What hallucination reveals about our minds | Oliver Sacks

5,925,790 views ・ 2009-09-18

TED


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翻译人员: Chuner Guo 校对人员: Wang Qian
00:12
We see with the eyes,
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我们用眼睛看世界
00:14
but we see with the brain as well.
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但我们也用大脑看
00:18
And seeing with the brain is often called imagination.
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用大脑来看,也就是我们常说的想象
我们很熟悉自己想象的模式
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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也就是内心世界,它伴随我们一生
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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然而想象之外还有幻觉
00:35
And hallucinations are completely different.
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幻觉跟想象截然不同
00:38
They don't seem to be of our creation.
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它似乎不是我们所创造的
00:40
They don't seem to be under control.
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好像也不受我们的控制
00:42
They seem to come from the outside and to mimic perception.
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它似乎源自外界
又伪装成我们自己的感知
00:47
So I am going to be talking about hallucinations
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所以我将就幻觉做一些解释
00:51
and a particular sort of visual hallucination,
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也会提到我在病人身上观察到的
00:55
which I see among my patients.
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一种特殊的视觉幻觉
01:00
A few months ago, I got a phone call from a nursing home where I work.
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几个月前我接到从我工作的养老院
打来的一个电话
01:06
They told me that one of their residents, an old lady in her 90s,
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他们告诉我住客中有一位90多的老太太
01:11
was seeing things,
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“看到了一些东西”
01:13
and they wondered if she'd gone bonkers
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他们怀疑她是不是疯了
01:16
or, because she was an old lady,
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或者因为年纪大
01:18
whether she'd had a stroke, or whether she had Alzheimer's.
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得了中风,或是老年痴呆症
01:21
And so they asked me if I would come and see Rosalie,
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所以他们请我去看看罗萨莉
01:26
the old lady.
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也就是那个老太太
01:28
I went in to see her.
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我去了后
01:30
It was evident straightaway that she was perfectly sane
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马上就发现
她不仅完全神志正常
01:35
and lucid and of good intelligence,
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还非常清醒、明智
01:38
but she'd been very startled and very bewildered,
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就是有点吓坏了,还有点奇怪
01:42
because she'd been seeing things.
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为什么她会出现幻视
01:45
And she told me -- the nurses hadn't mentioned this --
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她还说
护士忘了告诉我
01:50
that she was blind,
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她眼睛是看不见的
01:52
that she had been completely blind from macular degeneration for five years.
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她五年前就因为视网膜黄斑退化而完全失明了
01:57
But now, for the last few days, she'd been seeing things.
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近几天却看到了幻象
02:00
So I said, "What sort of things?"
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我问:“什么样的幻象?”
02:02
And she said, "People in Eastern dress,
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她说:“许多人穿着东方服饰
02:06
in drapes, walking up and down stairs.
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那种长袍式的,在楼梯上上下下
02:10
A man who turns towards me and smiles,
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一个男的转过来对我笑
02:13
but he has huge teeth on one side of his mouth.
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但他的嘴巴只有一边长着牙,很大的牙
02:17
Animals too.
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还有很多动物
02:19
I see a white building. It's snowing, a soft snow.
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有一栋白色的楼,天在下雪,小雪
02:22
I see this horse with a harness, dragging the snow away.
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我还看到一匹戴着挽具的马不断把雪拖走
02:27
Then, one night, the scene changes.
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然后有一天晚上,幻象变了
02:30
I see cats and dogs walking towards me.
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变成好多猫和狗朝我这边走
02:33
They come to a certain point and then stop.
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走着走着就停了
02:36
Then it changes again.
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然后又变了
02:38
I see a lot of children. They're walking up and down stairs.
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这回我看到很多小朋友在楼梯上爬上爬下
02:41
They wear bright colors, rose and blue,
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他们穿着颜色鲜艳的衣服,有玫瑰色,有蓝色
02:44
like Eastern dress."
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就像东方服饰。”
02:47
Sometimes, she said, before the people come on,
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她说,有时候在她看到人之前
02:50
she may hallucinate pink and blue squares on the floor,
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她还能看到地板上粉色和蓝色的方块
02:54
which seem to go up to the ceiling.
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跑到天花板上
02:57
I said, "Is this like a dream?"
