>Copyright: 2021 The Author(s)</copyright-statement>
            <copyright-year>2021</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/3075"
            >https://voices.no/index.php/voices/article/view/3075</self-uri>
         <abstract>
            <p>The article traces the development of eight years of “Music and Resilience,” a
               project of international cooperation between a Palestinian NGO in Lebanon and an
               Italian CBO, with the aim of building music resources with, and for, the refugee
               communities of Lebanon.</p>
            <p>Supported epistemologically by ethnography, sociology, psychology, and community
               music pedagogy, the paper narrates and analyzes the project's development as a
               multi-layered, organically orientated response to the specific geopolitical and
               social context, in which continuous monitoring and evaluation inform the necessary
               “adjustments” of the project's “pitch.” Using the paradigm of Action Learning within
               the framework of Theory of Social Change, the authors draw on the experience and
               research “Music and Resilience” has stimulated, to identify some “cardinal points”
               relevant to cross-cultural cooperation in general.</p>
         </abstract>
         <kwd-group kwd-group-type="author-generated">
            <kwd>community music</kwd>
            <kwd>psycho-social support</kwd>
            <kwd>music therapy</kwd>
            <kwd>refugees</kwd>
            <kwd>social change</kwd>
            <kwd>action learning</kwd>
            <kwd>resilience</kwd>
            <kwd>international cooperation</kwd>
         </kwd-group>
      </article-meta>
   </front>
   <body>
      <!-- sec lvl 2 begin -->
      <sec>
         <title>Setting Out</title>
         <p>Beginnings are important. “Music and Resilience” (M&amp;R) came to life in 2012 as a
            support project for the development of music resources within the Palestinian refugee
            community of Lebanon, targeting two spheres of activity concerning children and
            adolescents: community music-making and clinical music therapy. Eight years later, the
            project has expanded to sustain not only these two aspects, but also psycho-social music
            support for the young, and music in the community's nursery school curriculum. M&amp;R
            has also spawned a European-based online resource and training centre for music
            interventions in marginalized communities worldwide.<sup><xref ref-type="fn" rid="ftn1"
                  >1</xref></sup> These new articulations and adaptations bear witness to the most
            important lesson learnt during the project's lifespan, evoked in the title metaphor of
            “adjusting the pitch”; namely, the development of a <italic>modus operandi</italic> of
            continuous monitoring, observing, reflecting, learning, and re-planning, in order to
            maintain relevance and efficacy in response to the needs of the specific context.</p>
         <p>The project owes its conception not to an application call or a funding approval, the
            origin of so many cooperation projects; rather, its initiatory thrust was provoked by
            the Italian Embassy of Beirut's refusal to issue entry visas into Italy for fifteen
            young Palestinian musicians invited to participate in a cultural exchange in Summer
            2011. This refusal, while justified by Italian law, effectively amounted to a denial of
            civil rights for those young students, and epitomized exquisitely the intolerable lot of
            the Palestinian refugees of Lebanon, which will be addressed in the next section. The
            response of the Italian CBO Prima Materia<sup>
               <xref ref-type="fn" rid="ftn2">2</xref>
            </sup> (PM), was a direct demonstration of solidarity with the offended party through an
            institutional visit to the Palestinian NGO Beit Atfal Assumoud (“House of the Children
            of Resilience”: hereafter referred to as <italic>Assumoud</italic>)<sup>
               <xref ref-type="fn" rid="ftn3">3</xref>
            </sup> by PM's musical director Henry Brown in September 2011. The purpose of the visit
            was purely and socially <italic>human</italic>: if Palestinian students from Lebanon had
            been deprived of the possibility to come to Europe, European students would try to go to
            Lebanon, in order to retrieve the lost music exchange. Firm conviction that music had to
            be made was expressed by both PM and Assumoud, the former as a promoter of positive
            social change through music, and the latter as a protector of the young generations of
            Palestinian refugees and other vulnerable subjects in Lebanon.</p>
         <p>Effectively therefore, the partnership of M&amp;R was founded on an ethical consensus in
            response to a small but nevertheless significant crisis of socio-political nature. This
            has remained a characteristic of the project's driving force and has drawn support
            through the years from numerous other partner organizations, sponsors, donors, and
            volunteers in sympathy with the project's ethos. In 2013, M&amp;R's significance was
            highlighted through the concession of the Musical Rights Award by the International
            Music Council, in recognition of its advocacy of the universal right of children to have
            access to, and be creative through, music.</p>
         <fig id="fig1">
            <label>Figure 1</label>
            <caption>
               <p>International synergies supporting M&amp;R: main partners [P], sponsors [S] and
                  supporting organizations [SO].</p>
            </caption>
            <graphic id="graphic1"
               xlink:href="Pictures/100000000000031A0000046320C1FB43850255AD.png"/>
         </fig>
         <p>Similar projects are often considered within the context of music and conflict
            transformation (<xref ref-type="bibr" rid="U2008">Urbain, 2015</xref>). In this
            instance, the conditions for conflict transformation do not exist (<xref ref-type="bibr"
               rid="R2010">Robertson, 2010</xref>), given the context of the Palestinian refugee
            community in Lebanon. The European team aims to express solidarity with its friends
            overseas, by helping them to develop resources which, in their life situation, are
            extremely problematic. The reason for this difficulty is only due to the fact that they
            are deprived of their basic rights. It is essential to keep one thing in mind always: if
            the Palestinians of Lebanon had civil rights equal to their European counterparts, they
            would be able to develop their rich cultural potential, for the benefit of the
            community, without foreign aid. M&amp;R is configured therefore as an exchange project,
            which supports strategic planning for the development of music resources, through
            interventions which benefit both operative partners (see Fig. 1).</p>
      </sec>
      <!-- sec lvl 2 end -->
      <!-- sec lvl 2 begin -->
      <sec>
         <title>Charting the Terrain: Understanding the Context</title>
         <p>For strategic planning to be in any way effective, it must be informed by at least a
            conscious attempt at coherent understanding of the context in which the project
            develops. In the case of M&amp;R, far from being a convenient “point of departure,” the
            context in question was, and continues to be, a highly complex process influenced by a
            fatal constellation of historical and socio-political factors, which can be defined in
            two main categories: firstly, the circumstances leading to the presence of a Palestinian
            refugee community in Lebanon, and secondly, the unique political characteristics of this
            host country.</p>
         <p>The first wave of around one hundred thousand Palestinian refugees fled from Northern
            Palestine into Southern Lebanon in 1948–49, during the Israeli “War of Independence,”
            prior to the founding of a Jewish State in Palestine. For Palestinians this moment is
               <italic>al nakba</italic>, which translates into English as “catastrophe,” as does
            the Hebrew term <italic>shoah</italic>. As a result of the Six-Day War in 1967, a second
            wave of Palestinian refugees flooded into the camps which had been set up by the UN on
            small plots of land (no more than 1,5 km²). Since then, despite considerable population
            growth, the areas allocated have not been increased; the inhabitants have substituted
            the original makeshift tents with buildings of bricks and cement, expanding only
            vertically within the perimeters. These districts remain isolated within, and from, the
            cities, surrounded by walls and/or barbed wire, permanently controlled by the Lebanese
            army, with virtually no possibility for interchange with the host society.</p>
         <p>Official records of Palestinian refugees resident in Lebanon are contrasting: according
            to the United Nations Relief and Works Agency<sup>
               <xref ref-type="fn" rid="ftn4">4</xref>
            </sup> (n.d.) the figure is 475,075, whereas a recent census, the first ever for this
            population, gave the figure as only 183,255 (<xref ref-type="bibr" rid="UNND">LPDC et
               al., 2019</xref>). An explanation for this contrast can be found in the politics of
            the host state, for whom the presence of Palestinian refugees has always been extremely
            inconvenient, precluding any plans for their effective assimilation. The Lebanese
            population is clustered into no less than eighteen state-recognized religious sects,
            reflected in the confessional nature of the country's political system. All political
            positions are appointed on the basis of proportional religious representation within the
            population, based on a census dating back to 1932, which defined around 52% Christians
            and 48% Muslims out of a population of 793,396 (<xref ref-type="bibr" rid="M1999"
               >Maktabi, 1999</xref>). Since the Palestinian refugees are mostly Sunni Muslims,
            their inclusion in civil life would certainly upturn these proportions. No Lebanese
