What hallucination reveals about our minds | Oliver Sacks

5,921,091 views ・ 2009-09-18

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Prevoditelj: Stipe Drmić Recezent: Dunja Vucenovic
00:12
We see with the eyes,
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Vidimo očima.
00:14
but we see with the brain as well.
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Ali vidimo i mozgom isto tako.
00:18
And seeing with the brain is often called imagination.
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I gledanje mozgom se često zove imaginacija.
Upoznati smo s pejzažima naše vlastite imaginacije,
00:23
And we are familiar with the landscapes of our own imagination,
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00:27
our inscapes.
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našim unutarnjim pejzažima. Živimo s njima cijeli život.
00:28
We've lived with them all our lives.
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00:31
But there are also hallucinations as well.
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Ali postoje također i halucinacije.
00:35
And hallucinations are completely different.
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A halucinacije su nešto sasvim drugačije.
00:38
They don't seem to be of our creation.
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Čini se da ih nismo sami stvorili.
00:40
They don't seem to be under control.
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Čini se da nisu pod našom kontrolom.
00:42
They seem to come from the outside and to mimic perception.
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Čini se da dolaze izvana.
i oponašaju percepciju.
00:47
So I am going to be talking about hallucinations
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Tako ću pričati o halucinacijama.
00:51
and a particular sort of visual hallucination,
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I posebnoj vrsti vidnih halucinacija
00:55
which I see among my patients.
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koju vidim među svojim pacijentima.
01:00
A few months ago, I got a phone call from a nursing home where I work.
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Prije nekoliko mjeseci nazvali su me
iz staračkog doma gdje radim.
01:06
They told me that one of their residents, an old lady in her 90s,
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Rekli su mi da se jednoj od štićenica doma, starijoj gospođi u devedesetima,
01:11
was seeing things,
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priviđaju stvari.
01:13
and they wondered if she'd gone bonkers
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Pitali su se da li je pukla.
01:16
or, because she was an old lady,
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Ili, zato što je bila starija gospođa,
01:18
whether she'd had a stroke, or whether she had Alzheimer's.
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da li je imala moždani udar ili ima Alzheimerovu bolest.
01:21
And so they asked me if I would come and see Rosalie,
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I pitali su me da li bih došao vidjeti Rosalie,
01:26
the old lady.
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stariju gospođu.
01:28
I went in to see her.
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Otišao sam je vidjeti.
01:30
It was evident straightaway that she was perfectly sane
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Bilo je odmah jasno
da je potpuno razborita
01:35
and lucid and of good intelligence,
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lucidna i inteligentna.
01:38
but she'd been very startled and very bewildered,
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Ali bila je jako prestrašena, i jako zbunjena
01:42
because she'd been seeing things.
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jer su joj se priviđale stvari.
01:45
And she told me -- the nurses hadn't mentioned this --
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Rekla mi je--
sestre ovo nisu spominjale--
01:50
that she was blind,
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da je slijepa,
01:52
that she had been completely blind from macular degeneration for five years.
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da je potpuno slijepa, zbog makularne degeneracije, zadnjih pet godina.
01:57
But now, for the last few days, she'd been seeing things.
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Ali sada, zadnjih nekoliko dana, priviđaju joj se stvari.
02:00
So I said, "What sort of things?"
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Tako sam pitao, "Kakve stvari?"
02:02
And she said, "People in Eastern dress,
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Rekla je, "Ljude u orijentalnim haljinama,
02:06
in drapes, walking up and down stairs.
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ogrnute, šetaju se gore i dolje stepenicama.
02:10
A man who turns towards me and smiles,
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Čovjeka koji se okreće prema meni i smiješi se.
02:13
but he has huge teeth on one side of his mouth.
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Ali ima ogroman zub na jednoj strani usta.
02:17
Animals too.
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Životinje također.
02:19
I see a white building. It's snowing, a soft snow.
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Vidim bijelu zgradu. Pada snijeg, mekani snijeg.
02:22
I see this horse with a harness, dragging the snow away.
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Vidim tog konja, sa zapregom koja odguruje snijeg.
02:27
Then, one night, the scene changes.
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Tada, jedne noći, scena se mijenja.
02:30
I see cats and dogs walking towards me.
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Vidim mačke i pse koji hodaju prema meni.
02:33
They come to a certain point and then stop.
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Dođu do određenog mjesta i tada stanu.
02:36
Then it changes again.
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Tada se opet promijeni.
02:38
I see a lot of children. They're walking up and down stairs.
