Classification Assessment 298

Which of the following terms describes the experience where new events seem familiar?


Exam Question Jul 2011

Paramnesia


The term paramnesia was coined by Emil Kraepelin to describe qualitative disorders in memory where fantasy and reality are confused.

The following table lists the various paramnesias.

ParamnesiaDescription
Déjà vuThe experience of feeling that one has witnessed or experienced a new situation before
Jamais vuThe experience of being unfamiliar with a person or situation that is actually very familiar
ConfabulationThe unconscious filling in of gaps in the memory by events which never took place
Reduplicative paramnesiaThe delusion that a place has been duplicated. It comes in three forms (Politis, 2012):

  • Place reduplication - the belief that two places with identical features exist simultaneously, but are geographically distant
  • Chimeric assimilation - the belief that two places become combined, for example, a patient in hospital believes that they are in their own home which has somehow transformed into the hospital
  • Extravagant spatial localisation - belief that their current location is actually somewhere else, usually a location familiar to them
Retrospective falsificationThe process of distorting a memory
CryptomnesiaThis is characterised by having a thought without realising you have had the thought before (for example, some plagiarists claim they are unaware that they were recounting other peoples work)

A note on terminology: 

The subjective belief that a place has been duplicated, existing in at least two locations simultaneously, is termed reduplicative paramnesia.

Reduplicative paramnesia is a subset of the delusional misidentification syndromes (DMS) which include (Carolina, 2014):

  • Capgras delusion
  • The Fregoli delusion
  • Intermetamorphosis
  • Subjective doubles
  • Reduplicative paramnesia
  • Mirrored self
  • Delusional companions
  • Clonal pluralisation of the self

Carolina (2014) The Masks of Identities: Whos Who? Delusional Misidentification Syndromes. J Am Acad Psychiatry Law 42:369-78, 2014.

Politis (2012) Reduplicative Paramnesia: A Review. Psychopathology 2012;45:337-343