            statesperson has ever assumed this responsibility; on the contrary, legislation
            consistently aims to maintain their marginalization, not only physically in the camps,
            but also socially, through the denial of all basic civil rights.<sup>
               <xref ref-type="fn" rid="ftn5">5</xref>
            </sup>
         </p>
         <p>Other reasons for the systematic exclusion of Palestinian refugees from Lebanese civil
            life include the “Right of Return” to Palestine (UN Resolution 194), which would be lost
            in the event of full naturalization. Furthermore, the historic presence of the PLO in
            Lebanon is associated with dramatic events relating to the fifteen years of bloodshed of
            the Lebanese Civil War (1975–90). Indeed, many Lebanese hold the Palestinians directly
            responsible for the war, thus nurturing a widespread distrust towards this population
               (<xref ref-type="bibr" rid="H2004">Haddad, 2004</xref>).</p>
      </sec>
      <!-- sec lvl 2 end -->
      <!-- sec lvl 2 begin -->
      <sec>
         <title>Reviewing Tools: Engaging With Social Change, Resilience and Action Learning</title>
         <p>M&amp;R's local partner in Lebanon, Assumoud, was founded in August 1976, following one
            of the most tragic pages of Palestinian history in Lebanon, namely a Lebanese military
            action, which razed to the ground the entire refugee camp of Tel Elzaatar (North
            Beirut). Assumoud was among the first organizations to offer assistance to the many
            orphaned refugee children. Since then, Assumoud has extended and consolidated its
            actions, maintaining its focus on children and adolescents in a community approach
            closely involving family and other social entities. As a humanitarian, non-sectarian
            organization with no political affiliations, its mission is to provide social care and
            support development for Palestinians and other disadvantaged people.</p>
         <p>Over the last decades, the determinants of social development have been investigated
            within the theory of social capital. In the view of American political scientist Robert
            Putnam, this term refers to “social networks and the associated norms of reciprocity”
               (<xref ref-type="bibr" rid="P2000">Putnam, 2000, p.21</xref>). The accumulation of
            its positive consequences—“mutual support, cooperation, trust, institutional
            effectiveness” (<xref ref-type="bibr" rid="P2000">Putnam, 2000, p.22</xref>)—is a
            prerequisite for political integration and economic health in any given society. Putnam
            identifies voluntary organizations, or “third sector organizations,” as essential in the
            construction of social networks; both of the principal partners of M&amp;R fall into
            this category. For French sociologist Pierre Bourdieu, social capital implicates
            inevitable power relationships and “becomes a resource in the social struggles that are
            carried out in different social arenas or fields” (<xref ref-type="bibr" rid="S2003"
               >Siisiäinen, 2003, p.2</xref>). It interlinks with cultural, economic and symbolic
            forms of capital, to form a context-based aggregate of resources available to each
            individual, determining their “social trajectory.” The conversion factor of these
            resources qualifies them as capital, supporting a continuous, transformative and
            generative mechanism, particularly evident and significant within a migration context
               (<xref ref-type="bibr" rid="E2010">Erel, 2010</xref>).</p>
         <p>The Palestinians in Lebanon live in a double absence: firstly from their homeland, and
            secondly from a host society which denies the “settled” refugees recognition and
            inclusion (<xref ref-type="bibr" rid="S1999">Sayad, 1999</xref>; <xref ref-type="bibr"
               rid="H2008">Hanafi, 2008</xref>). The camps bear witness to this suspended existence
            in a spatial sense; they have become “spaces of exception,” within which national law is
            suspended and replaced systematically by temporary or emergency regulations (<xref
               ref-type="bibr" rid="A1998">Agamben, 1998</xref>), typical of humanitarian response
            to sudden crises. The inappropriateness of such governance in this context is blatant.
            For four generations, in these enduring spaces of exception, Palestinians have been
            forced to reconstruct their identity based on “otherness,” and to invest in the struggle
            for social capital by means of a “quotidian and never-ending practice of constructing
            home” (<xref ref-type="bibr" rid="TA2013">Taylor, 2013, p.136</xref>). In so doing, the
            foundation stone is laid for reclaiming agency and demanding full recognition of their
            double status as Palestinian nationals in exile and as resident refugees in Lebanon.
            This is the essence of <italic>assumoud</italic>, which encompasses adaptation to harsh
            life conditions whilst preserving the community's long-term objective. The term, which
            translates as “resilience,” denotes a collective and therefore social skill, performed
            in the community:</p>
         <disp-quote>
            <p>resilience is … a dynamic process embedded in agency and everyday practices. The
               capacity to endure has to be understood within a micro context of ordinary life, …
               [and] is rooted in the capacity to make life as normal as possible. (<xref
                  ref-type="bibr" rid="NGGNB2008">Nguyen-Gillham et al., 2008, p.296</xref>)</p>
         </disp-quote>
         <p>Resilience represents the core of the daily performance of Palestinian identity in
            forced and permanent exile—an ongoing process of negotiation between tradition and
            adaptation. Cultural expression is fundamentally important in affirming the collective
            self, and guaranteeing new, shared “social trajectories” which constitute that
            collectivity. Culture promotes social engagement and participation, contributing to
            general well-being and resilience, which can be strategically transformed by the
            “community of practice” into social capital.</p>
         <p>Throughout more than forty years of nurturing this community of practice, Assumoud has
            consolidated strategies for responding sensitively and adequately to the emergence of
            social change. First and foremost, the institution adopts a “person-centered approach,”
            defined in the words of this concept's founder as “based on the premise that the human
            being is basically a trustworthy organism, capable of evaluating the outer and inner
            situation, understanding herself in its context, making constructive choices as to the
            next steps in life, and acting on those choices” (<xref ref-type="bibr" rid="R1990"
               >Rogers, 1990, p.382</xref>). This respectful approach to the individual is
            complemented at project development level by the framework of the “Action Learning
            Cycle” (see Fig. 2), described within the Theory of Social Change as: “an approach that
            accompanies and seeks to enhance existing change processes and to surface potential
            through continual learning” (<xref ref-type="bibr" rid="R2007">Reeler, 2007,
            p.21</xref>). </p>
         <p/>
         <fig id="fig2">
            <label>Figure 2</label>
            <caption>
               <p>The Action Learning Cycle</p>
            </caption>
            <graphic id="graphic2"
               xlink:href="Pictures/10000000000002730000023E1815A3F7A9921D24.png"/>
         </fig>
         <p>By means of these processes, the community affords trust to its individuals, who are
            encouraged to grow into the social space, and to contribute to the appraisal of emergent
            change through reflection, which will inform subsequent choices. These characteristics
            are shared by PM as a promoter of social change through music, thus creating a common
            framework for the development of M&amp;R. As this study seeks to demonstrate, the phases
            of documentation, observation, and reflection support the learning necessary for
            “adjusting the pitch” of the project appropriately. </p>
         <p>The sustainability of Action Learning lies in the “the ability of practitioners to
            develop trusting relationships” (<xref ref-type="bibr" rid="R2007">Reeler 2007,
               p.19</xref>), calling for marked attention to ethical considerations for the
            protection of all participants in project actions. While Assumoud ensures adequate
            information to families, and monitors procedures guaranteeing privacy for the youngsters
            involved, including protection and support if necessary, PM has developed a number of
            safety mechanisms for the preparation and protection of European professionals,
            volunteers and students before and during interventions in Lebanon. These include
            orientation seminars and community and family awareness and discussion groups in Italy
            prior to traveling, observation and reflection groups during visits, and availability of
            Assumoud healthcare workers for the tutoring of European participants in Lebanon.</p>
      </sec>
      <!-- sec lvl 2 end -->
      <!-- sec lvl 2 begin -->
      <sec>
         <title>Checking the Log-Book: Monitoring Progress</title>
         <fig id="fig3">
            <label>Figure 3 </label>
            <caption>
               <p>Location of camps where M&amp;R is present.</p>
            </caption>
            <graphic id="graphic3"
               xlink:href="Pictures/100000000000031A000002D6766CFF4D89350FE0.png"/>
         </fig>
         <p>In January 2020 PM organized a public seminar in Montespertoli entitled “Music &amp;
            Resilience Lebanon-Italy, achievements and challenges,” supporting community
            participation in the Action Learning phases of observation, reflection and learning. The
            contents of this seminar form the basis of this and the following three sections of
            the present study and provide an account of where M&amp;R is to date (see Fig. 3). The
