This article presents an analysis of two case studies of people who hear voices. In accordance with a phenomenological approach, the meanings which the participants attribute to their voices are highlighted in the analysis (specifically in relation to the nature and origin of the voices) and the influence which these interpretations have on their efforts at managing and reducing their disruptive effects is explored. It is concluded that if this analysis has accessed general processes in voice hearers’ experiences, therapeutic practitioners may need to work with voice hearers in promoting psychologically satisfying meaning-making around their experiences, from which contextualised responses to managing the voices can be developed.