Listening to Tinnitus: Roles of Media When Hearing Breaks Down
Editor’s Note: Welcome to the third installment in our month-long exploration of listening in observation of World Listening Day on July 18, 2012. For the full introduction to the series click here. To peep the previous posts, click here. Otherwise, prepare yourself to listen carefully as Mack Hagood contemplates how sound studies scholars can help tinnitus sufferers (and vice versa). –JSA
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One January morning in 2006, Joel Styzens woke up and life sounded different. Superimposed over the quiet ambience of his Chicago apartment was a cluster of sounds: pure, high-pitched tones like those of a hearing test. Loud, steady, and constant, they weren’t going away. He walked to the bathroom to wash his face. “As soon as I turned on the water on the faucet,” he told me in an interview, “the left ear was crackling… like, a speaker, you know, being overdriven.” Joel was 24 and a professional musician, someone who made his living through focused and detailed listening.
As days passed, he grew more fearful and depressed. For two months, he barely left the house. The air brakes of a city bus or a honking horn were painful and caused his heart to race. His sense of himself, his environment, and his identity as a musician were all undermined. This man who lived through his ears now faced the prospect of a life of tinnitus (ringing or other “phantom sounds”) and its frequent companion, hyperacusis (sound sensitivity sometimes accompanied by distortion). Joel could even identify the dominant pitch of his torment: it was A sharp.
We humanistic and qualitative sound scholars—particularly those of us focused on media and technology—can learn a lot from listening to tinnitus and the people who have it. Scholars of science and technology studies (STS) often utilize moments of technological breakdown to reveal the processes and mechanisms that constitute things we take for granted. Tinnitus and hyperacusis are, in the words of anthropologist Stefan Helmreich, “moments when hearing and listening break down” (629). Because sound scholars understand sound, hearing, and listening not only as the material effects of physics and physiology, but also as culturally and technologically emergent phenomena, we can potentially contribute much to the growing public conversation around tinnitus.
“Tinnitus” by Merrick Brown
And there is a lot at stake. Tinnitus affects 10-15% of adults and is the top service-related disability affecting U.S. veterans returning from Iraq and Afghanistan. Tinnitus and hyperacusis are also fairly common among musicians who work in loud performance and media production environments. It is perhaps ironic, then, that mediated sound and music are audiologists’ primary tools in helping people recover from these conditions.
My own study of tinnitus centers on its articulation with audio-spatial media—devices such as bedside sound machines, white noise generators, and noise-canceling headphones, all used to fabricate a desired sense of space through sound. People with tinnitus are among the most avid users of these devices, carefully mediating their aural-spatial relations as tinnitus becomes more evident in quiet spaces and hyperacusis flares up in noisy ones. During my fieldwork in audiology clinics and conferences, tinnitus support groups, and online forums, I observed that audio media were being deployed as medicine and technologies of self-care. Gradually, I came to the realization that the experience, discourse, and treatment of tinnitus is always bound up in mediation. In fact, I believe that tinnitus signals the highly mediated nature of our most intimate perceptions of sound and self. Below, I sketch just a few of the places I think aural media scholarship could go in conversation with tinnitus and hyperacusis.
The sound of media aftermath
Hearing experts do not consider subjective tinnitus to be a disease, but rather a condition in which individuals experience the normal, random neuronal firing of their auditory system as sound. Although it may be tied to various diseases and disorders, tinnitus itself is benign and does not inherently signal progressive hearing loss nor any other malignant condition.
Image by Flickr User Phil Edmonds
Nevertheless, research shows a frequent association between tinnitus and reduced auditory input, comparable to a sound engineer turning up the volume on a weak signal and thus amplifying the mixing board’s inherent noise. This “automatic gain control” theory neatly explains a classic 1953 study, in which 94 percent of “normal hearing” people experienced tinnitus in the dead silence of an anechoic chamber. Unfortunately, it also helps confirm the fear that the ringing heard after a night of loud music is due to hearing loss, known clinically as “temporary threshold shift.”
As Joel’s case suggests, when repeated, such threshold shifts lead to permanent damage. Audiologists increasingly see media-induced hearing loss and tinnitus as an epidemic, with ubiquitous earbuds often positioned as the main culprits. I have heard clinicians express dismay at encountering more young people with “old ears” in their offices, and youth education programs are beginning to proliferate. These apparent relations between aural pleasure and self-harm are an intriguing and socially significant area for sound and media scholarship, but they should also be considered within the context of moral panics that have historically accompanied the emergence of new media.
Objectifying phantom sound
For both clinicians and sufferers, one of the most frustrating and confounding aspects of tinnitus is how hard it is to objectify, either as a subject of research and treatment or as a condition worthy of empathy and activism. For both clinicians and sufferers, media are the primary tools for converting tinnitus into a manageable object.