            seminar consisted of a “team narration” to a public which included members of the local
            music community and representatives of the local council under whose patronage M&amp;R
            runs. The narration occurred through music and film, verbal accounts by the authors of
            this article and others, and witness stories from both partner communities; this
            constellation of diverse communication modalities, which allowed the music to speak for
            itself in ways which words cannot convey, has been maintained in this article, where the
            audiovisual elements are intended as substantial elements of the text. All participants
            in the seminar gave informed consent for audio recording of verbal discourse and
            audiovisual recording of musical contributions, and for the subsequent publishing of
            these contents. Use of audiovisual documentation from M&amp;R actions in Lebanon was
            permitted by both partner organizations following informed consent from the families of
            the children involved.</p>
         <p>Since M&amp;R is considered first and foremost an exchange project, such occasions offer
            opportunities for participants in the actions in Lebanon to connect with children,
            students, and families who experience the project only on home-ground in Italy. As often
            as the Italian embassy allows, these events include the participation of a key figure
            from the PR community in Lebanon: in January 2020, Mohamad Orabi, Palestinian
            psychologist working with Assumoud since 2010, was present, together with Italian staff,
            music students, and trainees who had participated in Summer 2019, and the youngest
            orchestral group from PM's local community project. This latter group, comprising twenty
            children aged 8–10, opened the seminar with a performance of two Arabic songs—“Al Maya”
            and “Nassam Alaina el Hawa,” arranged for them by Henry Brown, who contributes in a
            similar way in Lebanon (discussed in more detail in the section &#8216;Community Music&#8217;
            below), providing purpose-built arrangements of both Arabic and European repertoire (see
            video excerpt 1).</p>
         <fig id="fig4">
            <label>Video excerpt 1</label>
            <caption>
               <p>Nassam Alaina el Hawa played by ‘Orchestra Musicatoio’:
                     <uri>https://www.youtube.com/watch?v=lWCuF4uW1l8</uri>).</p>
            </caption>
            <graphic id="graphic4"
               xlink:href="Pictures/1000000000000500000002D0EE3C777368AE8771.png"/>
         </fig>
         <p>This first, musical “narration” was a simple and direct way of underlining one aspect of
            the riches which M&amp;R brings to PM's local community: the promotion of knowledge of
            the Palestinian culture through its music. Other Arabic pieces were played during the
            seminar by the older student group which had participated in the exchange program in
            Lebanon in July 2019, forming an orchestra with their Palestinian counterparts. The
            seminar performances included a new member, a young Swiss clarinetist from the Mosaico
            music school in Wattwil (Zürich), which had recently joined the M&amp;R partnership. The
            continuous development of the European network indicates an important protection factor
            for the project's health and sustainability.</p>
         <p>As in the seminar, the following narrations of groundwork in Lebanon are articulated by
            the different, but not distinct actions, reflecting the framework for planning and
            monitoring the project's development.</p>
         <!-- sec lvl 3 begin -->
         <sec>
            <title>Music Therapy (see video excerpt 2)</title>
            <fig id="fig5">
               <label>Video excerpt 2</label>
               <caption>
                  <p>Music Therapy<sup>
                        <xref ref-type="fn" rid="ftn6">6</xref>
                     </sup>: <uri>https://www.youtube.com/watch?v=iZ-kJF6JIko</uri></p>
               </caption>
               <graphic id="graphic5"
                  xlink:href="Pictures/10000000000004B0000002244047D2C3E4C6FCB3.jpg"/>
            </fig>
            <p>The attention and determination of Assumoud to develop clinical music therapy is a
               remarkable achievement, considering the contingent challenge that Lebanon, even to
               date, has no training program for this discipline, and the profession is virtually
               non-existent in the country.</p>
            <p>Bearing witness directly from the Palestinian refugee community of Lebanon, Mohamad
               Orabi explains the motivation behind this development (seminar discourse):</p>
            <disp-quote>
               <p>Assumoud was the first association to address mental health in the Palestinian
                  refugee community, but in 2012, [with five Family Guidance Clinics serving the
                  majority of the camp locations] provision was nowhere sufficient to respond to the
                  very long waiting lists. We were addressing many problems psychosocially, but this
                  was not enough; we needed more resources. M&amp;R offered a framework in which to
                  integrate music therapy into our mental health program; a team of psychologists,
                  speech and motor therapists and social workers began training in psycho-dynamic
                  improvisational music therapy, and subsequently treating children individually. In
                  2013 the Syrian crisis caused the arrival of large numbers of traumatized
                  Palestinian refugees from Syria in our already overcrowded camps. The training was
                  adjusted to equip us to be able to work with short-term music therapy groups,
                  treating children's trauma from loss of family and experience of atrocious
                  violence; many of the children treated were orphans. We were trained periodically
                  by high-level professionals from Italy, UK, and Germany, who offered their
                  expertise to the project. In 2015 M&amp;R received additional sponsorship<sup>
                     <xref ref-type="fn" rid="ftn7">7</xref>
                  </sup> in order to fund formation to diploma level, in the Music Therapy School in
                  Assisi (Italy) for two of Assumoud's employees: myself, and Liliane Younes,
                  Lebanese clinical psychologist and coordinator of mental health services for
                  Assumoud. This training, completed in March 2019, not only equips us
                  professionally, but it represents a significant empowerment for me and for my
                  entire community.</p>
            </disp-quote>
            <p>Mohamad's reference to the diploma reiterates not only the concept of promoting
               self-sufficiency in his community, but also significant exchange opportunities for
               fellow students in Assisi, who were able to learn about one of the world's most
               notorious refugee communities. Similarly, to date, 11 European music therapy students
               (from Italy, France, Spain and UK) have participated in internships in Lebanon and
               five dedicated theses have been discussed in European universities. Fruitful exchange
               has resulted also for the European trainers involved in Lebanon, bringing them into
               contact with the generational trauma of “veteran” refugee communities, and with the
               raw trauma of “new” refugees from Syria. This learning has been immensely helpful in
               responding sensitively and appropriately to the newly arrived asylum-seekers of
               recent years in Europe.</p>
            <p>The M&amp;R music therapy team attends to research projects, with the objective of
               contributing scientifically to the body of knowledge pertaining to the psycho-social
               well-being of refugee communities (<xref ref-type="bibr" rid="PYOPP2021">Parker et al.,
                  2021</xref>). The team also presents frequently at conferences, sharing experience
               with other health-profession colleagues around the world. Familiarity with music
               therapy has definitely increased in Lebanon, since Assumoud works with many Lebanese
               nationals as mental health specialists. An indication of this lies in the fact that
               interest is now being expressed by a private Lebanese university to establish the
               country's first BA degree course in this subject.</p>
            <p>Introducing music as a medium for mental health care within the Muslim community
               constitutes a significant challenge, since some interpretations of the creed consider
               music as a potential negative influence. The team responds by working hard to gain
               trust in the community, explaining the roots of musicality in human communication and
               therefore music's power to repair neuropsychological, affective, and social
               difficulties. A further challenge affecting sustainability lies in the instability of
               the workforce. Paradoxically, the 70 years' “stagnation” of the Palestinian refugees
               is clearly evident in the waywardness of professional development, which can
               effectively lead nowhere. Changing jobs from association to association appears to be
               a coping strategy for people who can only move in this way, laterally. This results
               in continuously losing workers who have been partially trained, while starting from
               scratch with newly arrived staff. However the fact that Assumoud now has two
               qualified music therapists is indeed an achievement not to be overlooked.</p>
         </sec>
         <!-- sec lvl 3 end -->
         <!-- sec lvl 3 begin -->
         <sec>
            <title>Psychosocial Support (PSS) Workshops Using Music (see video excerpt 3)</title>
            <fig id="fig6">
               <label>Video excerpt 3</label>
               <caption>
                  <p>Psycho-Social music workshops in Baalbeck:
                        <uri>http://www.youtube.com/watch?v=wCEylbFGm9I</uri></p>
               </caption>
               <graphic id="graphic6"
