Illusions: A Psychological Study

by James Sully

There is good reason for supposing that this source of error plays a prominent part in the illusions of the insane. Diseased centres may be accompanied by disordered peripheral structures, and so subjective sensation may frequently be the starting-point of the wildest illusions. Thus, a patient's horror of poison may have its first origin in some subjective gustatory sensation. Similarly, subjective tactual sensations may give rise to gross illusions, as when a patient "feels" his body attacked by foul and destructive creatures.

It may be well to remark that this mistaken interpretation of the seat or origin of subjective sensation is closely related to hallucination. In so far as the error involves the ascription of the sensation to a force external to the sense-organ, this part of the mental process must, when there is no such force present, be viewed as hallucinatory. Thus, the feeling of something creeping over the skin is an hallucination in the sense that it implies the idea of an object external to the skin. Similarly, the projection of an ocular impression due to retinal disturbance into the external field of vision, may rightly be named an hallucination. But the case is not always so clear as this. Thus, for example, when a gustatory sensation is the result of an altered condition of the saliva, it may be said that the error is as much an illusion as an hallucination.[31]

In a wide sense, again, all errors connected with those subjective sensations which arise from a stimulation of the peripheral regions of the nerve may be called illusions rather than hallucinations. Or, if they must be called hallucinations, they may be distinguished as "peripheral" from those "central" hallucinations which arise through an internal automatic excitation of the sensory centre. It is plain from this that the region of subjective sensation is an ambiguous region, where illusion and hallucination mix and become confused. To this point I shall have occasion to return by-and-by.

I have now probably said enough respecting the illusions that arise through the fact of there being fixed limits to our sensibility. The rationale of these illusions is that whenever the limit is reached, we tend to ignore it and to interpret the impression in the customary way.

Variations of Sensibility.

We will now pass to a number of illusions which depend on something variable in the condition of our sensibility, or some more or less exceptional organic circumstance. These variations may be momentary and transient or comparatively permanent. The illusion arises in each case from our ignoring the variation, and treating a given sensation under all circumstances as answering to one objective cause.

First of all, the variation of organic state may affect our mental representation of the strength of the stimulus or external cause. Here the fluctuation may be a temporary or a permanent one. The first case is illustrated in the familiar example of taking a room to be brighter than it is when emerging from a dark one. Another striking example is that of our sense of the temperature of objects, which is known to be strictly relative to a previous sensation, or more correctly to the momentary condition of the organ. Yet, though every intelligent person knows this, the deeply rooted habit of making sensation the measure of objective quality asserts its sway, and frequently leads us into illusion. The well-known experiment of first plunging one hand in cold water, the other in hot, and then dipping them both in tepid, is a startling example of this organized tendency. For here we are strongly disposed to accept the palpable contradiction that the same water is at once warm and cool.

Far more important than these temporary fluctuations of sensibility are the permanent alterations. Excessive fatigue, want of proper nutrition, and certain poisons are well known to be causes of such changes. They appear most commonly under two forms, exalted sensibility, or hyperæsthesia, and depressed sensibility, or anæsthesia. In these conditions flagrant errors are made as to the real magnitude of the causes of the sensations. These variations may occur in normal life to some extent. In fairly good health we experience at times strange exaltations of tactual sensibility, so that a very slight stimulus, such as the contact of the bed-clothes, becomes greatly exaggerated.

In diseased states of the nervous system these variations of sensibility become much more striking. The patient who has hyperæsthesia fears to touch a perfectly smooth surface, or he takes a knock at the door to be a clap of thunder. The hypochondriac may, through an increase of organic sensibility, translate organic sensations as the effect of some living creature gnawing at his vitals. Again, states of anæsthesia lead to odd illusions among the insane. The common supposition that the body is dead, or made of wood or of glass, is clearly referable in part to lowered sensibility of the organism.[32]