I can provide information based on what is known about schizophrenia and psychosis.
In schizophrenia and certain other psychotic disorders, individuals may experience hallucinations, which are sensory perceptions (seeing, hearing, feeling, smelling, or tasting something) that are not based on external stimuli. Hallucinations are often vivid and can be mistaken for real experiences.
When someone with schizophrenia experiences hallucinations, they typically perceive them as real and may not be aware that they are hallucinating. This lack of insight into their mental state is known as "lack of insight" or "anosognosia." As a result, they may not see themselves hallucinating in the way they would see a physical object or event in the external world.
Instead, they might believe the hallucinations are genuinely happening, which can be distressing and confusing. In the case of auditory hallucinations (hearing voices), the person may feel like the voices are coming from outside their mind and speaking directly to them.
It is essential to understand that hallucinations are not under the person's control and are a symptom of the underlying condition. Treatment, including antipsychotic medications and therapy, can help manage these symptoms and improve the person's overall well-being. If you or someone you know is experiencing hallucinations or other concerning symptoms, it's crucial to seek help from a mental health professional for proper evaluation and support.