                  xlink:href="Pictures/10000000000004B0000002A382C6E3C54697ED02.jpg"/>
            </fig>
            <p>This action, situated conceptually between clinical and artistic applications of
               music, comprises a multi-disciplinary and flexible psycho-pedagogic approach, based
               on two important premises of community music practice:<sup>
                  <xref ref-type="fn" rid="ftn8">8</xref>
               </sup> the innate musicality of human beings, and the potential of music to promote
               well-being, both individually and socially. PSS music workshops attend to connections
               and promote nurturing interactions between participants, stimulating positive social
               change that expands, like the ripples created by a stone thrown in a pond, to the
               surrounding society (<xref ref-type="bibr" rid="PA2004">Pavlicevic and Ansdell,
                  2004</xref>). The inclusive nature of making music together supports development
               of the perception of the self in relation to others, improving modulation of personal
               expression. Non-competitive ways of achieving satisfying common goals can be
               demonstrated. These processes simplify the acts of <italic>sharing</italic> and
                  <italic>cooperating</italic>, bringing the various participants closer to each
               other, whoever they may be.</p>
            <p>The focus on psychosocial support in the workshops does not require specific musical
               skills or equipment; it is therefore very useful where more articulated forms of
               music education are not possible, as in the case of El Jalil refugee camp in Baalbek
               (Beqaa valley: see Fig. 3). This was the only camp devoid of musical activities of
               any kind (maybe due to its more isolated location, with respect to all the other
               camps on Lebanon's coastal strip); there were no musical instruments and no evidence
               of formal musical competence in the community. In 2017 the M&amp;R team, with the
               involvement of European students on field training for the MARS<sup>
                  <xref ref-type="fn" rid="ftn9">9</xref>
               </sup> diploma, was able to offer the first PSS music workshops for the children of
               El Jalil.</p>
            <p>The camp is very small, with no playing spaces other than its narrow streets. In the
               safe and welcoming environment of the Assumoud Centre, workshops were held that
               offered inclusive activities aimed at promoting fun and mutual trust, and supporting
               emotional expression and modulation. Despite the large number (dozens) of children in
               each group, it was possible to work on the proposed objectives, using musical games
               and local or international songs, providing simple musical instruments (including
               “home-made” sound objects), and combining physical movement with sound production and
               expressive creativity, as the video documentation has shown.</p>
            <p>The challenge of sustainability for this action was met the following year, by
               complementing the children's workshops with a training for their local educators. The
               premises of psychosocial support using music make preliminary training feasible even
               for those without previous musical education. In the case of El Jalil, this has
               determined both the positive impact and the sustainability of the project during
               these first years. However, once a stone has been thrown into the pond, the ripples
               expand freely. In response to the insistent requests of the teenagers in the program,
               a local music teacher has recently been found in Baalbek, with availability to give
               specific music training. This not only raises the level of musicality within the camp
               community, but improves the prospects for the eventual development of a community
               music group in El Jalil.</p>
            <p>The video documentation bears witness to the style of facilitation adopted by the
               European trainers during the workshops, with respect both to the children and the
               local educators. These latter subjects could be thought of as fully equipped members
               of an exploring team discovering a new terrain, accompanied by guides who are more
               familiar with the area. The route is not pre-set by the guides; rather, through
               inviting involvement in games, songs, and creative assignments, they indicate
               possible pathways and vistas, adopting an attitude of “deep listening” (<xref
                  ref-type="bibr" rid="PI2013">Pavlicevic and Impey, 2013</xref>) in order to
               observe and, as far as possible, comprehend the group's reactions, proposals and
               requests. Their role requires them to alternate sensitively and flexibly between
               guiding, pointing out interesting details (often using mimesis, without interrupting
               the musical flow), and taking a step back to follow someone else's lead, ready to
               support when necessary. Embedded within this process, and running parallel to it, is
               the training of the local educators, for whom the workshops with the children afford
               the “doing” step of their dedicated Action Learning cycle. The complementary steps of
               observation of documentation, reflection, learning, and re-planning take place in
               regular sessions without the children. These are facilitated by the European
               musicians when they are in Lebanon, and set a framework for weekly monitoring
               sessions for the local education team throughout the year.</p>
            <p>With his competence as psychologist and music therapist, Mohamad Orabi is well placed
               to provide supervision and support for the El Jalil educators. For him, this project
               action is particularly significant, as he related at the seminar:</p>
            <disp-quote>
               <p>… since it affords a wonderful opportunity for observation of children's behaviour
                  in Kindergarten and school by their teachers, and subsequently for feedback to
                  psychological and medical figures. Psychosocial observation in the child's natural
                  environment gives a more authentic view of the child, whose behaviour may well be
                  influenced by fear or anxiety in clinical settings. Musical games and exercises
                  promote more regulated behaviour and have a positive impact on global cognitive
                  functioning, improving competences such as attention, concentration, memory,
                  spatial and temporal perception and organization, helping the children to develop
                  their general learning skills.</p>
            </disp-quote>
         </sec>
         <!-- sec lvl 3 end -->
         <!-- sec lvl 3 begin -->
         <sec>
            <title>Community Music (CM) (see video excerpt 4)</title>
            <fig id="fig7">
               <label>Video excerpt 4</label>
               <caption>
                  <p>Community Music activities: <uri>https://youtu.be/xh1R740RyKk</uri></p>
               </caption>
               <graphic id="graphic7"
                  xlink:href="Pictures/10000000000004B0000002A32347A9958E271095.jpg"/>
            </fig>
            <p>The pedagogic concept informing CM activity in Lebanon does not differ substantially
               from PM's locally based project in Italy. It stems from “an understanding of music
               and its role in empowering the person” (<xref ref-type="bibr" rid="R2008">Ruud,
                  2008</xref>) and from the conviction that music is not just an entertaining
               pastime, but that it really can promote social change and thus transform quality of
               life for people. However, as Boeskov (<xref ref-type="bibr" rid="B2017">2017</xref>)
               points out, in complex and compromised social contexts such as that of M&amp;R, it
               should not be assumed that impact will be exclusively positive; on the contrary,
               Action Learning has revealed that, alongside clear benefits, many ambivalent
               relationships emerge, which need to be recognized as “ambiguous or even conflictual”
                  (<xref ref-type="bibr" rid="B2017">Boeskov, 2017, p.89</xref>). Theory of Change
               explains this challenging phenomenon by acknowledging the complexity of
               transformation processes, in which moments of crisis offer opportunities to rethink
               relationships and structures, leading to new phases of development. “Transformation
               requires and is borne out of the ripening and surfacing of crisis” (<xref
                  ref-type="bibr" rid="R2007">Reeler, 2007, p.16</xref>).</p>
            <p>Participating in music, be it through singing, playing or listening, is a
               characteristic of humankind, and there is virtually no society that does not have
               some kind of collective music-making. Yet in our society, a large proportion of music
               learning happens on a one-to-one basis, in contradiction to its social nature. This
               kind of teaching often focuses on affirmed repertoire and the competence to reproduce
               it, fuelling a selective system of competitions to define the best, most technically
               brilliant young musician. All this works against music as a promoter of an inclusive
               and cooperative society. It is, however, possible to teach music differently. Rather
               than focusing on Pink Floyd, Beethoven, or Fairuz, CM places the person who is
               learning at the centre of the learning experience; the challenge then is to
               understand the musician inside that person and to <italic>educate</italic>
               <sup><xref ref-type="fn" rid="ftn10">10</xref></sup> this inherent quality. Here
               again we meet the person-centered approach to care and learning that was discussed
               above (Section 'Reviewing Tools: Engaging With Social Change, Resilience and
               Action'). There is no such thing as an a-musical person. Life pulsates in us through
