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Psychiatry · Psychotic disorders: autoscopic hallucination
Sample itemA man with temporal lobe epilepsy says that, during some spells, he sees a complete image of himself standing a few metres away that copies his movements. He knows the figure is himself. Which term describes this phenomenon?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Autoscopic hallucination
In autoscopy the person sees a visual image of their own body in external space, a phenomenon described in temporal and parietal lobe disorders, epilepsy and migraine. It is a perceptual disturbance, whereas the misidentification syndromes are delusions about other people.
Option by option
A. Extracampine hallucination
Extracampine hallucination is perceived outside the sensory field but is not an image of oneself.
B. Fregoli syndrome
Fregoli syndrome is the delusion that a persecutor is disguised as various familiar people.
C. Autoscopic hallucination (correct)
Correct. Seeing one's own double in external space is autoscopy.
D. Capgras syndrome
Capgras syndrome is the delusion that a familiar person has been replaced by an impostor.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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