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PATHOLOGICAL LYING, ACCUSATION, AND SWINDLING A STUDY IN FORENSIC PSYCHOLOGY

BY

WILLIAM HEALY, A.B., M.D.

DIRECTOR, PSYCHOPATHIC INSTITUTE, JUVENILE COURT, CHICAGO ASSOCIATE PROFESSOR NERVOUS AND MENTAL DISEASES CHICAGO POLICLINIC; AUTHOR OF ``THE INDIVIDUAL DELINQUENT'' AND

MARY TENNEY HEALY, B.L.

TO MERRITT W. PINCKNEY JUDGE OF THE JUVENILE COURT CHICAGO

``Bonus et sapiens et peritus utilitatis dignitatisque civilis.''

EDITORIAL ANNOUNCEMENT

This volume is one of a series of Monograph Supplements to the Journal of Criminal Law and Criminology. The publication of the Monographs is authorized by the American Institute of Criminal Law and Criminology. Such a series has become necessary in America by reason of the rapid development of criminological research in this country since the organization of the Institute. Criminology draws upon many independent branches of science, such as Psychology, Anthropology, Neurology, Medicine, Education, Sociology, and Law. These sciences contribute to our understanding of the nature of the delinquent and to our knowledge of those conditions in home, occupation, school, prison, etc., which are best adapted to elicit the behavior that the race has learned to approve and cherish.

This series of Monographs, therefore, will include researches in each of these departments of knowledge insofar as they meet our special interest.

It is confidently anticipated that the series will stimulate the study of the problems of delinquency, the State control of which commands as great expenditure of human toil and treasure as does the control of constructive public education.

ROBERT H. GAULT,
Editor of the Journal of Criminal COMMITTEE ON PUBLICATION
Law and Criminology, OF THE
Northwestern University. AMERICAN INSTITUTE
FREDERIC B. CROSSLEY, OF CRIMINAL
Northwestern University. LAW AND CRIMINOLOGY.
JAMES W. GARNER,
University of Illinois.

PREFACE

Careful studies of offenders make group-types stand out with distinctness. Very little advancement in the treatment of delinquents or criminals can be expected if typical characteristics and their bearings are not understood. The group that our present work concerns itself with is comparatively little known, although cases belonging to it, when met, attract much attention. It is to all who should be acquainted with these striking mental and moral vagaries, particularly in their forensic and psychological significances, that our essay is addressed. In some cases vital for the administration of justice, an understanding of the types of personality and of behavior here under discussion is a prime necessity.

The whole study of characterology or the motivation of conduct is extremely new, and there are many indications of immense values in uncovered fields. Some appreciation of this fact may be gained from the following pages which show the possibility of tracing one form of behavior to its source.

We have laid under contribution practically the entire literature on the subject, almost none of which is in English, and also the thorough-going longitudinal case studies made by the Juvenile Psychopathic Institute of Chicago. In the latter material there was found much of value bearing upon the subject of lying, false accusation, and swindling of pathological character.

Our institute, later taken over officially by the Juvenile Court of Cook County, was for five years maintained upon a foundation provided by Mrs. W. F. Dummer.

WILLIAM HEALY MARY TENNEY HEALY

WINNETKA, ILL.
June, 1915.

CONTENTS

CHAPTER EDITORIAL ANNOUNCEMENT PREFACE I. INTRODUCTION II. PREVIOUS STUDIES III. CASES OF PATHOLOGICAL LYING AND SWINDLING IV. CASES OF PATHOLOGICAL ACCUSATION V. CASES OF PATHOLOGICAL LYING IN BORDER-LINE MENTAL TYPES VI. CONCLUSIONS INDEX OF AUTHORS INDEX OF TOPICS

PATHOLOGICAL LYING, ACCUSATION, AND SWINDLING

CHAPTER I

INTRODUCTION

Through comparison of the literature on pathological lying with our own extensive material we are led to perceive the insistent necessity for closer definition of the subject than has been heretofore offered. Reasons for excluding types earlier described as pathological liars will be found throughout our work. Better definition goes hand in hand with better understanding, and it is only natural that formal, detailed contemplation of the subject should lead to seeing new lines of demarcation.

Definition: Pathological lying is falsification entirely disproportionate to any discernible end in view, engaged in by a person who, at the time of observation, cannot definitely be declared insane, feebleminded, or epileptic. Such lying rarely, if ever, centers about a single event; although exhibited in very occasional cases for a short time, it manifests itself most frequently by far over a period of years, or even a life time. It represents a trait rather than an episode. Extensive, very complicated fabrications may be evolved. This has led to the synonyms:—mythomania; pseudologia phantastica.

It is true that in the previous literature, under the head of pathological liars, cases of epilepsy, insanity, and mental defect have been cited, but that is misleading. A clear terminology should be adopted. The pathological liar forms a species by himself and as such does not necessarily belong to any of these larger classes. It is, of course, scientifically permissible, as well as practically valuable, to speak of the epileptic or the otherwise abnormal person through his disease engaging in pathological lying, but the main classification of an individual should be decided by the main abnormal condition.

A good definition of pathological accusation follows the above lines. It is false accusation indulged in apart from any obvious purpose. Like the swindling of pathological liars, it appears objectively more pernicious than the lying, but it is an expression of the same tendency. The most striking form of this type of conduct is, of course, self-accusation. Mendacious self- impeachment seems especially convincing of abnormality. Such falsification not infrequently is episodic.

The inclusion of swindling in our discussion is due to the natural evolution of this type of conduct from pathological lying. Swindling itself could hardly be called a pathological phenomenon, since it is readily explicable by the fact that it is entered into for reasons of tangible gain, but when it is the product of the traits shown by a pathological liar it, just as the lying itself, is a part of the pathological picture. It is the most concrete expression of the individual's tendencies. This has been agreed to by several writers, for all have found it easy to trace the development of one form of behavior into the other. As Wulffen says, ``Die Gabe zu Schwindeln ist eine `Lust am Fabulieren.' '' Over and over again we have observed the phenomenon as the pathological liar gradually developed the tendency to swindle.

Notwithstanding the grave and sensational social issues which arise out of pathological lying, accusation, and swindling, there is very little acquaintance with the characteristics of cases showing this type of behavior, even by the people most likely to meet the problems presented. Lawyers, or other professional specialists have slight knowledge of the subject. Perhaps this is due to the fact that the pathological lying does not follow the usual lines of abnormal human behavior, unless it be among the insane where other symptoms proclaim the true nature of the case. Another reason for the slight acquaintance with the subject is the fact that almost nothing has been written on it in English.

The important part which behavior of this type sometimes plays in court work is witnessed to by the records of our own cases as well as those cited in the previous literature. The legal issues presented by pathological lying may be exceedingly costly. These facts make it important that the well-equipped lawyer, as well as the student of abnormal psychology, be familiar with the specific, related facts. For such students the cardinal point of recognition of this class of conduct may at once be stated to be its apparent baselessness.