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Vidim mnoštvo djece. Hodaju gore dolje po stepenicama.
02:41
They wear bright colors, rose and blue,
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Nose jarke boje, ružičastu i plavu.
02:44
like Eastern dress."
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poput orijentalne haljine."
02:47
Sometimes, she said, before the people come on,
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Ponekad, rekla je, prije nego što ljudi dođu
02:50
she may hallucinate pink and blue squares on the floor,
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može halucinirati ružičaste i plave kvadrate na podu,
02:54
which seem to go up to the ceiling.
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koji se doimaju kao da idu prema stropu.
02:57
I said, "Is this like a dream?"
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Pitao sam, "Da li je to slično snu?"
03:01
And she said, "No, it's not like a dream. It's like a movie."
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A ona je rekla, "Ne, nije poput sna, više je slično filmu."
Rekla je, "Ima boju, ima pokret.
03:05
She said, "It's got color. It's got motion.
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03:07
But it's completely silent, like a silent movie."
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Ali je potpuno tiho, poput nijemog filma."
03:11
And she said it's a rather boring movie.
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I rekla je da je to donekle dosadan film.
03:13
(Laughter)
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Rekla je, "Svi ovi ljudi u orijentalnim haljinama,
03:14
She said, "All these people with Eastern dress,
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03:16
walking up and down, very repetitive, very limited."
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hodaju gore dolje, neprestano, veoma ograničeno.
03:20
(Laughter)
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(Smijeh)
03:22
And she had a sense of humor.
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I imala je smisao za humor.
03:24
She knew it was a hallucination, but she was frightened.
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Znala je da je to halucinacija.
Ali bila je preplašena. Ima 95 godina
03:28
She had lived 95 years,
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03:29
and she'd never had a hallucination before.
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i nikada prije nije imala halucinacije.
03:32
She said that the hallucinations were unrelated to anything she was thinking
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Rekla je da halucinacije nisu povezane
ni s čim o čemu misli ili osjeća ili radi.
03:37
or feeling or doing,
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Činilo se da se same pojavljuju, ili nestaju.
03:40
that they seemed to come on by themselves, or disappear.
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03:43
She had no control over them.
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Nije imala kontrolu nad njima.
Rekla je da nije prepoznavala
03:46
She said she didn't recognize any of the people or places
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ni ljude ni mjesta
03:49
in the hallucinations,
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u halucinacijama.
03:51
and none of the people or the animals --
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I nikoga od ljudi ili životinja,
03:53
well, they all seemed oblivious of her.
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činilo se da ne može upamtiti.
03:57
And she didn't know what was going on.
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I nije znala što se događa.
03:59
She wondered if she was going mad or losing her mind.
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Pitala se da li ludi,
da li je poludjela.
04:03
Well, I examined her carefully.
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Dakle, pažljivo sam je pregledao.
04:05
She was a bright old lady,
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Bila je bistra starica.
Potpuno razborita. Nije imala medicinskih problema.
04:08
perfectly sane.
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04:09
She had no medical problems.
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04:11
She wasn't on any medications which could produce hallucinations.
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Nije uzimala nikakve lijekove koji mogu stvoriti halucinacije.
04:15
But she was blind.
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Ali bila je slijepa.
04:17
And I then said to her, "I think I know what you have."
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I tada sam joj rekao,
"Mislim da znam što imate."
04:21
I said, "There is a special form of visual hallucination
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Rekao sam, "Postoji posebna vrsta vidnih halucinacija
04:25
which may go with deteriorating vision or blindness.
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koja može ići uz pogoršavanjem vida, ili slijepoću."
04:29
This was originally described," I said,
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"Ovo je prvi opisao," rekao sam,
04:32
"right back in the 18th century,
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"još u 18.stoljeću,
04:34
by a man called Charles Bonnet.
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čovjek koji se zvao Charles Bonnet.
04:37
And you have Charles Bonnet syndrome.
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I vi imate sindrom Charlesa Bonneta.
04:40
There's nothing wrong with your brain. There's nothing wrong with your mind.
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Sve je u redu s vašim mozgom. Sve je u redu s vašim umom.
Vi imate sindrom Charlesa Bonneta."
04:43
You have Charles Bonnet syndrome."
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04:45
And she was very relieved at this,
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I bilo joj je laknulo,
04:48
that there was nothing seriously the matter,
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da nije ništa ozbiljno,
04:51
and also rather curious.
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ali je također bila znatiželjna.
04:54
She said, "Who is this Charles Bonnet?"
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Pitala je, "Tko je taj Charles Bonnet?"