               vibrations, and vibrations are sounds; people are sounds. When this philosophy is put
               into practice, the starting point for music-making is the creation of a togetherness,
               exactly as in a society. A healthy society needs people who fulfil different roles: a
               clarinetist, a percussionist, a cellist. Music can bring together musicians of
               diverse capacities; groups can include people who have been learning for only a few
               months with those of many years’ experience.</p>
            <p/>
            <p>CM actions tend towards inclusion, in the sense that no line is drawn between those
               who are “musical” and those who are not. As Brynjulf Stige writes: </p>
            <disp-quote>
               <p>This change in perspective has implications for the conception of musicality,
                  which no longer could be thought of as a gift for the happy few but rather as a
                  shared capacity of the human species (<xref ref-type="bibr" rid="SAEP2010">Stige,
                     in Stige, Ansdell, Elefant and Pavlicevic, 2010, p.7</xref>)</p>
            </disp-quote>
            <p>This is appreciable in PM's local community in Tuscany, where the CM project
               struggles to guarantee access to music formation and participation to diversely able
               people, disadvantaged families, immigrants, and asylum seekers. However, within the
               context of marginalized communities such as that of the Palestinian refugees in
               Lebanon, the concept of <italic>inclusion</italic> demands more attention. For these
               communities, it is <italic>exclusion </italic>which defines existence at all levels;
               exclusion dictated by the hegemony of a hostile “host” state, which condemns the
               younger generations to grow without self-esteem and with countless difficulties which
               begin in the home and influence their entire lives. Despite this, Assumoud, as a
               non-sectarian and humanitarian organization, offers its services to all disadvantaged
               people, irrespective of nationality, creed, or political affiliation. As a protection
               factor contrasting the chronic state of exclusion experienced by the Palestinians, CM
               offers hospitality, as defined by Higgins: “unconditionality, a welcome without
               reservation, without previous calculation, … an unlimited display of reception
               towards a potential music participant” (<xref ref-type="bibr" rid="H2012a">Higgins,
                  2012a, p.108</xref>) The inclusion factor therefore comprises an unconditional
               invitation to Palestinian refugee children and their local trainers, to take their
               rightful place as community musicians beside their European counterparts, exploring,
               and learning together.</p>
            <p>M&amp;R develops CM in two camp locations: Tripoli, in the north of Lebanon, and
               Sidon, in the south (see Figure 3). These two camps are very different; Beddawi Camp
               (Tripoli) is “open,” allowing free access without particular tensions. In Sidon the
               camp of Ein El Hilweh is permanently controlled by the Lebanese forces and entry
               permits are extremely difficult to obtain. The M&amp;R team has never been inside,
               and the children living in the camp often cannot leave to come to the CM locations
               (the Assumoud Centre, or the local UNRWA school), where training takes place.</p>
            <p>Sessions begin with musical games, as in the PSS music workshops, using body
               percussion, voice, and instruments to create rhythms and musical forms. The concept
               of “making a mistake” is avoided, since it is counter-productive. Ensemble work
               begins from the community's cultural heritage, Palestinian and Arabic repertoire, an
               essential resource for a population uprooted from its historical and social
               background, and is complemented by Italian and Western repertoire. Suggestions for
               pieces come from students and teachers alike, and choices are made collectively. As
               for the Italian young orchestral group (video excerpt 1), repertoire is arranged by
               PM’s musical director, carefully calibrating instrumental parts to fit the very
               varied technical levels of the players, so that no one is left out. The project
               brings students from different camp locations to play together, since the
               opportunities for interaction with peers from other camp communities are otherwise
               virtually non-existent. It also focuses on developing teaching skills in older
               students, who can then teach the younger musicians. This strategy contributes to the
               project's sustainability at a local level, and promotes skills and competences in the
               Palestinian student teacher trainees, which, in turn, supports their self-esteem and
               sense of value in the community. For the younger children, there is a great
               difference between training with an external European musician, and peer-learning
               with more experienced members of their own community, who become models representing
               new possibilities of growth and development. Recognizing and nurturing this potential
               in the teacher trainees fosters a sense of self-sufficiency and agency in the
               community, in healthy contrast to the status quo of total dependency in which it has
               been forced to live for over 70 years. </p>
            <p>Mohamad Orabi has observed the benefits of CM for children, many of whom have come
               through the clinical music therapy services and have been subsequently integrated
               into the music groups, as he explained at the seminar:</p>
            <disp-quote>
               <p>This project action is highly significant as an educational resource for the
                  teenagers. We should consider the extreme deprivation in which these children grow
                  up, which leads many of them to become members of armed groups. All our youth are
                  vulnerable to stress and risk factors such as domestic violence, drug and alcohol
                  abuse. They need protection, and this project represents a real resource in this
                  sense. The young generation faces a significant challenge to find a healthy
                  identity and sense of belonging; the CM project offers a safe environment in which
                  they can share and enjoy a group activity. The stories of two students are
                  indicative. Both have severe problems; one suffers from selective mutism and the
                  other from epilepsy. Both have language difficulties and cannot speak English. For
                  both of these teenagers CM has proved to be a great resource; the first
                  adolescent, from Sidon, has been able to overcome his anxieties for the first
                  time, to find courage to make positive relationships with peers and to play an
                  instrument with them in a contained and gratifying way. The second teenager, in
                  Tripoli, after completing a MT treatment, learnt his instrument and teaching
                  competences well enough to become one of the student teachers of the group.</p>
            </disp-quote>
            <p>This latter student has told his story in his own words, as a contribution to the
               2018 Annual Report of Assumoud’s main sponsor for M&amp;R, Ta’awon<sup><xref
                     ref-type="fn" rid="ftn11">11</xref></sup> :</p>
            <disp-quote>
               <p>I was 13, a stubborn and troublesome child. Most of my friends had been detained
                  by the police many times. One day, I hit a boy with a sharp instrument while
                  defending myself. It was then that I was referred to the Beit Atfal Assumoud
                  institution to receive psychological assistance… I was advised to enroll in music
                  therapy classes and after a while, as I was doing well, I moved to normal music
                  classes and started playing the flute… I became less anxious; even the number of
                  epileptic seizures that I suffered dropped. I built new friendships and felt like
                  I belonged to a new family who cared about me. (<xref ref-type="bibr" rid="TL2018"
                     >Ta’awon, 2018, p.32</xref>)</p>
            </disp-quote>
            <p>The final part of the project narration is entrusted to three of the younger European
               participants in M&amp;R's 2019 actions; testimonies which concluded the seminar in
               January 2020. Their words bear witness to the quality of reflexive thinking promoted
               by this very intense exchange experience.</p>
            <p>Michele (15 years old):</p>
            <disp-quote>
               <p>I was in Beddawi and made good friends with Hadi, 12 years old, who plays
                  clarinet, like me. Hadi came on the residential course during our 2nd week, where
                  we prepared the program for the final concert. We spent a lot of time together and
                  became very close; we were both the youngest members of our respective groups. He
                  was a very serious learner, and would often continue practising difficult passages
                  without taking a break. His determination paid off; in the end he managed to play
                  everything, which was amazing considering that he has only been playing for a year
                  or two. The whole experience led me to discover and value aspects of myself of
                  which I was unaware, such as spending time with children and teaching them music,
                  which I really enjoyed. It was an incredibly enriching experience, at a cultural
                  and a human level.</p>
            </disp-quote>
            <p>Emilio (28 years old, professional clarinetist):</p>
            <disp-quote>
               <p>In addition to being a worthwhile and enjoyable activity, music-making can often
                  be a very pertinent metaphor for life in general. During one of the rehearsals one
                  of the Palestinian guitarists was playing out of time with the rest of the group.
