people in distress and disorder. They saw the people that were generally
described as mad. The definition of madness was being mad, and part of
that was having to seek healthcare.
In these settings they tried to identify what was wrong with people.
They identified that people they saw in crisis had a voice in their
head. For some of them it was distressing. For others it was a
relatively normal experience. It is not something that most people talk
about today or openly acknowledge outside certain fringe mental health
settings (apart from weirdos like me).
When an individual goes through a certain form of psychosis they can
experience a change in their experience of internal reality. There are
many different versions of this and there is a spectrum of lexicon used
to describe it such that over a century would meaning of the concepts is
lost to neologisms, errors in communication and modern problems like the
political correctness movement.
The experience is not so different to 'normal' realities. It is the
distress caused by what are described by observers and from the
post-Enlightenment quasi-scientific psychiatric viewpoint (the precision
is because there is a spiritual interpretation, religious and other
non-biomedical interpretations) as delusions and hallucinations.
Historically the content of these experiences have been disregarded.
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