The only method by which good understanding may be obtained of the types of personality and mentality involved in pathological lying, accusation, and swindling, as well as of the genetics of these tendencies, is by the detailed reading of typical case histories. In this fact is found the reason for the presentation of this monograph. Appreciation of the nature of the phenomena can only be obtained through acquaintance with an entire career. Any of us may be confronted by fabrications so consistent as to leave at one or several interviews the impression of truth.

Our selection of literature to summarize needs no explanation. We have simply taken all that we could find which specifically bears on the problem. Lying, in general, especially as a form of delinquency, has received attention at the hands of some authors, notably Ferriani[1] and Duprat.[2] The falsifications and phantasies of children and adolescents have been dealt with by Stanley Hall.[3] None of these goes into the important, narrower field with which we are here concerned. The foreign literature is vitally important in its opening up of the subject, but from the standpoint of modern psychopathology it does not adequately cover the ground.

[1] Ferriani, Lino, ``L'Enfance criminelle.'' Milan, 1894. (Trans. Minderjahrige Verbrecher. Berlin, 1896.)

[2] Duprat, G.-L., ``Le mensonge.'' Alcan, Paris, 1903.

[3] Hall, G. Stanley, ``Children's Lies.'' Amer. Journal of Psychology, Jan. 1890; pp. 59-70.

The fabrications, often quite clever, of the clearly insane, which in earlier literature are confounded with pathological lying, we have discriminated against as not being profitable for us to discuss here, while not denying, however, the possibility in some instances of lies coexisting with actual delusions. We well remember a patient, a brilliant conversationalist and letter writer, but an absolutely frank case of paranoia, whom we had not seen for a period during which she had concocted a new set of notions involving even her own claim to royal blood, confronting us with a merry, significant smile and the remark, ``You don't believe my new stories, do you?''

A short statement on the relation of lying to delinquency may be of interest here. Ferriani's discussion[4] of the lying of 500 condemned juvenile offenders, with classification of their lies, ranging from self-defense, weakness, and fancy, to nobility of purpose, does not include our field. Nor does he leave much room for appreciation of the fact we very definitely have observed, namely, that plenty of young offenders are robust speakers of the truth. Our analysis[5] of the delinquencies of 1000 young repeated offenders carefully studied by us does not tell the proportion of truth tellers as distinguished from liars, but it does give the number in which lying was a notable and excessive trait. The total number of males studied was 694, of females 306. Ages ranged from 6 to 22; average about 16 years.

[4] loc. cit.

[5] Vide p. 140, in chapter on Statistics, William Healy, ``The Individual Delinquent.'' Little, Brown, and Co. Boston, 1915.

MALES FEMALES

Lying—counted only when excessive and a 104 80 notorious characteristic of the individual, (15%) (26%)

False accusations—only recorded when of an 5 16 excessive and dangerous sort, (.7%) (5%)

The exact number of pathological liars is not determinable in our series because of the shading of this lying into other types. It would be safe to say that 8 or 10 of the 1000 were genuine cases of pathological lying according to our definition, that 5 more engaged in pathological false accusations without a notorious career in other kinds of lying. Examples of borderline mental cases showing fantastic lying and accusations are given in our special chapter. Some of the cases of pathological lying given in this work do not belong to the series of 1000 cases analyzed for statistical purposes. The extraordinary number of times several of these individuals appeared in court (resembling in this respect the European case histories) shows that the total amount of trouble caused by this class is not in the least represented by their numerical proportion among offenders.

We have purposely limited our own material for presentation. Here, as elsewhere, we insist on the value of genetics and consequently have busied ourselves at length with those cases where we could gain something like an adequate conception of the antecedents in family and developmental histories and where some measure of the psychogenetic features could be taken. Cases of older individuals with their prolonged and often picturesque careers, equivalent to those recounted in European literature, we have left strictly alone. One ever finds that the older the individual the less one can learn satisfactorily of beginnings of tendencies, just on account of the unreliability of the principal actor in the drama. The cases of older swindlers at first sight seem to offer much for the student of criminalistics, if only for purely descriptive purposes, but in the literature we have failed to find any satisfactory studies of the formative years of such careers. By taking instances of younger pathological liars, such as we have studied, the natural progress into swindling can be readily seen.

In court work we have been brought face to face with many cases of false accusation and, of course, with plenty of the usual kind of lying. Where either of these has been entered into by way of revenge or in belief that it would aid in getting out of trouble, no further attention has been paid to it from the standpoint of pathological lying. Our acquaintance with some professional criminals, particularly of the sneak-thief or pick-pocket class, has taught us that living conditions for the individual may be founded on whole careers of misrepresentation and lies—for very understandable reasons. Self-accusations may sometimes be evolved with the idea of gaining directly practical results, as when a lover or a comrade is shielded, or when there is danger of a larger crime being fastened on the self-incriminator.

In selection and treatment of our material we have confined ourselves as closely as possible to the definition first given in this chapter—a definition that after some years of observation we found could be made and held to. While we would not deny that some of our cases may eventually find their way into an insane hospital, still none of them, except some we have enumerated under the name of border-line types, has so far shown any indication of this. That some of our cases have more or less recovered from a strongly-marked and prolonged inclination to falsify is a fact of great importance for treatment and prognosis.

We see neither reason for including insane cases nor for overlapping the already used classifications which are based on more vital facts than the symptom of lying. Our use of abnormal cases in our chapter, ``Illustrations of Border-Line Types,'' will be perfectly clear to those who read these cases. They represent the material not easily diagnosed, sometimes after long observation by professional people, or else they are clearly abnormal individuals who, by the possession of certain capacities, manage to keep their heads well above the level of social incompetency as judged by the world at large.

We have introduced only the cases where we have had ample proof that the individual had been given to excessive lying of our peculiar type. In the court room and working with delinquents outside the court, it is in rare instances totally impossible to know where the truth finally rests; such have been left out. Then, too, we omit cases in which false accusations have about them the shadow of even a suspicion of vindictiveness. False accusations of young children against parents would hardly seem to have such a basis, and yet in some instances this fact has come out clearly. Grudge-formation on the part of young individuals has all through our work been one of the extraordinary findings; capacity for it varies tremendously in different individuals.

Several forms of excessive lying, particularly those practised by children and adolescents, are not discussed by us because they are largely age phenomena and only verge upon the pathological as they are carried over into wider fields of conduct. The fantasies of children, and the almost obsessional lying in some young adolescents, too, we avoid. There is much shading of typical pathological lying into, on the one hand, the really insane types, and, on the other hand, into the lying which is to be explained by quite normal reactions or where the tendency to mendacity is only partially developed.

