International Center for Ethnobotanical Education, Research, and Service - ICEERS, Barcelona, Spain.
Medical Anthropology Research Center (MARC), Universitat Rovira i Virgili, Tarragona, Spain.
Cult Med Psychiatry. 2023 Jun;47(2):576-604. doi: 10.1007/s11013-022-09814-0. Epub 2023 Jan 12.
Hallucinations are currently associated almost exclusively with psychopathological states. While it is evident that hallucinations can indicate psychopathology or neurological disorders, we should remember that hallucinations also commonly occur in people without any signs of psychopathology. A similar case occurs in the case of hallucinogenic drugs, which have been long associated with psychopathology and insanity. However, during the last decades a huge body of research has shown that certain kinds of hallucinations, exerted by hallucinogenic drugs, may serve to improve mental health. We propose that, in light of historical, epidemiological, and scientific research, hallucinations can be better characterized as a common phenomenon associated sometimes with psychopathology but also with functional and even beneficial outcomes. In the last sections of the manuscript, we extend our argument, suggesting that hallucinations can offer a via regia to knowledge of the mind and the world. This radical shift in the cultural interpretation of hallucinations could have several implications for fields such as drug policy, civil law, and psychiatry, as well as for the stigma associated with mental disorders.
幻觉目前几乎完全与精神病理学状态相关联。虽然很明显,幻觉可以表明精神病理学或神经障碍,但我们应该记住,没有任何精神病理学迹象的人也经常会出现幻觉。类似的情况也发生在致幻药物的情况下,致幻药物长期以来一直与精神病理学和精神错乱有关。然而,在过去的几十年里,大量的研究表明,某些类型的幻觉,通过致幻药物产生,可以改善心理健康。我们提出,根据历史、流行病学和科学研究,幻觉可以更好地被描述为一种常见现象,有时与精神病理学有关,但也与功能甚至有益的结果有关。在本文稿的最后部分,我们扩展了我们的论点,认为幻觉可以为对思维和世界的认识提供一条途径。这种对幻觉的文化解释的根本性转变,可能会对药物政策、民法和精神病学等领域以及与精神障碍相关的污名产生多种影响。