A patient may experience hallucinations in more than one modality simu
ltaneously or at different times and they may or may not appear to ema
nate from a single source. Current nomenclature is imprecise, often ha
s particular diagnostic implications and fails to distinguish between
these different phenomena. This has resulted in considerable confusion
with a tendency to dismiss the importance of these symptoms. The vari
ous terms in current usage and the presence of these symptoms in a var
iety of different conditions are examined. To aid further research and
improve clinical practice the authors advocate the use of the term mu
lti-modal hallucinations and suggest operational criteria.