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Updated: June 18, 2025
I may take another typical case in which also the obsession was brought about by an idea without emotional value or at least by an idea which had lost its emotional character; the idea came somewhat nearer to hallucination, but had its chief elements on tactual ground where the transition from image to hallucinatory perception is easier.
The sensation became a strictly tactual one with optical overtone, but there was no emotion in it. The pain element had disappeared. Also the shock, which still recurred in the first days slowly disappeared. The longer the symptom lasted, the more the optical factor faded away, and the tactual factor came into the foreground after three or four weeks.
When this performance had been carried out six times, he did not notice the coming up of the tactual sensation with vividness any longer. From the third day it had disappeared entirely. I told him to go on with the process still every morning for some weeks. The physician himself considered the cure as complete.
As I have before observed, tactual perception, in so far as it is the recognition of an object of a certain size, hardness, and distance from our body, involves the least degree of interpretation, and so offers little room for error; it is only when tactual perception amounts to the recognition of an individual object, clothed with secondary as well as primary qualities, that an opening for palpable error occurs.
And so it differs from the object in sense-perception in so far as this last involves sense-experiences, as muscular and tactual feelings, which are not at the moment presentatively known to any mind. Illusions of Insight. And now we are in a position, perhaps, to define an illusion of insight, and to inquire whether there is anything answering to our definition.
I came to the conclusion that the suppressed sexual emotions at the breaking of the engagement were the primary cause of the disease. The similarity of the first customer together with the tactual sensations had evidently touched that complex and brought the suppressed emotion to an explosion which frequently takes the form of palpitation and similar symptoms.
Just so, it is by the reflection of Light that we discover the forms of the obstacle which solid bodies oppose to the radiant undulation. The resultant colours correspond to the form of these obstructions; but the correspondence is relational not resemblant. The same is true of sounds, of tactual sensations, of every other sensible obstacle to pure activity.
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.
The inhibited impression may often disappear entirely. While I am reading I am not at all aware of the tactual and muscular sensations in my legs, and if I am completely absorbed by my book, I may not even notice that the bell rings.
The patient awoke in the morning with a vivid tactual hallucination of being cut without associating with it any picture of a knife. Throughout the day, in the midst of work and in the midst of conversation, sometimes one and sometimes the other wrist became the center of the exasperating sensation, easily bringing with it involuntary reactions as if to withdraw the arm.
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