A 74 year-old deaf woman was admitted to a hospital because she was said to be acutely disturbed. She had left the water taps on in her house and had broken all of her crockery and said that she was tormented by voices. All of her routine physical signs were normal and her symptoms subsided after treatment with trifluoroperazine, but she complained of insistent voices emanating from her vagina in the form of songs singing the "Old Rugged Cross" and th "Hallelujah Chorus". At times she would sing along with the voices. After about 6 years of treatment, she began to complain about vaginal pain. Doctors examinations proved that there was nothing physiologicaly wrong with her and was diagnosed as psychogenic pain (that is pain without a physiological basis).

It is interesting to consider her life before the onset of these bizarre symptoms. She used to be socially active and independentand was married for 44 years before her husband died of a cardiovascular attack. She got involved in a relationship with a man much younger than herself and felt guilty for doing so. The psychologist diagnosed that it was her guilt about the relationship that caused her begin hear voices from her vagina and that this was transferred into pain emanating from the same area.

Another interesting case study is of a woman who heard baritone male voices singing to her traditional scottish songs. This lady was actually aware of the hallucinatory nature of the songs and she was annoyed and irritated by them because they very repetitive . The songs were heard continuosly,wth the intensity being louder at night. The lady had a history of ear problems. When she got a hearing aid, she experinced a dimib=nished occurrence of her hallucinatory symptoms.

A 42-year old Asian gentleman who was a known sufferer of schizophrenia was having difficulties achieving an erection with his wife after taking paroxetine and resperidone inconjunction with many other at neuroleptic drugs. When his medications were reduced, he began to have auditory hallucinations of ladies singing sadly and male voices reading from the Koran. The results of the drug reduction is very interesting because the use of certain neuroleptic drugs can actually stimulate the auditory hallucinations.