Media marketed to protect musicians against Tinnitus, Image by Flickr User Jochen Wolters
Although media scholars haven’t yet studied it as such, the audiologist’s clinic is a center of media production and consumer electronics retail. Having audio production experience, I felt a sense of recognition on seeing the mixer-like audiometer in the control room of Joel’s audiologist, Jill Meltzer, separated by a pane of glass from the soundproofed booth where her patients sit. It was a studio where Meltzer recorded hearing rather than sound, as she attempted the tricky work of matching the pitch, volume, and sensitivity levels of tinnitus and hyperacusis. Since medication and surgery are not effective treatment options, the remedies for sale are media prosthetics and palliatives such as wearable sound generators, “fractal tone” hearing aids, Neuromonics, and sound machines that help distract, calm, and habituate patients to the ringing. Meltzer and other clinicians consistently told me that they have only two tinnitus tools at their disposal—counseling and sound.
Audiometer and testing booth, Image by the author
The subjectivity of tinnitus is most frustrating for sufferers, however, who often encounter impatience and misunderstanding from family, friends, bosses, and even their doctors. Again, media serve to externalize and objectify the sound. Joel did this through music: “A Sharp,” Styzens’ first post-tinnitus composition, represents tinnitus with chordal dissonance and hyperacusis with a powerful change of dynamics on a guitar. He eventually recorded an entire album that explored his condition and raised awareness.
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Other individuals, in an attempt to communicate the aural experience that drives their sleeplessness, depression, anxiety, or lack of concentration, create YouTube videos designed to recreate the subjective experience of tinnitus.
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The American Tinnitus Association, an advocacy group, has used broadcast and social media to raise awareness and research funding, as we see in this PSA from 1985.
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However, such dramatic uses of media may be in some ways too powerful. In fact, “raising awareness of tinnitus” might be as bad as it literally sounds.
Communicable dis-ease
In the process of externalizing their experience for others to hear, people with tinnitus can make their own perception of the sound grow stronger. They may also generate anxiety in others, encouraging them to notice and problematize their own, previously benign tinnitus.
Neuroscientist Pawel Jastreboff’s groundbreaking and influential neurophysiological model of tinnitus postulates that tinnitus becomes bothersome only when the auditory cortex forms networks with other areas in the brain, resulting in a vicious circle of increasing perception and fear. The implication of this model, now substantiated by clinical research, is that the way people think about tinnitus is a much greater predictor of suffering than the perceived volume of the sound. As Jastreboff told me in an interview, “Incorrect information can induce bothersome tinnitus.” Information, of course, circulates through media. It may be productive, then, to think of tinnitus suffering as a communicable dis-ease, one strengthened in circulation through networks of neurons, discourse, and media.
I think there is both a need and an opportunity in tinnitus for an applied sound studies, one that intervenes in this mediated public discourse, works against moral panic and hyperawareness, and suggests the quieting possibilities that open up when we grasp the constructed nature of our aurality. Listening to tinnitus as a networked coproduction highlights the ways in which our most subjective aural perceptions are also social, cultural, and mediated—perhaps the fundamental insight of sound studies. My hope is that by listening to tinnitus we can speak to it as well.
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*Featured Image Credit: A representation of Tinnitus by Flickr User Jason Rogers, called “Day 642/365–Myself is against me”
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Sound and Curation; or, Cruisin’ through the galleries, posing as an audiophiliac
“L.A. Reimagined” by Dalila Paola Mendez (c), Mendez’ work will be featured in re:present LA, opening 5/3/12
But to love this turf is love hard and unrequited.
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To love L.A. is to love more than a city
It’s to love a language.
–“L.A. Love Cry” (1996) by Wanda Coleman
Los Angeles, an enigmatic metropolis to many who arrive here with a dream in hand and hope for a better tomorrow, still challenges historians, artists, and troubadours on how to best represent it. Poet Wanda Coleman, born in Watts, captures the pain and wonder of loving this city in “L.A. Love Cry.” Because the city is “hard and unrequited” one must also be willing to love its nuances and see it as“more than a city.” To love this city, “it’s to love a language,” a cultural immersion that goes beyond the seeming ease of words into the complexities of sound and rhythm.
