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"I'm not really interested in the "but is it a hallucination?" question because as far as I can tell a consistent hallucination of an internal state *is* an internal state"

I disagree actually. I think it's possible for people to fool themselves about internal states. My favorite example is time perception. You can meditate or take drugs in ways that make you think that your clock speed has gone up and your subjective experience of your subjective experience of time is slowed down. But your actual subjective experience of time isn't much faster clock speeds (as could be evidenced by trying to do difficult computational tasks in those stats).

Similarly people can have emotions that aren't raised to the level of conscious awareness, or even consistently reject that they're feeling certain emotions (e.g. jealousy).

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