One, of course, can readily see with what facility an individual of the
type under discussion could malinger mental symptoms. Reality and
fiction have about identical values in this type of mental make-up, and
it is frequently impossible to separate the genuine from the fictitious
in their mental productivity.
It is likewise quite easy to divine why an individual of this sort would
resort to malingering in his effort to extricate himself from a
difficult situation which he is organically unable to meet squarely in
the face. On the contrary, it would be strange indeed were an individual
of this type to refrain from resorting to this form of defense. Of
course, even the man whose history we have just quoted may still be
considered mentally responsible before the law were we to judge him by
the legal standards of responsibility. But as physicians we need not on
this account refrain from attempting to delineate these mental types in
their true colors.
The situation is well illustrated in the following case. Here the
symptom of pathological lying is associated with pathological swindling
and criminality and offers a fertile field for seeds of malingering.
E. D. C., a white male, aged thirty-four, came to us on April 16,
1914, from the penitentiary at Stillwater, Minn., where he was serving
a sentence of ten years for white slavery. He was admitted on a
medical certificate which stated that his father was supposed to have
died from pulmonary tuberculosis. The patient gave a history of
epilepsy until fourteen years of age, likewise of having been a
patient in a Vienna hospital for the insane for one and a half years,
in 1900 and 1901. So far as was known to the prison authorities, he
was mentally depressed and had delusions since his arrival at the
Minnesota State Prison on October 11, 1913. The present symptoms were
described as mental depression; says that everybody is persecuting
him; also has the delusions that he has or can invent a wonderful
electric machine which he wants to sell to the government for a
hundred million dollars; said he would shoot himself and die in
prison. Physical condition was not good. Patient suffered from
obstinate constipation, peculiar shuffling gait, suggesting partial
loss of control of legs and feet. Complained of constant headache on
the top of his head. No fever.
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