“No pulses/ No function/ No flexor/ No extensor/ No movement.” This is how Molly Joyce’s hospital files describe the injury to her left arm that has guided her work as a musician and composer. When she was only seven years old, Joyce was in a car accident that nearly amputated her hand. After a series of intensive surgeries, it was reattached and some mobility regained, but her acquired disability prevents her from playing traditional instruments. Her debut album, 2020’s Breaking and Entering, centered around the Magnus electric toy organ, which she felt was perfectly suited to her abilities. Her follow-up, 2022’s Perspective, was crafted from interviews with people with disabilities on topics like access, control, and resilience. With State Change, Joyce revisits…