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Postgraduate Medical Journal 2008;84:103-105; doi:10.1136/pgmj.2007.063727
Copyright © 2008 The Fellowship of Postgraduate Medicine

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CASE REPORTS

The cultural context of visual hallucinations

W D Knight , N C Fox , M N Rossor , J D Warren

Dementia Research Centre, Institute of Neurology, University College London, UK

Correspondence to:
Dr Jason Warren, Dementia Research Centre, Institute of Neurology, 8–11 Queen Square, London WC1N 3BG, UK; jwarren{at}drc.ion.ucl.ac.uk

Visual hallucinations (VH) are a cardinal neuropsychiatric symptom and often have important diagnostic implications. The interpretation of VH is influenced by the patient’s social and cultural milieu, but the impact of socio-cultural factors on the interpretation, presentation and detection of VH has been little studied. When patients exhibit VH and other neuropsychiatric phenomena, appropriate sensitivity to the role of cultural factors is an important determinant of the success of the medical consultation. We discuss this issue using three illustrative cases.


Keywords: cultural; dementia; hallucinations







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