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我问:“像不像做梦?”
03:01
And she said, "No, it's not like a dream. It's like a movie."
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她说:“不,不像梦。像个电影。”
“它是有颜色的,还有动作
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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不过一点声音都没有,像默片。”
03:11
And she said it's a rather boring movie.
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她还说那电影相当无聊
03:13
(Laughter)
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她说:“所有人都穿着东方衣服
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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爬上爬下,不停地,一点别的花样都没有。”
03:20
(Laughter)
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(笑声)
03:22
And she had a sense of humor.
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她很幽默
03:24
She knew it was a hallucination, but she was frightened.
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而且知道那是个幻觉
但她有点害怕,因为她活了95年
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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从来没有出现过幻觉
03:32
She said that the hallucinations were unrelated to anything she was thinking
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她说那些幻觉跟她的意识和行为
一点都不相干
03:37
or feeling or doing,
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总是这么无缘无故地出现,又无缘无故地消失
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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完全不受她控制
而幻觉中出现的
03:46
She said she didn't recognize any of the people or places
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人和地点
03:49
in the hallucinations,
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她一个都不认识
03:51
and none of the people or the animals --
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里面的人和动物
03:53
well, they all seemed oblivious of her.
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也好像看不见她
03:57
And she didn't know what was going on.
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她不知道这是这么了
03:59
She wondered if she was going mad or losing her mind.
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她想,她是疯了
还是在失去理智
04:03
Well, I examined her carefully.
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于是我为这个活泼的老太太
04:05
She was a bright old lady,
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做了详尽的检查
结果发现她的神智完全正常,没有精神问题
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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她所吃的药也都没有致幻的副作用
04:15
But she was blind.
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不过,她是盲的
04:17
And I then said to her, "I think I know what you have."
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所以我说:
“我想我知道你的问题是什么了。
04:21
I said, "There is a special form of visual hallucination
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有一种特殊的视觉幻觉
04:25
which may go with deteriorating vision or blindness.
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会发生在视力受损或完全失明的人身上
04:29
This was originally described," I said,
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这种现象
04:32
"right back in the 18th century,
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最早在18世纪
04:34
by a man called Charles Bonnet.
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被一个叫查尔斯·邦纳的人描述过
04:37
And you have Charles Bonnet syndrome.
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你得的就是邦纳症候群(Charles Bonnet syndrome)
04:40
There's nothing wrong with your brain. There's nothing wrong with your mind.
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问题既不在你的大脑,也不在你的意识
你只是得了这种邦纳症候群。”
04:43
You have Charles Bonnet syndrome."
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04:45
And she was very relieved at this,
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她大松一口气
04:48
that there was nothing seriously the matter,
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还好不是什么重病
04:51
and also rather curious.
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完了还相当好奇
04:54
She said, "Who is this Charles Bonnet?"
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她问:“这个查尔斯
04:57
She said, "Did he have them himself?"
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他也有这种幻觉吗?
05:00
And she said, "Tell all the nurses that I have Charles Bonnet syndrome."
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还有,告诉那些护工,
我只不过是得了邦纳症候群。“
05:05
(Laughter)
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(笑声)
05:07
"I'm not crazy. I'm not demented. I have Charles Bonnet syndrome."
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“我没疯,也没傻,我只是得了邦纳症候群。”
05:12
Well, so, I did tell the nurses.
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于是我照她的意思告诉了护工们
05:14
Now this, for me, is a common situation.
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其实这种现象对我来说并不稀奇
05:17
I work in old-age homes, largely.
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我在养老院工作
05:19
I see a lot of elderly people
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认识很多老人
是听力或视力受损的
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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10%的听力受损者
05:27
get musical hallucinations.
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有听觉幻觉
05:30
And about 10 percent of the visually impaired people
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10%的视力受损者
05:33
get visual hallucinations.
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有视觉幻觉
05:35
You don't have to be completely blind,
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不一定要完全失明
05:37
only sufficiently impaired.
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或完全听不到,才会有这种幻觉
05:39
Now, with the original description in the 18th century,
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18世纪的查尔斯·邦纳
05:43
Charles Bonnet did not have them.
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其实并没有这种症状
05:45
His grandfather had these hallucinations.
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产生幻觉的是他的祖父
05:48
His grandfather was a magistrate, an elderly man.
