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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.v20i3.3167</article-id>
         <article-categories>
            <subj-group subj-group-type="heading">
               <subject>Position papers</subject>
            </subj-group>
         </article-categories>
         <title-group>
            <article-title>A Call for Radical Imagining: Exploring Anti-Blackness in the Music
               Therapy Profession</article-title>
         </title-group>
         <contrib-group>
            <contrib contrib-type="author">
               <name>
                  <surname>Norris</surname>
                  <given-names>Marisol S.</given-names>
               </name>
               <xref ref-type="aff" rid="M_Norris"/>
               <address>
                  <email>marisol.s.norris@gmail.com</email>
               </address>
            </contrib>
         </contrib-group>
         <aff id="M_Norris"><label>1</label>Drexel University, United States</aff>
         <contrib-group>
            <contrib contrib-type="editor">
               <name>
                  <surname>Hadley</surname>
                  <given-names>Susan J</given-names>
               </name>
            </contrib>
         </contrib-group>
         <contrib-group>
            <contrib contrib-type="reviewer">
               <name>
                  <surname>Abrams</surname>
                  <given-names>Brian</given-names>
               </name>
            </contrib>
         </contrib-group>
         <pub-date pub-type="pub">
            <day>1</day>
            <month>11</month>
            <year>2020</year>
         </pub-date>
         <volume>20</volume>
         <issue>3</issue>
         <history>
            <date date-type="received">
               <day>6</day>
               <month>10</month>
               <year>2020</year>
            </date>
            <date date-type="accepted">
               <day>12</day>
               <month>10</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/3167"
            >https://voices.no/index.php/voices/article/view/3167</self-uri>
         <abstract>
            <p>This spotlight presentation explores the relationship between anti-Black violence and
               music therapy. Centering the recent deaths of Ahmaud Arbery, Breonna Taylor, Sean
               Reed, George Floyd, and Tony McDade, the speaker discusses protests taking place in
               the United States and throughout the world that demand justice for Black lives. In
               this presentation, the speaker discusses the interconnectedness of physical and
               social death as a continuum of oppression the field must contend with to meet social
               justice aims. Music therapy across the globe is situated within complex
               socio-political, socio-structural, socio-historical, and socio-cultural systems. It
               holds the vestiges of White European settler colonialism and is founded upon dominant
               cultural values and ideals that support its existence and simultaneously benefit and
               harm client communities. While, as a professional body, we aim to deepen music
               therapy access and conceptualize empowerment from a social justice frame, we must
               explore the various ways music therapy leverages proximations of power. Any calls for
               access and empowerment in music therapy amplify our existence within unjust systems
               and our participation in their perpetuation in education, theory, research, practice,
               and praxis. The speaker explores anti-Blackness from a Black feminist lens and
               discusses the radical repositioning of music therapy as we collectively strive to
               meet social justice aims. </p>
         </abstract>
         <kwd-group kwd-group-type="author-generated">
            <kwd>Black feminist theory</kwd>
            <kwd>anti-Blackness</kwd>
            <kwd>Radical Imagining</kwd>
            <kwd>Black communities</kwd>
         </kwd-group>
      </article-meta>
   </front>
   <body>
      <p>This presentation was originally presented at the World Federation of Music Therapy's 2020 World Congress Spotlight Sessions on Access and Empowerment.</p>
      <p><media mimetype="video" specific-use="embed" xlink:href="https://drive.google.com/file/d/1xtpRH7M27pilSYTX60xz8had-olir-tw/preview"><object-id specific-use="uri">https://drive.google.com/file/d/1xtpRH7M27pilSYTX60xz8had-olir-tw/view</object-id></media></p>
      <verse-group><verse-line>Hmm, hmm, hmm, oh my Lord</verse-line>
      <verse-line>Hmm, hmm, mourner’s got a home at last</verse-line></verse-group>
      <verse-group><verse-line>Hmm, hmm, hmm, oh my Lord</verse-line>
      <verse-line>Hmm, hmm, mourner’s got a home at last</verse-line></verse-group>
      <verse-group><verse-line>Mourner, mourner, ain’t you tired a-mourning</verse-line>