                  Henry did not tell him that he was wrong, but simply observed that he was so
                  highly concentrated on playing a difficult passage, that he had forgotten the
                  group, and that listening to the others, learning to trust the group, could help
                  him to resolve his difficulties. What a caring and important message for someone
                  living in his situation!</p>
            </disp-quote>
            <p>Hanna (17 years old):</p>
            <disp-quote>
               <p>I couldn't avoid comparing my, our life to theirs. There are of course
                  similarities between us; the music we listen to, the films we watch … but their
                  view of life is completely different from ours. For example, they can't run in a
                  field of grain and be free. Everything is narrow and crowded for them. Maybe they
                  have never experienced the openness of the sky or the infinity of Nature as we do
                  here. I love Nature, and the fact that they don't have this …</p>
            </disp-quote>
            <p>[Hanna is overcome by emotion and not able to continue; the audience, also visibly
               moved, responds with a long applause].</p>
         </sec>
         <!-- sec lvl 3 end -->
      </sec>
      <!-- sec lvl 2 end -->
      <!-- sec lvl 2 begin -->
      <sec>
         <title>Building Resources: Why Music Must be Made</title>
         <p>Hanna's reflection reiterates the human ethic driving the project and reminds us of the
            importance attributed to emotion in person-centered interventions, which, in the case of
            M&amp;R, are framed and channeled by and through music. That music is potentially a
            powerful generator of social change is borne out by diverse theories. Community music
            practice (<xref ref-type="bibr" rid="H2012a">Higgins, 2012</xref>) recognizes music as a
            primary resource for individual expression, communication and social well-being. Music
            is extensively present in everyday life (<xref ref-type="bibr" rid="T2013">Tagg,
               2013</xref>)<sup><xref ref-type="fn" rid="ftn12">12</xref></sup>, whether purposely
            or casually, and serves an infinity of interconnected purposes, including pure
            enjoyment, relaxation, education, artistic expression, and therapeutic care (<xref
               ref-type="bibr" rid="MD2013">MacDonald, 2013</xref>). Music is also significantly
            present in terms of its effects on the individual, ranging from basic metabolic changes
               (<xref ref-type="bibr" rid="YBKTNLWC2012">Yamasaki et al., 2012</xref>) to more
            complex neurological and psychological influences, including perception, memory, and
            emotions (<xref ref-type="bibr" rid="B1992">Baumgartner, 1992</xref>). Without denying
            the fact that music can be a chosen profession, necessitating adequate training,
            community music celebrates the universal human inclination towards creating,
            discovering, and learning with sound, whether this be a baby gurgling to a parent, a
            hungry toddler discovering the potential of a fork bashed on the table, or an amateur
            musician playing with friends. Innate musicality has extremely deep roots, which start
            to develop before birth, laying the foundations for “communicative musicality” (<xref
               ref-type="bibr" rid="MT2009">Malloch &amp; Trevarthen, 2009</xref>), which colors all
            human interactions throughout life. Humans are intensely musical animals, and music is
            part of what defines humanity.</p>
         <p>Contemporary community music practice has developed over the last eight decades into a
            globally present and highly complex constellation responding to the concept of music as
            a primary resource for individual expression, communication and social well-being (<xref
               ref-type="bibr" rid="H2012b">Higgins, 2012b</xref>; <xref ref-type="bibr"
               rid="BH2018">Bartleet &amp; Higgins 2018</xref>). Veblen (<xref ref-type="bibr"
               rid="V2007">2007</xref>) writes of “CM typologies” and underlines the fact that
            “Community music is always shaped and defined by particular social settings” (<xref
               ref-type="bibr" rid="V2007">Veblen, 2007, p.2</xref>). As an alternative to the
            restricting nature of a definition, Veblen proposes five domains in which general
            characteristics common to all CM practice can be discerned: “(a) the kinds of music and
            music making involved in a CM program; (b) the intentions of the leaders or participants
            in a program; (c) the characteristics of the participants; (d) the interactions among
            teaching-learning aims, knowledge, and strategies; and (e) interplays between informal
            and formal social-educational-cultural contexts” (<xref ref-type="bibr" rid="V2007"
               >Veblen, 2007, p.2</xref>). Some of the salient features arising from these domains
            are that: music-making is active, embraces all genres of music and styles of
            music-making, and takes place in an unlimited range of social, cultural, and educational
            locations; the educational context is that of open access and permanent education,
            prioritizing process over product and nurturing individual and collective well-being;
            the range of participants is unlimited, conditioned only by specific context; similarly,
            a wide range of terms denotes the leaders, reflecting their social and relational
            functions alongside their musical competence; action learning is characteristic and
            involves teachers and learners alike in a flexible and non-hierarchical sharing of
            responsibility; the complex and ambiguous term <italic>community</italic> defines not
            only what is inside, but also, by default, the surroundings which are outside, evoking
            the mosaic of resulting inter-relations between informal and formal structures, both
            implicit and explicit.</p>
         <p>Huib Schippers (<xref ref-type="bibr" rid="S2018">2018</xref>) offers a useful
            distinction between three main contexts for CM, the first of which, “Community music as
            an ‘organic’ phenomenon,” reminds us that from the beginning of human culture, and long
            before the term came into being, communities have been making their own meaningful
            music. “Community music as an intervention” denotes the social need “for active
            interventions to establish or restore practices” (<xref ref-type="bibr" rid="S2018"
               >Schippers, 2018, p.23</xref>) which arose during the last century and continues to
            be relevant in many contexts, and where the project under examination in this study is
            situated. Schipper's third context, “institutionalized community music,” reminds us that
            most formal music making originated from the need to create long-term structures for
            music making, and reflects the challenge of sustainability of music resources and
            services within every socio-cultural context. </p>
         <p>One of the most important institutions nurturing CM is the Community Music Activity
            Commission (CMA), affiliated to the International Society for Music Education, which
            promotes music education and music making for all. CMA's vision states that: “Community
            music activities … provide opportunities to construct personal and communal expressions
            of artistic, social, political, and cultural concerns” and “contribute to the
            development of economic regeneration and can enhance the quality of life for
            communities” and “can complement, interface with, and extend formal music education.” (
               <uri>https://www.isme.org/our-work/commissions-forum/community-music-activity-commission-cma)</uri>
         </p>
         <p>Community music projects seek to develop inclusive and accessible music resources within
            the context of their local territories, in recognition of the valued contribution which
            every member of the community can offer. Higgin's interpretation of “community” as
            unconditional hospitality, discussed earlier in relation to communities living in
            perennial exclusion, identifies an essential component for inclusion and accessibility
            “that results in an experience of a greater sense of connectivity among and between
            participants, and between participants and the music” (<xref ref-type="bibr"
               rid="H2012a">Higgins, as cited in McPherson &amp; Welch, 2012, p.109</xref>). The
            generation of richer social relations and sense of belonging can be understood within
            the concept of social capital, and community music activities are recognized as having
            inherent properties supporting and facilitating this, as Simon Procter has stated: </p>
         <disp-quote>
            <p>The cycle of risk and reciprocation required for the generation of social capital
               requires people to enter the cycle at some point: … Crucially, musicing<sup><xref
                     ref-type="fn" rid="ftn13">13</xref></sup> doesn't leave people alone to throw
               themselves into the circle. Instead it actively supports them in a number of
               ways:</p>
         </disp-quote>
         <disp-quote>
            <list list-type="bullet">
               <list-item>
                  <p>Musicing's norms are culturally constructed … </p>
               </list-item>
               <list-item>
                  <p>Musical structure acts as a physical framework for participation … </p>
               </list-item>
               <list-item>
                  <p>Musical participation offers new experiences of time and hence of being
                     together … </p>
               </list-item>
               <list-item>
                  <p>We are hard-wired for musical participation.</p>
               </list-item>
            </list>
         </disp-quote>
         <disp-quote>
            <p>(<xref ref-type="bibr" rid="P2011">Procter, 2011, p.252-3</xref>)</p>
