In these different ways, then, the slight, scarcely noticeable illusions
of normal life lead up to the most startling hallucinations of abnormal
life. From the two poles of the higher centres of attention and
imagination on the one side, and the lower regions of nervous action
involved in sensation on the other side, issue forces which may, under
certain circumstances, develop into full hallucinatory percepts. Thus
closely is healthy attached to morbid mental life. There seems to be no
sudden break between our most sober every-day recognitions of familiar
objects and the wildest hallucinations of the demented. As we pass from
the former to the latter, we find that there is never any abrupt
transition, never any addition of perfectly new elements, but only that
the old elements go on combining in ever new proportions.
The connection between the illusory side of our life and insanity may be
seen in another way. All illusion has as its negative condition an
interruption of the higher intellectual processes, the due control of
our mental representations by reflection and reason. In the case of
passive illusions, the error arises from our inability to subordinate
the suggestion made by some feature of the present impression to the
result of a fuller inspection of the object before us, or of a wider
reflection on the past. In other words, our minds are dominated by the
partial and the particular, to the exclusion of the total or the
general. In active illusions, again, the powers of judgment and
reflection, including those of calm perception itself, temporarily
vacate their throne in favour of imagination. And this same suspension
of the higher intellectual functions, the stupefaction of judgment and
reflection made more complete and permanent, is just what characterizes
insanity.
We may, perhaps, express this point of connection between the illusions
of normal life and insanity by help of a physiological hypothesis. If
the nervous system has been slowly built up, during the course of human
history, into its present complex form, it follows that those nervous
structures and connections which have to do with the higher intellectual
processes, or which represent the larger and more general relations of
our experience, have been most recently evolved. Consequently, they
would be the least deeply organized, and so the least stable; that is
to say, the most liable to be thrown _hors de combat_. This is what
happens temporarily in the case of the sane, when the mind is held fast
by an illusion. And, in states of insanity, we see the process of
nervous dissolution beginning with these same nervous structures, and so
taking the reverse order of the process of evolution.[67] And thus, we
may say that throughout the mental life of the most sane of us, these
higher and more delicately balanced structures are constantly in danger
of being reduced to that state of inefficiency, which in its full
manifestation is mental disease.
Public-domain text, read in full here on John Shaqi.
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