      <verse-line>Fall down on your knees and join the band with the angels</verse-line>
      <verse-line>No harm, no harm, no harm, tell brother Elijah no harm, no harm</verse-line>
      <verse-line>Poor mourner’s got a home at last</verse-line></verse-group>
      <verse-group><verse-line>Hmm, hmm, hmm, oh my Lord</verse-line>
      <verse-line>Hmm, hmm, mourner’s got a home at last</verse-line></verse-group>
      <verse-group><verse-line>Hmm, hmm, hmm, oh my Lord</verse-line>
      <verse-line>Hmm, hmm, mourner’s got a home at last</verse-line></verse-group>
      <p>
         <italic>Poor Mourner’s Got a Home at Last</italic>, is an African American Spiritual. It
         was constructed and passed down through oral tradition that preserves not only its musical
         construction but also the embodied legacy of Black personhood in all its complexity. A
         lament, it signifies the pain, struggles, hope, and despair of enslaved peoples of the
         African Diaspora who, in the face of unyielding brutality and degradation, found death an
         act of resistance and welcomed relief. As in the middle passage, when enslaved Africans
         chose to jump overboard slave ships preferring rebellion and death over chattel slavery.
         This song exemplifies the complex relationship between physical death and what Orlando
         Patterson (<xref ref-type="bibr" rid="P1982">1982</xref>) coined as the social death of
         Black enslaved people whose humanity was pawned as political economy and profiteered by
         white oppressors. It's with this concept I open today's discussion.</p>
      <p>For some joining this spotlight session, you may question the desire to embark on a
         conversation of death when charged to speak of access and empowerment in music therapy.
         After all, what does the potentially solemn discussion of death offer social justice? The
         realities of the COVID-19 pandemic, having a global impact, have amplified the numerous
         social and economic inequities and systemic health disparities experienced by
         disenfranchised peoples at the margins of our societies. We could certainly find a range of
         possible topics that would speak to the life-affirming potential of the music therapy
         profession and support a music therapy agenda that promotes the current work to meet the
         global needs of equity and justice. However, while at this time all peoples have
         undoubtedly considered the extensional crisis of life and death, the paradox of the vast
         devaluation of Black life to the point of torture and execution lays at the center of my
         being. At a time when our communities are tasked to meet the demand for the preservation of
         life, the necessity of breath, the calls of justice for George Floyd's last breath ripple
         throughout protest-filled streets. And while I sit here in my family's home in Kissimmee,
         Florida, I am effortlessly reminded of the interconnectedness of both life and death, hope
         and disillusionment, and the aspiration of social justice most conversations of empowerment
         and access must contend. Physical death.</p>
      <p>I often grapple with this idea of death, recognizing the multiple ways music therapy is
         linked to the social death of Black people. Ta-Nehisi Coates (<xref ref-type="bibr"
            rid="C2015">2015</xref>) states:</p>
      <disp-quote>
         <p>But all our phrasing—race relations, racial chasm, racial justice, racial profiling,
            white privilege, even white supremacy—serves to obscure that racism is a visceral
            experience, that it dislodges brains, blocks airways, rips muscle, extracts organs,
            cracks bones, breaks teeth. You must never look away from this. You must always remember
            that the sociology, the history, the economics, the graphs, the charts, the regressions
            all land, with great violence, upon the body. (p. 10)</p>
      </disp-quote>
      <p>Reflecting on my experience as a music therapy student, I keenly remember the case study of
         Johnny. Johnny was a 41-year-old male whose stay on the short-term psychiatric inpatient
         unit was nearing its end. Johnny's case summary detailed diagnostic features, health
         service encounters, non-adherence to medical treatment, history of drug use, and upbringing
         in a city district. Prior to entering the hospital, Johnny's aunt, with whom he lived,
         died, and Johnny was left without his primary support. As my class members and I witnessed
         video footage of the initial music therapy assessment, we discussed Johnny's diagnostic
         features. Despite the presence of a depressed mood and possible response to internal
         stimuli, Johnny played the xylophone with a level of familiarity. His musical interaction