         </disp-quote>
         <p>Finally, musician Christopher Small (<xref ref-type="bibr" rid="S1998">1998</xref>)
            reminds us that the primary significance of all music lies in the field of action it
            affords for those who participate in it. His provocative statement “There is no such
            thing as music” (<xref ref-type="bibr" rid="S1998">Small, 1998, p.2</xref>) is strategic
            in moving our attention away from the “product” and towards the “process”, as he
            specifies: “Music is not a thing at all, but an activity, something that people do”
               (<xref ref-type="bibr" rid="S1998">Small, 1998, p.2</xref>). Accordingly, Small
            transforms the substantive “music” into the gerund “<italic>musicking</italic>,” where
            the sense of action is explicit, and invents the verb “<italic>to music.</italic>”
            Furthermore, the field of action afforded by musicking is identified clearly in terms of
            its social significance and potential: “ … for whatever else it might be, all musicking
            is ultimately a political act” (<xref ref-type="bibr" rid="S1998">Small, 1998,
               p.213</xref>). Small invites us to consider musicking as “an aspect of the language
            of biological communication… part of the survival equipment of every human being” (<xref
               ref-type="bibr" rid="S1998">Small, 1998, p.210</xref>). If music is understood as a
            primary human resource, generating protection for social well-being, then it will be
            invoked with justification where well-being is threatened and risk factors abound.</p>
      </sec>
      <!-- sec lvl 2 end -->
      <!-- sec lvl 2 begin -->
      <sec>
         <title>Keeping Safe: The Perils of International Cooperation</title>
         <p>In the best of all worlds, social capital represents one of the unlimited, renewable,
            and therefore sustainable resources available to humanity, and its accumulation provides
            the fuel for the motor of positive social change supported by international cooperation.
            Unfortunately though, as envisaged by Bourdieu, the relentless power of globalization
            and neoliberalism has found ways of controlling and exploiting this precious resource.
            The mechanisms behind this appropriation are described by South African social
            facilitator Doug Reeler. “Development has become a global project” (<xref
               ref-type="bibr" rid="R2007">Reeler, 2007, p.3</xref>), sweeping economic resources up
            into the capitalist spiral, and under the control of world corporate management, thus
            destroying the hitherto more local, and direct relationships between administrators,
            donors and third sector organizations. Civil society organizations are no longer seen as
            the legitimate promoters of change, but as “puppet agencies,” delivering programmes and
            “solutions” decided by a distant central corporate commission, within a global design
            which has no time or space for local niceties. The funding of development is
            transforming into “a marketplace governed by tender processes and business-talk” (<xref
               ref-type="bibr" rid="R2007">Reeler, 2007, p.3</xref>), forcing operative
            organizations into the stressful position of having to deliver results, with aggressive
            requests for accountability. Reeler sees this as a further threat to the quality of
            work:</p>
         <disp-quote>
            <p>It is the season of accountability. Projects promise this. But over the past few
               years, almost every organisation or project I have visited is stressed with issues of
               monitoring and evaluation, anxiously shopping around for methodologies to measure and
               report on impact to satisfy donors. Adverts for M&amp;E specialists abound as donors
               seek to further outsource this function to experts, robbing organisations of rich
               learning processes to which M&amp;E should contribute. (<xref ref-type="bibr"
                  rid="R2007">Reeler, 2007, p.4</xref>)</p>
         </disp-quote>
         <p>The principle challenge here is whose agenda should be followed.
               <italic>Monitoring</italic> and <italic>evaluation</italic> are indeed ugly and
            frightening words, when they are associated with the threat that projects “can be turned
            on and off, like taps” (<xref ref-type="bibr" rid="R2007">Reeler, 2007, p.4</xref>). But
            there is a far simpler significance of these processes, which have been refined and
            mastered by humanity and indeed all forms of life since the beginning of evolution.
            Monitoring and evaluation have to do with understanding what is working and what is not,
            whether this be internally through means of neurobiological feedback, within the context
            of relationship to the environment, or within sophisticated social relations. The
            ensuing information serves to “adjust the pitch,” to “change direction” if necessary, in
            order to keep on course with respect to the aims (<xref ref-type="bibr" rid="C2014"
               >Cozolino, 2014</xref>). These mechanisms are therefore essential aspects of all
            “goal-set” processes.</p>
         <p>The promotion of positive social change depends on keen attention to the specific social
            context and therefore cannot be aligned with an impersonal, global view. People are
            people, communities are communities; respect for the diversity and complexity of the
            human condition, in whichever place and time it dwells is the baseline for
               <italic>humane</italic> development.</p>
         <p>M&amp;R has learnt to develop many defense strategies as protection against these risks,
            in order to keep the project out of the marketplace and safely in the hands of the
            community it seeks to support. These include:</p>
         <list list-type="bullet">
            <list-item>
               <p>
                  <bold>a careful structuring of the financial framework.</bold> Although initial
                  funding (2012-15) was secured by PM through local Italian regional invitations to
                  tender, in parallel, all possible pathways for direct funding to Assumoud were
                  investigated, resulting in 2016 in a funding contract between Assumoud and the NGO
                  Ta'awon Lebanon, which has been consolidated and formalized into a long term
                  collaboration. This has meant that Assumoud has been empowered to take financial
                  ownership of the project, with a view to future autonomy and sustainability,</p>
            </list-item>
            <list-item>
               <p>
                  <bold>keeping coordination costs to a minimum, with no management costs.</bold>
                  M&amp;R exists due to the community participation in its actions, both within the
                  local Palestinian community in Lebanon and within PM's music community which
                  extends over Italian borders into many other European countries (Finland, Germany,
                  Belgium, France, UK, Switzerland, Spain). There is no need for management, but
                  coordination is necessary for both of the principal partners, in order to give
                  form to all emergent aspects of the project as it proceeds,</p>
            </list-item>
            <list-item>
               <p>
                  <bold>at an operational level, recognizing first and foremost the “exchange”
                     quality of work.</bold> Whilst the project is clearly one of international
                  cooperation, any sense of hierarchy (PM is <italic>helping</italic> Assumoud) or
                  dependency (Assumoud <italic>needs</italic> PM) needs constant contrasting at many
                  different levels. For example, European musicians and trainers, who arrive in the
                  camp locations to work together with the local staff, are often treated by the
                  latter as inspectors, coming to judge the quality of the local work; we have
                  learnt to verbalise this immediately and clearly with our Palestinian colleagues,
                  in order to clarify that we are with them to learn together, and that they are far
                  more qualified than us in terms of knowledge and understanding of the local
                  community and how the project can grow there, and</p>
            </list-item>
            <list-item>
               <p>
                  <bold>attending to monitoring and evaluation internally and constantly.</bold>
                  Simple and direct ways are used, within the context of Reeler's “action learning”
                  cycle (<xref ref-type="bibr" rid="R2007">Reeler, 2007: 20-21</xref>). The seminar
                  illustrated in this study is one such example; such events reflect the various
                  actions, and involve participants and representatives at operational, coordination
                  and funding levels. This is like good house-keeping, and is the job of the members
                  of the project's extended “family,” in order to make the best possible use of the
                  available resources. Avoiding the marketplace of international cooperation, by
                  maintaining a small-scale, local and direct structure, brings the advantage of
                  avoiding also the fear of accountability to a global master.</p>
            </list-item>
         </list>
      </sec>
      <!-- sec lvl 2 end -->
      <!-- sec lvl 2 begin -->
      <sec>
         <title>Looking Ahead: Reflecting on the Future</title>
         <p>This article has adopted a number of different epistemological lenses to narrate and
            assess where M&amp;R is after eight years of development. The frames of thinking, from
            ethnography and sociology to psychology and community music pedagogy, reflect the range
            of competences within the project team, all of which are essential in supporting and
            refining the team's capacity to carry out the steps in the Action Learning Cycle.
