I am a great advocate for anything that truly helps people who suffer from hearing voices. Having studied these experiences extensively, I agree with the author that there is much to be learned by talking with patients at length about their voices. I am consistently surprised to learn that in spite of years of treatment, patients have never actually been asked to describe them—what they sound like, the actual verbal content, when and where these experiences occur, what makes then better or worse, etc. And I remain very impressed by how much there is to be learned about these experiences—how they are different from ordinary verbal thoughts and how each person has learned to accommodate and adjust to them. On the basis of these discussions, I have come to hypothesize that voices are made worse by two specific factors. First is extreme social isolation—the failure to engage in meaningful verbal discourse with people in the real world. Voices often are turned on by the absence of these experiences in the ordinary world, perhaps analogous to a phantom limb phenomenon. Second, high levels of emotionality, especially negative emotions, appear to worsen voices. It is therefore not surprising to me that the Voice Hearers Network could provide benefit to some people—a social network is restored that provides meaningful discourse, and negative emotions provoked by voices are reduced or eliminated. Yet I have no hesitation in ascribing illness to the individuals who approach me to enroll in our treatment trials (1, 2). Often they have been ravaged for years by extremely disruptive and repetitive hallucinations to the point of extreme despair and suicidality. One patient described hearing voices as being in a constant state of mental rape. This patient, if given a choice between viewing voices as a gift or just getting rid of them, would, I suspect, embrace the second alternative in a heartbeat.