         featured sweeping melodic lines supported by the jazz chordal accompaniment of the music
         therapist. As a class, we discussed the self-direction of his musical responsiveness that
         was couched within a discussion of potential schizoaffective symptomatology. We discussed
         the importance of strength-based assessment and Johnny's evidenced health that may not have
         been witnessed if not for the presence of music. And while a rousingly complex discussion
         of musically engaged health ensued, the classroom discussion of Johnny's musical
         presentation was paired with a static and unidimensional preoccupation with Johnny's
         potential therapeutic compliance and overall "cool" musical demeanor. As we peered into
         Johnny's world, we discussed endless aspects of his case. All the while, his existence as a
         Black male within politicized systems of music and health were minimally explored, and
         racial determinants of his experience remained unnamed and unacknowledged, thusly rendered
            <italic>invisible</italic>.</p>
      <p>At the risk of centering whiteness to the point of our own erasure, I, like many Black
         music therapists and students tasked to theorize and integrate disparate knowledge from
         varying disciplines, have cried from the hinterlands in need of <italic>places</italic>
         that affirm our Black subjectivity, Black representations, Black aesthetic experiences, and
         their meanings within music therapy contexts. The intentional and unintentional suppression
         of Black narratives, Black aesthetic discourse, and their theoretical contributions to our
         profession, index a greater alignment to and perpetuation of color-evasiveness, an
         unacknowledged existence—<italic>a third-worldness</italic> within music therapy. This is
         detailed by Cliff Joseph (<xref ref-type="bibr" rid="J1974">1974</xref>) in <italic>Art
            Therapy and the Third World</italic> and is largely apparent to many Black therapists
         between the lines of music therapy discourse. These enactments index the developmental
         progression of predominantly white disciplinary institutions that contend racial visibility
         and a music therapy field as a space that until recently had minimally considered the
         politicalized nature of its work. The continued contending of Black therapists, students,
         and clients alike with socioeconomic and political matrixes of power inherent not only
         within the more expansive ecological systems of our societies but also within music therapy
         systems represents points of resilience and the common displacement of Black narratives and
         our inherent struggle to survive. Consequently, the psychological wounds inflicted upon
         Black music therapy participants are relegated invisible because their lived realities
         continue to be unnamed and unacknowledged, while white supremacy in music therapy aims to
         perpetuate our devaluation and assault our sense of self. Social death.</p>
      <p>I record this speech in June 2020, during the second week of U.S. protests that demand
         justice for George Floyd and Black Lives. As the solidarity of protesters and the
         multigenerational work and strategic planning of community activism are made evident in
         grassroots organizing, social media streams, and news outlets, I am reminded that death has
         always been the other side of power and access. The cries from the streets—“I can't
         breathe"—reiterate George Floyd's last words as he gasped for air choked from his body
         beneath U.S. police officer Derek Chauvin's pinned knee for almost nine consecutive
         minutes. These cries amplify the radical resistance that would relentlessly work for the
         freedoms of all peoples and the brutal injustice that would attempt to measure the worth of
         Black lives. George Floyd's lifeless body made public display is invariably tethered to the
         last words of Eric Garner, another Black cis-man, who too was asphyxiated through excessive
         force by U.S. police. Both laid cold on a city street, tethered to a countless number of
         Black people whose lives and deaths are a part of the history of police brutality,
         anti-Black violence, and white supremacy. Protests echo justice for Breonna Taylor, a
         26-year-old cis-woman who was shot eight times and killed by U.S. police while she lay
         sleeping in her bed on March 13. They echo justice's call for Tony McDade, a black
         trans-man in Tallahassee, Florida who, on May 27, was fatally shot by police with details
         yet unknown. For Sean Reed, 21 years old, shot in the back while lying on the ground before
         the police on May 6. For Steven Demarco Taylor. Manuel Ellis. Ahmaud Arbery. Ariane McCree.
