The classifications of the causes of hallucination to be met with in the
works of pathologists, bear out the distinction just drawn. Griesinger
tells us (_op. cit._, pp. 94, 95) that the general causes of
hallucination are: (1) Local disease of the organ of sense; (2) a state
of deep exhaustion either of mind or of body; (3) morbid emotional
states, such as fear; (4) outward calm and stillness between sleeping
and waking; and (5) the action of certain poisons, as haschisch, opium,
belladonna. The first cause points pretty distinctly to a peripheral
origin, whereas the others appear to refer mainly, if not exclusively,
to central derangements. Excessive fatigue appears to predispose the
central structures to an abnormal kind of activity, and the same effect
may be brought about by emotional agitation and by the action of
poisons. The fourth case mentioned here, absence of external
stimulation, would naturally raise the nervous structures to an
exceptional pitch of excitability. Such a condition would, moreover,
prove favourable to hallucination by blurring the distinction between
mental image and actual impression.
_Hallucinations of Normal Life._
In normal life, perfect hallucinations, in the strict sense as distinct
from illusions, are comparatively rare. Fully developed persistent
hallucinations, as those of Nicolai, the Berlin bookseller, and of Mrs.
A----, the lady cited by Sir D. Brewster, in his _Letters on Natural
Magic_, point to the presence of incipient nervous disorder. In healthy
life, on the other hand, while everybody is familiar with subjective
sensations such as flying spots, phosphenes, ringing in the ears, few
fall into the error of seeing or hearing distinct recognizable objects
in the absence of all external impressions. In the lives of eminent men
we read of such phenomena as very occasional events. Malebranche, for
example, is said to have heard the voice of God calling him. Descartes
says that, after a long confinement, he was followed by an invisible
person, calling him to pursue his search for truth. Dr. Johnson narrates
that he once heard his absent mother calling him. Byron tells us that he
was sometimes visited by spectres. Goethe records that he once saw an
exact counterpart of himself coming towards him. Sir Walter Scott is
said to have seen a phantom of the dead Byron. It is possible that all
of us are liable to momentary hallucinations at times of exceptional
nervous exhaustion, though they are too fugitive to excite our
attention.
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