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一位年长的长官
05:51
He'd had cataract surgery.
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这个长官曾接受过白内障手术
05:54
His vision was pretty poor.
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视力不大好
05:56
And in 1759, he described to his grandson
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1759年,他向孙子描述了
06:01
various things he was seeing.
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他看到的各种各样的幻象
06:03
The first thing he said was he saw a handkerchief in midair.
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第一个幻象
是一块悬浮在空中的手帕
06:07
It was a large blue handkerchief with four orange circles.
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大大的,蓝色的
还有四个橙色的圆圈
06:11
And he knew it was a hallucination.
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他知道这是个幻觉
06:14
You don't have handkerchiefs in midair.
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因为手帕不会浮在半空
06:16
And then he saw a big wheel in midair.
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他还看到过一个大轮子浮在空中
06:20
But sometimes he wasn't sure whether he was hallucinating or not,
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不过有时候他也搞不清楚看到的到底是不是幻觉
06:25
because the hallucinations would fit in the context of the visions.
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因为这些幻觉
会融合在现实的背景里
06:29
So on one occasion, when his granddaughters were visiting them,
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有一次,当他的孙女们来探望他时,他又看到了幻觉
他问:“这几个跟你们在一起的帅小伙子是谁啊?”
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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孙女们却说:“诶,爷爷,没有你说的帅小伙啊。”
06:41
And then the handsome young men disappeared.
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突然间帅小伙们就消失了
06:45
It's typical of these hallucinations
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这是一种典型的幻觉
06:48
that they may come in a flash and disappear in a flash.
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刷一下来,刷一下去
06:51
They don't usually fade in and out.
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没有渐变
06:53
They are rather sudden, and they change suddenly.
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相当突然,变得也快
查尔斯·鲁林,也就是那个祖父
06:57
Charles Lullin, the grandfather,
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06:59
saw hundreds of different figures,
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看到过几百个不同的人像
07:02
different landscapes of all sorts.
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还有各种各样的景色
07:04
On one occasion, he saw a man in a bathrobe smoking a pipe,
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有一次,他看到一个穿浴袍的男人在抽烟斗
07:08
and realized it was himself.
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然后意识到,那就是他自己
07:11
That was the only figure he recognized.
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那是唯一一个他辨认出来的人像
07:14
On one occasion, when he was walking in the streets of Paris,
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还有一次,他在巴黎的街道上
07:18
he saw -- this was real -- a scaffolding.
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当真看到了一个脚手架
07:21
But when he got back home, he saw a miniature of the scaffolding,
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回到家后,却看到了那个脚手架的迷你版
07:24
six inches high,
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六英尺高,就立在他的书桌上
07:26
on his study table.
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07:28
This repetition of perception is sometimes called "palinopsia."
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这种感知的重复
有时会被称作视像保留
这种在查尔斯·鲁林和罗斯莉
07:34
With him and with Rosalie,
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07:38
what seems to be going on --
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身上发生的
07:40
and Rosalie said, "What's going on?" --
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让罗斯莉问道“我这是这么了?”的现象
07:42
and I said that as you lose vision,
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我这么解释吧:随着视力的减退
07:45
as the visual parts of the brain are no longer getting any input,
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大脑与视力相关的部分渐渐失去了信息输入
07:48
they become hyperactive and excitable,
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从而进入一种过度活跃的、待激活的状态
07:51
and they start to fire spontaneously.
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于是它开始自发地活动
让人产生幻象
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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产生的幻象可以相当复杂
我有一个病人
08:00
With another patient of mine who also had some vision,
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(像查尔斯·鲁林一样)视力没有完全减退
她看到的幻象比较恼人
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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她说有一次她看到
餐馆里有一个穿条纹恤衫的男人
08:15
And he turned round,
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他转过身
08:16
and then he divided into six figures in striped shirts,
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然后就突然分裂成6个同样穿条纹恤衫的人像
08:20
who started walking towards her.
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开始朝她走来
08:23
And then the six figures came together, like a concertina.
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然后六个人就合了起来,就像手风琴一样
08:26
Once, when she was driving,
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有一次她正在开车
08:28
or rather, her husband was driving,
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应该说,是他丈夫在开
08:30
the road divided into four
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路突然就分裂成了4条
08:32
and she felt herself going simultaneously up four roads.