         Atatiana Jefferson. Pamela Turner. Miles Hall. Botham Jean. Stephon Clark. Jordan Edwards.
         Korryn Gaines. Sandra Bland. Kalief Browder. Yvette Smith. Freddie Gray. Walter Scott.
         Megan Hockaday. Tamir Rice. Tanisha Anderson. Aura Rosser. Michelle Cusseaux. Mike Brown.
         Renisha McBride. Jonathan Ferrell. Trayvon Martin. Amadou Diallo. James Byrd, Jr. Emmett
         Till. Mary Turner. And the many more Black peoples whose lives necessitated the urgent cry
         of All. Black. Lives. Matter. </p>
      <p>As the demands for Black lives reverberate throughout U.S. streets, I would be remiss to
         think that these fights for justice exist in isolation. Calls for George Floyd and for
         racial equity and police reform and defunding echo from Pretoria, Kingston, Rio de Janeiro,
         Madrid, Edinburgh, Manchester, London, Brussels, Frankfort, Tunis, New Delhi, Seoul, Hong
         Kong, Tokyo, Sydney, and from Palestine. They amplify the rising articulation of demands
         and actions by social and political movements across the globe and the interconnectedness
         of these struggles. This solidarity speaks to the anti-Blackness that permeates much of our
         globe, as well as the unyielding violence against humanity that necessitates centering the
         apartheid conditions of Palestine, the xenophobic violence towards Nigerians in South
         Africa, the civil rights violations in Hong Kong, war crimes in Syria, and the neo-colonial
         regimes that continue to oppress the Aboriginal and Torres Strait Islanders in the land
         called Australia. They center food apartheid, forced sterilization, tuberculosis,
         non-communicable diseases in low-resourced communities, racial trauma, and a wide host of
         health injustices linked to medical apartheid. They collectively signify the physical and
         metaphorical knees placed on the necks of oppressed peoples and the demand of protesters,
         so-called rebel dreamers, who would combine the urgency of radical imagining with the call
         of unrelenting action for freedom, even unto death. At this moment, just as I have named
         names of the black peoples who have been murdered by systems of anti-black oppression, I
         invite you to reflect on the many oppressed from your communities that have experienced
         death at the knees of systemic injustice.</p>
      <p>Music therapy across the globe is situated within a complex sociopolitical context.
         Although often narrated as a small but growing profession, even marginalized in comparison
         to traditional healthcare approaches, music therapy holds the vestiges of White European
         settler colonialism and is founded upon prevailing cultural values and ideals that support
         its existence, and that simultaneously benefit and harm client communities. As the field
         attempts to increase professional legitimacy within research and reimbursement-driven
         healthcare systems, practice based on empirical data has become a growing priority, and of
         lesser concern are the peoples at the margins that have been decentered in our collective
         work. The dominant cultural narratives that permeate our general assumptions of music,
         health, personhood, relationship, community, and culture serve to 1) expand territorial and
         ideological empires; 2) uphold structural and institutional dominance over indigenous or
         marginalized worldviews and music and health practices; and 3) uphold and reinforce
         oppressive healthcare systems (A. Crooke, personal
            communication, May 28, 2020). Furthermore, in many ways, music therapy
         superimposes a subordinate nature of minoritized therapists within education, clinical,
         therapeutic, and research practice. Marginalized music therapists, like me, often navigate
         a barren disciplinary landscape with little to no scholarly distinction of the
         socio-political, socio-cultural, and socio-structural realities that mark both our own and
         our clients' existence. While dominant groups comparatively draw from the same culturally
         narrow literary canon that too often takes an etic, one-size-fits-all, approach to cultural
         realities, the potential risk for therapeutic harm to minority clients steadily increases
         in the lack of culturally relevant theoretical frameworks, community-engaged models, and
         community-centered research. Marginalized music therapists often seek and cherish
         marginalized music therapists, author-activists, and community leaders of our field, whose
         voices have been suppressed and who have worked to gather and create new embodied,
         intellectual, community-oriented spaces as a professional and personal necessity. </p>
