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In this commentary, I highlight some of the difficulties encountered by those working within a modernist paradigm (eg Bayne & Pacherie and Klee) and go on to argue that this paradigm is ill-equipped to conceptualise issues which are essentially moral. Georgaca's suggestion that there is a need for researchers to focus more on the contexts which give rise to judgements of delusions and the assumptions which appear to underlie those judgements is a useful one and there is a need for researchers and clinicians alike to learn from the paradigm shift that is taking place in relation to the phenomenon of hearing voices. I suggest that we need to be open to service users’ own theories of the meaning of their beliefs and see our goal as helping them find better ways of living with them.

Delusions and Discourse: Moving Beyond the Constraints of the Modernist Paradigm