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她感觉就像同时在4条路上行驶
她的幻觉充满动感
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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往往会牵涉到车
08:44
Sometimes she would see a teenage boy sitting on the hood of the car.
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有时她会看到一个青年男孩
坐在引擎盖上
08:48
He was very tenacious,
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紧抓不放,车转弯时
08:50
and he moved rather gracefully when the car turned.
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他便随着车的动作缓缓倾斜
08:53
And then when they came to a stop,
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车停下后
08:56
the boy would do a sudden vertical takeoff, 100 foot in the air,
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男孩便会突然垂直飞到100尺的高空
08:59
and then disappear.
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然后消失
09:02
Another patient of mine had a different sort of hallucination.
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还有一个病人,有另外一种幻觉
09:07
This was a woman who didn't have trouble with her eyes
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这位女病人视力并无问题
09:10
but the visual parts of her brain,
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问题出在她脑部的视觉部分
09:12
a little tumor in the occipital cortex.
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她的枕叶皮层有一个小肿瘤
09:15
And, above all, she would see cartoons.
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尤其引人注意的是,她看到的幻象是卡通的
09:20
And these cartoons would be transparent,
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而且是半透明的
09:24
and would cover half the visual field, like a screen.
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像屏幕一样盖住半个视野
09:28
And especially, she saw cartoons of Kermit the Frog.
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特别的是,她看到的是青蛙柯密特(芝麻街人物)
09:33
(Laughter)
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(笑声)
09:35
Now, I don't watch Sesame Street,
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我不看芝麻街的
不过她坚持要问我:
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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”为什么是柯密特?“她说,”青蛙柯密特对我来说一点意义都没有啊。“
09:45
You know, I was wondering about Freudian determinants: Why Kermit?
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当时我正在研究弗洛伊德决定因素
为什么是柯密特?
09:50
"Kermit the Frog means nothing to me."
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”青蛙柯密特对我来说一点意义都没有啊。“
09:52
She didn't mind the cartoons too much.
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她并不大关注那部卡通
09:54
But what did disturb her
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让她非常苦恼的是
09:56
was she got very persistent images or hallucinations of faces,
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这些幻觉持续地出现
10:01
and as with Rosalie, the faces were often deformed,
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而且跟罗斯莉的情况一样,幻觉中的脸往往是扭曲的
10:04
with very large teeth or very large eyes.
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要么长着大牙,要么长着大眼
10:08
And these frightened her.
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这让她感到非常不安
10:11
Well, what is going on with these people?
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那么,这些病人是怎么了?
10:15
As a physician, I have to try and define what's going on
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作为一个医生,我必须尝试阐释这些现象
10:18
and to reassure people,
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来安抚他们
10:20
especially to reassure them that they're not going insane.
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尤其得告诉他们,他们没疯
我前面提到过,视力受损的人
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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有10%会产生幻觉
10:30
But no more than one percent of the people acknowledge them,
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但不超过1%会承认
10:34
because they are afraid they will be seen as insane or something.
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因为他们担心会被当成疯子之类
10:37
And if they do mention them to their own doctors,
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而如果他们向医生提起这种症状
医生可能会做出错误的诊断
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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而且,大家往往认为
如果你看到或听到幻觉,你就是疯了
10:45
you're going mad.
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10:47
But the psychotic hallucinations are quite different.
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其实我们提到的这种幻觉跟精神病幻觉是不一样的
10:50
Psychotic hallucinations, whether they are visual or vocal,
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精神病的幻觉,不管是视觉的还是听觉的
10:53
they address you.
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都对付你,指控你
10:54
They accuse you, they seduce you, they humiliate you, they jeer at you.
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诱惑你,羞辱你
嘲弄你
11:00
You interact with them.
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跟你互动
11:02
There is none of this quality of being addressed
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而这些
11:05
with these Charles Bonnet hallucinations.
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都没有出现在邦纳式的幻觉中
11:08
There is a film. You're seeing a film which has nothing to do with you --
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邦纳式幻觉就像一部电影,尽管你在看,电影却没有牵涉到你
11:12
or that's how people think about it.