      <p>Access and empowerment in music therapy have often been linked to a proximation of power
         that would leverage music therapy's potential. In this, we find the fundamental flaw with
         our stagnant efforts towards empowerment and access—they are predicated on the unjust
         system that would substantiate their existence. Any calls for justice from music therapy
         amplify our position within unjust systems at best. At worst, they amplify our attempt to
         hide these realities that perpetuate injustice from within, and contend our unanimous
         desire to help—to do good. However, seldomly is there a call for the tearing down of unjust
         systems—seldom is there a call for tearing down the master's house (<xref ref-type="bibr"
            rid="L1984">Lorde, 1984</xref>).</p>
      <p>If the systems were just, our work wouldn't need to center efforts of diversity, equity, or
         inclusion that, at best, produce strategic action and, at worst, propagate sincere
         ignorance. If our systems were just, there wouldn't need to be minority student and
         therapist uprisings that center their calls for justice, their concerns for minority
         clients, their musicking, their positionality, their ideologies, their values, their ways
         of being. If the systems were just, there wouldn't be a need to define and redefine
         empowerment so that the traditional hierarchical nature of therapy that prop-up the
         individualistic concern for mastery and control, reflected in the hetero-patriarchal
         imbalance of power in societies, may be addressed. We could tolerate clients' ability to
         exercise power autonomously as a political subject, rather than support therapeutic
         approaches that overwhelmingly endorse therapists empowering the client vs. the client
         holding personal agency in which they empower themselves or are empowered by their
         communities.</p>
      <p>Music therapy needs multi-people movements committed to dismantling what bell hooks (<xref
            ref-type="bibr" rid="h2012">2012</xref>) describes as "imperialist white-supremacist
         capitalist patriarchy" (p. 4). We need to address the "oppressive regimes of racism,
         heteropatriarchy, empire, and class exploitation that is at the root of inequality,
         precarity, materialism, and violence in many forms," as stated by Robin Kelley (<xref
            ref-type="bibr" rid="K2016">2016, para. 19</xref>). We need movements that consider culturally sustaining practice and
         explore oppression for a non-linear, multi-dimensional praxis of interrogation. Just as the
         brutal murders of Black people named at the beginning of this talk amplify the intersecting
         oppressions and violence against trans-folx, cis-women, disabled persons, people deemed
         mentally ill, people who were low-resourced and disenfranchised, and have existed at the
         margins of our U.S. society, we need to index the intersectionality of oppression that is
         clearly articulated by Kimberlé Williams Crenshaw (<xref ref-type="bibr" rid="C1989"
            >1989</xref>) and described by Pumla Dineo Gqola, Chimamanda Ngozi Adichie, Chandra
         Talpade Mohanty. We must pay our condition unwavering, focused attention.</p>
      <p>bell hooks (<xref ref-type="bibr" rid="h1994">1994</xref>), in <italic>Teaching to
            Transgress</italic>, shares that "Theory is not inherently healing, liberatory, or
         revolutionary. It fulfills this function only when we ask that it do so and direct our
         theorizing towards this end" (p. 61). To this end, I'm compelled to ask: When we sing, who
         do we sing for? And for the growing dominant mass that would declare allyship, I ask: Must
         we sing for you too? To address the issues of social justice, all music therapists must
         ask: In what ways does our work disenfranchise? In what ways do our lines of cultural
         transmission cross the lines of appropriation? In what ways do we mirror theft that would
         cause harm to the indigenous communities we would aim to serve? In what ways do we
         perpetuate harm? In what ways are our clients helped in spite of our limited recognition of
         harm, our willful ignorance, our overt and covert denial of our own complicity in the real
         physical and social death that exists at all ends of this earth? In what ways must the
         inherently toxic conceptualizations of music therapy have to die so that life can be
         affirmed? What if we could radically reimagine new possibilities of music therapy that
         would recourse our trajectory. </p>
      <p>Recently, as my sister, Monique, and I prepared for a protest to demand justice for Black
         lives, she stated, "I can't sing if I can't breathe." While many would render this
