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One man's 'psychosis' is another man's 'vision'.
Most seeking a vision put themselves in physically extreme situations in re: sleep, nutrition, hydration, temperatures, remote locations, and/or utilize substances to achieve the state in which they experience a vision.Others seek the state, the 'vision' is a side effect. Some may have the sort of imbalances which cause altered mental states physically inherent. Then there are other, spiritual aspects which run the gamut from miracles to demonic possession, as well.
I have profound hearing loss in one ear with accompanying tinnitus and there are times it really sounds like some one murmuring in a very low voice, then again it just might be Satan. Well screw him, he never did deliver on those promises, so no more sacrifices!