In Denis Johnson's work, a doctor's inquiry about hearing unusual sounds or voices opens a window into a deeper exploration of the human psyche. This question serves as a catalyst for examining how individuals perceive reality, particularly when their mental states are challenged. The phrase suggests a disconnect between normal perception and the unsettling experience of auditory hallucinations, often related to stress or trauma. The encounter between the patient and the doctor highlights the complexities of mental health and the various ways people cope with their inner turmoil. It invites readers to reflect on the nature of reality and the boundaries of sanity, illustrating how external interpretations can shape one's understanding of their own experiences. This subtle yet profound dialogue encourages an examination of the unseen struggles many face.