Please allow Mr. W. H. M. to pass out the gate at once free.
Very respectfully,
W. W.
Please don't delay this one minute.
Thus we see that the entire content of this man's delusional fabric is
intended, first, to serve the purpose of annihilating the painful
reality, and, second, to substitute for it a beautiful world in which he
finds himself free and young again, enjoying his fabulous riches and
many blue-eyed beauties. It is the only compromise possible for him, and
the fact that it is nothing but a day-dream does not in the least
detract from its compensating possibilities for this individual's
painful reality. This man's mental disorder has been so obvious ever
since its inception that the question of malingering never suggested
itself to anyone, and yet the underlying mechanism in this case differs
in no particular essential from the cases usually considered as
malingerers. In both instances the psychosis represents an attempt to
get away from a painful reality by individuals who are quite incapable
of meeting such reality face to face.
A more detailed consideration of Freudian psychology, especially such as
concerns the subjects of determinism, defense, and compensation, would
give one a still clearer insight into the subject under discussion, but
to do so would lead us considerably beyond the scope of this paper. From
what has been said thus far it will be seen that the mental processes
underlying the mental state of malingering differ in no essential from
those operative in the human mind generally; that man in his endeavor to
reach a satisfactory compromise between the two underlying principles of
his conduct,--_i.e._, that of pleasure and reality,--frequently resorts
to his fantasy; that malingering in its broader sense,--_i.e._, the
attempt to evade reality,--is a common mode of reaction in primitive
man, the child of today and in the undeveloped mind, in all of these
instances signifying an inability to meet stern reality in the face, and
that, therefore, malingering, when it does occur, should at least not be
looked upon as an aggravating circumstance, which is not infrequently
the case when the malingerer happens to be facing a court of law.
That this mode of reaction is at times resorted to by individuals who
had always been looked upon as being far from incompetent only proves
that under special stress, especially mental stress, man readily sinks
to a lower cultural level and resorts to the defensive means common at
this level.
Clinically, malingering is to be considered from three distinct
viewpoints:--
1. Malingering in the frankly insane;
2. Malingering in those apparently normal mentally; and
3. Malingering in that large group of border-line cases which should
rightly be looked upon as potentially insane and as constantly verging
upon an actual psychosis.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account