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Abstract

Confabulation is the spontaneous or provoked use of inaccurate information to fill in memory gaps. This phenomenon is distinctly different from lying because there is no intent to deceive. Confabulation can be found in relatively healthy individuals as well as individuals with serious cognitive and psychiatric disorders (e.g., schizophrenia, fetal alcohol spectrum disorder (FASD), and Korsakoff’s syndrome). As such, multiple causal pathways may lead to confabulation. Because confabulation can complicate the jobs of anyone working with clients in the mental health or legal systems, professionals should have a greater understanding of confabulation. Confabulation is a term that is surrounded by some confusion. This is not surprising given its multiple definitions, uncertain etiology, and its loose association with a wide range of psychiatric disorders. In fact, confabulation can even occur in individuals who have no identified cognitive or psychiatric disorder. Although it may be a confusing, vague, or even an unfamiliar concept, confabulation plays an important role in mental health and forensic settings. To increase awareness of criminal justice and mental health professionals, this article defines confabulation and reviews risk factors and causes of confabulation.

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