In the normal brain certain impressions are received from the special
senses: impressions of sight or of hearing, for example. These
impressions are called conscious perceptions, and the healthy brain
groups them together and forms concepts. For instance, you see
something which is flat and shiny with square-cut edges. You touch it,
and learn that it is cold, smooth, and hard. Lift it and you find it
heavy. Grouping together your sense perceptions you form the concept,
and decide that the object is a piece of marble. Again, you enter a
dimly lighted room and see a figure in a corner the height of a woman,
with a gown like a woman's. You approach it, speak to it and get no
reply, and you find you can walk directly through it, for it is a
shadow. Perhaps you were frightened. Perhaps you imagined she was a
thief. Your first judgment was wrong and you correct it. The insane
person, however, has defective mental processes. He cannot group
together his perceptions and form proper conceptions. His imagination
runs riot. His emotions of fear or anger are not easily limited. He
has to some extent lost the control over his mental actions that you
and other people possess if your brains are normal. The insane man
will insist that there is a woman there, and not a shadow, and to his
mind it is not absurd to walk directly through this person. He cannot
correct the wrong idea. Such a wrongly interpreted sense perception is
called an illusion. Another example of illusion is the mistaking the
whistle of a locomotive for the shriek of a pursuing assassin.
_What Hallucinations Are_
The insane man may also suffer from hallucinations. A hallucination is
a false perception arising without external sensory experience. In a
hallucination of sight, the disease in the brain causes irritation to
be carried to the sight-centers of the brain, with a result that is
similar to the impression carried to the same centers by the optic
nerves when light is reflected into the eyes from some object. An
insane man may be deluded with the belief that he sees a face against
the wall where there is nothing at all. When the air is pure and sweet
and no odor is discoverable, he may smell feathers burning, and thus
reveal his hallucination of smell.
_Delusions Common to Insanity_
Public-domain text, read in full here on John Shaqi.
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