It may be difficult to convince the lay mind, and especially the legal
mind, that an individual may be suffering from an actual psychosis and
at the same time malinger mental symptoms. It is the legal mind
especially, working as it does with well-differentiated,
sharply-defined, and wholly artificial concepts, that demands a sharp,
strict differentiation between the mentally well and the mentally sick.
By means of man-made statutes a line has been created, on one side of
which they would place all the mentally well and on the other side all
the mentally diseased. By the same token they cannot conceive how an
individual placed on one side of the line may be able to manifest a type
of reaction, a form of conduct, which is by common consent considered as
being something essentially characteristic of the man on the other side
of the line, losing sight of the fact that in the evolution of the human
mind Nature is far from drawing such sharp differentiations as are
exemplified by legal statutes. It would certainly be very convenient,
and expert testimony would certainly have been spared the disrepute into
which it has fallen, were Nature more accommodating in this respect. But
Nature does not work in this fashion; differentiation in Nature takes
place through infinite gradations, and between the absolutely well
mentally and the frankly insane there is a host of individuals
concerning whom it is almost next to impossible to state to which of the
above two groups they belong. Thus it is that the frankly insane at
times manifest conduct which taken by itself differs in no way from
normal conduct, and that the so-called normal individual at times
exhibits a type of reaction which is essentially of a psychotic nature.
To the psychiatrist it is a matter of common occurrence to see the
mentally diseased not only dissimulate very ingeniously and tactfully
mental symptoms so that it is frequently impossible to convince a jury
of laymen of the existence of mental disorder, but at times, when the
necessity arises, they consciously accentuate their symptoms or frankly
malinger.
There is nothing strange about this. There is absolutely no reason why
the insane, in his desire to gain expression for his wishes and
strivings, should not avail himself of the same means that normal man
uses.
The following case illustrates this very clearly:--
Public-domain text, read in full here on John Shaqi.
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