Anything that affects perceptions account for what we hear, smell, touch, and feel. Mental, physical, and spiritual conditions inclusive. Not the “Zen” type myself but my skin had been acting up as of late. With multiple upgrades, tweaks, and reconfigurations, I’d been getting frequent goosebumps listening to my systems.
I still don’t get how one’s skin can hear, but perhaps is our overall perceptions that we’re all referring to.