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dc.contributor.authorKellehear, Allan*
dc.date.accessioned2016-06-10T14:30:21Z
dc.date.available2016-06-10T14:30:21Z
dc.date.issued2017
dc.identifier.citationKellehear A (2017) Unusual perceptions at the end of life: limitations to the diagnosis of hallucinations in palliative medicine. BMJ Supportive & Palliative Care. 7(3): 238-246.en_US
dc.identifier.urihttp://hdl.handle.net/10454/8479
dc.description-en_US
dc.description.abstractThe diagnosis of hallucination for unusual perceptions such as deathbed visions, near-death experiences, or visions of the bereaved, is unhelpful in palliative medicine both academically and clinically. This paper reviews the broad prevalence data about unusual perceptions in the general population as background to identifying the more narrow epidemiological source from which the much smaller focus on hallucinations seem to emerge. Major debates and limitations of current hallucination research are reviewed to show that current academic and clinical certainties are largely confined to unusual perceptions that can be readily linked to psychopathology, quite specific organic disease states and psychoactive drug use. Current state-of-the-art in hallucination studies does not warrant broad or uncritical use of this type of diagnosis in end-of-life care. Conclusions from interdisciplinary (as opposed to single discipline) hallucination studies suggest that the way forward for clinical and research work in palliative medicine may lie in a more biographical and cultural approach to unusual perceptions at the end of life.en_US
dc.language.isoenen_US
dc.relation.isreferencedbyhttp://dx.doi.org/10.1136/bmjspcare-2015-001083en_US
dc.subjectHallucinations; Unusual perceptions; Palliative medicine; Palliative care; Biographical approach; Cultural approachen_US
dc.titleUnusual perceptions at the end of life: limitations to the diagnosis of hallucinations in palliative medicineen_US
dc.status.refereedyesen_US
dc.date.Accepted2016-01-13
dc.typeArticleen_US
dc.type.versionNo full-text available in the repositoryen_US


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