A system of practical medicine. By American authors. Vol. 5 : $b Diseases of the nervous system
Science
A system of practical medicine. By American authors. Vol. 5 : $b Diseases of the nervous system
Medicine -- Practice
HALLUCINATIONS.—By this term is designated the result of the
projection into the external world, through nerves of common or
special sensations, of formed sensations which arise in a disordered
sense-apparatus or nerve-centre; or, in more popular language, it may
be said to mean the perception of non-existent objects or impressions,
creations of the imagination. Examples: Disease (sclerosis) of the
posterior columns of the spinal cord irritates the roots of the
sensory nerves, the result being pain at the periphery in the parts
connected with the affected segment of the cord. So objective and real
do these peripheral pains seem that if the patient's mind be weakened
he may assert that they are due to his being beaten, stabbed, or
bitten by some one or by an animal. After amputation, the absent
member is long perceived by the subject, often with startling
distinctness, and even after the sensation has passed away it may be
brought back by faradizing the nerve-trunks above the stump. The
patient may hear voices, music, or simple sounds when in reality there
is silence, or he may be surrounded by imaginary images or plagued by
hallucinatory smells and tastes. Hallucinations may also arise in the
distribution of optic nerves.
Besides common hallucinations with their seeming reality and
objectivity, we admit others which are less vivid, which do not
startle or frighten the subject, and which are simply the outward
projections of the patient's own thoughts (delusions). The subject of
persecution by imaginary enemies may see around him the faces of his
pursuers with appropriate expressions, or hears their insulting or
threatening remarks, as outward plastic reproductions of his thoughts;
but the patient himself recognizes the want of actual objectivity and
clearness in these images. These we call, after Baillarger, psychic
hallucinations or pseudo-hallucinations. Similar phenomena are
observed in some sane persons under excitement and betwixt sleep and
waking.
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