Section 104. (b) Hallucinations and Illusions.

The limits between illusions of sense and hallucinations and illusions

proper can in no sense be definitely determined inasmuch as any

phenomena of the one may be applied to the other, and vice versa.[321]

Most safely it may be held that the cause of illusions of sense lies in

the nature of sense-organs, while the hallucinations and illusions are

due to the activity of the brain. The latter are much more likely to

fall within the scope of the physician than sense-illusions, but at the

same time many of them have to be determined upon by the lawyer,

inasmuch as they really occur to normal people or to such whose disease

is just beginning so that the physician can not yet reach it.

Nevertheless, whenever the lawyer finds himself face to face with a

supposed illusion or hallucination he must absolutely call in the

physician. For, as rarely as an ordinary illusion of sense is explicable

by the rules of logic or psychology, or even by means of other knowledge

or experience at the command of any educated man, so, frequently, do

processes occur in cases of hallucination and illusion which require, at

the very least, the physiological knowledge of the physician. Our

activity must hence be limited to the perception of the presence of

hallucination or illusion; the rest is matter for the psychiatrist.

Small as our concern is, it is important and difficult, for on the one

hand we must not appeal to the physician about every stupid fancy or

every lie a prisoner utters, and on the other hand we assume a heavy

responsibility if we interpret a real hallucination or illusion as a

true and real observation. To acquire knowledge of the nature of these

things, therefore, can not be rigorously enough recommended.

Hallucination and illusion have been distinguished by the fact that

hallucination implies no external object whatever, while in illusion

objects are mistaken and misinterpreted. When one thing is taken for

another, e.g., an oven for a man, the rustle of the wind for a human

song, we have illusion. When no objective existence is perceived, e.g.,

when a man is seen to enter, a voice is heard, a touch is felt, although

nothing whatever has happened, we have hallucination. Illusion is

partial, hallucination complete, supplementation of an external object.

There is not a correct and definite difference between illusion and

hallucination inasmuch as what is present may be so remotely connected

with what is perceived that it is no more than a stimulus, and thus

illusion may be turned into real hallucination. One authority calls

illusion the conception of an actually present external event which is

perceived by the peripheral organs in the form of an idea that does not

coincide with the event. The mistake does not lie in the defective

activity of the senses so much as in the fact that an apperceptive idea

is substituted for the perceptive view. In hallucination every external

event is absent, and hence, what is seen is due to a stimulation of the

periphery. Some authorities believe hallucination to be caused by cramp

of the sensory nerve. Others find illusions to be an externally

stimulated sense-perception not corresponding to the stimulus, and still

others believe it to be essentially normal. Most human beings are from

time to time subject to illusions; indeed, nobody is always sober and

intelligent in all his perceptions and convictions. The luminous center

of our intelligent perceptions is wrapped in a cloudy half-shadow of

illusion.

Sully[322] aims to distinguish the essential nature of illusion from

that characterized by ordinary language. Illusion, according to him, is

often used to denote mistakes which do not imply untrue perceptions. We

say a man has an illusion who thinks too much of himself, or when he

tells stories otherwise than as they happen because of a weakness of

memory. Illusion is every form of mistake which substitutes any direct

self-evident or intuitive knowledge, whether as sense-perception or as

any other form.

Nowadays the cause of hallucination and illusion is sought in the

over-excitement of the cerebro-spinal system. As this stimulation may be

very various in its intensity and significance, from the momentary rush

of blood to complete lunacy, so hallucinations and illusions may be

insignificant or signs of very serious mental disturbances. When we seek

the form of these phenomena, we find that all those psychical events

belong to it which have not been _purposely_ performed or lied about.

When Brutus sees Cæsar’s ghost; Macbeth, Banquo’s ghost; Nicholas, his

son; these are distinctly hallucinations or illusions of the same kind

as those “really and truly” seen by our nurses. The stories of such

people have no significance for the criminalist, but if a person has

seen an entering thief, an escaping murderer, a bloody corpse, or some

similar object of criminal law, and these are hallucinations like

classical ghosts, then are we likely to be much deceived. Hoppe[323]

