This work studies how blind or visually impaired people access, consume, design and produce with tactile media. Three interventionist studiesÑa 3D printed design probe, a design ethnography and a series of tactile art and graphics symposiaÑ investigate how blind and visually impaired people make, create, design and teach with tactile media. It identifies design strategies to address factors that limit blind and visually impaired peopleÕs tactile media consumption, creation and instruction. The dissertation contributes insights about the lived experiences and practices of people who use, create, and teach with tactile media.