            Constant attention to improving skills in monitoring, observing, reflecting, and
            learning is a protection factor for the capacity to “adjust the pitch” appropriately in
            the re-planning of the project's actions.</p>
         <p>Community music pedagogy underlines the importance of context, which is unique to each
            situation and activity. The ethnographic lens is essential here, in order to bridge the
            experiential and existential gap between the two cultures involved, particularly in
            consideration of the asymmetry between Europeans who enjoy full civil rights and
            Palestinian refugees in exile who are denied them. Acknowledgment, awareness and
            knowledge of this imbalance permits the building of a shared music community where
            exchange can occur. Frameworks of thinking from sociology contextualize the way the
            music-making evolves within social and cultural development, keeping view of the broader
            horizon of possible social change to which community music-making can contribute.
            Psychological competence informs the relational essence of the project's actions, and
            works hand in hand with community music pedagogy within the psycho-social music
            workshops and the clinical areas of music intervention.</p>
         <p>Fortunately, M&amp;R is just one of a number of projects developing music resources
            together with Assumoud in Lebanon. It is by no means the first; for almost twenty years
            now, the Norwegian Academy of Music has led a similar project in one of the Southern
            camps (<xref ref-type="bibr" rid="SWR2010">Storsve et al., 2010</xref>), pioneering the
            discovery of music's benefits in this context: “A project that was initially implemented
            as a ‘cultural’ activity has thus become a health promotion strategy.” (<xref
               ref-type="bibr" rid="LS2016">Lenette &amp; Sunderland, 2016</xref>). Another project
            runs in the Beirut camps under the direction of Al Kamandjati association.<sup><xref
                  ref-type="fn" rid="ftn14">14</xref></sup> In recent years, students and teachers
            from these projects have come together with M&amp;R participants to work and study
            together, in an exchange of best practices, which represents a significant protection
            factor for the future of music-making for PRs in Lebanon.</p>
         <p>M&amp;R gives form to human relationships based on solidarity and empathy, providing a
            musical framework for standing shoulder to shoulder with one of the world's most
            marginalized communities. While striving to increase the musical resources of this
            community, in order to improve the protection of the younger generations and, through
            them, to lay the way for a better future for the whole community, actions bring young
            people together to make music of many kinds in real time. These experiences represent
            positive bio-psycho-social building blocks, irrespective of what will happen in the
            future. The project continues to run because of the many people who believe in this
            quality of togetherness, despite the countless contingency problems of a marginalized
            community within a chronically unstable host country. Assumoud's Director General,
            Kassem Aina, is used to large scale global projects starting up and then ending
            suddenly; he is thankful for this small project which endures and which continues to
            accompany the fate of his largely “unheard and unseen” community (personal
            communication, July 2015).</p>
         <p>As a protection factor against the uncertainty of the future, M&amp;R aims to promote
            self-sufficiency in music resources for this community, in the hope that one day the
            project will no longer be a necessity, but that collaboration and exchange can continue
            with fully competent young Palestinian musical colleagues.</p>
      </sec>
      <!-- sec lvl 2 end -->
      <!-- sec lvl 2 begin -->
      <sec>
         <title>About the Authors</title>
         <p>The four authors are all associates of <italic>Prima Materia</italic>, active both
            professionally and as volunteers; their participation in “Music and Resilience” is in
            this latter capacity. Deborah Parker (MA music therapy), coordinator of the music
            therapy action, is a cellist and music therapist with extensive artistic, clinical,
            teaching and research experience, who has published in the field of music therapy and
            presented at conferences internationally. Henry Brown (D.Phil Music), the project’s
            musical director, is a composer, pianist and conductor, who has developed a vast
            repertoire of arranged music for instrumental groups. Dario Gentili (MA Cultural
            Anthropology and Ethnology), is coordinator of the Community Music action, with research
            experience about the Palestinian question in the OPT and Lebanon. Alberto Balducci is a
            music therapist, coordinator of the Psycho-social Support action.</p>
      </sec>
      <!-- sec lvl 2 end -->
   </body>
   <back>
      <fn-group>
         <fn id="ftn1">
            <p>MARS ('Music And Resilience
               Support')—<uri>http://www.musicandresilience.net/</uri>—was an EU funded Erasmus Plus
               project led by the International Music Council during the period 2015–17.</p>
         </fn>
         <fn id="ftn2">
            <p>Associazione Prima Materia, based in Montespertoli (province of Florence, Tuscany) is
               the lead partner of M&amp;R: <uri>http://www.primamateria.it/</uri>;
                  <uri>http://www.musicandresilience.wordpress.com/</uri>.</p>
         </fn>
         <fn id="ftn3">
            <p>Beit Atfal Assumoud is registered in Lebanon under the official name of National
               Institution of Social Care and Vocational Training:
                  <uri>http://www.socialcare.org/</uri>.</p>
         </fn>
         <fn id="ftn4">
            <p>The United Nations Relief and Works Agency (UNRWA) for Palestine Refugees in the Near
               East is responsible for providing registered refugees with primary benefits including
               educational, vocational, and health services.</p>
         </fn>
         <fn id="ftn5">
            <p>This includes the Ministry of Labour Decree n° 17561 (1964), prohibiting PRs from
               working in more than 70 jobs, including all liberal professions and those requiring
               state registration or syndicate membership. In 2005 the Minister of Labour issued a
               Memorandum that was meant to ease access to a broad range of professions, but it had
               scarce impact on the ground.</p>
         </fn>
         <fn id="ftn6">
            <p>This video excerpt, and the following two, are part of a complete video available at:
                  <uri>https://youtu.be/zXta5blclU4</uri>.</p>
         </fn>
         <fn id="ftn7">
            <p>Mohamad Orabi was sponsored by Ulaia ArteSud ONLUS
               (<uri>https://www.ulaia.org/</uri>).</p>
         </fn>
         <fn id="ftn8">
            <p>These are explored in detail in the Section 'Building Resources: Why Music Must be
               Made'.</p>
         </fn>
         <fn id="ftn9">
            <p>See Note 1.</p>
         </fn>
         <fn id="ftn10">
            <p><bold>Educare</bold>, from Latin: “e” (out) and “ducare” (to lead), hence "to lead
               out, to draw out". <uri>https://english-ingles.com/etymology-of-education/</uri>
            </p>
         </fn>
         <fn id="ftn11">
            <p>Ta'awon (Welfare) is Palestine's largest NGO, with headquarters in Ramallah, London
               and Lebanon: www.taawon.org.</p>
         </fn>
         <fn id="ftn12">
            <p>An estimate, for an urbanized western inhabitant, is 4 hours and 17 minutes of active
               and/or passive daily musical exposure (<xref ref-type="bibr" rid="T2013">Tagg, 2013,
                  p. 36</xref>).</p>
         </fn>
         <fn id="ftn13">
            <p>The term refers to Christopher Small's theory, discussed in the subsequent
               paragraph.</p>
         </fn>
         <fn id="ftn14">
            <p>
               <uri>http://www.alkamandjati.org/en/article/933/Lebanon</uri>
            </p>
         </fn>
      </fn-group>
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