What of the man who upon being arrested following the commission of
murder, develops a psychosis while awaiting trial, or who having been
found guilty of murder develops a psychosis while awaiting execution?
The first question which the psychiatrist is called upon to decide in
many instances is that of malingering. To the lay mind and to the minds
of many of our eminent--but psychiatrically uninformed--jurists the
question of malingering suggests itself at once. To them it is perfectly
evident that this development of a mental disorder, in the wake of a
criminal act, is nothing but a timely preparation for the "insanity
dodge." The clinical pictures presented by the acute prison psychosis
are especially apt to awaken suspicions of malingering in the minds of
the untrained. We see individuals who apparently never before showed any
evidence of mental disorder, and who immediately following the
commission of a criminal act manifest pictures of grave alienation. Many
of them don't know how much twice two is, are absolutely ignorant of the
most elementary subjects, remember nothing of the deed, and most
important of all fashion their deliria in such a way as to entirely
negate the deed, or at any rate justify it.
But why cannot all these manifestations be genuine? Many of us no doubt
recall the effect which examinations have upon certain students. The
emotional accompaniment of the examination, especially the emotion of
fright, causes many a student to forget facts which he knew as well as
his own name, and which he is able readily and fully to recollect as
soon as the examination is over. Are we to assume that these students
are malingering? Decidedly not. Why then should we question at all the
genuineness of a mental disorder developing in an individual who faces
the gallows or a life-long imprisonment? As a matter of fact cases of
pure malingering are among the rarest things which the psychiatrist
observes. Wilmanns,[1] in his study of 277 cases of insanity of
prisoners, found but two cases of simulation, and in a later review of
the diagnoses of the same series of cases, the two cases of malingering
do not appear at all. Bonhoeffer[2] in a study of 221 cases of insane
criminals found 0.5 per cent of malingerers. This is the experience of
everyone who comes in contact with these cases, and there are others who
go so far as to maintain that every malingerer of mental symptoms is
mentally defective.
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.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account