A patient who has never entertained any doubts whatsoever about the voices which she hears, listens to similar ones played to her on the gramophone, interrupts her work, raises her head without turning round, and sees a white angel appear, as it does every time she hears her voices, but she does not count this experience among the day's 'voices': for this time it is not the same thing, but a 'direct' voice, perhaps the doctor's.