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One long-past innocent day, in my prefolly youth, I came upon a statement in an undistinguished textbook on psychiatry that, as when Kant read Hume, woke me forever from my garden-of-eden slumber. 'The psychotic does not merely think he sees four blue bivalves with floppy wings wandering up the wall; he does see them. An hallucination is not, strictly speaking, manufactured in the brain; it is received by the brain, like any 'real' sense datum, and the patient act in response to this to-him-very-real perception of reality in as logical a way as we do to our sense data. In any way to suppose he only 'thinks he sees it' is to misunderstand totally the experience of psychosis.'

Philip Kindred Dick#3

RealityPerceptionMental health

About this quote

What does it mean?
Hallucinations are real sensory experiences to the patient, not just imagined thoughts, so they must be treated as valid perceptions.
In plain terms
People who hallucinate truly see things, they do not just think they see them.
What can you take from it?
Treat hallucinations as real sensory input for the patient.

Where it applies

  • therapy sessions
  • medical diagnosis
  • empathy training

Putting it to work

  • listen to patient experiences
  • validate sensory reports
  • avoid dismissing symptoms

Questions to consider

  • How do you distinguish real from unreal experience?
  • What makes a perception valid?

Another view

Not all perceptions reflect objective reality.

More from Philip Kindred Dick

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  3. Can any of us fix anything? No. None of us can do that. We're specialized. Each one of us has his own line, his own work. I understand my work, you understand …

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