Ella Rhodes spoke to Dr Reshanne Reeder (Lecturer in Cognitive and Clinical Neuroscience, University of Liverpool), who researches extremes of mental imagery, individual differences in mental imagery, and their impacts.
20 April 2026
How did you get interested in researching mental imagery?
Ever since my Master's, I've had an interest in the relationship between perception, mental imagery and hallucinations, and how people with different mental imagery and different perceptual experiences can have very different realities. During my postdoc years, my supervisor was really great and told me to explore whatever I wanted, so I decided to start looking into mental imagery.
Previously, mental imagery had been presented as a dichotomy – either people had it or didn't. But people weren't really talking about individual differences. I started coming up with psychology paradigms to try to bring out these individual differences in perception. I started with what's called pareidolia, which is the perception of meaning in random patterns, like seeing dinosaurs in the clouds (or Jesus in toast!).
I would give people pictures of randomly scrambled black and white pixels and ask them whether they saw a face. I would tell people there were faces sometimes – prompting people to see things which weren't there – and I found this very reliable correlation between mental imagery vividness and people's perception of faces. So it seemed that mental imagery was affecting what people actually perceived, and I was wondering if this had any link with hallucinations.
I started exploring different ways of probing differences in actual perception, not just mental images, in people. I got into using the Ganzflicker which is this rhythmic flickering paradigm where after just a few seconds, people start to see very subjective induced hallucinations. They usually start out very simple – different colours or patterns, but people with very vivid imagery will start to see extremely complex and semantically meaningful things like faces, animals and landscapes. Now my research is starting to look into whether there's a way we can understand why people see different things in these paradigms that elicit these very subjective visual experiences, so that we can better understand clinical hallucinations as well.
Could you tell us what we know about hyperphantasia?
Ever since aphantasia, which is a complete lack of mental imagery, started being discussed, people have wondered about the other end of the spectrum. Research on this group started with questionnaire studies – particularly the vividness of visual imagery questionnaire – and if they scored 75 out of 80, they were hyperphantasic. But that's a very simplified definition and classification, and as we know, aphantasics experience a very multi-dimensional pattern of experiences – they often have severely deficient autobiographical memory, they can't picture faces of their family members, and I think hyperphantasia is similarly multidimensional.
I started interviewing people with hyperphantasia back in 2021, in the middle of the pandemic. I have a citizen science collaborator who at the time was running a YouTube channel for extreme imagery and he knew a bunch of people from his channel who wanted to be interviewed about their imagery experiences. We interviewed people from his YouTube channel, we recruited from Reddit and a few research assistants interviewed people across campus when the university opened up again.
We ended up with around 40 hyperphantasics and during those interviews, which ran across a few years, we were finding hyperphantasia was a very multidimensional construct – it wasn't just 75 out of 80 on a questionnaire. People with hyperphantasia would have these very extreme experiences, like maladaptive daydreaming, and they would report being able to project their mental images into the real world, which I call prophantasia, which is basically imagery-augmented reality. Just like augmented reality games, like Pokemon GO, where you can see the Pokemon on your phone as if it's in the real world, people with hyperphantasia can do that with their mind's eye. They can turn a normal city street into a jungle. It's a super immersive experience.
They also seem to have very immersive inner worlds. Oftentimes, they'll have a fantasy world that they created when they were kids, and they just have kept building this world over the years, and they can constantly go back to it. There will be whole stories with characters – like a TV series that lasts forever but it's in their minds.
There was a guy who was a memory champion who would remember long strings of numbers after just hearing them once. He said that his way of remembering the numbers was very visual – he would put the numbers into different rooms in his 'memory palace'. Another person said that their hyperphantasia really helped them with anatomy classes – they would remember a 3D picture of a hand with different layers of bones, muscles, nerves, and tendons, all labelled in great detail.
I know there have been some studies which have found an association between aphantasia and autism, but how about hyperphantasia?
I've been hypothesising for a while, and nothing's really been published yet about this, but I think that because autism is a spectrum of extremes (e.g., sensory hyposensitivities and hyperpsensitivities, attention difficulties and hyperfocus, just to name a couple), you're going to see both extremes of the imagery spectrum in autism. There is a higher prevalence of aphantasia among autistic samples (about 20 per cent, compared to a general population prevalence of about 1-4 per cent), and I think you're also going to see a higher prevalence of hyperphantasia, but people tend to focus on aphantasia because of some outdated ideas about autism.
