After a music school, she enjoyed an operatic career lasting for over two decades and worked with such conductors as Colin Davis and Herbert von Karajan.
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Her success in this and in her Scottish Opera roles attracted the attention of Herbert von Karajan, who invited her to appear at the Salzburg Festival the following year.
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She had only one solo recital disc, a selection of English art songs by Frederick Delius, Ralph Vaughan Williams, Frank Bridge, Arnold Bax, Michael Head, George Lloyd, and Roger Quilter recorded in London in 1983, released on the Conifer label, with John Constable on the piano.
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There exists a live recording of Scottish Opera's 1971 Rosenkavalier sung in English, with Dernesch as the Marschallin, Dame Janet Baker as Octavian and Elizabeth Harwood as Sophie, from the King’s Theatre, Glasgow, conducted by Alexander Gibson.