The milder degrees of hallucination have been designated as _pseudo-hallucinations_. Pseudo-hallucinations and hallucinations have been sharply distinguished from each other only within a few years. Dr. Kandinsky writes of their difference as follows: "In carelessly questioning a patient we may confound his pseudo-hallucinatory perceptions with hallucinations. But to the unconfused consciousness of the patient himself, even though he be imbecile, the identification of the two phenomena is impossible, at least in the sphere of vision. At the moment of having a pseudo-hallucination of sight, the patient feels himself in an entirely different relation to this subjective sensible appearance, from that in which he finds himself whilst subject to a true visual hallucination. The latter is reality itself; the former, on the contrary, remains always a subjective phenomenon which the individual commonly regards either as sent to him as a sign of God's grace, or as artificially induced by his secret persecutors.... If he knows by his _own experience_ what a genuine hallucination is, it is quite impossible for him to mistake the pseudo-hallucination for it.... A concrete example will make the difference clear: "Dr. N. L.... heard one day suddenly amongst the voices of his persecutors ('coming from a hollow space in the midst of the wall') a rather loud voice impressively saying to him: 'Change your national allegiance.' Understanding this to mean that his only hope consisted in ceasing to be subject to the Czar of Russia, he reflected a moment what allegiance would be better, and resolved to become an English subject. At the same moment he saw a pseudo-hallucinatory lion of natural size, which appeared and quickly laid its fore-paws on his shoulders. He had a lively feeling of these paws as a tolerably painful local pressure (complete hallucination of touch). Then the same voice from the wall said: 'Now you have a lion--now you will rule,' whereupon the patient recollected that the lion was the national emblem of England. The lion appeared to L. very distinct and vivid, but he nevertheless remained conscious, as he afterwards expressed it, that he saw the animal, not with his bodily but with his mental eyes. (After his recovery he called analogous apparitions by the name of 'expressive-plastic ideas.') Accordingly he felt no terror, even though he felt the contact of the claws.... Had the lion been a complete hallucination, the patient, as he himself remarked after recovery, would have felt great fear, and very likely screamed or taken to flight. Had it been a simple image of the fancy he would not have connected it with the voices, of whose objective reality he was at the time quite convinced."[123]