Quilted silk, hand beading, hand embroidery, couched cording and quilted silk frame surround. The Shaman's voice (upper left hand corner) is stiched silver thread radiating outwards, augmented with ribbon, hand embroidery and beads. The convoluted couched cording of two separate colours refers to the complex or confused conditions being discussed. The fact that there is no ending to these discussions is a common occurence in real life situations.