04:57
She said, "Did he have them himself?"
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Pitala je, "Da li je i on sam to imao?"
05:00
And she said, "Tell all the nurses that I have Charles Bonnet syndrome."
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I rekla je, "Recite svim sestrama
da ja imam sindrom Charlesa Bonneta."
05:05
(Laughter)
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(smijeh)
05:07
"I'm not crazy. I'm not demented. I have Charles Bonnet syndrome."
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"Nisam luda. Nisam dementna. Imam sindrom Charlesa Bonneta."
05:12
Well, so, I did tell the nurses.
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Tako sam i rekao sestrama.
05:14
Now this, for me, is a common situation.
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Ovo je za mene uobičajena situacija.
05:17
I work in old-age homes, largely.
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Većinom radim u starčkim domovima.
05:19
I see a lot of elderly people
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Vidim puno starijih ljudi
koji slabo čuju ili slabo vide.
05:22
who are hearing-impaired or visually impaired.
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05:25
About 10 percent of the hearing-impaired people
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Oko 10 posto onih s oštećenim sluhom
05:27
get musical hallucinations.
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imaju slušne halucinacije.
05:30
And about 10 percent of the visually impaired people
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I oko 10 posto onih s oštećenim vidom
05:33
get visual hallucinations.
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imaju vidne halucinacije.
05:35
You don't have to be completely blind,
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Ne morate biti potpuno slijepi,
05:37
only sufficiently impaired.
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nego samo dovoljno oštećenog vida.
05:39
Now, with the original description in the 18th century,
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U originalnom opisu iz 18 stoljeća,
05:43
Charles Bonnet did not have them.
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Charles Bonnet ih nije imao.
05:45
His grandfather had these hallucinations.
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Njegova djed je imao ovakve halucinacije.
05:48
His grandfather was a magistrate, an elderly man.
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Njegov djed je bio sudac, stariji čovjek.
05:51
He'd had cataract surgery.
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Operirao je mrenu.
05:54
His vision was pretty poor.
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vid mu je bio vrlo slab.
05:56
And in 1759, he described to his grandson
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I 1759.godine je opisao svom unuku
06:01
various things he was seeing.
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različite stvari koje su mu se priviđale.
06:03
The first thing he said was he saw a handkerchief in midair.
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Prvo što je rekao je da je vidio
maramicu u zraku.
06:07
It was a large blue handkerchief with four orange circles.
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Bila je to velika plava maramica
sa četiri narančasta kruga.
06:11
And he knew it was a hallucination.
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i znao je da je to bila halucinacija.
06:14
You don't have handkerchiefs in midair.
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Nemate baš maramica u zraku
06:16
And then he saw a big wheel in midair.
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I vidio je veliki kotač u zraku.
06:20
But sometimes he wasn't sure whether he was hallucinating or not,
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Ali ponekad nije bio siguran da li halucinira.
06:25
because the hallucinations would fit in the context of the visions.
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Jer su se halucinacije uklapale
u kontekst vida.
06:29
So on one occasion, when his granddaughters were visiting them,
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Tako je jednom prilikom, kad mu je unuka bila u posjeti,
pitao, "A tko je ovaj zgodan mladić s tobom?"
06:33
he said, "And who are these handsome young men with you?"
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06:36
(Laughter)
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06:37
And they said, "Alas, Grandpapa, there are no handsome young men."
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A ona je odgovorila, "Jao, djede, pa nema nikakvog zgodnog mladića."
06:41
And then the handsome young men disappeared.
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I tada je zgodni mladić iščezao.
06:45
It's typical of these hallucinations
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To je tipično za ovakve halucinacije
06:48
that they may come in a flash and disappear in a flash.
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da se mogu munjevito pojaviti i nestati.
06:51
They don't usually fade in and out.
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Obično se ne pojavljuju i ne nestaju polagano.
06:53
They are rather sudden, and they change suddenly.
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One su prilično iznenadne. I mijenjaju se naglo.
Charles Lullin, djeda,
06:57
Charles Lullin, the grandfather,
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06:59
saw hundreds of different figures,
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vidio je na stotine različitih likova,
07:02
different landscapes of all sorts.
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različite krajolike svih vrsta
07:04
On one occasion, he saw a man in a bathrobe smoking a pipe,
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Jednom prilikom vidio je čovjeka u kućnom ogrtaču kako puši lulu,
07:08
and realized it was himself.
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i shvatio je da je to on sam.
07:11
That was the only figure he recognized.
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To je bio jedini lik kojeg je prepoznao.
