There are only two distinctions between anybody in this room and an institutionalized schizophrenic: (1) whether you have a good reality strategy and you can make that distinction, and (2) whether the content of your hallucination is socially acceptable or not. Because you all hallucinate. You all hallucinate that somebody's in a good mood or a bad mood, for example. Sometimes it really is an accurate representation of what you are getting from the outside, but sometimes it's a response to your own internal state.
And if it's not there, sometimes you can induce it. "Is something wrong?" "What's bothering you?" "Now I don't want you to worry about anything that happened today while you were gone."
Drinking blood in this culture is not acceptable. I've lived in cultures where that's fine. The Masai, in Eastern Africa, sit around and drink cups of blood all the time. No problem. It would be weird in their culture for somebody to say "I can see that you are feeling very bad about what I just said." They would begin to wonder about you. But in this culture it's reversed.
When we trained residents in mental hospitals we used to go up early and spend time in the wards because the patients there had problems we never had the opportunity to encounter before. We would give them the task of determining for themselves which parts of their experience were validated by other people, and which were not. For instance, with the cup-of-blood guy, we immediately joined his reality. "Yeah, warm this one up for me, will you?" We joined his reality so much that he came to trust us. And then we gave him the task of discovering which parts of his reality other people in the ward could validate for him. We didn't say this was really here and that wasn't, but simply asked him to determine which parts of his reality other people could share. And then he learned—as most of us have as children—to talk about those parts of reality which are either socially acceptable hallucinations, or that other people are willing to see and hear and feel, too. That's all he needed to get out of the hospital. He's doing fine. He still drinks cups of blood, but he does it by himself. Most psychotics just don't have a way of making distinctions between what's shared reality and what's not.
Man: Many psychiatrists do not have that, when working with those people.
Many do not have it, period, as far as I can tell! The only difference is that they have other psychiatrists that share that reality, so they at least have a shared reality. I've made lots of jokes about the way humanistic psychologists treat each other when they get together. They have many social rituals that did not exist when I worked at an electronics corporation. The corporation people didn't come in in the morning and hold each other's hands and look meaningfully into each other's eyes for five and a half minutes. Now, when somebody at the corporation sees somebody do that, they go "Urrrrhhh! Weird!" And the people in humanistic psychology circles think the corporation people are cold and insensitive and inhuman. To me, they are both psychotic realities, and I'm not sure which one is crazier. And if you think about shared realities, the corporation people are in the majority.
Where you really have a choice is when you can go from one reality to the other, and you can have a perspective on what's going on. One of the craziest things is when a humanistic psychologist goes to teach a seminar at a corporation and doesn't alter his behavior. That inability to adjust to a different shared reality is a demonstration of psychosis as far as I'm concerned.
Therapists feel letters. I don't think that's any more peculiar than drinking cups of blood. Everywhere I go, people tell me they feel 0 and K. That's pretty weird. Or you ask people "How do you feel?" and they say "
One of the most powerful tools that I think is useful for you to have as professional communicators is to make the distinction between perception and hallucination. If you can clearly distinguish what portion of your ongoing experience you are creating internally and putting out there, as opposed to what you are actually receiving through your sensory apparatus, you will not hallucinate when it's not useful. Actually there is nothing that you need to hallucinate about. There is no outcome in therapy for which hallucinations are necessary. You can stay strictly with sensory experience and be very powerful, effective, efficient, and creative.