Through a Museum Studies course I teach at Claremont Graduate University entitled Welcome to L.A., I introduce students to varied texts in which scholars and artists challenge the imaginaries created by outsiders, boosters, and apocalyptic cinema. Instead, the course readings present how we in L.A. actively engage with one another by fostering communities of creative praxis. For the students’ final project, they curate and develop educational programming for an exhibition at a local museum or art center. On May 3, 2012, this semester’s project, re : present L.A., opens at the newly-renovated Vincent Price Art Museum (VPAM) located on the East Los Angeles College Campus. Showing works from over thirty artists from May 3-July 27, re : present L.A serves as an extension of the conversations we had in class, not only celebrating the interconnectedness of our communities but encouraging new associations and encounters within the visual and resonant space of VPAM’s Community Focus Gallery. For a look at the Virtual Exhibit Catalogue, click here.
In each exhibition for Welcome to L.A., I try to include something that challenges myself to think outside the white-box, per se, of the gallery. Given that we had read several texts that highlighted in the importance of music to build and uplift communities of color in Los Angeles, it was both important and necessary for me to include sonic elements in re: present LA that exhibits L.A.s vibrant musical legacy as intermingled with and fundamental to its visual culture. Among the challenges to document the cross-cultural connections between ethnic communities in Los Angeles is how to unpack what Anthony Macias calls “the cultural networks” that facilitated these exchanges through the music scenes at music halls, clubs, youth centers and record stores in Mexican American Mojo (10-11). Studies done by George Lipsitz, Macias, and Victor Viesca, provide readers a means to understand how the music in Los Angeles is much more than entertainment; it is political; it is a lifestyle; it defines spaces of multicultural interactions. In How Racism Takes Place, Lipsitz points out how integral the reclamation of space defined the political outlook and music in Horace Tapscott’s Arkestra based in South L.A. Viesca’s research documents the rise of an East L.A. rock sound, post-Los Lobos, that was defined by the activism of the Zapatista Movement and California’s Prop 187 through the work done at the Peace & Justice Center, Self-Help Graphics, and Regeneración.
Therefore, in order to engage both the history and the sound of Los Angeles’s musics with the city’s visual representations, I invited Rubén Funkhuatl Guevara from Ruben & The Jets, is a multi-threat musician, performer, writer, and producer, and Jennifer Stoever-Ackerman (of Binghamton University, Sounding Out!, and of course, Riverside, CA) to curate playlists for a “sound booth,” which will consist of a stationary iPod™ Nano that gallery visitors can use at their leisure. The classic circular wheel allows the viewer to advance tracks or play the playlists on shuffle. Headphones will be set up so that the viewer can either focus on their listening experience or, listen while viewing the artwork around them. Since the gallery is relatively small, the pieces on the opposite wall are recognizable though are distant. In addition, Maya Santos of Form Follows Function will screen their short documentary on Radiotron, a youth center that presented Hip-Hop shows during the 1980s.
Guevara’s playlist Los Angeles Chicano Rock & Roll is included in the exhibition thanks to the Museum of Latin American Art. Stoever-Ackerman’s playlist Off the 60, unites the two spaces of East L.A. and Riverside through a mix of intra- and trans-cultural musical experiences. Guevara’s rock & roll selections highlight many of the bands that emerged in East L.A. Both the musical listings and the liner notes for the sound presentations will be accessible on the re:present L.A website when the exhibit goes live on May 3rd, 2012.
Juan Capistran’s The Breaks (2000), Courtesy of the Artist
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My sonic intervention in the white, often silent, spaces of the gallery was especially inspired by two recent precedents: the inclusion of the iPod™ in MEX/LA (2011) at the Museum of Latin American Art and Phantom Sightings (2008) at the Los Angeles County Art Museum. Both experiences invited me as a viewer to see the artwork through another sensory experience. The first time I saw music included in an exhibition not specifically about music (such as the Experience Music Project’s 2007 American Sabor: Latinos in U.S. Popular Music, or Marvette Peréz’s curation of ¡Azúzar! The Life and Music of Celia Cruz at the Smithsonian National Museum of American History) was LACMA’s Phantom Sightings, which garnered much critical acclaim and criticism due to the premise of presenting contemporary Chicano Art inspired ‘after’ the Chicano Movement. However, I want to focus on one aspect of the exhibition, a corner display with books that informed the curators’ conceptual approach and on the bookshelf was an iPod™. The iPod™ included playlists from some of the artists reflecting their inspiration for their artwork. I enjoyed listening and reminiscing while sitting in the gallery. However, I wanted the music to take more of a central role in the exhibition, especially because much of the artwork so obviously revealed traces of Los Angeles’ musical influences, partly due to the recent generation of artists who actively engaged in subcultural expressions and referenced it in their art. For example, as Ondine Chavoya describes in the Phantom Sightings catalogue, Juan Capistran’s The Breaks (2000) is a giclée print documenting the artist break-dancing on Carl Andre’s minimalist floor pieces. The guerilla performance then is presented through a series of twenty-five still images showing the various movements seen in how to break-dance books (125). Shizu Saldamando’s ink on fabric portraits of Siouxsie (2005) and Morrissey (2005) showcase how post-punk and new wave music from England is part of her life as an Angeleno (and that of her friends), yet the medium is reminiscent of pinto drawings. Saldamando also does portraits of her friends at clubs, backyard bbqs “documenting a world where identity is fluid” as Michele Urton describes in the catalog (197).