07:14
On one occasion, when he was walking in the streets of Paris,
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Jednom prilikom dok je šetao ulicama Pariza,
07:18
he saw -- this was real -- a scaffolding.
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vidio je--zaista--građevinske skele.
07:21
But when he got back home, he saw a miniature of the scaffolding,
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Ali kad se vratio kući vidio je minijaturne skele
07:24
six inches high,
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visoke petnaest centimetara na svom radnom stolu.
07:26
on his study table.
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07:28
This repetition of perception is sometimes called "palinopsia."
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Ovo ponavljanje percepcije
se ponekad zove palinopsija.
Kod njega, i kod Rosalie,
07:34
With him and with Rosalie,
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07:38
what seems to be going on --
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se izgleda događalo--
07:40
and Rosalie said, "What's going on?" --
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i Rosalie je pitala, "Što se dešava?"--
07:42
and I said that as you lose vision,
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a ja sam joj rekao da kad izgubiš vid,
07:45
as the visual parts of the brain are no longer getting any input,
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tada vidni dijelovi mozga više ne dobijaju ulazne informacije,
07:48
they become hyperactive and excitable,
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i postaju hiperaktivni i podražljivi.
07:51
and they start to fire spontaneously.
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I počinju spontano okidati.
I počinje vam se priviđati.
07:54
And you start to see things.
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07:56
The things you see can be very complicated indeed.
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Stvari koje vidite mogu biti zaista komplicirane.
Kod jednog mog pacijenta,
08:00
With another patient of mine who also had some vision,
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koja je, (poput Charles Lullina) imala neka priviđenja,
priviđenja koja mogu biti uznemirujuća.
08:06
the visions she had could be disturbing.
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08:09
On one occasion, she said she saw a man in a striped shirt in a restaurant.
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Jednom prilikom je rekla da je vidjela
čovjeka u prugastoj majici u restoranu.
08:15
And he turned round,
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I on se okrenuo. Tada
08:16
and then he divided into six figures in striped shirts,
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se podijelio u šest identičnih likova u prugastim majicama,
08:20
who started walking towards her.
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koji su krenuli prema njoj.
08:23
And then the six figures came together, like a concertina.
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I tada su se šest figura opet spojila u jednu.
08:26
Once, when she was driving,
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jednom, dok je vozila,
08:28
or rather, her husband was driving,
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ili bolje, dok je vozio njen muž,
08:30
the road divided into four
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cesta se podijelila u četiri ceste.
08:32
and she felt herself going simultaneously up four roads.
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I osjetila je kako istovremeno ide preko svih četiri.
Imala je također, vrlo pokretne halucinacije.
08:37
She had very mobile hallucinations as well.
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08:41
A lot of them had to do with a car.
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I većina je imala veze s autom.
08:44
Sometimes she would see a teenage boy sitting on the hood of the car.
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Ponekad bi vidjela adolescentnog dječaka
kako sjedi na poklopcu motora automobila.
08:48
He was very tenacious,
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Bio je vrlo uporan i kretao se prilično graciozno
08:50
and he moved rather gracefully when the car turned.
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kad je auto skrenuo.
08:53
And then when they came to a stop,
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I kad su se zaustavili,
08:56
the boy would do a sudden vertical takeoff, 100 foot in the air,
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dječak je iznenada uzletio, 30 metara u zrak,
08:59
and then disappear.
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i zatim nestao.
09:02
Another patient of mine had a different sort of hallucination.
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Jedan drugi moj pacijent je imao drugačiju vrstu halucinacija.
09:07
This was a woman who didn't have trouble with her eyes
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To je bila žena koja nije imala poteškoća s očima,
09:10
but the visual parts of her brain,
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nego s vidnim dijelovima mozga.
09:12
a little tumor in the occipital cortex.
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Maleni tumor u zatiljnom dijelu kore mozga.
09:15
And, above all, she would see cartoons.
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I, iznad svega, ona bi vidjela crtiće.
09:20
And these cartoons would be transparent,
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Ovi crtići bi bili prozirni
09:24
and would cover half the visual field, like a screen.
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i prekrivali bi polovicu vidnog polja, poput ekrana.
09:28
And especially, she saw cartoons of Kermit the Frog.
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i naročito je vidjela crtiće s žapcem Kermitom.
09:33
(Laughter)
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(smijeh)
09:35
Now, I don't watch Sesame Street,
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ja ne gledam Ulicu Sezam.
Ali imala je pravo kad je govorila,
09:39
but she made a point of saying,
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09:41
"Why Kermit?" she said, "Kermit the Frog means nothing to me."
