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The definition and problems in diagnosis of childhood hallucinations is the background of a critical review of reported figures of incidence. Hallucinations, occurring in clear consciousness in a child psychiatric in-patient population are presented in this article. There was a frequency of 5 per cent in the general in-patient group. Eighty-one per cent of these with psychosis of late onset were hallucinated in contrast to the infantile psychosis group where none were found. Descriptions of children with hallucinations arising in great stress, late onset psychosis and Mandrax intoxication are given.