The record of admission and treatment given in one hospital is of peculiar interest. She was received there four years ago and evidently had been unable just previously to take care of herself properly on account of roaming. Her clothing was dirty and her head unclean. She was found to have the old appendicitis scar, which contained a small sinus. She remained in bed after admission, complaining of much pain in her abdomen, not well localized however, and would lie moaning, crying, and rolling across the bed. She was then running a slight temperature. After a time an operation was decided upon and a hairpin was found in the abdominal wall, undoubtedly inserted through the scar by the patient herself. (The findings of the surgeon in Chicago, then, revealed a repeated performance.) At another place the patient maintained she was unable to urinate, but at the same time strongly resisted catheterization. From the variability of her complaint it was found it could not be caused by a local condition, and examination showed no reason for the difficulty. Analysis of her symptoms undertaken at this time led to several stories, one about urethritis, which Inez claimed to have contracted from her brother at 3 years; an episode when she had received a great fright during micturition; an incident when she had seen a man exposed when she went to the toilet. (Of course, our experience with this type of case leads us to appreciate the difficulties of psychological analysis with extreme liars.) On one occasion she entered a hospital, claiming to have been recently injured; she had been taken in a supposed fainting condition from a car. Then it was she maintained that she had been struck by an iron bar and that a spike had entered her back. She also claimed at this time to have had her toes frozen. Study of the case here, too, showed no signs of injury or frost bite. On another occasion she told of having been dropped by a nurse while being lifted from a bed. Altogether her stories and her simulations have been convincing enough to get for her on many occasions good attention during at least a few days. We can get no account of true hysterical signs being discovered by any one. There has been no showing of anything but that she is a liar and a simulator. In the hospital records the portions devoted to previous history are thoroughly vitiated by her untruthfulness, and they contain statements which offer great contradictions, one to the other.