This study will recruit individuals who are receiving outpatient services at the Minneapolis VA Medical Center, the University of Minnesota Department of Psychiatry, or the University of Minnesota Medical Center--Fairview. Patients will be referred by clinical staff from multiple departments including Mental Health, Polytrauma, and Social Work. Referral will be based on a clinical diagnosis of Schizophrenia or Schizoaffective disorder with medication refractory auditory hallucinations as assessed by the patient's clinical provider. Subjects will also have the ability to self-identify to flyers and local newspaper ads. Brunelin et al found a large and significant effect size (d=1.58, p<0.001) which the investigators have used to guide our power analysis. The investigators power analysis was performed for three arms using an alpha of 0.025, a power of 0.8, and a desired effect size of 1.00. This analysis results in a need for approximately 20 subjects per arm.