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Coren, H.Z. Saldinger, J.S. (1967). Visual Hallucinosis in Children—A Report of Two Cases. Psychoanal. St. Child, 22:331-356.

(1967). Psychoanalytic Study of the Child, 22:331-356

Clinical Contributions

Visual Hallucinosis in Children—A Report of Two Cases

Harry Z. Coren, M.D. and Joel S. Saldinger, M.D.


Two cases of visual hallucinosis as a response to acute psychological stress are presented. The dynamics and structural aspects are discussed and the problems of symptom choice and the interrelationship among symptoms are considered. In addition to corroborating a number of previously expressed hypotheses, another key mechanism

was elucidated. That is, when a reality event occurs which mirrors the internal conflict of a child, specifically the repressed id impulse, the psychological trauma is very great, particularly to the reality-testing apparatus, and necessitates a rapid shift in defense mechanisms which often fails. The "remembering" of the reality event then may take the form of a visual hallucination.

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