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"Zašto Kermit?" Pitala je, "Žabac Kermit mi ništa ne znači.
09:45
You know, I was wondering about Freudian determinants: Why Kermit?
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Znate, razmišljao sam oko Freudovskih odrednica.
Zašto Kermit?
09:50
"Kermit the Frog means nothing to me."
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Žabac Kermit mi ništa ne znači."
09:52
She didn't mind the cartoons too much.
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Nije baš marila za crtiće.
09:54
But what did disturb her
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Ali ono što ju je uznemirilo je to što je imala stalne
09:56
was she got very persistent images or hallucinations of faces,
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slike ili halucinacije lica
10:01
and as with Rosalie, the faces were often deformed,
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i kao i kod Rosalie, lica su često bila deformirana,
10:04
with very large teeth or very large eyes.
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s veoma velikim zubima, ili veoma velikim očima.
10:08
And these frightened her.
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I to ju je plašilo.
10:11
Well, what is going on with these people?
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Dakle, što se događalo ovim ljudima?
10:15
As a physician, I have to try and define what's going on
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Kao liječnik, morao sam se potruditi i definirati što se događa,
10:18
and to reassure people,
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i uvjeriti ljude.
10:20
especially to reassure them that they're not going insane.
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Naročito ih uvjeriti da neće poludjeti.
Oko 10 posto, kako sam rekao,
10:25
Something like 10 percent, as I said,
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10:27
of visually impaired people get these.
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ljudi s oštećenjem vida imaju ovakve halucinacije.
10:30
But no more than one percent of the people acknowledge them,
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Ali ne više od jedan posto ljudi ih priznaje.
10:34
because they are afraid they will be seen as insane or something.
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Jer se boje da će ih smatrati luđacima ili nešto slično.
10:37
And if they do mention them to their own doctors,
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I ako ih spominju svojim liječnicima
mogu biti krivo dijagnosticirani.
10:40
they may be misdiagnosed.
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10:42
In particular, the notion is that if you see things or hear things,
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Uglavnom, smatra se da ako vidite
stvari ili čujete stvari, da gubite razum.
10:45
you're going mad.
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10:47
But the psychotic hallucinations are quite different.
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Ali psihotične halucinacije su nešto sasvim drugo.
10:50
Psychotic hallucinations, whether they are visual or vocal,
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psihotične halucinacije, bilo da su vidne ili slušne,
10:53
they address you.
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obraćaju se vama. Optužuju vas.
10:54
They accuse you, they seduce you, they humiliate you, they jeer at you.
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Zavode vas. Ponižavaju vas.
Rugaju vam se.
11:00
You interact with them.
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Vi sudjelujete u njima.
11:02
There is none of this quality of being addressed
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Nijedne od ovih karakteristika nema
11:05
with these Charles Bonnet hallucinations.
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u halucinacijama Charlesa Bonneta.
11:08
There is a film. You're seeing a film which has nothing to do with you --
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Imate film. Gledate film koji nema veze s vama.
11:12
or that's how people think about it.
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Tako ljudi misle o tome.
11:15
There is also a rare thing called temporal lobe epilepsy,
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Također postoji rijetko stanje koje se zove epilepsija sljepoočnog režnja.
11:19
and sometimes, if one has this,
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i ponekad, ako netko to ima,
11:22
one may feel oneself transported back to a time and place in the past.
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može se osjećati transportiran natrag
u vremenu i prostoru u prošlost.
11:27
You're at a particular road junction.
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Nalazite se na posebnom raskrižju cesta.
11:29
You smell chestnuts roasting.
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Mirišete pečene kestene.
11:31
You hear the traffic. All the senses are involved.
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Čujete prometnu gužvu. Sva osjetila su uključena.
I vi čekate svoju djevojku.
11:35
And you're waiting for your girl.
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11:36
And it's that Tuesday evening back in 1982.
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I utorak je navečer u 1982.g.
11:40
The temporal lobe hallucinations are all sense hallucinations,
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I halucinacije sljepoočnog režnja
su sve multisenzorne halucinacije,
11:44
full of feeling, full of familiarity,
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prepune osjećaja, prepuna poznatog,
11:47
located in space and time,
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smještena u prostoru i vremenu,
11:49
coherent, dramatic.
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usklađena, dramatična.
11:51
The Charles Bonnet ones are quite different.
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Halucinacije Charlesa Bonneta su sasvim drugačije.