Shizu Saldamando’s Siouxsie (2005), Courtesy of the Artist
It would be another three years before MEX/LA would further marry music with art, now casting it in relation to the politics of Chicano and Mexican presence in Los Angeles. MEX/LA, among the many Pacific Standard Time exhibitions presented throughout Los Angeles, was among the best curated due to the range of artifacts representative of the city and the cultural production emerging in post-war L.A. Another striking element was the influence of Méxicano popular culture among Chicanos and vice-versa. As curator Rubén Ortiz-Torres, and associate curator Jesse Lerner write on the MoLAA website: “The purpose of the construction of a ‘Mexican’ identity in the South of California is not to consolidate the national unity of a post-revolutionary Mexico, but to recognize and be able to participate in an international reality, with all its contradictions and conflicts that this entails.” One of the ways this cultural exchange was embodied was in the playlists curated by Rubén Funkhuatl Guevara and Josh Kun that were prominently displayed alongside the artwork and heard in the interactive iPod™ “sound booths,” that invited viewers to sit on beanbags and listen. The music served to contextualize the art in relation to popular culture of the time. For example, Guevara presents a Chicano rock & roll genealogy that followed the chronology of the visual exhibit, 1930-1980, that begins with boogaloo and swing of the 1940s era culminating with the punk rock sounds of The Bags.
“Bag Parade,” 1977, Courtesy of Alice Bag
In both these exhibitions, the music served to complement the artistic elucidations of identity, race, and American popular culture seen in much of the artwork. The simplicity of the presentation was due to the inclusion of a familiar object like the iPod™. What is surprising is that more exhibitions have not incorporated more sonic elements to engage viewers’ other sensory experiences beyond the podcasts, or cell-phone audio listening tours set up at most major museums. While musical playlists can serve as another didactic component of an exhibition like the more established audio tours, I am arguing for a different use of sound in museum space, one that provides a wider sense of agency, connection, and encounter with the visual elements on display rather than a one-way transmission of information. In the cases of MEX/LA and Phantom Sightings, the inclusion of iPods™ provided a tool to understand the cultural production of a “post-Chicano movement” generation of artists while at the same time enabling an experience that recognized—and resonated with—my bicultural experience.
“Ancient Mexico in Ancient Mexico” by Yvonne Estrada (c), is featured in re:present LA, opening 5/3/12
Being that L.A. is a car culture moving to the rhythms of the radio waves, I’m always seeking to find synchronicity between music that feels me with joy and my work as a cultural worker. Part of my impetus to locate Los Angeles sonically in re : present L.A. was driven by the question: is it possible to capture my sonic landscape growing up in the city of Los Angeles that ranges from Hip-Hop – British Rock – Mexican Pop? The playlists curated by Guevara and Stoever-Ackerman are familiar to me personally. Stoever-Ackerman’s Off the 60, reminds me of the sounds of my youth, when KDAY and KROQ rocked the radio waves and my students banded together in my high school quad according to their favorite music – metal-heads, b-boys, alternative rock, and the cha-chas, who traveled across town every Friday night to Franklin High, where DJs spun L.A. disco. At home, the music was different. My mom and tías used to reminisce about their homeland every Sunday night through the variety show Siempre en Domingo, binding us to the t.v., religiously following the rising stars. Through the bi-lingual selections in Guevara’s Los Angeles Rock & Roll, there’s a familiarity of home and the music heard at backyard parties and quinceañeras.
By including my iPod™ nano, I bring together my lived experience as a cultural worker through the sounds of L.A. and activate the white walls of the museum. The playlists created by Guevara and Stoever-Ackerman serve to reflect the history of the community surrounding VPAM, as well capture the diversity of the city sonically re:presenting L.A. to our audiences. While the playlists can stand alone as audio curations in their own rights, I hope that they will engage audiences to rethink the relationship between music and art, and feel their lived experience inclusive within the museum.
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reina alejandra prado saldivar is an art historian, curator, and an adjunct lecturer in the Social Science Division of Glendale Community College in Glendale, California and in the Cultural Studies Program at Claremont Graduate School. As a cultural activist, she focused her earlier research on Chicano cultural production and the visual arts. Prado is also a poet and performance artist known for her interactive durational work Take a Piece of my Heart as the character Santa Perversa (www.santaperversa.com) and is currently working on her first solo performance entitled Whipped!
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