When not brought on by exhaustion or artificial means, the
hallucinations of the sane have their origin in a preternatural power of
imagination. It is well known that this power can be greatly improved by
attention and cultivation. Goethe used to exercise himself in watching
for ocular spectra, and could at will transform these subjective
sensations into definite forms, such as flowers; and Johannes Mueller
found he had the same power.[59] Stories are told of portrait painters
who could summon visual images of their sitters with a vividness equal
to that of reality, and serving all the purposes of their art. Mr.
Galton's interesting inquiries into the power of "visualizing" would
appear to prove that many people can at will sport on the confines of
the phantom world of hallucination. There is good reason to think that
imaginative children tend to confuse mental images and percepts.[60]
_The Hallucinations of Insanity._
The hallucinations of the insane are but a fuller manifestation of
forces that we see at work in normal life. Their characteristic is that
they simulate the form of distinctly present objects, the existence of
which is not instantly contradicted by the actual surroundings of the
moment.[61] The hallucinations have their origin partly in subjective
sensations, which are probably connected with peripheral disturbances,
partly and principally in central derangements.[62] These include
profound emotional changes, which affect the ruling mental tone, and
exert a powerful influence on the course of the mental images. The
hallucinations of insanity are due to a projection of mental images
which have, owing to certain circumstances, gained a preternatural
persistence and vividness. Sometimes it is the images that have been
dwelt on with passionate longing before the disease, sometimes those
which have grown most habitual through the mode of daily
occupation,[63] and sometimes those connected with some incident at or
near the time of the commencement of the disease.
In mental disease, auditory hallucinations play a part no less
conspicuous than visual.[64] Patients frequently complain of having
their thoughts spoken to them, and it is not uncommon for them to
imagine that they are addressed by a number of voices at the same
time.[65]
Public-domain text, read in full here on John Shaqi.
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