11:54
In the Charles Bonnet hallucinations, you have all sorts of levels,
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Tako u halucinacijama Charles Bonneta,
imate sve vrste razina,
12:00
from the geometrical hallucinations --
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od geometrijskih halucinacija,
12:02
the pink and blue squares the woman had --
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ružičastih i plavih kvadrata koje je gospođa imala,
12:05
up to quite elaborate hallucinations
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do posebno razrađenih halucinacija
12:09
with figures and especially faces.
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s likovima i posebno licima.
12:12
Faces, and sometimes deformed faces,
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Lica, i ponekad deformirana lica,
12:15
are the single commonest thing in these hallucinations.
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su najčešće stvari
u ovim halucinacijama.
12:20
And one of the second commonest is cartoons.
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A druge najčešće su crtići.
12:23
So, what is going on?
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Pa, što se događa?
12:26
Fascinatingly, in the last few years,
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Fascinatno je, zadnjih nekoliko godina,
12:28
it's been possible to do functional brain imagery,
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je moguće učiniti funkcijske prikaze mozga,
12:32
to do fMRI on people as they are hallucinating,
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napraviti funkcijsku magnetnu rezonancu (fMRI) ljudima koji haluciniraju.
I u stvari, pronaći te različite dijelove
12:37
and, in fact, to find that different parts of the visual brain are activated
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vidnog dijela mozga koji su aktivirani
12:43
as they are hallucinating.
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dok oni haluciniraju.
12:45
When people have these simple, geometrical hallucinations,
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Kad ljudi imaju ove jednostavne geometrijske halucinacije,
12:48
the primary visual cortex is activated.
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3554
aktivirana je primarna vidna kora.
12:52
This is the part of the brain which perceives edges and patterns.
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To je dio mozga koji opaža rubove i uzorke.
12:55
You don't form images with your primary visual cortex.
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Ne stvarate slike pomoću primarne vidne kore.
12:59
When images are formed,
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Kada su slike stvorene,
13:02
a higher part of the visual cortex is involved, in the temporal lobe.
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viši dio vidne kore
u sljepoočnom režnju je uključen.
I posebno, jedno područje sljepoočnog režnja
13:07
And in particular, one area of the temporal lobe
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13:11
is called the fusiform gyrus.
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koje se zove fuziformna vijuga.
13:13
And it's known that if people have damage in the fusiform gyrus,
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I poznato je da ukoliko ljudi imaju oštećenje u fuziformnoj vijuzi,
13:17
they may lose the ability to recognize faces.
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mogu izgubiti sposobnost prepoznavanja lica.
13:21
But if there's an abnormal activity in the fusiform gyrus,
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Ali ako postoji abnormalna aktivnost u fuziformnoj vijuzi,
13:25
they may hallucinate faces,
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mogu halucinirati lica.
13:27
and this is exactly what you find in some of these people.
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I to je točno ono što se može pronaći kod ovih ljudi.
13:30
There is an area in the anterior part of this gyrus
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4183
U prednjem dijelu ove vijuge nalazi se područje
13:34
where teeth and eyes are represented,
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4232
gdje su zubi i oči reprezentirani.
13:39
and that part of the gyrus is activated
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3612
I taj dio vijuge je aktiviran
13:42
when people get the deformed hallucinations.
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kad ljudi imaju deformirane halucinacije.
13:46
There is another part of the brain which is especially activated
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Postoji još jedan dio mozga
koji je posebno aktivan
13:50
when one sees cartoons.
256
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1976
kad netko vidi crtiće.
13:52
It's activated when one recognizes cartoons,
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2885
On je aktivin kad netko prepoznaje crtiće,
13:55
when one draws cartoons and when one hallucinates them.
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kad netko crta crtiće, i kad ih halucinira.
13:59
It's very interesting that that should be specific.
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3256
Jako je zanimljivo da bi to trebalo biti specifično.
14:02
There are other parts of the brain which are specifically involved
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3128
Postoje i drugi dijelovi mozga koji su posebno uključeni
14:05
with the recognition and hallucination of buildings and landscapes.
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u prepoznavanje i halucinacije
zgrada i pejzaža.
14:09
Around 1970, it was found that there were not only parts of the brain,
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3938
Oko 1970.g. je otkriveno da nisu samo uključeni posebni dijelovi mozga,
14:13
but particular cells.
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1880
već posebne stanice.
14:15
"Face cells" were discovered around 1970.
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4184
"Stanice za lice" su otkrivene oko 1970.g.
14:20
And now we know that there are hundreds of other sorts of cells,
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I sada znamo da postoje i stotine drugih
vrsta stanica,
14:24
which can be very, very specific.
