content: Pretentious/ambitious art does not always equal great art. There are some great moments in this album like Triumph of a Heart, Who Is It, Pleasure Is All Mine; but mostly it's too high minded to be accessible (which is undeniably important in art).A listening equivalent could be John Coltrane's late 60's albums, such as Interstellar Space; music that many music snobs will unflappably rave about but, rarely will you catch them actually listening to it.Same goes for Medulla. This is music that most fans will force themselves to listen to and appreciate because... it's Bjork.