It has been a matter of no small interest to us that in planning this monograph we conceived it necessary to consider part of our material under the head of episodic pathological lying and that later we had to omit this chapter. Surely there had been cases—so it seemed to us at first—where purposeless lying had been indulged in for a comparatively short time, particularly during the adolescent period, without expression of a prevaricating tendency before or after this time. When we came to review our material with this chapter in mind we found no sufficient verification of the fact that there was any such thing as episodic pathological lying, apart from peculiar manifestations in cases of epilepsy, hysteria, and other mental abnormalities. A short career of extensive lying, not unfrequently met with in work for juvenile courts and other social agencies, seems, judging from our material, to be always so mixed up with other delinquencies or unfortunate sex experiences that the lying, after all, cannot be regarded as purposeless. It is indulged in most often in an attempt to disguise undesirable truths. That false accusations and even self-accusations are engaged in for the same purpose goes without saying. The girl who donned man's clothes, left home and lived for months a life of lies was seeking an adventure which would offset intolerable home conditions. The young woman who after seeing something of the pleasures of the world was placed in a strict religious home where she told exaggerated stories about her own bad behavior, was endeavoring to get more freedom elsewhere. A young fellow whom we found to be a most persistent and consistent liar was discovered to have been already well schooled in the art of professional criminalistic self-protection. So it has gone. Investigation of each of these episodic cases has shown the fabrications to emanate either from a distinctly abnormal personality or to partake of a character which rules them out of the realm of pathological lying. In our cases of temporary adolescent psychoses lying was rarely found a puzzling feature; the basic nature of the case was too easily discoverable.

A fair question to ask at this point is whether pathological lying is ever found to be the only delinquency of the given individual. We should hesitate to deny the possibility of its being the sole offense, but in our study of a long list of cases, and after review of those reported by other authors, it seems practically impossible to find a case of this. The tendencies soon carry the person over to the production of other delinquencies, and if these do not come in the category of punishable offenses, at least, through the trouble and suffering caused others, they are to be regarded essentially as misconduct.

The reverse of the above question deserves a word or two of attention; are there marked cases of delinquency which do not show lying? Surveying the figures of Ferriani[6] who enumerated thousands of lies, belonging to his nine classes of prevarications, which a group of 500 young offenders indulged in, one would think that all delinquents are liars many times over. But as a matter of fact we have been profoundly astonished to discover that a considerable percentage of the cases we have studied, even of repeated offenders, have proved notably truthful. Occasionally the very person who will engage in a major form of delinquency will hesitate to lie. Our experience shows this to be less true, however, of sex delinquency than perhaps of any other. This statement is based on general observations; the accurate correlations have not been worked up. Occasionally the professional criminal of many misdeeds is proud of his uprightness in other spheres of behavior, including veracity. But even here one would have to classify carefully, for it is obvious that the typical swindler would find lying his best cloak of disguise. On the other hand, a bold safe-blower may look down with scorn upon a form of criminality which demands constant mendacity.

[6] loc. cit.

Realizing that pathological lying is a type of delinquency, and following the rule that for explanation of conduct tendencies one must go to youthful beginnings, we have attempted to gain the fullest possible information about the fundamentals of developmental and family history, early environment, and early mental experiences. Fortunately we have often been able to obtain specific and probably accurate data on heredity. The many cases which have been only partially studied are not included. Successive cross-section studies have been made in a number of cases, and it has been possible to get a varying amount of after-history. Observational, historical, and analytical data thus accumulated have given us a particularly favorable opportunity for discerning the bases of this special delinquent tendency. The results of the various kinds of social treatment which have been undertaken are not the least interesting of our facts.

To enumerate the results obtained on the many mental tests given in most cases seems quite unnecessary for the purpose of this monograph. We have referred to a few points of special interest and rarely have designated the results on tests in our series. In general, the reader probably will be better off with merely the statement of the principal findings and of the mental diagnosis.

Of much interest for the present subject is the development of psychological studies of testimony or report. Because of the natural expectation that the pathological liar might prove to be an unreliable witness our studies on this point will be offered in detail. For years we have been giving a picture memory test on the order of one used extensively abroad. This ``Aussage'' Test is the one described as Test VI in our monograph on Practical Mental Classification.[7] More recently our studies on the psychology of testimony have led us into wider fields of observation, and here the group of cases now under discussion may have to stand by themselves. The picture, the record of testimony on which is given in some detail in our case histories, is that of a butcher's shop with objects and actions that are universally comprehended. After careful and fair explanation of what is about to be undertaken, the picture is exposed for ten seconds, and then the examinee is asked to give a free recital of all he saw. When he states that no more is remembered he is questioned on omitted details. (All told, there are about 50 details of varying importance in the picture.) During the progress of this part of the examination he is asked if he saw 7 objects which might well be in a butcher shop, but which are not in the picture. This is the test for susceptibility to suggestion. All points are carefully scored. Norms on this test, as on many others, it seems hardly fair to give by averages—there is much variation according to mentality and even personality groups. Practically all of our cases of pathological lying range above the age of young childhood, so it is not necessary here to discuss the characteristics of young children's testimony. Perhaps it is sufficient to say that the ordinary individual recalls voluntarily or upon questioning upwards of 20 items, and does not give incorrect items to any extent. On questioning he may perhaps accept one or two of the seven suggestions, but when details in general are asked for he does not add fictional items more than are accounted for by some little slip of memory. One can find definite types of intellectual honesty, even among children of 10 or 12 years of age, when there is no tampering with the truth; if an item has not been observed, there is no effort to make it seem otherwise. For discussion of the results on this test among our pathological liars we refer to our chapter on conclusions.

[7] ``Tests for Practical Mental Classification,'' by William Healy and Grace M. Fernald, Monograph No. 54. Psychological Review Pub. Co., 1911, Princeton University, Princeton, N. J.

The short summary of causative factors given at the end of the case study deals only with the factors of delinquency. To avoid misinterpretation of the coordinated facts, what they are focused upon should ever be remembered. The statement of these ascertained factors brings out many incidental points which should be of interest to lawyers and other students of criminalistics.

It should be needless to state to our professional readers that the personalities represented in our case histories are entirely fictitious, but that alterations have been made only in such facts as will not impair scientific values. We confess to no particular pleasure in writing up this rather sordid material; the task is undertaken because such studies offer the only way to gain that better understanding which is necessary for adequate treatment of special types of human beings.

CHAPTER II

PREVIOUS STUDIES

The subject of pathological lying was first definitely brought to the attention of the medical and legal professions by the studies of Delbruck.[8] The aim of this work was to follow the development of a symptom but little commented upon up to this time, a symptom, as he says, found in every healthy person in slight degree, but in some cases rising to pathological significance and perhaps dominating the entire picture of abnormal traits—thus becoming pathognomonic. This symptom he at the outset calls lying.

[8] ``Die pathologische Luge und die psychisch abnormen Schwindler. Eine Untersuchung Uber den allmahlichen Uebergang eines normalen psychologischen Vorgangs in ein pathologisches Symptom, fur Aerzte und Juristen.'' Pp. 131, Stuttgart, 1891.

Through an elaborate and exhaustive investigation of the lies told by five patients over a period of years, he came to the conclusion that the form of falsifying in these cases deserves a new and separate name. It was not ordinary lying, or delusion, or false memory, these words express only part of the conception; hence he coined the new term, pseudologia phantastica, to cover the species of lying with which he was concerned. Later German writers have also adopted his terminology.

