What is it about?
This paper provides a summary of confabulation observed in individuals with brain injury for the context of Speech Language Pathologists interested in learning more about this behavior. We summarize a brief history of the term, several proposed definitions, associated neural mechanisms, and SLP-related assessment and intervention strategies.
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Why is it important?
Confabulation is a commonly observed symptom of a variety of brain injuries. Confabulation can impact quality of life, relationships, and employment opportunities for individuals with brain injury and should be part of the scope of cognitive-communication disorder treatment for SLPs. Despite this, there are no clinical best practice guidelines for SLPs to utilize to define, measure, or treat this behavior.
Perspectives
This paper was a wonderful, collaborative effort between the author and co-authors. This topic is so important and is an exciting first step to filling this clinical gap in our knowledge of assessing and treating confabulation as a cognitive-communication disorder.
Nicole Cruse
Sacred Heart University
Read the Original
This page is a summary of: Stretching the Truth: Identifying, Defining, and Measuring Confabulation for Speech-Language Pathologists Working With the Traumatic Brain Injury Population, American Journal of Speech-Language Pathology, April 2026, American Speech-Language-Hearing Association (ASHA),
DOI: 10.1044/2026_ajslp-25-00331.
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