"Is [Charlie] a shut eye? (fooling himself into thinking he has powers?) Or does he really have visions? It's intentionally not proven either way."
And, because they are intentionally not proven, the subjects of these inquiries are artfully portrayed and questioned.
Another ongoing question might be, knowing the nature of shut eye that you mention and the profession Charlie has chosen, how can he keep his eyes open, ahead of his own game of tricks that are his mental and familial issues, so that he can stay abreast and oust himself from the clutches of gypsies?
Of course, the current answer is: only the vision of the spike allowed Charlie to know he had been played. So, it was a heightened understanding of his power which showed him that he was still fooled. How far it goes, as you say, is up for grabs.
Also, the term used for the show's title could refer to the Third Blind Eye which denotes a person's ability to see as a clairvoyant, the "blind" part suggesting some subconscious or subtle fear or some thwarting preconception of the vision's imagery.
And, despite not being mentioned on the show or whether Third Eye is a pseudoscience or not, Charlie certainly deals with the fears and misreads rendered through his subconscious.
Although they could be called hallucinations, they are not portrayed with any symptoms of psychosis. Donovan's character doesn't distract from mental fog or difficulty concentrating then see something then let it take him to a dream-like state. Each time, it's first triggered by a stimulus, and there's a sort of deflating aftershock when it passes, suggesting heightened adrenaline from a supreme effort of mental attention and it is not preceded or followed with withdrawal, anxiety, depression, disorganized thoughts, or suicidal notions.
There's even a considerable portion of an episode dedicated to Charlie bringing a podcast showcasing a neurological disorder that he thinks he might have based on his symptoms and Dr. White countering by condemning the false logic and pseudoscience of her own field, his find included.
As such, for me, it's not whether he has visions, but whether he can better understand them.
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