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March 1968

Confabulation Following Brain InjuryIts Analogues and Sequelae

Author Affiliations

Washington, DC
From the Washington School of Psychiatry, Washington, DC.

Arch Gen Psychiatry. 1968;18(3):348-354. doi:10.1001/archpsyc.1968.01740030092009

MANY ELEMENTS of the Korsakow psychosis or amnestic confabulatory state appear during the process of recovery from brain injuries such as those resulting from acute head injuries and ruptured intracranial aneurysms. After emergence from coma and the return of verbal responsiveness, amnesia, confabulation, disorientation for place and time, reduplicative delusions (reduplicative paramnesia), and misidentification of persons and objects are commonly expressed. These phenomena have been variously defined, classified, and interpreted. (In this paper, confabulation is defined as the fictitious narrative of some past event or events. Reduplication for place is the statement that there are two or more places, usually the hospital, of the same or similar names, although only one exists. Reduplication for person is the attributing of two or more identities to a single person, such as claiming that a ward attendant is also a classmate or that a nurse

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