Other instances would be inability to distinguish reality from dreams.
He either makes it up as he goes along, or he can't distinguish reality from illusion."
At age seven, the child can usually distinguish reality from fantasy, and at nine, he or she might suspect deception.
I'll bet you there were people up and about, on the prowl, though perhaps they were in no state to distinguish reality from fantasy.
The novelist tells stories to instruct; the psychotic, because he cannot distinguish reality from imagination; the dictator, as a means of exerting dominion.
One report concluded that Todd found it difficult to distinguish reality and fantasy.
Soon it becomes impossible to distinguish reality from the dreams and daydreams that seem so lifelike.
And now my volunteers will attempt to distinguish reality from its shadow.
In the vision, one passed through a darkness, unable to distinguish reality from insubstantial accident.
During the golden age of radio scholars produced studies showing that listening impaired young people's capacity to distinguish reality from fantasy.