enumerates hallucinations of apparently sound (?) people. 1. A priest

tired by mental exertion, saw, while he was writing, a boy’s head look

over his shoulder. If he turned toward it it disappeared, if he resumed

writing it reappeared. 2. “A thoroughly intelligent” man always was

seeing a skeleton. 3. Pascal, after a heavy blow, saw a fiery abyss into

which he was afraid he would fall. 4. A man who had seen an enormous

fire, for a long time afterward saw flames continually. 5. Numerous

cases in which criminals, especially murderers, always had their victims

before their eyes. 6. Justus Möser saw well-known flowers and

geometrical figures very distinctly. 7. Bonnet knows a “healthy” man who

saw people, birds, etc., with open eyes. 8. A man got a wound in his

left ear and for weeks afterward saw a cat. 9. A woman eighty-eight

years old often saw everything covered with flowers,--otherwise she was

quite “well.”

A part of these stories seems considerably fictitious, a part applies to

indubitable pathological cases, and certain of them are confirmed

elsewhere. That murderers, particularly women-murderers of children,

often see their victims is well known to us criminalists. And for this

reason the habit of confining prisoners in a dark cell for twenty-four

hours on the anniversary of a crime must be pointed to as refined and

thoroughly mediæval cruelty. I have repeatedly heard from people so

tortured of the terror of their visions on such days of martyrdom. Cases

are told of in which prisoners who were constipated had all kinds of

visual and auditory hallucinations and appeared, e.g., to hear in the

rustling of their straw, all sorts of words. That isolation predisposes

people to such things is as well known as the fact that constipation

causes a rush of blood to the head, and hence, nervous excitement. The

well-known stories of robbers which are often told us by prisoners are

not always the fruit of malicious invention. Probably a not

insignificant portion are the result of hallucination.

Hoppe tells of a great group of hallucinations in conditions of waking

and half-waking, and asserts that everybody has them and can note them

if he gives his attention thereto. This may be an exaggeration, but it

is true that a healthy person in any way excited or afraid may hear all

kinds of things in the crackling of a fire, etc., and may see all kinds

of things, in smoke, in clouds, etc. The movement of portraits and

statues is particularly characteristic, especially in dim light, and

under unstable emotional conditions. I own a relief by Ghiberti called

the “Rise of the Flesh,” in which seven lemurs dance around a corpse and

sing. If, at night, I put out the lamp in my study and the moon falls on

the work, the seven lemurs dance as lively as may be during the time it

takes my eyes to adapt themselves from the lamplight to the moonlight.

Something similar I see on an old carved dresser. The carving is so

delicate that in dim light it shows tiny heads and flames after the

fashion of the Catholic church pictures of “poor souls,” in purgatory.

Under certain conditions of illumination the flames flicker, the heads

move, and out of the fire the arms raise themselves to the clouds

floating above. Now this requires no unusual excitement, simply the

weary sensing of evening, when the eyes turn from prolonged uniform

reading or writing to something else.[324] It has happened to me from my

earliest childhood. High bodily temperature may easily cause

hallucinations. Thus, marching soldiers are led to shoot at nonexisting

animals and apparently-approaching enemies. Uniform and fatiguing mental

activity is also a source of hallucination. Fechner says that one day

having performed a long experiment with the help of a stop-watch, he

heard its beats through the whole evening after. So again when he was

studying long series of figures he used to see them at night in the dark

so distinctly that he could read them off.

Then there are illusions of touch which may be criminalistically

important. A movement of air may be taken for an approaching man. A

tight collar or cravat may excite the image of being stifled! Old people

frequently have a sandy taste while eating,--when this is told the

thought occurs that it may be due to coarsely powdered arsenic, yet it

may be merely illusion.

The slightest abnormality makes hallucinations and illusions very easy.

Persons who are in great danger have all kinds of hallucinations,

particularly of people. In the court of law, when witnesses who have

been assaulted testify to having seen people, hallucination may often be

the basis of their evidence. Hunger again, or loss of blood, gives rise

to the most various hallucinations. Menstruation and hæmorrhoids may be

the occasions of definite periodic visions, and great pain may be

accompanied by hallucinations which begin with the pain, become more

distinct as it increases, and disappear when it ceases.

It might seem that in this matter, also, the results are destructive and

that the statements of witnesses are untrue and unreliable. I do not

assert that our valuation of these statements shall be checked from all

possible directions, but I do say that much of what we have considered

as true depends only on illusions in the broad sense of the word and

that it is our duty before all things rigorously to test everything that

underlies our researches.

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