To emphasize the method by which he arrived at this conclusion and to gain at the same time some knowledge of the problems he dealt with, we may review in bare outline his case-studies.

The first patient presented by Delbruck was an Austrian maid-servant who in her wanderings through Austria and Switzerland had played at various times the roles of Roumanian princess, Spaniard of royal lineage, a poor medical student, and the rich friend of a bishop. Her lying revealed a mixture of imagination, boastfulness, deception, delusion, and dissimulation. She romanced wonderfully about her royal birth and wrote letters purporting to be from a cardinal to herself. She fled disguised as a man from an educational institution to Switzerland where her sex was discovered. It appeared that she was subject to contrary sex feelings and thought of herself as a man. She was under the observation of Krafft-Ebing at one time. He considered it at least as a case of paranoia. Others had determined the girl to be a psychopath who indulged in simulations and lies. Delbruck denominated it a case of direct lying with a tendency to phantasies, delusions, and dissimulations. Delbruck from this case argues that a mixture of lies and delusions is possible, comparing such a state with dreaming and with the hypnotic condition in which one follows the suggestion of the hypnotizer and is still aware of the fact. It was evident at times that this girl half believed her own stories, then again that she had forgotten her former lies. In her, Delbruck considers perverted sex feeling and hysteria revealed a brain organization abnormal from birth. There was the instinctive tendency to lie.

The second patient, an epileptic girl, had been many times imprisoned and also sent to the Charite for examination into her sanity before Delbruck saw her. Her peculiar method was to approach strangers, claiming to be a relative coming from another city to visit. If cordially received she would stay as long as her welcome lasted, then depart taking with her any of their possessions her fancy chose. Many prominent physicians examined her and were unable to decide as to her responsibility; judges and others said she was a willful deceiver, a refined swindler. Delbruck, looking deeper, found that she was suffering from hysteria, having hystero-epileptic seizures with following delirium, or rather twilight states. Though her delinquencies seemed to show cunning and skill, a careful investigation revealed the fact that this was merely aberrant. Generally her thieving was undertaken in feebleminded fashion; many times she stole things worthless to herself. Evidences of her pathological mentality were that she would give orders for groceries, would buy children's clothes, or send for a physician under an assumed name. She might not go back for the groceries, but after ordering them would say she would return with the carriage. The characteristic fact throughout her career was that she wished to appear to be some one wealthier, more influential than she was. Delbruck classifies her as high-grade feebleminded, suffering from convulsive attacks and peculiar states of consciousness, with a morbid tendency to lying. She possessed no power to realize the culpable nature of her acts when she was performing them.

His third patient as a boy appeared normal both mentally and physically. In his youth he went through the gymnasium and then studied theology. He spent money very freely on clothing and books, but at this period neither stole nor lied. After finishing his theological studies, he preached in his home town and was regarded as a young man of great promise. Then came a change; he began to write strange letters, telling of some positions offered him, he borrowed money freely from relatives and friends who were willing to give because they believed in his coming career. When studied, it was concluded by Delbruck that this was a case of constitutional psychosis, hysteria, moral insanity, and psychopathy—all of these forms being interrelated. Outside of masturbation, begun in early childhood and indulged in excessively at times, no causal factors were discovered. He considered that this case offered a good illustration of the peculiar coexistence of real lies and delusions in the same individual.

His fourth case was that of an artful, deceitful, arrogant, selfish boy, always clever in excuses, who had stolen from the age of twelve, often stolen things that he threw away. Though of Protestant family, he delighted to draw Catholic insignia and embroider religious characters. He finally entered the university, always lying and stealing. At the end of three months he was taken home in debt 2000 marks. He later became a Catholic. Outside of normal expense he had cost his father 28,000 marks. By the time he was studied he had already taken opium for four years, having started because of neuralgia. There had been a severe operation on account of some trouble with the teeth. It was discovered that there was contrary sexual feeling in this case also. The patient had a great inclination for doing woman's handwork. Delbruck again considered the early appearance of character anomalies and perverted sex feeling to prove a deep-seated abnormality of nervous constitution. He diagnosed it as a case of constitutional psychosis; the extent of the abnormalities showing the individual to be irresponsible.

His last patient was an alcoholic adventurer, early life unknown, who had an idiotic sister. He had lived long in America and returned to Germany full of stories of his wonderful achievements over seas. This case does not concern us except to emphasize the influence of alcohol in the development of such cases.

This outline is sufficient to show the justification of his conclusion, namely, that just as in healthy people a mixing of lies and mistakes may occur, so the same combination may reach a pathological height, and one can diagnose a mixture of lies with delusions or false memories.

These studies focus our attention on the following points which are valuable to emphasize for the purpose of this monograph: the complexity of details to be examined in the life of any one patient in whose delinquencies pathological lying is a factor, the variety of cases in which this factor may occur, hence the difficulties in the way of determining the extent to which the patient is responsible for his deeds and whether he belongs in a reformatory or an insane hospital. From the standpoint of society Delbruck's work has great use, since it reveals so plainly the menace that these liars are to their families and to the community as a whole, their unscrupulousness in financial dealings, their tendencies to bring false accusations involving families and friends alike in useless expense and litigation.

German studies on pseudologia phantastica since Delbruck's time have followed the line of amplification of his views and clarification of the subject by the addition of new types.

Koppen[9] attempted to differentiate sharply and to analyze more accurately the conception of the pathological lie. He found it impossible to make an absolute separation between pathological lies and normal lies. The lies of the mentally diseased are seldom pathological. They lie, but their lies do not differ from those of the mentally sound. We cannot call the results delusional lies. Among imbeciles we find a peculiar disposition to lying, especially among those of criminal inclination. Their lies do not separate themselves either in content or in relation to the rest of their ideas from the lies of the mentally diseased. Here follows his positive contribution to the conception; the pathological lie is active in character, a whole sequence of experiences is fabricated and the products of fancy brought forward with a certainty that is astonishing. The possibility that the untruth may be at any minute demolished does not abash the liar in the least. Remonstrances against the lies make no impression. On closer inspection we find that the liar is no longer free, he has ceased to be master of his own lies, the lie has won power over him, it has the worth of a real experience. In the final stage of the evolution of the pathological lie, it cannot be differentiated from delusion. Pathological lies have long been credited to hystericals, they are now known to arise in alcoholics, imbeciles, degenerates. All pathological liars have a purpose, i.e., to decorate their own person, to tell something interesting, and an ego motive is always present. They all lie about something they wish to possess or be.

[9] ``Ueber die pathologische Lugner,'' Charite-Annalen, 8, 1898. Pp. 674-719.

