Yes, there is a clinical term that can be used to describe someone who makes things up that have no basis in reality and refuses to acknowledge the truth when confronted with clear facts. This behavior is often associated with a psychological condition called "confabulation" or "confabulatory behavior."
Confabulation is a cognitive disturbance where individuals produce fabricated or distorted information to fill gaps in their memory or understanding of a situation. It is not intentional lying but rather a result of the brain's attempt to make sense of incomplete or fragmented information. Confabulation can occur in various neurological and psychological conditions, including:
Korsakoff Syndrome: A type of amnestic disorder caused by severe thiamine (Vitamin B1) deficiency, often associated with chronic alcoholism.
Anterograde Amnesia: A condition characterized by an inability to form new memories after a specific event, injury, or illness.
Alzheimer's Disease: A progressive neurodegenerative disorder that affects memory, cognition, and behavior.
Dementia: A broad term used to describe various conditions characterized by a decline in cognitive abilities, including memory, problem-solving, and communication skills.
Delirium: A state of acute confusion and disorientation, often caused by medical conditions or substance use.
Schizophrenia: A mental disorder that can involve delusions, hallucinations, and disorganized thinking.
In some cases, confabulation may also be observed in individuals without any underlying neurological or psychological condition, but it is less common. The term "confabulation" is mainly used in a clinical context to describe this specific cognitive phenomenon.
It is essential to distinguish confabulation from intentional lying. Individuals who engage in confabulation genuinely believe the information they are sharing, while intentional liars are aware that they are providing false information.
If you suspect someone is experiencing confabulatory behavior or any other cognitive disturbance, it is crucial to encourage them to seek a comprehensive evaluation and diagnosis from a qualified healthcare professional or mental health expert. Identifying the underlying cause is essential for appropriate management and treatment.