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koje mogu biti vrlo, vrlo specifične.
14:26
So you may not only have "car" cells, you may have "Aston Martin" cells.
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Tako da ne samo da imate
stanice za "auto"
možete imati i "Aston Martin" stanice.
14:33
(Laughter)
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2274
(smijeh)
14:35
I saw an Aston Martin this morning. I had to bring it in.
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Vidio sam Aston Martin jutros.
morao sam ga donijeti.
14:38
(Laughter)
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1023
i sad je tu negdje.
14:40
And now it's in there, somewhere.
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2816
14:42
So --
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1158
(smijeh)
14:44
(Laughter)
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14:45
now, at this level, in what's called the inferotemporal cortex,
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Sada, na ovoj razini, u onome što se zove inferotemporalna kora,
nalaze se samo vizualne slike,
14:50
there are only visual images,
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2286
14:52
or figments or fragments.
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ili maštanja ili fragmenti.
14:55
It's only at higher levels that the other senses join in
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5037
Samo na višim razinama
kad se ostala osjetila priključe
15:00
and there are connections with memory and emotion.
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i kad se spoje s pamćenjem i osjećajima.
U sindromu Charlesa Bonneta
15:03
And in the Charles Bonnet syndrome,
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15:04
you don't go to those higher levels.
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ne idete na ove više razine.
15:07
You're in these levels of inferior visual cortex,
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3011
Vi ste na ovim razinama inferiorne vidne kore
15:10
where you have thousands and tens of thousands
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gdje imate tisuće i desetke tisuća
15:12
and millions of images,
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2317
i milijuna slika,
15:15
or figments or fragmentary figments,
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ili maštanja, ili fragmentiranih maštanja,
15:17
all neurally encoded in particular cells or small clusters of cells.
285
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5797
sva neuronalno šifrirana,
u posebnim stanicama ili malim nakupinama stanica.
15:23
Normally, these are all part of the integrated stream of perception,
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5389
Normalno su one dio
integriranog snopa percepcije ili maštanja.
15:29
or imagination,
287
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1673
15:30
and one is not conscious of them.
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2038
I pojedinac ih nije svjestan.
15:33
It is only if one is visually impaired or blind
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4075
Samo ako je netko oštećenog vida, ili slijep,
15:37
that the process is interrupted.
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2570
tad je proces prekinut.
15:39
And instead of getting normal perception,
291
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2473
I umjesto normalne percepcije,
15:42
you're getting an anarchic,
292
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2539
dobijete anarhičnu,
15:44
convulsive stimulation, or release,
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2989
konvulzivnu stimulaciju, ili otpuštanje,
15:47
of all of these visual cells in the inferotemporal cortex.
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3867
ovih vidnih stanica,
u inferotemporalnoj kori.
15:51
So, suddenly, you see a face. Suddenly, you see a car.
295
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2789
Tako da iznenada vidite lice. Iznenada vidite auto.
15:54
Suddenly this and suddenly that.
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2714
Iznenada ovo, i iznenada ono.
15:57
The mind does its best to organize
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2373
Um daje sve od sebe da organizira,
15:59
and to give some sort of coherence to this,
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2678
i daje tome neku vrstu suvislosti.
16:02
but not terribly successfully.
299
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2539
Ali ne strašno uspješno.
16:04
When these were first described,
300
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1648
Kada je ovo bilo prvi put opisano
16:06
it was thought that they could be interpreted like dreams.
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3565
mislilo se da se mogu interpretirati poput snova.
16:10
But, in fact, people say,
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1826
Ali u stvari ljudi kažu,
16:12
"I don't recognize the people. I can't form any associations.
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4412
"Ne mogu prepoznati ljude. Ne mogu imati asocijacije."
"Kermit mi ništa ne znači."
16:16
Kermit means nothing to me."
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976436
1950
16:18
You don't get anywhere, thinking of them as dreams.
305
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5651
Ne misle svi da su to snovi.
Dakle, rekao sam više, manje što sam želio.
16:24
Well, I've more or less said what I wanted.
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4301
16:28
I think I just want to recapitulate and say this is common.
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4914
Mislim da želim samo ponoviti
i reći da je ovo često.
16:33
Think of the number of blind people.
308
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1779
Pomislite koliko ima slijepih ljudi.
16:35
There must be hundreds of thousands of blind people
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2591
Mora biti na stotine tisuća slijepih ljudi
16:37
who have these hallucinations
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1714
koji imaju ovakve halucinacije,
16:39
but are too scared to mention them.