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反正患者们是这么认为的
11:15
There is also a rare thing called temporal lobe epilepsy,
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还有一种少有的症状叫颞叶癫痫
11:19
and sometimes, if one has this,
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有时,如果一个人产生这种症状
11:22
one may feel oneself transported back to a time and place in the past.
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他可能会感到自己被带回
到过去的一个时空
11:27
You're at a particular road junction.
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在某一个路口
11:29
You smell chestnuts roasting.
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闻到烤栗子的香味
11:31
You hear the traffic. All the senses are involved.
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听到车来车往,所有的感官都参与着
等待着心上人
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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那可能是1982年的某个周二夜晚
11:40
The temporal lobe hallucinations are all sense hallucinations,
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这种颞叶异常导致的幻觉
是多感官的
11:44
full of feeling, full of familiarity,
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充满着情绪和熟悉感
11:47
located in space and time,
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发生在特定时空中
11:49
coherent, dramatic.
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情节合乎逻辑而戏剧感十足
11:51
The Charles Bonnet ones are quite different.
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邦纳式的不一样
11:54
In the Charles Bonnet hallucinations, you have all sorts of levels,
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在邦纳式幻觉中
有好几种等级
12:00
from the geometrical hallucinations --
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从几何幻觉
12:02
the pink and blue squares the woman had --
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比如老太太看到的粉色和蓝色的方块
12:05
up to quite elaborate hallucinations
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到非常复杂的幻觉
12:09
with figures and especially faces.
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比如各种人像,尤其是面容
12:12
Faces, and sometimes deformed faces,
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这些面容,有时是扭曲的面容
12:15
are the single commonest thing in these hallucinations.
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是唯一一种在这些幻觉中
最常见的幻象
12:20
And one of the second commonest is cartoons.
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一种第二常见的幻象是卡通
12:23
So, what is going on?
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那么,究竟为什么会产生幻觉呢?
12:26
Fascinatingly, in the last few years,
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很棒的是,近几年
12:28
it's been possible to do functional brain imagery,
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我们能够做出脑功能成像
12:32
to do fMRI on people as they are hallucinating,
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当我们给正产生幻觉的人做功能性磁共振成像(fMRI)时
我们的确发现大脑视觉部位
12:37
and, in fact, to find that different parts of the visual brain are activated
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有不同区域被激活
12:43
as they are hallucinating.
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这时被检测者正在经历幻觉
12:45
When people have these simple, geometrical hallucinations,
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如果被检测者有的是简单的几何幻觉
12:48
the primary visual cortex is activated.
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被激活的区域则是初级视觉皮质
12:52
This is the part of the brain which perceives edges and patterns.
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这是大脑感知边缘和图案的部分
12:55
You don't form images with your primary visual cortex.
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而我们光靠这里是无法形成完整影像的
12:59
When images are formed,
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影像形成时
13:02
a higher part of the visual cortex is involved, in the temporal lobe.
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一个位于颞叶的较高级视觉皮质
会有一定活动
尤其是颞叶中
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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叫做梭状回的一个区域,显著地活跃
13:13
And it's known that if people have damage in the fusiform gyrus,
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调查显示,如果梭状回损伤
13:17
they may lose the ability to recognize faces.
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患者可能因此无法辨认面容
13:21
But if there's an abnormal activity in the fusiform gyrus,
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而当梭状回异常时
13:25
they may hallucinate faces,
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患者则可能看到面容的幻象
13:27
and this is exactly what you find in some of these people.
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这正是我们前面提到的几位病人所出现的症状
13:30
There is an area in the anterior part of this gyrus
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梭状回的前部有一个区域
13:34
where teeth and eyes are represented,
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负责处理有关牙齿和眼睛的影像
13:39
and that part of the gyrus is activated
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而当病人出现扭曲的幻觉时
13:42
when people get the deformed hallucinations.
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正是这一部位出现了活动
13:46
There is another part of the brain which is especially activated
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还有一个区域
会在病人看到卡通幻象时
13:50
when one sees cartoons.
256
830410
1976
出现活动
13:52
It's activated when one recognizes cartoons,
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人们观看卡通
13:55
when one draws cartoons and when one hallucinates them.
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画卡通,或看到卡通幻象时,都是这一部位被激活
13:59
It's very interesting that that should be specific.
