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Sense of Presence Experience Normalisation — SCE Palliative Medicine MCQ

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EasyBereavementSense of Presence Experience NormalisationSCE Palliative Medicine

A 45-year-old woman whose mother died from cancer describes a persistent sense of the deceased’s presence in the house—a feeling that her mother is still there, watching over her. She finds this comforting. Is this normal?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: BYes—sense of presence experiences are common in bereavement and considered normal, often comforting, reflecting continuing bonds

Explanation lettering: D = shown as C · C = shown as D

Option B is correct. In UK palliative care guidance, visual or auditory hallucinations, including a sense of presence of the deceased, are described as normal in early bereavement and often comforting. These experiences reflect the continuing bonds that many bereaved individuals maintain with the deceased. The patient's insight and comfort distinguish this from pathological grief (D) or psychosis (E). Such phenomena are not confined to religious individuals (C), and they do occur outside of bereavement (A) overstating the specificity.

Reference: https://www.nice.org.uk/guidance/conditions-and-diseases/cancer/palliative-care