A hallucination is a perception in the absence
of apparent stimulus that has qualities of real perception. Hallucinations are
vivid, substantial, and located in external objective space. They are
distinguished from the related phenomena of dreaming, which does not involve
wakefulness; illusion, which involves distorted or misinterpreted real
perception; imagery, which does not mimic real perception and is under
voluntary control; and pseudohallucination, which does not mimic real
perception, but is not under voluntary control.
Hallucinations also differ from
"delusional perceptions", in which a correctly sensed and interpreted
stimulus is given some additional significance.
Hallucinations can occur in any sensory
modality — visual, auditory, olfactory, gustatory, tactile, proprioceptive,
equilibrioceptive, nociceptive, thermoceptive and chronoceptive.
A mild form of hallucination is known as a
disturbance, and can occur in most of the senses above. These may be things
like seeing movement in peripheral vision, or hearing faint noises and/or
voices. Auditory hallucinations are very common in paranoid schizophrenia. They
may be benevolent or malicious, cursing the patient etc. Auditory
hallucinations of the malicious type are frequently heard, for example people
talking about the patient behind his/her back. Like auditory hallucinations,
the source of the visual counterpart can also be behind the patient's back.
Their visual counterpart is the feeling of being looked or stared at, usually
with malicious intent. Frequently, auditory hallucinations and their visual
counterpart are experienced by the patient together.
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