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In Music at the Margins of Sense, Jessica A. Holmes contests prevailing misconceptions associated with deafness and hearing in Western music by turning to the musical experiences of deaf, hard-of-hearing, and hearing disabled musicians in order to impart a multisensory, multimodal conception of music and musicianship. Through a range of examples drawn from music history, popular music, recent film, and popular science, Holmes reveals that "deafness" is mistakenly understood as a state of total silence and heightened tactile sensation, a stigmatizing trope she calls the "figure of deafness."

Holmes explores music-making spanning auditory, visual-spatial, vibrotactile, and non-sonorous modalities, including the creative practice of Christine Sun Kim, all-deaf electronic dance music raves, the musical experiences of hearing aid users, and music and musical instruments devised to mitigate tinnitus and hyperacusis. By examining the cultural production of "natural" hearing in the design, branding, and musical programming of digital hearing aids, Holmes offers a reappraisal of hearing that defies naturalized perceptual processes and auditory thresholds, the idealization of sonic fidelity, and biologically driven conceptions of musicality. Music at the Margins of Sense champions an understanding of musicianship that embraces the lived experience of disability as a vital locus of musical creativity and expertise.