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Hallucination is defined as visual perception without external stimulation. It must be distinguished whether the individual is able to recognize that the perception is not real, also called pseudo-hallucination, or that the individual endorses it as real, also called delusion. It is only delusion that has serious psychiatric implications.
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The delusion is found described in clinical settings as a description of medical symptom of the psychotic illness known as schizophrenia, [14] [15] and is known within that milieu as a first rank symptom The delusional ideation sometimes occurs from a prior delusional mood (Fish 1985).
Ideas of reference and delusions of reference describe the phenomenon of an individual experiencing innocuous events or mere coincidences [1] and believing they have strong personal significance. [2] It is "the notion that everything one perceives in the world relates to one's own destiny", usually in a negative and hostile manner.
Other psychiatric disorders must then be ruled out. In delusional disorder, mood symptoms tend to be brief or absent, and unlike schizophrenia, delusions are non-bizarre and hallucinations are minimal or absent. [9] Interviews are important tools to obtain information about the patient's life situation and history to help make a diagnosis.
Peduncular hallucinosis (PH) is a rare neurological disorder that causes vivid visual hallucinations that typically occur in dark environments and last for several minutes. . Unlike some other kinds of hallucinations, the hallucinations that patients with PH experience are very realistic, and often involve people and environments that are familiar to the affected individua
This psychopathological syndrome is usually considered to include four main variants: [4] [2] The Capgras delusion is the belief that (usually) a close relative or spouse has been replaced by an identical-looking impostor. The Fregoli delusion is the belief that various people the believer meets are actually the same person in disguise.
The syndrome is commonly accompanied by frequent hallucinations, pseudohallucinations, and visual illusions. [ 5 ] Individuals with oneiroid syndrome typically recognise the perceived phenomena as belonging to alternate realms or dimensions inaccessible to ordinary people, rather than to the tangible, external world. [ 5 ]
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