Two discussants offer different perspectives on my view of language as an expressive medium for some seriously disordered patients. An expressivist model of language is reviewed. Peter Goldberg challenges its integration of verbal and nonverbal forms, and the place of language when symbolization is undeveloped, as is common with such patients. I reply to his challenge and proposal of a sensory-perceptual mode to enable communication through language. Anne Alvarez sees verbal-nonverbal integration in the phenomenon of “voice,” which accords with my view of language as experiential. I find vitalizing aspects of voice that link to her approach of “reclamation.”