CASE STUDY
PERCEPTION OF MUSICAL HARMONY: A CASE STUDY OF ONE COCHLEAR IMPLANT USER AND TWO NORMAL-HEARING SUBJECTS
,
 
Artur Lorens 1, A,C-F
,
 
Agata Mikusek 1, A-B
,
 
,
 
,
 
 
 
More details
Hide details
1
Implant and Auditory Perception Department, World Hearing Center, Institute of Physiology and Pathology of Hearing, Warsaw/Kajetany, Poland
 
2
Teleaudiology and Hearing Screening Department, World Hearing Center, Institute of Physiology and Pathology of Hearing, Warsaw/Kajetany, Poland
 
3
Institute of Sensory Organs, Kajetany, Poland
 
4
Oto-Rhino-Laryngology Surgery Clinic, World Hearing Center, Institute of Physiology and Pathology of Hearing, Warsaw/Kajetany, Poland
 
 
A - Research concept and design; B - Collection and/or assembly of data; C - Data analysis and interpretation; D - Writing the article; E - Critical revision of the article; F - Final approval of article;
 
 
Submission date: 2025-08-01
 
 
Final revision date: 2025-10-31
 
 
Acceptance date: 2025-11-07
 
 
Online publication date: 2025-12-05
 
 
Publication date: 2025-12-05
 
 
Corresponding author
Anna Ratuszniak   

Implant and Auditory Perception Department, World Hearing Center, Institute of Physiology and Pathology of Hearing, Mokra 17, Nadarzyn, 05-830, Kajetany, Poland
 
 
J Hear Sci 2025;15(3):55-61
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
The perception of musical intervals is a fundamental component of melody and harmony. Intervals can be presented melodically (successive tones) or harmonically (simultaneous tones), with the latter playing a critical role in the perception of consonance and chordal structure. In the chromatic scale, intervals are measured in semitones, and their perceived pleasantness (i.e., consonance or dissonance) is determined by the frequency ratio between them. Cochlear implant (CI) users are likely to perceive harmonic intervals differently from normal-hearing individuals due to technological limitations in transmitting the spectral and temporal complexity of musical sounds. Factors affecting perception of sounds in CI users include placement of the electrode array inside the cochlea and spread of excitation along the auditory nerve.

Case report:
To explore differences in how harmonic intervals are perceived, this study presents three case studies of the ranked pleasantness of consonance and dissonance by (1) a normal-hearing individual without musical training; (2) a normal-hearing musician; and (3) a cochlear implant user.

Conclusions:
The findings provide a foundation for future investigations into interval perception and have implications for auditory rehabilitation and music-based therapy.
ACKNOWLEDGEMENTS
The authors would like to thank Andrew Bell for his valuable comments on an earlier version of this manuscript.
FUNDING
This work was carried out as part of the research project No. 2024/ABM/03/KPO/KPOD.07.07-IW.07-0221/24-00, funded by the Medical Research Agency of Poland.
REFERENCES (19)
1.
Lee KM, Skoe E, Kraus N, Ashley R. Selective subcortical enhancement of musical intervals in musicians. J Neurosci, 2009; 29(18): 5832–40. https://doi.org/10.1523/jneuro....
 
2.
Golachowski S, Drobner M. [Musical Acoustics]. Kraków: Polskie Wydawnictwo Muzyczne; 1953 [in Polish].
 
3.
Harrison PMC, Pearce MT. Simultaneous consonance in music perception and composition. Psychol Rev, 2020; 127(2): 216–44. https://doi.org/10.1037/rev000....
 
4.
McDermott JH, Schultz AF, Undurraga EA, Godoy RA. Indifference to dissonance in native Amazonians reveals cultural variation in music perception. Nature, 2016; 535(7613): 547–50. https://doi.org/10.1038/nature....
 
5.
Pluta M. [Principles of Music and Musical Notation]. Kraków: Wydawnictwa Akademii Górniczo-Hutniczej im. Stanisława Staszica; 2012 [in Polish].
 
6.
Spitzer E, Landsberger D, Friedmann D, Galvin J. Pleasantness ratings for harmonic intervals with acoustic and electric hearing in unilaterally deaf cochlear implant patients. Front Neurosci, 2019; 13. https://doi.org/10.3389/fnins.....
 
7.
Shannon RV, Fu Q-J, Galvin J. The number of spectral channels required for speech recognition depends on the difficulty of the listening situation. Acta Otolaryngol Suppl, 2004(552): 50–4. https://doi.org/10.1080/036552....
 
8.
Galvin JJ, Fu Q-J, Nogaki G. Melodic contour identification by cochlear implant listeners. Ear Hear, 2007; 28(3): 302–19. https://doi.org/10.1097/01.aud....
 
9.
Gfeller K, Turner C, Oleson J, Zhang X, Gantz B, Froman R, et al. Accuracy of cochlear implant recipients on pitch perception, melody recognition, and speech reception in noise. Ear Hear, 2007; 28(3): 412–23. https://doi.org/10.1097/AUD.0b....
 
10.
Nimmons GL, Kang RS, Drennan WR, Longnion J, Ruffin C, Worman T, et al. Clinical assessment of music perception in cochlear implant listeners. Otol Neurotol, 2008; 29(2): 149–55. https://doi.org/10.1097/mao.0b....
 
11.
Limb CJ, Roy AT. Technological, biological, and acoustical constraints to music perception in cochlear implant users. Hear Res, 2014; 308: 13–26. https://doi.org/10.1016/j.hear....
 
12.
Gfeller K, Turner C, Mehr M, Woodworth G, Fearn R, Knutson JF et al. Recognition of familiar melodies by adult cochlear implant recipients and normal-hearing adults. Cochlear Implants Int, 2002; 3(1): 29–53. https://doi.org/10.1179/cim.20....
 
13.
Vongpaisal T, Trehub SE, Schellenberg EG. Song recognition by children and adolescents with cochlear implants. J Speech Lang Hear Res, 2006; 49(5): 1091–103. https://doi.org/10.1044/1092-4...).
 
14.
Long CJ, Nimmo-Smith I, Baguley DM, O’Driscoll M, Ramsden R, Otto SR, et al. Optimizing the clinical fit of auditory brain stem implants. Ear Hear, 2005; 26(3): 251–62. https://doi.org/10.1097/000034....
 
15.
McDermott JH, Lehr AJ, Oxenham AJ. Individual differences reveal the basis of consonance. Curr Biol, 2010; 20(11): 1035–41. https://doi.org/10.1016/j.cub.....
 
16.
Cousineau M, McDermott JH, Peretz I. The basis of musical consonance as revealed by congenital amusia. Proc Natl Acad Sci USA, 2012; 109(48): 19858–63. https://doi.org/10.1073/pnas.1....
 
17.
Blinowska KJ, Kwaskiewicz K, Jedrzejczak WW, Skarzynski H. Musical ratios in sounds from the human cochlea. PLoS One, 2012; 7(5): e37988. https://doi.org/10.1371/journa....
 
18.
Knobloch M, Verhey JL, Ziese M, Nitschmann M, Arens C, Böckmann-Barthel M. Musical harmony in electric hearing. Music Perception, 2018; 36(1): 40–52. https://doi.org/10.1525/mp.201....
 
19.
Brockmeier SJ, Fitzgerald D, Searle O, Fitzgerald H, Grasmeder M, Hilbig S, et al. The MuSIC perception test: a novel battery for testing music perception of cochlear implant users. Cochlear Implants Int, 2011; 12(1): 10–20. https://doi.org/10.1179/146701....
 
Journals System - logo
Scroll to top