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2121
ali koji se boje spominjati ih.
16:41
So this sort of thing needs to be brought into notice,
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5488
Tako da se o ovoj stvari treba obznaniti
i pacijentima, i liječnicima, i javnosti.
16:47
for patients, for doctors, for the public.
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2431
16:49
Finally, I think they are infinitely interesting and valuable,
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5026
konačno, mislim da su
beskrajno zanimljive, i vrijedne,
16:55
for giving one some insight as to how the brain works.
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4274
za dati nekome neki uvid kako mozak radi.
16:59
Charles Bonnet said, 250 years ago --
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3597
Charles Bonnet je rekao prije 250 godina--
17:02
he wondered how, thinking of these hallucinations,
317
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3444
pitao se kako, razmišljajući o ovm halucinacijama,
17:06
how, as he put it, the theater of the mind
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2680
kako, kao što je on to nazvao, teatar uma
17:09
could be generated by the machinery of the brain.
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3350
može biti stvoren mašinerijom mozga.
17:12
Now, 250 years later,
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2422
Sada, 250 godina kasnije,
17:15
I think we're beginning to glimpse how this is done.
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3286
Mislim da počinjemo spoznavati kako to nastaje.
17:18
Thanks very much.
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1200
Hvala vam puno.
17:19
(Applause)
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2977
(Pljesak)
17:22
Chris Anderson: That was superb. Thank you so much.
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2977
Chris Anderson: Ovo je bilo sjajno. Puno vam hvala.
17:25
You speak about these things with so much insight
325
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2970
Govorite o ovim stvarima s toliko uvida
17:28
and empathy for your patients.
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2451
i empatije za svoje pacijente.
17:31
Have you yourself experienced any of the syndromes you write about?
327
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3820
Jeste li kad sami imali neke od sindroma o kojima pišete?
17:35
Oliver Sacks: I was afraid you would ask that.
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2217
Oliver Sacks: Bojao sam se da ćete to pitati.
17:37
(Laughter)
329
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1828
(Smijeh)
17:39
Well, yeah, a lot of them.
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2368
Da, puno njih.
17:42
And, actually, I'm a little visually impaired myself.
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3067
i zapravo i sam imam manje oštećenje vida.
17:45
I'm blind in one eye and not terribly good in the other.
332
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3183
Slijep sam na jedno oko, a ni na drugo ne vidim strašno dobro.
17:48
And I see the geometrical hallucinations.
333
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4050
I ja vidim geometrijske halucinacije.
17:52
But they stop there.
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1473
Ali one stanu tamo.
17:53
CA: And they don't disturb you?
335
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1893
C.A.; I ne smetaju vam?
17:55
Because you understand what's doing it, it doesn't make you worried?
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3239
Zato što razumijete što se dešava. To vas ne zabrinjava?
O.S.: pa, ne smeta mi ništa više nego moje zujanje u ušima.
17:59
OS: Well, they don't disturb me any more than my tinnitus,
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3225
18:02
which I ignore.
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3105
Koje ignoriram.
18:05
They occasionally interest me,
339
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1688
Ponekad me zainteresiraju.
18:07
and I have many pictures of them in my notebooks.
340
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2909
I imam puno njihovih slika u notesu.
18:10
I've gone and had an fMRI myself,
341
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2852
I sam sam išao na funkcijsku magnetnu rezonancu (FMRI)
18:13
to see how my visual cortex is ticking over.
342
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3055
da vidim kako moja vidna kora preuzima.
18:16
And when I see all these hexagons
343
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4154
i kad vidim sve ove šesterokute
18:20
and complex things, which I also have,
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2069
i složene stvari, koje također imam,
18:22
in visual migraine,
345
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1763
u vidnoj migreni,
18:24
I wonder whether everyone sees things like this
346
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2452
Pitam se da li svi vide stvari poput ovih,
18:26
and whether things like cave art or ornamental art
347
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2950
bilo da su to stvari kao špiljska umjetnost ili ornamentalna umjetnost
18:29
may have been derived from them a bit.
348
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2074
mogu nastati bar malo iz njih.
18:32
CA: That was an utterly, utterly fascinating talk.
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C.A.:Ovo je bio krajnje, krajnje, fascinatno predavanje.
18:34
Thank you so much for sharing.
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hvala vam puno što ste ga podijelili.
18:36
OS: Thank you. Thank you.
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O.S.: Hvala vama. Hvala vama.
18:38
(Applause)
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(Pljesak)
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