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这是一个特别有趣的现象
14:02
There are other parts of the brain which are specifically involved
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大脑还有几个别的部位
14:05
with the recognition and hallucination of buildings and landscapes.
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相应地跟其他视觉元素的辨别与幻觉有关
比如楼房和风景
14:09
Around 1970, it was found that there were not only parts of the brain,
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1970年左右,人们发现特化的不是一块区域
14:13
but particular cells.
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而是相应的脑细胞
14:15
"Face cells" were discovered around 1970.
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“脸细胞”是1970年左右发现的
14:20
And now we know that there are hundreds of other sorts of cells,
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至今,我们已经发现了
数百种与各类视觉元素对应的脑细胞
14:24
which can be very, very specific.
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这种对应关系可以非常琐细、明确
14:26
So you may not only have "car" cells, you may have "Aston Martin" cells.
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比如说
“车”细胞
可能还有“阿斯顿·马丁(一种车)”细胞
14:33
(Laughter)
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(笑声)
14:35
I saw an Aston Martin this morning. I had to bring it in.
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今早我看到一部阿斯顿·马丁
我一直想提提它
14:38
(Laughter)
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现在我的脑子里就有这种“阿斯顿·马丁”细胞
14:40
And now it's in there, somewhere.
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14:42
So --
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(笑声)
14:44
(Laughter)
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14:45
now, at this level, in what's called the inferotemporal cortex,
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那么,这一程度的幻觉,只会由这一整块可以称作下颞叶皮质的区域
形成视觉影像、
14:50
there are only visual images,
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14:52
or figments or fragments.
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幻象,或片段
14:55
It's only at higher levels that the other senses join in
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只有更高程度的幻觉
才会有视觉以外的感官参与
15:00
and there are connections with memory and emotion.
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同时牵涉到记忆与情感
在邦纳症候群中
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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更高程度的幻觉并不会出现
15:07
You're in these levels of inferior visual cortex,
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牵涉到初级视觉皮质的幻觉
15:10
where you have thousands and tens of thousands
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有上百上千
15:12
and millions of images,
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甚至更多的图像、
15:15
or figments or fragmentary figments,
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幻象,或残缺幻象
15:17
all neurally encoded in particular cells or small clusters of cells.
285
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5797
这些都被编译
在特定的脑细胞或脑细胞簇中
15:23
Normally, these are all part of the integrated stream of perception,
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这些细胞通常
参与形成感知和想象
15:29
or imagination,
287
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15:30
and one is not conscious of them.
288
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人们通常是无法意识到这一过程的
15:33
It is only if one is visually impaired or blind
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只有当你的视力受损或丧失
15:37
that the process is interrupted.
290
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这一过程才会被干扰
15:39
And instead of getting normal perception,
291
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2473
在这种情况下,你的感知不再正常
15:42
you're getting an anarchic,
292
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一种不受控的、
15:44
convulsive stimulation, or release,
293
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痉挛的释放活动
15:47
of all of these visual cells in the inferotemporal cortex.
294
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发生在位于初级视觉皮质的
这些视觉脑细胞中
15:51
So, suddenly, you see a face. Suddenly, you see a car.
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这种活动的结果就是,你突然看到一张脸,转瞬看到一辆车
15:54
Suddenly this and suddenly that.
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2714
突然这,突然那
15:57
The mind does its best to organize
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大脑会尝试控制场面
15:59
and to give some sort of coherence to this,
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尝试使这一切符合逻辑
16:02
but not terribly successfully.
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2539
但不会很成功
16:04
When these were first described,
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这些现象最初被描述时
16:06
it was thought that they could be interpreted like dreams.
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人们相信,跟梦一样,这种幻觉也能被强行中止
16:10
But, in fact, people say,
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不过实际上患者表示
16:12
"I don't recognize the people. I can't form any associations.
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“我认不出来谁是谁。完全没办法想到任何信息。”
”青蛙柯密特对我来说一点意义都没有啊。“
16:16
Kermit means nothing to me."
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16:18
You don't get anywhere, thinking of them as dreams.
305
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5651
把这种现象视作梦的一种是行不通的
唔,我应该说得差不多了
16:24
Well, I've more or less said what I wanted.
306
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4301
16:28
I think I just want to recapitulate and say this is common.
