have a look at programs like "soundflower" or "jack" to reroute the sound back into Max... should work. I think this has been discussed before so a search with aka.speech and soundflower might yield some good results.

Thanks!! I'll give it a try.

I used soundflower for this purpose, but then I needed to process both aka.speech output and incoming channels on my sound interface and couldn't configure two input devices in max4live. My sound interface has some extra channels, so I set the default sound output to an unused output, and patched that right back into an unused input.

@velotron: you could try making an aggregate device