Hostname: page-component-cd9895bd7-p9bg8 Total loading time: 0 Render date: 2024-12-25T06:27:47.582Z Has data issue: false hasContentIssue false

Visual Hallucinations and Sensory Delusions in the Elderly

Published online by Cambridge University Press:  29 January 2018

G. E. Berrios*
Affiliation:
Associate Lecturer in Psychiatry Department of Psychiatry, University of Cambridge, Level 4, Addenbrooke's Hospital, Hills Road, Cambridge
P. Brook
Affiliation:
Associate Lecturer in Psychiatry Department of Psychiatry, University of Cambridge, Level 4, Addenbrooke's Hospital, Hills Road, Cambridge
*
Correspondence

Summary

One hundred and fifty successive referrals to a psychogeriatrician were assessed for visual hallucinations. Forty-four (29.33 per cent) patients reported visual perceptual disturbances. No differences between hallucinators and non-hallucinators were found in terms of sex, age, length of illness, underlying psychiatric diagnosis or cognitive score. There was a significant correlation between presence of hallucinations and eye pathology (<.001) and delusions (<.001). The phenomenological characteristics of the visual hallucinations are analyzed. The “picture” sign is described in 7 patients and the Charles Bonnet syndrome in two. The significance of these findings is discussed.

Type
Papers
Copyright
Copyright © 1984 The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ajuriagierra, J. de & Garrone, G. (1965) Défferentiation partielle et psychopathologie. In Désafferentiation Experimentale et Clinique (Symposium Bel Air II). Geneva: Georg.Google Scholar
Berrios, G. E. (1983) Orientation failures in medicine and psychiatry: discussion paper. Journal of Royal Society of Medicine, 76, 379–85.CrossRefGoogle Scholar
Berrios, G. E. (1984) Hallucinosis. In Handbook of Clinical Neurology, Vol. 47, 2nd edition (ed. J. A. M. Frederiks). Amsterdam: North Holland. In press.Google Scholar
Berrios, G. E. & Brook, P. (1982) The Charles Bonnet syndrome and the problem of visual perceptual disorders in the elderly. Age and Ageing, 11, 1723.CrossRefGoogle ScholarPubMed
Blessed, G., Tomlinson, B. E. & Roth, M. (1968) The association between quantitative measures of dementia and of senile change in the cerebral grey matter of Elderly subject. British Journal of Psychiatry, 114, 797811.CrossRefGoogle Scholar
Cogan, D. G. (1973) Visual hallucinations as release phenomena. Albrecht von Graefes Archiv klinische experimentale Opthalmologie, 188, 139–50.Google ScholarPubMed
Damas Mora, J., Skelton-Robinson, M. & Jenner, F. A. (1982) The Charles Bonnet syndrome in perspective. Psychological Medicine, 12, 251–61.CrossRefGoogle Scholar
Ey, H. (1973) Traite des Hallucinations (2 Vols.) Paris: Masson.Google Scholar
Lipowski, Z. J. (1980) Delirium. Illinois: Charles C. Thomas.Google ScholarPubMed
Lowe, G. R. (1973) The phenomenology of hallucinations as an aid to differential diagnosis. British Journal of Psychiatry, 123, 621–33.CrossRefGoogle ScholarPubMed
Post, F. (1965) The Clinical Psychiatry of Late Life. Oxford: Pergamon.Google Scholar
Rothstein, A. (1981) Hallucinatory phenomena in childhood. A critique of the literature. Journal of American Academy Child Psychiatry, 20, 623–35.CrossRefGoogle ScholarPubMed
Weinberger, L. M. & Grant, F. C. (1940) Visual hallucinations and their neuro-optical correlates. Ophthalmological Reviews, 23, 166–99.Google Scholar
White, N. J. (1980) Complex visual hallucinations in partial blindness due to eye disease. British Journal of Psychiatry, 136, 284–6.CrossRefGoogle ScholarPubMed
Submit a response

eLetters

No eLetters have been published for this article.