Actually, bounce off a colored wall or ceiling can work, if you're careful. Attached is a shot of a potter taken at an art gallery openning. I bounced the flash off the red-orange walls to camera left, and used a custom white balance (but shot in RAW just in case). She came out fine, but if you look at the background you can see increasingly greenish casts as the flash fades out in the distance. The pole on the right is actually white.
If the distance to the subject changes, or if you change the mix of flash & available light, then the white balance will change, also.
Note on colors: I saved this file as sRGB without an imbedded profile, so it doesn't look exactly as it does on my calibrated system. The shirt really is white.
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