Koppen offers three case studies: I. A man who had suffered from many epileptic seizures came from a family in which there was insanity. He gave himself many false titles, and from his childhood pathological lying had been a prominent symptom. As an example, when he married against his father's will, he at the wedding read a false dispatch, pretending it to be congratulations from his family. Koppen suggests that this individual was incapable of meeting life as it really was and he therefore wove a mass of phantasies. II. A young man charged with grave falsifications. He had come from an epileptic family and himself had slight attacks in childhood. He bore various pathological stigmata. Koppen considered that the patient believed his own stories about his rather superior education and that in general his lies became delusions which influenced his actions. He diagnosed the case as psychotic; insane in a legal sense. III. A young man undoubtedly insane brought forward his pathological lies with such force that Koppen was persuaded that the patient believed in them.

Bernard Risch[10] has seen many cases of delinquents with more or less marked psychopathic signs in which pathological lying was the focal point. He reports five cases at great length, in all of whom the inclination to fabricate stories, ``der Hang zum fabulieren,'' is irresistible and apparently not to be repressed by efforts of the will. Risch's main points, built up from study of his cases, are worthy of close consideration: 1. Mental processes similar to those forming the basis of the impulse to literary creation in normal people lie at the foundation of the morbid romances and fancies of those afflicted with pseudologia phantastica. The coercive impulse for self-expression, with an accompanying feeling of desire and dissatisfaction, plays a similar part in both. That the making up of tales is an end in itself for the abnormal swindler, just as it is for the normal author, seems clear to Risch. 2. The morbid impulse which forces ``zum fabulieren'' is bound up with the desire to play the role of the person depicted. Fiction and real life are not separated as in the mind of the normal author. 3. The bent of thought is egocentric, the morbid liar and swindler can think of nothing but himself. 4. There is a reduction of the powers of attention in these cases; only upon supposition that this faculty is disturbed can we account for the discrepancies in the statements of patients. One has the impression that their memory for their delinquencies is not clear. Careful investigation proves that they do not like to remember them and this dislike has to be overcome. 5. There is a special weakness in judgment, which for general purposes is sound. The train of thought is logical, but in ethical discernment the lack appears. The pathological liar does not face openly the question of whether his lies can be seen through.

[10] `` `Ueber die phantastische Form des degenerativen Irrseins, Pseudologia phantastica.'' Allgemeine Zeitschrift fur Psychiatrie, 65, 1908, H. 4; pp. 576-639.

Then follows a closer analysis of the qualities possessed by pathological liars: (a) Their range of ideas is wide. (b) Their range of interests is wider than would be expected from their grade of education. (c) Their perceptions are better than the average. (d) They are nimble witted. Their oral and written style is above normal in fluency. (e) They exhibit faultiness in the development of conceptions and judgments. Their judgment is sharp and clear only as far as their own person does not come into consideration. It is the lack of any self criticism combined with an abnormal egocentric trend of thought that biases their judgments concerning themselves. (f) Psychic traumata arise perhaps through a striking reaction in the emotional realm towards external occurrences. (g) Nearly all of Risch's cases were burdened with bad inheritance. He maintains that, above all, these cases show instability and psychic excitability. The entire symptom complex arises upon a basis of degeneracy.

Essential similarities run through all of Risch's cases; it is perhaps valuable here to cite a couple of them. His Case I is that of a soldier, who after being released from prison at 23 years had begun his military duty and in a short time attempted suicide. He was then studied for insanity. It was found that he gave long accounts of his experiences as a chauffeur, rendering his story with fluent details about hairbreadth escapes and other adventures. He also told at length of his love affair with a young girl. These stories were discovered to be false from ``A to Z''; he did not clearly remember them later. The evolving of such fabrications was all along one of his chief characteristics. Examination showed no gross intellectual defect, but there were certain psychopathic signs which had been displayed from early childhood: he had little endurance and was unable to stand criticism. Emotions befitting his stories were correctly expressed by him; there were no facial evidences of conflict or discomfort. It was impossible to tell from his physiognomy that he was engaged in untruths. Mentally he was well oriented and his thoughts flowed in orderly sequence. Despite rather limited education he demonstrated very good style in his conversation and his letters. The train of thought was expressed coherently and logically, so well that one could speak of him as having literary ability. Physically he was quite normal. Investigation of antecedents showed that he was born of an exceedingly nervous mother (more exact diagnosis not given) and that he had a feebleminded brother. During his school career he was considered to have quite fair ability. He learned no trade, and after stopping school would leave a position upon the slightest provocation. Before he was 23 he had been legally punished many times for stealing and had spent, all told, over three years in prison. Once before he had attempted suicide. After the thorough study of him at 23 he was placed in an asylum. There he was occupied at basket weaving and was chiefly notable for keeping up the characteristics that were peculiar to him before. He continually lied and, indeed, seemed to get his main pleasure out of telling fabulous stories to the other patients.

Case IV was a man of 31 years, a decorative painter by trade, who presented himself at the states attorney's office and stated that in a fit of jealousy he had shot and killed a man. Taking up the case it was soon found that this was quite untrue and that the man was a chronic liar. He seemed much astonished when he was told that the man he claimed to have killed was still alive. Further study of this self-accuser showed that he had been punished by the law every year since he was 16. His offenses consisted of embezzling, theft, forgery, and swindling. In all he had served about 6 1/2 years. His lying was so much a part of his mental life that he seemed to be unable to discriminate between his real and his fancied crimes. He not only invented stories, but was much inclined to play some role created by his fancy. There seemed to be a method in his cheating and swindling which added to his undoubted pleasure in lying. His peculiar career was much furthered by the possession of a fluent style and a good memory through which his creations were built up in most plausible fashion. He proved to be willingly introspective and stated that his inclination to lie was a puzzle to him, and that while he was engaged in prevarications he believed in them. He always was the hero of his own stories. He further declared that inner unrest and love of wandering drove him forth even when he was living under orderly conditions. He considered that his feeling of restlessness was a weighty motive in the deeds for which he had been punished. At one time this man had simulated attacks of epilepsy and attempted in connection with these to swindle physicians and others. His schooling had been continued to the gymnasium, ``untertertia,'' then he had taken up his trade. His intelligence and memory were considered excellent. He had an insane brother.

Vogt[11] has made a thorough analysis of six cases of pathological liars, ranging from the very stupid to the intelligent. I. A girl, who had done poorly in school was unable to hold a place and became a thief. Her mother was epileptic. Examination showed intelligence not equal to that of eight years with moral inferiority on account of this weakness. II. A feebleminded girl of vacillating, weak judgment. Father insane. Her lies were marked by their fantastic nature. III. Lively, fanciful, unstable, hysterical girl. Poor record at school. IV. Hysterical liar with peculiarities united with splendid mental ability. V. Unusually intelligent, 15 years old, illegitimate child; normal mother who later had five sound children; father drunkard. Her lies were neither of suggested nor dreamy type, they were skillfully dramatized means to an end in her fight for social position. In the psychiatric examination she was found mentally normal. VI. Girl thoroughly intelligent, good at figures and puzzles, with no signs of degeneracy.

[11] ``Jugendliche Lugnerinnen.'' Zeitschrift fur Erforschung d. jugend. Schwachsinns., Bd. 3. H. 5. 1910; p. 465.

