Abstract

Confabulation is the creation of false memories in the absence of intentions of deception. Individuals who confabulate have no recognition that the information being relayed to others is fabricated. Confabulating individuals are not intentionally being deceptive and sincerely believe the information they are communicating to be genuine and accurate. Confabulation ranges from small distortions of actual memories to creation of bizarre and unusual memories, often with elaborate detail. Although confabulations can occur in non-impaired populations, the aim of this article is to bring into focus the unique problems associated with this phenomenon and its impact on clients involved in the mental health system. The vividness with which clients describe their memories may convince some mental health professionals into believing the memories are real. Even when the client is presented with information that directly conflicts with their version of events, they will persist in believing their memories are wholly accurate. Mental health professionals must be vigilant about its identification to gather accurate information from a client and to provide optimal treatment strategies. Therefore, this article provides information about confabulation, including its characteristics and etiology, links to psychological and neurological disorders, its impact on others, and considerations for mental health professionals.

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