{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T01:56:52Z","timestamp":1777859812621,"version":"3.51.4"},"reference-count":10,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Patient Experience"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:p>\n                    Non-psychotic visual hallucinations and illusions (referred to here as NVHIs), such as visual snow, can be indicators of serious underlying pathologies, including Systemic Autoimmune Rheumatic Diseases. In this\n                    <jats:italic toggle=\"yes\">Patient Perspective<\/jats:italic>\n                    article, I recount some of the impacts of NVHIs, and their attribution\/misattribution, on my autoimmune diagnostic journeys. I then draw on these experiences, and the literature, to suggest improvements to policies and practice. It is hoped that these types of changes could contribute to NVHI-related diagnostic opportunities being less often missed.\n                  <\/jats:p>","DOI":"10.1177\/23743735261439465","type":"journal-article","created":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T00:31:08Z","timestamp":1776299468000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Visual Hallucinations and Illusions as Missed Diagnostic Clues in Autoimmune Disease: A Patient Perspective"],"prefix":"10.1177","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-3831-7465","authenticated-orcid":false,"given":"Rupert","family":"Harwood","sequence":"first","affiliation":[{"name":"Swansea University Medical School"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,4,15]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/09612033251345184"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/0333102421996355"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/rmdopen-2020-001247"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/head.14445"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kead369"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaclp.2025.05.005"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1093\/rap\/rkaa006"},{"key":"e_1_3_3_9_2","unstructured":"British Medical Association. Written evidence submitted by the British Medical Association (CBH 42). UK Parliament. Accessed December 12 2025. https:\/\/committees.parliament.uk\/writtenevidence\/54952\/html\/."},{"key":"e_1_3_3_10_2","volume-title":"Committee on Diagnostic Error in Health Care; Board on Health Care Services; Institute of Medicine; Improving Diagnosis in Health Care","author":"Balogh EP","year":"2015","unstructured":"Balogh EP, Miller BT, Ball JR. Committee on Diagnostic Error in Health Care; Board on Health Care Services; Institute of Medicine; Improving Diagnosis in Health Care. National Academies Press (US); December 29, 2015."},{"key":"e_1_3_3_11_2","unstructured":"Welsh Government. A Healthier Wales: Our Plan for Health and Social Care. Welsh Government 2021. Accessed January 3 2026. https:\/\/www.gov.wales\/sites\/default\/files\/publications\/2021-09\/a-healthier-wales-our-plan-for-health-and-social-care.pdf."}],"container-title":["Journal of Patient Experience"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23743735261439465","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/23743735261439465","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23743735261439465","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:38:09Z","timestamp":1777509489000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/23743735261439465"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":10,"alternative-id":["10.1177\/23743735261439465"],"URL":"https:\/\/doi.org\/10.1177\/23743735261439465","relation":{},"ISSN":["2374-3735","2374-3743"],"issn-type":[{"value":"2374-3735","type":"print"},{"value":"2374-3743","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4]]},"article-number":"23743735261439465"}}