Vogt characterized the pathological lie as active, more elaborately constructed, more inclusive, and leaving the ground of reality more readily than ordinary lies. Such lies he does not always find egocentric. To the pathological liar his own creation is reality, so he walks securely, is open and amiable. All these cases are gifted with lively imaginations and inclined to autosuggestion. Vogt calls the pathological lie a wish psychosis. This statement opens the way to an interesting and valuable interpretation of the psychological significance of this phenomenon of the mental life. He finds many more girls than boys among his cases; boys lie from need of defense and protection, girls more from autosuggestion. This type of lie is of greater interest to social than to clinical psychology. He emphasizes the point that very refined and complicated lies appear in healthy young people in the stress of difficult situations. Obstinate and stubborn lying of itself is no disease among children; examination must reveal that the lie has a morbid cause.

The resemblance of pathological lying to poetic creation was first suggested by Delbruck[12] in a reference to Keller's ``Der grune Heinrich,'' a German novel in which the lies of a boy of seven years, lies of a creative type of the nature of retroactive hallucinations, are described. Hinrichsen[13] discusses at length the resemblance of pseudologia phantastica to poetic creation in Goethe, Grillparzer, Hoffman, and others.

[12] loc. cit.

[13] ``Zur Kasuistik und Psychologie der Pseudologia phantastica.'' Arch. fur Kriminal Anthrop. umd Kriminalistik, 1906.

In an inaugural dissertation Anna Stemmermann[14] presents exhaustively a series of cases. These cases were studied over a long period catamnestically. Commenting upon one case she says: It is worthy of note in this history that the patient in a hypnoidal condition, with headache and flushed face, crochets in a senseless way and thinks she is weaving a wreath for her mother's grave, her mother being still alive. We often meet with actions like this. Characteristic is the report of spontaneous, fearful headache, without the patient's putting this in relation to her peculiar behavior. We lay more stress upon this condition than has been done previously in the literature. We believe that this symptom is wanting in no classic case of pseudologia phantastica. Often in this condition of narrowed consciousness, the daydreams are spun and have such a power of convincing that they later make the basis for pathological lies and swindling. In this hypnoidal state a strongly heightened suggestibility exists and trivial external causes give daydreams their direction. The general trend of fancy reveals naturally the inclinations and ideals of the affected individual. Stemmermann also maintained that the pathological lie is a wish psychosis. Even outside of the hypnoidal state, these cases are more suggestible than the general run of people.

[14] ``Beitrage und Kasuistik der Pseudologia phantastica.'' Geo. Reimer, Berlin, 1906, pp. 102.

Of Stemmermann's own cases, ten in number, only four at most were normally endowed, the remainder were either stupid or slightly imbecile. This agrees with the experience of previous writers. Study of her cases showed that there was report of previous mendacity, four had been liars from childhood. She found in them the combination of the general habit of lying underneath the more accentuated form of pseudologia phantastica. One case had perverted sex feeling, one was a prostitute at sixteen years.

In her dissertation some points for the differentiation of the pathological lie have been added to those offered by Delbruck, Risch, Koppen, and Vogt. The pathological liar lies, not according to a plan, but the impulse seizes him suddenly. This propensity grows stronger. Under strict supervision it comes to only an abortive attack, similar to what happens in cases of dipsomania, or of tendency to rove in which the repressed outbreak expresses itself in tormenting psychical and physical unrest. While the normal liar and swindler is forced to be on his guard lest he divulge something of the actual state of affairs, and is therefore either taciturn or presents an evil and watchful appearance, or, if a novice at his trade, is hesitating in his replies, the pathological liar has a cheerful, open, free, enthusiastic, charming appearance, because he believes in his stories and wishes their reality. The inconsequential way in which such persons go to work is to be explained by the fact that consciousness of the real situation is partly clouded in their minds. In any special act it is impossible to say whether the consciousness of the lie, fancy, or delusion preponderates. Inability to remember delinquencies Stemmermann regards also as added proof of pathological lying.

She speaks of another class of prattlers, chattering people that might be confounded with pathological liars from the stories they tell in full detail. But they have no system which they develop, often change their subject and do not paint in a lifelike way because they do not believe their own stories or live in them in a self-centered manner.

Of the 17 cases Stemmermann studied from the literature (Delbruck, Hinrichsen, Jorger, Redlich, Koelle, Henneberg , Wellenbergh) 10 were periodic. Of her own 10 cases, 6 were periodic. Sex abnormalities were present in 5 out of the 17 in the literature. Among possible causes of pathological lying she places any factor which narrows consciousness and increases suggestion and weakness, such as pregnancy, overexertion, chronic alcoholism, monotonous living, long, close work, head injuries.

Concerning prognosis she finds little detailed in the literature. The general opinion is that such cases arising from a background of degeneracy are incurable. One of her cases was free from attacks for two periods of three years each, and had been blameless in an honorable position as editor for seven years at the time of the publication of her monograph. She suggests that the profession he has chosen may be particularly suited to the talents of the pathological liar. She also ventures to state that where pathological lying is merely an accompaniment of puberty it may disappear.

The fact that so many of the cases cited by Stemmermann were clearly abnormal and found places in insane asylums makes much citation of them by us, in turn, hardly worth while. However, a short summary of a couple of her more normal cases will show the problems and conditions as she found them. I. Annie J., 19 years old, father a tailor, had been employed in several places as a servant. Aside from the fact that it was stated she always had an inclination to lie, nothing more was known about her early life. She complained of headaches and fainting attacks, and mourned over the death of her fiance. She said he had gone to Berlin to learn tailoring and had died there of inflammation of the lungs. He left her 650 marks which her mother got hold of. On investigation it was found that this man was still alive and never had been engaged to her. She then accused her mother of taking 50 marks from her and said that a man, purporting to be her real father, came from another town and told her she had been brought up by foster parents. Through the quarreling which arose from these various stories Annie was taken before the police physician and pronounced mentally unsound. Then she told of another engagement with the brother of her departed fiance, who had discovered her real mother. The latter was going to leave her 30,000 marks. He had formed a plot with the foster mother to put Annie out of the way and to divide the money. He followed her on the street and threw a drugged cloth over her head. She fainted and was carried home. She said she brought action for attempt to murder. (Whether this fiance and the rich mother were real persons is not known.) Later in the same year, Annie being again at large, a new father, der Graf von Woldau, appeared and bought her beautiful clothes costing 100 marks. He wanted to take her away, but quickly disappeared and was not seen again. When Annie told this story she was employed by a woman who attempted to get traces of the count, but failed. Later this employer missed a sum of money equivalent to that spent for the clothes. Annie's responsibility by this time was still more questioned and she was sent to an insane asylum. There she was found normally oriented, orderly, industrious, but suffered from periodical headaches. When questioned in the asylum concerning her tales she hesitated and would say, ``Now I believe them and now I don't.'' It is remarkable in this case that her different employers believed all her fabrications and took the girl's part against the supposed offenders. For a year she engaged in a sort of orgy of pathological lying and then this phase of her career stopped. After a few months in the asylum she returned home and later married. The last report from her mother was that she was nervous and easily excited, but showed no further signs of insanity.

