CASE 1
Summary: A girl of 16 applied for help, telling an elaborate tale of family tragedy which proved to be totally untrue. It was so well done that it deceived the most experienced. Shrewd detective work cleared the mystery. It was found that the girl was a chronic falsifier and had immediately preceding this episode become delinquent in other ways. Given firm treatment in an institution and later by her family, who knew well her peculiarities, this girl in the course of four years apparently has lost her previous extreme tendency to falsification.
Hazel M. at 16 years of age created a mild sensation by a story of woe which brought immediate offers of aid for the alleged distress. One morning she appeared at a social center and stated she had come from a hospital where her brother, a young army man, had just died. She gave a remarkably correct, detailed, medical account of his suffering and death. In response to inquiry she told of a year's training as a nurse; that was how she knew about such subjects. In company with a social worker she went directly back to the hospital to make arrangements for what she requested, namely, a proper burial. At the hospital office it was said that no such person had died there, and after she had for a time insisted on it she finally said she must have been dreaming. Although she had wept on the shoulder of a listener as she first told her story, she now gave it up without any show of emotion. We were asked to study the case.
Hazel sketched to us a well-balanced story of her family life; one which it was impossible to break down. It involved experiences at army posts—she stated her only relatives were brothers in the army—and her recent work as a ``practical nurse.'' She finally led on to the death of her brother, as in the tale previously told. When asked how she accounted for the fact that no such person was found in the hospital, she answered, ``Well, I either must have been crazy or something is the matter, and I don't think my mind is that bad.'' The girl evidently was suffering from loss of sleep; her case was not further investigated until after a long rest.
The next day Hazel started in by saying, ``It's enough to convince anybody that I was not in the hospital when Mrs. B. and I went there and found out that they said I had not been there. Truthfully I don't know where I was. If I was not there I must have been some place or I must have been in a trance.'' The long stories told in the next few days need not be gone into. They contained descriptions of life with her family in several towns when she was a child, of her graduation from the high school in Des Moines, and of her experience as a nurse in Cincinnati and Chicago. Our cross-examination disclosed that she knew a good many facts about obstetrics, in which she said she had had training, and about the cities where she said she had lived. For instance, she gave a description of the Cliff House at San Francisco, the seals on the rocks there, the high school in Des Moines, and so on. She also knew about life at army posts. The point that made us skeptical was when in mentioning the names of railroads she placed the wrong towns upon them. For instance, she told us her brother worked on the L. S. & M. S. at Kenosha.
Hazel's stories were successfully maintained for several days until a shrewd detective, who got her to tell some street numbers in Chicago, ferreted out her family. She had persistently denied the existence of any of them in Chicago, and, indeed, stated that her father and mother had died years previously. One of the most convincing things about her was her poise; she displayed an attitude of sincerity combined with a show of deep surprise when her word was questioned. For example, the moment before her mother was brought in to see her, she was asked what she would say if anyone asserted that her mother was in the next room. Her instantaneous, emphatic response was, ``She would have to rise out of her grave to be there.''
We soon learned that not a single detail the girl had given about her family was true. She was born and brought up in Chicago and had never been outside of the city. She had never studied nursing nor had she ever nursed anybody. In public school she had reached eighth grade.
Hazel came of an intelligent family and we were able to get a good account of the family and developmental history. Heredity seems completely negative as far as any nervous or mental abnormalities are concerned. She is one of seven children, four of whom are living, three having died in infancy. The father had just recently died of tuberculosis. There has been no trouble with the other children of any significance for us. Pregnancy with Hazel was healthy, but the mother suffered a considerable shock when she stood on a passenger boat by the side of a man who jumped overboard and committed suicide. The birth was difficult. The child weighed 12 lbs. Instruments were used; it was a breech presentation. At 2 years of age Hazel was very ill with gastritis and what was said to be spinal meningitis. She had some convulsions then. Had both walked and talked when she was about 16 months of age. During childhood she had a severe strabismus and at 8 years of age was operated upon for it. Vision has always been practically nil in one eye. Several diseases of childhood she had in mild form. After she was 2 years of age she had no more convulsions, or spasms, or attacks of any kind. From the standpoint of general nervousness Hazel was said to be one of the calmest in the family, although she was accustomed to drink five or six cups of coffee a day. Menstruation at 13 years, no irregularity.
On examination we found a very well nourished and well developed young woman of slouchy attitude and normal expression. Vision very defective in one eye and 10/20, even with glasses, in the other. Slight strabismus. General strength good. Examination otherwise negative except for the fact that she had been infected with the diplococcus of Neisser.
Mental tests proved her to have quite normal ability. Neither special ability nor disabilities of significance were discovered. For present discussion it is of interest to note that in the ``Aussage'' Test she gave a functional account, enumerating 16 items, 2 of which were incorrect, and accepted none of the suggestions which were offered.