307
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4914
我再概括一下
其实帮纳症候群是个常见现象
16:33
Think of the number of blind people.
308
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1779
你们想,在盲人人群中
16:35
There must be hundreds of thousands of blind people
309
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2591
肯定有上百上千
16:37
who have these hallucinations
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有这样的幻觉
16:39
but are too scared to mention them.
311
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然而却不敢提起
16:41
So this sort of thing needs to be brought into notice,
312
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5488
所以不管是病人,医生还是公众
都有必要认识到这一现象的常见性
16:47
for patients, for doctors, for the public.
313
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16:49
Finally, I think they are infinitely interesting and valuable,
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5026
最后
我发现帮助别人认识大脑作用的原理
16:55
for giving one some insight as to how the brain works.
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4274
是一件无比有趣而有意义的事情
16:59
Charles Bonnet said, 250 years ago --
316
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查尔斯·邦纳在250年前
17:02
he wondered how, thinking of these hallucinations,
317
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3444
在对这些幻觉现象的观察的促使下,思考了这个问题
17:06
how, as he put it, the theater of the mind
318
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2680
心智的戏剧性
17:09
could be generated by the machinery of the brain.
319
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3350
是如何产生于大脑运作的呢?
17:12
Now, 250 years later,
320
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2422
250年后的今天
17:15
I think we're beginning to glimpse how this is done.
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我想我们已经能够开始领悟这个精妙的过程
17:18
Thanks very much.
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1200
非常感谢
17:19
(Applause)
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2977
(掌声)
17:22
Chris Anderson: That was superb. Thank you so much.
324
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2977
克里斯·安德森:非常精彩,非常感谢你
17:25
You speak about these things with so much insight
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你说得非常精到
17:28
and empathy for your patients.
326
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2451
也很能理解你的病人
17:31
Have you yourself experienced any of the syndromes you write about?
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你自己有没有过这些症状呢?
17:35
Oliver Sacks: I was afraid you would ask that.
328
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2217
奥利弗·萨克斯:我挺怕你问这个的
17:37
(Laughter)
329
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(笑声)
17:39
Well, yeah, a lot of them.
330
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嗯,有,很大一部分
17:42
And, actually, I'm a little visually impaired myself.
331
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事实上我自己也有一定的视力受损
17:45
I'm blind in one eye and not terribly good in the other.
332
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3183
我的一只眼睛是看不到的,另一只视力也不大好
17:48
And I see the geometrical hallucinations.
333
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我看到过几何幻觉
17:52
But they stop there.
334
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1473
不过最多也就这个程度了
17:53
CA: And they don't disturb you?
335
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1893
安德森:它们会不会让你感到很不安?
17:55
Because you understand what's doing it, it doesn't make you worried?
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3239
或者说是不是因为你了解这一现象而没这么担心?
萨克斯:耳鸣让我烦心得多
17:59
OS: Well, they don't disturb me any more than my tinnitus,
337
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3225
18:02
which I ignore.
338
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3105
耳鸣我也是听而不闻
18:05
They occasionally interest me,
339
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1688
不过偶尔我会对自己的幻觉很感兴趣
18:07
and I have many pictures of them in my notebooks.
340
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我还把它们画在了笔记本里
18:10
I've gone and had an fMRI myself,
341
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我自己就曾做过功能性磁共振成像
18:13
to see how my visual cortex is ticking over.
342
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看看我的视觉皮层在造什么反
18:16
And when I see all these hexagons
343
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4154
我看到六边形的幻觉
18:20
and complex things, which I also have,
344
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2069
或更复杂的幻觉,
18:22
in visual migraine,
345
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1763
往往伴随着偏头痛
18:24
I wonder whether everyone sees things like this
346
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2452
那是我就会想是不是别人也会有这样的幻觉
18:26
and whether things like cave art or ornamental art
347
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2950
洞穴壁画和装饰艺术
18:29
may have been derived from them a bit.
348
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2074
是不是也取材于这种幻觉
18:32
CA: That was an utterly, utterly fascinating talk.
349
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安德森:你今天的演讲非常非常精彩
18:34
Thank you so much for sharing.
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感谢你的分享
18:36
OS: Thank you. Thank you.
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萨克斯:谢谢,谢谢
18:38
(Applause)
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(掌声)
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