II. This was a boy, Johann P., who was studied mentally first when he was 16 years old. A thoroughly good history was forthcoming. He was brought for examination on account of his extreme changeableness, his failure in several occupations, his tendencies to swindling and his extreme lying. As a young child his mother had to correct him much for prevarications. Soon after he was 9, when both his parents were already dead, he forged a school certificate and was felt to be a bad influence in the home of his guardian. About that time he also stole money from pockets on a number of occasions. In school he was regarded as an undesirable pupil on account of his underhanded behavior, and one teacher who had observed him for long wrote that he showed marked inclination towards lying. At the time he was 15, he was somewhat retarded in school life, but was told he had to decide upon an occupation. After a stormy period he announced he would become a gardener. After doing well for a month or so at his first place he began to tell compromising stories about the wife of his employer. He gave himself out to be the son of a general who was going to inherit a large sum of money. On the strength of this he managed to get hold of expensive articles he desired. A short time afterward he wrote to his guardian he was fitted for higher pursuits than that of gardening. Soon afterward he ran away to a large town. He now wrote that the word freedom sounded like the sweetest music in his ears. He acknowledged that he had started on a career of criminality, but decided to do better. At this time he attempted to make his way by offering his compositions at a newspaper office where they were declined either because his productions were immature or his authorship was doubted. One editor loaned him some money, but he got much more by representing himself to be a collaborator of this editor. He soon failed to make his way and attempted other things, including entrance into the merchant marine. He finally turned up again at his guardian's house, and when his box was opened it was found to contain a very curious lot of material such as money accounts, business cards, letter heads, catalogues. It was at this time that he was placed for observation in an asylum and it was soon found that his alleged compositions were plagiarized. He claimed to suffer from headaches. Outside of that he was in fine physical condition. He frequently wrote sketches in proof of his ability. A general statement was finally made that he showed slight traces of hysteria, was a sufferer from headaches, and showed periodic tendencies to wandering and lying. No special defect in the ethical discriminations was present. He had good insight into his own tendencies. He was finally released to his guardian, and Stemmermann offered the prognosis that Johann might well develop into a typical pathological swindler. He came of a family of five brothers and sisters, one of whom was incarcerated for a year on account of stealing. One sister was noted for her tendency to prevarication. Several of them were remarkably unstable, at least early in life. All of them are said to have learned very unwillingly in school. One brother of the father was exceedingly nervous.

Jorger[15] presents a case of a boy of poor parents who was from childhood possessed of the idea of becoming a teacher. He was always a solitary child, endowed with great religious fervor. In spite of poverty he obtained an education, studied the classics, and did excellent work. He developed early religious eccentricities, became unsound on money matters, boasted of his father's millions, spent freely as a benefactor, bought expensive books. Then developed an outspoken tendency to swindling. Finally he was adjudged insane and committed to an asylum. Commenting on this case, Jorger points out the marks of abnormality from childhood, such as solitariness and religious intensity. He was above normal in intellectual ability, but lacking in moral development. He did not love parents, brothers, sisters, or teachers; he was very egotistical. Jorger defines this as a case of constitutional psychosis. When older, pseudologia phantastica controlled him; it was like hypnotic influence, his dreams of wealth were like paranoia. His hypnotic condition grew to such an extent that there was an interruption of consciousness with following amnesia.

[15]``Beitrage zur Kenntnisse der Pseudologin phantastica.'' Viertel-jahrschrift fur gerichtliche Medicin und offentliches Sanitatswesen, 1904 Bd. XXVII; pp. 189-242.

Henneberg[16] cites another case of a highly educated young man who told wonderful stories in childhood and later obtained money under false pretenses with elaborate deception. From an eccentric grandmother, and a mother who was very excitable and suffered from hysteria, he inherited a nervous system which was not calculated to bear the strain which his own overzealous efforts in pursuing his studies and his spiritual exaltation put upon it, hence the mental and moral breakdown. This is a very interesting case because it does not fit into the usual group of pathological liars.

[16] ``Zur kasuistischen und klin. Beurteilung der Pseudologia phantastica.'' Charite-Annalen, XXV, XXVI.

Wendt[17] enlarges the field in which we may look for such cases. He finds pseudologia phantastica a symptom, not only of hysteria, alcoholism, paranoia, but also of sex repression, and neurasthenia. He takes a more philosophical view of the subject than previous authors. He understands by pseudologia phantastica not merely the bare habit of telling fantastic lies, and what they bring forth, but rather the yielding up of consciousness of reality in the presence of the morbidly fantastic wish in its widest consequences. Since the wish in order to exist is not permitted to lose entirely the conscious presentation of what it hopes for, so memory and recognition of reality emerge disconnected in consciousness, and a condition described as double consciousness arises. In this state of mind two forms of life run side by side, the actual and the desired, finally the latter becomes preponderant and decisive. Such a psychic make-up must lead unconditionally and necessarily to swindling and law breaking. A degenerative alteration furnishes the basis from which a wish or wish-complex arises, increasing in force until it becomes autosuggestion, hence it is pathological. Then follow the practical consequences, and we have developed, on the one side, pathological lying, and, on the other, swindling, i.e., criminality. Purely symptomatically pseudologia phantastica is characterized by the groundlessness of the fabrications, the heightened suggestibility of the patient, and in its wake arises double consciousness and inadequate powers of reproduction of reality.

[17] ``Ein Beitrag zur Kasuistik der Pseudologia phantastica.'' Allgemeine Zeitschrift fur Psychiatrie, LXVIII, Heft 4; pp. 482-500.

Wendt gives at length the history of a precocious boy, the son of an official of medical rank, who had lived always with older people. He lied from early childhood. He was a chronic sufferer from severe headaches. Between the ages of 15 and 17 this boy showed evidences of literary talent, but was poor in mathematics. From a tender age he had an overmastering desire to become great; he said he wished to become a jurist because only jurists get the high offices. He entered a South German university, rented a fine apartment, stated he was accustomed to a Schloss, his father was a high state official. He later called himself Graf Friedrich Gersdorf auf Blankenhain. The young man's deceits grew rapidly, he obtained much money falsely, traveled first class with a body servant. He passed to other universities, was always quiet and industrious. After many adventures he fell into the hands of the law and was adjudged insane. Most interesting was the fact that he discussed intelligently his career. ``My capacity for considering my thoughts as something really carried out in life is unfortunately too great to permit my having full conception of the boundary between appearance and reality.''

The family history of the above case included swindling, hysteria, and epilepsy. His fabricating tendency first reached its height at 14 years, thus showing the influence of puberty. Wendt regarded the etiological factors as family degeneracy, a wish-complex which in activity amounted to autosuggestion, double consciousness, and a periodical preponderance of the wished for personality.

