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Chapters (32)
  1. The Alienist by Machado de Assis
  2. Title page
  3. I. How Itaguai Acquired a Madhouse
  4. II. A Torrent of Madmen
  5. III. God Knows What He is Doing
  6. IV. A New Theory
  7. V. The Terror
  8. VI. The Rebellion
  9. VII. The Unexpected
  10. VIII. The Druggist’s Dilemma
  11. IX. Two Beautiful Cases
  12. X. The Restoration
  13. XI. Release and Joy
  14. XII. The Last Part of the Fourth Item
  15. XIII. Plus Ultra
  16. Notes
  17. Illuminations for The Alienist by Machado de Assis
  18. Title page
  19. Machado de Assis’ Rio de Janeiro
  20. The Bay of Rio by Fannie E. Coe
  21. The City and Its Institutionsby A.J. Lamoureux
  22. Photograph
  23. Photograph
  24. Reading I
  25. Photograph
  26. Art and Insanity in the 19th century
  27. Genius and Insanityby Dr. William Hirsch
  28. Reading II
  29. Illustration
  30. Illustration
  31. Reading III
  32. Photograph

The emotion excited by the separation from Frederica was enough, with Goethe’s lively fancy, to produce the phantom. Goethe himself judged his condition quite correctly. He recognized the shape as a fallacious one and said, “ I shook myself out of this dream, and the figure was gone.” It is very characteristic of the condition that Goethe should himself class it along with dreams. Obviously, the actual impressions of sight were, at the time of hallucination, not apperceived; and all that Goethe thought he saw at that moment was a painting of fancy, parts of the hallucination being superposed upon and congruent with the objects that had been seen an instant before. Goethe further says that the phantom gave him consolation and relief. It thus evidently answered to his thoughts; and we can presume that his fancy prefigured to him the moment when he should again visit Frederica.

The circumstance of hallucinations being recognized as such by the subject or not, is no more decisive for the diagnosis of the case than is the simple occurrence of deception of sense. Whether the hallucination is recognized as such or not depends more upon its contents and upon the metaphysical opinions, religious turn of mind, and superstition of the subject. Luther believed in the existence of a personal devil. His hallucination was the outcome of this belief—that is, of his ideas.

Consequently his holding the fallacious object to be real was no insane opinion, but was in consonance with his metaphysics. So it is with the visions of saints and prophets. We may admit that a considerable number of them were insane, but the hallucinations do not suffice to prove that every one of them was so. He who has devoted his whole life to religious meditations and tendencies and is fully convinced of the truth of his faith, who is penetrated with belief in the presence of a personal God, personal angels, tutelary spirits, etc., may, on an occasion of strong emotion, with a moderately lively fancy, have visions and hear voices, and hold them for real, without in the slightest degree justifying a suspicion of insanity. Such hallucinations, called forth by suggestion or auto-suggestion, occur less infrequently in men endowed with fancy. While Benvenuto Cellini was praying that God would once more let him see the sunlight a hallucination came to him. It was that of a landscape with the sun shining upon it. Napoleon, before important events, battles, etc., saw his star in the sky. Pascal, in consequence of a great fright, saw a precipice before him. If we are to accept Plutarch’s story,, the hallucination of Brutus is explicable in the same way.