Health & Diet

The life-changing effects of hallucinations

Illusions brought on by drugs, lights and disease are giving us new insights into the inner workings of our brains. William Park ventured into his own induced hallucination to find out more.

The Huichol tribe from the Sierra Madre Occidental mountains in Mexico can speak to spirits. They leave our Earthly plane to visit animals and ancestors with the assistance of a small, green cactus. The cactus, called peyote, is cut into discs and chewed raw to release a hallucinogen. A peyote trip starts with a "growing sense of euphoria", followed by a heightened sense of the noises around, before the tipper is plunged into a world of vivid dreams – at least that is how anthropologist Barbara Myerhoff described her experience after taking peyote with members of a Huichol tribe in western Mexico in her book Peyote Hunt. Peyote contains mescaline – a psychedelic compound that can produce hallucinations similar to the effects of taking magic mushrooms. The discs taste "unspeakably bitter-sour" and "revolting" explains Myerhoff, but she adds that she lost her awareness of time, and instead started to skip from one vivid, self-contained dream to another. "Although I discovered that I couldn't move, I was able to remain calm when it occurred to me that this was of no consequence because there was no other place that I wanted to be," she writes, noting that she found the experience not in the least scary, but deeply moving.

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Peyote is still eaten for its hallucinogenic properties (Credit: Emmanuel Lafont/BBC)
Peyote is still eaten for its hallucinogenic properties

Psychedelics have been used in religious ceremonies, before the war, and for recreation in the Americas for centuries. For example, ayahuasca, a hallucinogenic drink made from certain brewed vines or shrubs, has been consumed by indigenous peoples in South America during religious and healing rituals for perhaps as long as 1,000 years. The Olmecs – one of the earliest Mesoamerican civilizations – and Maya people from Mexico are also thought to have used the neurotoxin from cane toads to hallucinate in their rituals. They believed they could speak to ancestors after taking a very small dose of dried toxin (too much would be fatal). Why were these psychedelics used in rituals? Possibly because they elicit in the user a sense of awe and wonder. Medium to high doses of similar hallucinogens generates lasting feelings of bliss and insightfulness and a sense of profound spiritual enlightenment. In the 1950s and 60s, there was a great deal of interest in psychedelics as a treatment for disorders from depression and alcohol addiction to schizophrenia. The US even ran experiments under the names Project MKUltra and Project MKDELTA to see if LSD could be used as a true drug. While research into the therapeutic benefits of hallucinogens was largely paused after LSD was criminalized in the late 60s, there has recently been a renewal of interest in using hallucinogens such as ketamin and LSD as therapeutic treatments, with a spate of new studies.

But ingesting substances is not the only pathway to experiencing hallucinations. Visual auras are a form of a visual hallucination that typically accompany migraines. Fevers can also trigger hallucinations – they are a commonly reported symptom in malaria, for example, and were also reported by some patients during the Covid-19 pandemic. Certain illnesses like dementia, schizophrenia, and some eye diseases can also cause hallucinations – sometimes called altered visual experiences – says Prem Subramanian, a professor of ophthalmology at the University of Colorado. Musical hallucinations have also been reported in association with hearing loss in some people. Grief too has been linked with hallucinations, with people reportedly hearing and even seeing a deceased partner. But it's also possible for people to hallucinate if exposed to certain bright or flickering lights. Exactly why we see these illusions is something of a puzzle, but we are now starting to unravel what happens in the mind during visions by comparing drug-, stimulus- and disease-induced hallucinations. For example, the brilliance of snow might explain why some explorers and mountaineers claim to see strange figures following them during whiteouts. Sir Ernest Shackleton mentioned the sensation in his 1919 Antarctic expedition diary, South, saying that "during that long and racking march of 36 hours over the unnamed mountains and glaciers of South Georgia, it seemed to me often that we were four, not three". One explanation for this particular illusion could be the Ganzfeld effect. If exposed to a continuous, uniform stimulus (for example, staring at a single wavelength of light) our brains try to make sense of the signal and add in information that isn't there – generating hallucinations. You can see some of the BBC Reel team trying out the effect for themselves.

The Dreamachine

Because light-induced illusions can be created in controlled environments, they might help researchers to discover the origin of hallucinations. The fact that flickering lights on closed eyes cause visions of colors, shapes, and movement are "one of the oldest findings in neuroscience", says Anil Seth, a professor of neuroscience at the University of Sussex, and the lead scientist on the immersive art-and-science project Dreamachine.