         statement nothing short of an unfathomable act, I was drawn to yet another paradox of Black
         people across the African diaspora who have done the impossible. For centuries, Black
         people have voiced pain, struggle, joy, resistance, and liberation through song amidst
         bondage, enslavement, and violence, even unto death. Still, now George Floyd's legacy is
         required to sing on through protesters, activists, and allies while the fight for justice
         for Black lives continues. In so doing, we've dually demonstrated how our expression has
         been linked to our humanity that allows the creative reimaging of freedom. Yet Monique's
         words contend any proposed singularity of condition; rather, they amplify the
         interconnectedness of physical death and social death on a continuum of oppression that has
         demanded Black people to sing or die, and the radical pursuit of freedom that would allow
         for her to resist any unfathomable impossibility. </p>
      <p>Exhalation. Breath. Breathe. Inspiration. Life. </p>
      <p>If there were to be a new song, it would be one where the poor moaner seeking home would
         not resign to the afterlife for justice and freedom—for a home. The poor moaner wouldn't
         have to <italic>moan no more.</italic> If something must die, let it be every part of music
         therapy that serves to threaten the sanctity of freedom of oppressed peoples. Let it be
         anything that would threaten the radical possibility of self-determination,
         interdependence, resilience, and resistance. While to even fathom such a radical potential
         would require a recognition that "the master's tools will never dismantle the master's
         house," as Audre Lorde (<xref ref-type="bibr" rid="L1984">1984, p. 112</xref>) so
         profoundly stated, let death come even to the thought that the music therapy profession can
         be made whole without those at the margins brought to the center.</p>
      <p>And if something must live, let it be true freedom. Let it be the honor we give to all
         oppressed peoples that couple profound resistance with revolutionary love and hope. Let it
         be the dynamic freedom movements rising up, growing even in music therapy and the strategic
         planning that would transform policy, that would transform practice standards, that would
         transform classrooms, and that would transform our understanding of the profession. Let it
         be our mothers' determination. Our fathers' dignity. Our families' compassion, resilience,
         the courage to tell their stories. Our contagious laughter. Let it be our dreams and
         dreaming. Let it be our ability to be as real as it gets and our courage to live authentic
         lives. Let it be our multiplicity. Let it be all our possibilities. Let it be Audre Lorde
         for dismantling not just the master's house but our minds. Let it be Nikki Giovanni's
         Revolution. Let it be Miriam Makeba. Let it be Nina Simone. Let it be Jamila Woods. Let it
         be those that have inspired you to actualize radical freedom wherever you are in the world.
         Let it be a new song.</p>
      <p>My question to you is: what must die in music therapy to preserve human dignity? What in
         music therapy must die so that freedom may be affirmed? And what are our lives worth?</p>
      <sec>
         <title>About the author</title>
         <p>Dr. Marisol S. Norris is a board-certified music therapist, critical arts therapist
            educator, and founder of the Black Music Therapy Network, Inc. Her music therapy
            clinical and supervisory experience has spanned medical and community health settings
            and includes work with adult psychiatric and dually diagnosed populations, adolescents
            facing homelessness, families within the city court system, and medically fragile
            children. These experiences have profoundly contributed to her critical culturally
            sustaining lens of music therapy theory and praxis and her dedication to expanding the
            understanding of Black clients’ aesthetic music and health experiences. Her current
            research focus includes discursive construction of race in music therapy theory and
            praxis, the role of cultural memory and aesthetics in client and therapist
            meaning-making processes, pedagogical approaches to culturally sustaining healthcare
            training and practice, and frameworks for healing justice within Black communities.</p>
         <p>Marisol will be joining the College of Nursing and Health Professions' Creative Arts
            Therapies Department at Drexel University as Director of Music Therapy and Assistant
            Clinical Professor winter 2021.</p>
      </sec>
   </body>
   <back>
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