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to a projection of mental images which have, owing to certain circumstances, gained a preternatural persistence and vividness. Sometimes it is the images that have been dwelt on with passionate longing before the disease, sometimes those which have grown most habitual through the mode of daily occupation,[63] and sometimes those connected with some incident at or near the time of the commencement of the disease. In mental disease, auditory hallucinations play a part no less conspicuous than visual.[64] Patients frequently complain of having their thoughts spoken to them, and it is not uncommon for them to imagine that they are addressed by a number of voices at the same time.[65] These auditory hallucinations offer a good opportunity for studying the gradual growth of centrally originating hallucinations. In the early stages of the disease, the patient partly distinguishes his representative from his preservative sounds. Thus, he talks of sermons being composed to him _in his head_. He calls these "internal voices," or "voices of the soul." It is only when the disease gains ground and the central irritability increases that these audible thoughts become distinctly projected as external sounds into more or less definite regions of the environment. And it is exceedingly curious to notice the different directions which patients give to these sounds, referring them now to a quarter above the head, now to a region below the floor, and so on.[66] _Range of Sense-Illusions._ And now let us glance back to see the path we have traversed. We set out with an account of perfectly normal perception, and found, even here, in the projection of our sensations of colour, sound, etc., into the environment or to the extremities of the organism, something which, from the point of view of physical science, easily wears the appearance of an ingredient of illusion. Waiving this, however, and taking the word illusion as commonly understood, we find that it begins when the element of imagination no longer answers to a present reality or external fact in any sense of this expression. In its lowest stages illusion closely counterfeits correct perception in the balance of the direct factor, sensation, and the indirect factor, mental reproduction or imagination. The degree of illusion increases in proportion as the imaginative element gains in force relatively to the present impression; till, in the wild illusions of the insane, the a
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