The fact that flickering lights on closed eyes causes visions of colours, shapes and movement is one of the oldest findings in neuroscience

Created as a tool to capture the diversity of the public's inner minds by using strobing lights to induce hallucinations, the Dreamachine has been touring the UK during 2022. It is based on a little-known invention from 1959 by the same name. With the promise of being able to experience psychedelic hallucinations without drugs, I ventured in. The machine itself is a two-story high, blue, octagonal box. About 20 participants are led through a curtain and into a circular central room. Around the edge of the room are curved seats that recline back so that the participants can stare upwards towards the ceiling. In the center of the ceiling is a flat, white disc that gives off a gentle glow, around which there is a ring of large lights – the kind you might see in a theatre. I lie back in the seat. The experience begins with some slow electronic music coming from the speakers behind me. The lights fade up and I'm surprised by just how bright they are. I'm squeezing my eyes shut but it's still a little bit unpleasant. Through my eyelids, the bright white light looks pinky orange. Then the lights start to strobe. The pinky orange alternates with flashes of blue, which is the result of "bleaching desensitization". If you've ever accidentally looked at a bright light for too long and noticed smudgy blotches in your vision for a period afterward it's the same effect. The light receptors in your retina are overstimulated and take a short while to recover. In the Dreamachine, the orange and blue colors start to overlap, and after a few minutes, I notice that I'm seeing stripes and criss-cross patterns. These kinds of effects, caused by strobe lighting, are called flicker phosphenes, and are visually similar to the simple hallucinations that drugs can induce. These simple geometric patterns probably originate in the primary visual cortex.

Light-induced hallucinations produced by the Dreamachine range from simple geometric patterns to more complex landscapes and shapes (Credit: Emmanuel Lafont/BBC)

Seth says that the frequency of the strobing determines the strength of the hallucination by syncing with the frequency of brainwaves in this region of the brain. "The most effective frequencies of the strobe lights are at around 10-15 Hz. [This] frequency range is similar to the alpha rhythm in the brain, which is very prominent over the visual cortex," he says. Other research suggests that the frequency might also determine the shapes seen. At 20–30 Hz, some people report spirals, waves, concentric circles, and lines, while at 10 Hz, zigzags, honeycombs, and rectangles. "There's a lot of disagreement about what the alpha rhythm does," adds Seth. "It becomes more prominent when you close your eyes and when you're relaxed. Some [neuroscientists] say it's just an idling state of the brain when it's doing nothing. Others argue that it's very deeply involved in how we perceive the world – that each cycle of an alpha rhythm, each 100-millisecond period, is a frame of visual perception."

Another visual oddity is palinopsia, where people see the same image frozen for a brief period of time. For example, if you stare at a chair on one side of the room, and then looked over to the other side, it might appear that the chair has teleported across the floor. This is caused by delays in the retina refresh rate. The photopigments in our retinas take a fraction of a second to refresh after being stimulated. Usually this happens very quickly – it's why movies shot at 30 frames per second look like seamless movement. But in palinopsia patients, the refresh rate slows significantly, meaning images can get stuck in the vision. Unlike induced hallucinations – which require an external stimulus like a drug or light – Charles Bonnet syndrome and palinopsia are examples of released hallucinations that happen spontaneously. Subramanian says that errors in the normal process by which vision is regulated can create visions. "Even patients with what we might think of as mild to moderate visual impairment can have these release hallucinations," he says. "There are a good number of patients who have glaucoma or macular degeneration, who experienced visual hallucinations, but they don't want to tell anyone about it, because then they think they're crazy. And so it's very important that doctors who take care of those patients be alert to the fact that it's relatively common for them to experience these hallucinations." Subramanian urges anyone experiencing hallucinations that are outside of the ordinary not to ignore them and to seek medical advice to make sure there's nothing abnormal. There were no lasting effects of my time in the Dreamachine. Unless there is a reason why flashing lights might cause you problems, light-induced hallucinations can be a revealing and interesting experience. Understanding why each of our experiences in the Dreamachine will be slightly different might remain out of reach for now, but perhaps Seth and his colleagues will get us a little closer to knowing the full range of our inner experiences.

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