Simon Baron Cohen, one of the most prominent autism researchers, came up with the Autism Spectrum Quotient, and he claimed that one of the cornerstone symptoms of autism is a lack of imagination, and he put it on the questionnaire. That has filtered into these stereotypes that people with autism are not very imaginative, so it's not much of a leap to make the connection to aphantasia. But we need to look at the link to hyperphantasia. We know that some very famous autistic individuals have hyperphantasia, such as Temple Grandin, who wrote an autobiography, Thinking in Pictures – her hyperphantasia is obviously a big part of her identity if it's the title of her book!
Are we going to ignore potentially a whole half of the autism spectrum that probably has hyperphantasia just because of this old stereotype that they lack imagination? We're working on this, but it is very tricky. I think we just have to be open to the possibility that we're ignoring this potential connection. Let's see what the research says, but I suspect there's quite a lot of hyperphantasics who are also autistic.
Can you say what you've found about mental health treatment and symptoms in extremes of imagery?
We know from an earlier study we did on aphantasia and mental health that people with aphantasia experience mental health symptoms differently, and they experience therapy differently from someone with typical imagery, because common treatments also involve a lot of mental imagery techniques – if you have aphantasia, that's not going to work for you.
I was really interested to see whether people with hyperphantasia would find imagery-focused CBT useful. But actually, that's not what we found. We found that people with hyperphantasia have similar difficulties with CBT as people with aphantasia, and the reason for that is that their imagery is uncontrollable. If you ask someone with hyperphantasia to relax and imagine themselves on a beach, they'll start to imagine the beach, all of a sudden they're sitting there and they can feel the sand getting into their swimsuit, they're distracted by a crab walking towards them, they realise they've forgotten sunscreen! They start to experience these uncontrollable images that aren't relaxing for them.

I have typical imagery, and if I'm asked to imagine a relaxing beach, I can imagine a relaxing beach, but because hyperphantasics come up with so many extraneous details on a daily basis in their imagery, they can't stop all the very realistic and non-relaxing things from popping into their head.
I also think hyperphantasics are going to experience mental health symptoms differently from typical imagers because they're so prone to intrusive images, even positive images. If they start to experience intrusive imagery because of something like post-traumatic stress disorder, it will be even worse than someone with typical imagery, it'll be really enhanced, and so that can be really hard to extinguish or treat.
This is something we've touched on in our research, there are a lot of misconceptions about the role of mental imagery in mental health symptoms and there hasn't been a lot of research. I'm really trying to get these results out there and get it recognised that what we thought we knew about the role of mental imagery in symptoms and treatment is completely wrong. I think that's important to know, so that therapists can help their clients, and also for people seeking mental health services.
I'd be interested to hear more about mental health symptoms in aphantasia.
There's a misconception going around that aphantasics are protected against PTSD. There have been a couple of studies, but not about clinical symptoms. These studies, which have been on watching scary videos or reading scary stories, have perpetuated the idea that people with aphantasia have reduced emotional reactions to these stimuli. But when it comes to clinically relevant stimuli, things people would seek mental healthcare for, it's a very different picture.
It's true that it's rare for people with aphantasia to have visual or sensory flashbacks after trauma, but they might start to have panic attacks and emotional flashbacks that are really hard to describe and pin down because there's no image attached to it. If they go to seek mental health care because they're having panic attacks, they feel are related to trauma, the clinician might not diagnose them with PTSD because they aren't having visual flashbacks – one of the main symptoms of PTSD. Now, of course, we're learning that PTSD is also more complicated. There's also complex PTSD or CPTSD, which might not include visual flashbacks, but usually someone's first port of call will be going to their GP and it will be hard for those people to get the services they need.
How might hyperphantasia impact mental health symptoms?
I think if they experience a severe psychiatric condition like psychosis they are very likely to experience hallucinations – arguably the most severe symptom of psychosis or schizophrenia, very debilitating and disturbing. I think if we can explore these relationships, then we can predict who is going to experience what symptoms and then maybe even get them help faster. If people start to experience clinically relevant hallucinations that are disturbing and impact the quality of life, that can be hard for people to admit, because they think it's so crazy. If we can normalise it and tell people 'this is just a symptom that is related to or exacerbated by hyperphantasia' then they can get the help that they need.
I think that all hallucinations come from the same cognitive mechanisms, and clinical hallucinations are just on the extreme of that spectrum. But it could be possible to reduce it to a more normal level, even in people with psychosis. That's what I'm going to be exploring in my future research – how to normalise hallucinations and predict hallucinations and potentially even reduce hallucinatory symptoms in people with psychosis.
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