Collerton et al.'s Perception and Attention Deficit (PAD) model argues that all recurrent complex visual hallucinations (RCVH) result from maladaptive, deficient sensory and attentional processing. We outline a constructivist-based representation of perception using signal detection theory, in which hallucinations are modeled as false alarms when confirmational perceptual information is lacking. This representation allows for some individuals to have RCVH due to a criterion shift associated with attentional proficiency that results in an increased awareness of the environment.