Abstract
Depersonalization, derealization, unreality feelings, metamorphopsia and similar symptoms are not unusual in neuro-psychiatric patients. They are said to be extremely rare in children, Tramer (22) does not mention them, and Kanner (9) remarks only that “feelings of unreality are exceedingly rare in children. Things seem unreal to the patient, different from what he knows them to be. He is fully aware of the incongruity of his experience, which sometimes causes considerable distress.” He quotes the case of a slightly retarded boy of almost 14 years who combined feelings of unreality and derealization with occasional macropsia.

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