In proportion as this pre-existing imaginative impulse becomes more powerful, the amount of actual impression necessary to transform the mental image into an illusory perception becomes less; and, what is more important, this transformation of the internal image involves a larger and larger displacement of the actual impression of the moment. A man whose mind is at the time strongly possessed by one kind of image, will tend to project this outwards with hardly any regard to the actual external circumstances.
This state of things is most completely illustrated in many of the grosser illusions of the insane. Thus, when a patient takes any small objects, as pebbles, for gold and silver, under the influence of the dominant idea of being a millionaire, it is obvious that external suggestion has very little to do with the self-deception. The confusions into which the patient often falls with respect to the persons before him show the same state of mind; for in many cases there is no discoverable individual resemblance between the person actually present and the person for whom he is taken.
It is evident that when illusion reaches this stage, it is scarcely distinguishable from what is specially known as hallucination. As I have remarked in setting out, illusion and hallucination shade one into the other much too gradually for us to draw any sharp line of demarcation between them. And here we see that hallucination differs from illusion only in the proportion in which the causes are present. When the internal imaginative impulse reaches a certain strength, it becomes self-sufficient, or independent of any external impression.
This intimate relation between the extreme form of active illusion and hallucination may be seen, too, by examining the physical conditions of each. As I have already remarked, active illusion has for its physiological basis a state of sub-excitation, or an exceptional condition of irritability in the structures engaged in the act of interpretative imagination. The greater the degree of this irritability, the less will be the force of external stimulation needed to produce the effect of excitation, and the more energetic will be the degree of this excitation. Moreover, it is plain that this increase in the strength of the excitation will involve an extension of the area of excitation till, by-and-by, the peripheral regions of the nervous system may be involved just as in the case of external stimulation. This accounts for the gradual displacement of the impression of the moment by the mental image. It follows that when the irritability reaches a certain degree, the amount of external stimulus needed may become a vanishing quantity, or the state of sub-excitation may of itself develop into one of full activity.