Bresler[18] in proposing two reforms in the German ``Strafgesetzbuch'' undertook a discussion of pathological accusations, as material using cases reported by several authors. He attempted a classification as follows: 1. Deliberately false accusations based upon the pathological disposition or impulse to lie; the content of the accusation being fabricated. 2. False accusation upon a basis of pathologically disturbed perceptions or reasoning. Content of the accusation is here illusion, hallucination, or delusion. 3. Accusations correct in content, but pathologically motivated.

[18] ``Die pathologische Anschuldigung.'' Juristisch-psychiatrische Grenzfragen, Band V, Heft 8, pp. 42.

The first group nearly always is the action of hystericals, and many are centered on sex affairs. Bresler's cited cases of this class seem merely to impress the idea of revenge, or of protection from deserved punishment. A very complicated case was that of a girl who had been rejected in marriage after the discovery by her lover that she had attacks of major hysteria. She entered into a conspiracy with her mother to destroy him. She first maliciously cut grape vines and accused him and his brother of doing it. Then she slandered his whole family. A year later, suddenly appearing wounded, she accused his uncle of trying to kill her and obtained a verdict against him. Then she attempted the same with another uncle who, however, maintained an alibi. After this her role changed, for her mother summoned people to see her daughter lying with a wreath around her head, brought by an angel, with a scroll on which was inscribed ``Corona Martyri.'' The church now took her part and she toured the country as a sort of saint. Later she returned to her former tactics, she set fire to a house, cut off a cow's udder, and accused her former lover of these deeds. Now for the first time it went badly with her. She was finally imprisoned for life on account of attempts to poison people.

In Bresler's second group he places the false accusations of alcoholics, paranoiacs, querulants (whom he calls a sub-class of paranoiacs) and sufferers from head injuries. Besides these, he here classes the false accusations of children.

The third class is so rare that it receives almost no discussion.

Longard[19] reports an interesting case of a chronic liar and swindler, a man who on account of the peculiarities of his swindling was placed under custody for study. Upon detention he went into convulsions and later seemed entirely distracted. He was then 24 years old. Investigation of his case showed that his abnormalities dated from early life and were probably due to the fact that in childhood he had a bad fall from a height. When he was 23 he had served six months on account of swindling. At that time he had been going about in the Rhine country dressed as a monk, begging things of little worth, such as crucifixes, candles, medals, etc. His pious behavior and orderliness gave him a good reception. He sometimes took money or begged it in order to read masses for poor souls. In one village he said he had come to reconnoiter for a site to build a hospital. Some cloister brothers in one place took him for a swindler and decided he was overwrought religiously, and that he really thought he was what he wished to become. He was studied at length in prison where he had one attack of maniacal behavior and tried to hang himself. The physician there thought him a simulator. He was excused from his military service because of stomach trouble. At that time mental abnormalities were not noticed. After this he again acted the part of a monk, wandering through France and Germany, living in monasteries, and being helped along by different organizations, Protestant as well as Catholic. He was arrested in Cologne when discovered to be a fraud. He lay four days in jail apparently unconscious and then appeared stupefied and staggered about. When questioned he responded, ``I am born again.'' He spoke mostly in Biblical terms and was fluent with pious speeches. He was found quite sound physically. He ate a great deal and was known to take bread away from other prisoners at night. He was sentenced for 15 months for swindling. He himself related that in youth he had seen many monks and had become possessed of the idea of being one. He was a sex pervert.

[19] ``Ein forensisch interessanter Fall. Pseudologia phantastica.'' Allg. Zeitschrift f. Psych. LV, p. 88.

The author considered this not a pure case of simulation; the patient was an abnormal being, none of his keepers thought him normal. His entire appearance, his excited way of speaking, his gestures and play of features were all striking to a high degree. His method of going about begging was unreasonable; he gained so little by it. His tendency to untruthfulness stood out everywhere. He imitated the pious as he chattered without aim. The man had lived himself into the role of a cloister brother so completely that he was not clearly conscious of the deceit. The author thinks the case presents some paranoiac features with a pathological tendency towards lying. Thus this pathological liar presents the phenomenon of a mixture of lies and delusions.

From the Zurich clinic of Forel several cases of pathological swindling have been reported at length.[20] It must be confessed that the success of much of the misrepresentation cited in these case histories seems to be as largely due to the naivete of the country folk as to the efforts of the swindlers themselves. Two of the cases were clearly insane and were detained for long periods in asylums after their study in the clinic. But even so, it is to be noted that one of these when absenting himself from institutional care succeeded in going on with his swindling operations. The third case was regarded as that of an aberrational individual with special tendency towards lying and swindling, but the opinion rendered did not end in the man being held as insane. He was simply regarded as a delinquent, and after serving his sentence he went his old way. These cases are interesting to one who would learn the extent to which swindling among a simple minded population can be carried on.

[20] ``Gerichtlich-psychiatrische Gutachten aus d. Klinik von Prof. Forel in Zurich; f. Aerzte u. Juristen, herausgegeb. von Dr. Th. Koelle.'' Stuttgart, Encke, 1902.

From French sources we have not been able to collect such a wealth of material as we found in German literature. One study by Belletrud and Mercier[21] compares favorably in elaborate working out of details with the work of German authors. A Corsican boy, from childhood moody, fond of adventure, inclined to deception, had attempted suicide several times before he was twenty years old. He was married at that time and went to France, where he was employed in several towns. His life following this included an immense amount of lying and swindling. He had a mania for buying costly antique furniture and jewelry which he obtained on credit. He frequently disappeared from localities where he was wanted on criminal charges, and changed his name. He wandered through Italy, Tunis, and South America. Returning to France he was taken into custody and mental troubles were noted. He showed delirium of persecution and was removed to a hospital for the insane. Experts studied him for a year before they could decide whether he was insane or merely simulating insanity. Finally they thought he was not simulating. A few months later he escaped, went to Belgium, Italy, Corsica. Turning up at a town in France under an assumed name, he was arrested again and elaborately examined. At this time he had frequent attacks of unconsciousness and frothing at the mouth. At times he was melancholy. Summarizing the case, the authors say that the psychic peculiarities of the patient were congenital, and included habitual instability of character with defective development of the ethical sentiments, and tendency to deceit and swindling. Epilepsy here is, of course, the central cause of mental and moral deterioration.

[21] ``Un cas de mythomanie; escroquerie et simulation chez un epileptique.'' L'Encephale, June 1910, p. 677.

From a pedagogical point of view Rouma[22] tells of the marvelous stories of a five-year-old boy in the Froebel school at Charleroi. His stories were generally suggested by something told by the teacher or other pupils. He referred their anecdotes to himself or other members of his family and greatly enlarged upon them. He also made elaborate childish drawings and gave long accounts of what they meant. Going into the question of heredity Rouma found this boy's mother very nervous; the father was a good man. She had worked steadily at the machine before his birth. Two of their children died with convulsions; of the two living, one was well behaved, but weakly. Rouma's case had stigmata of degeneracy in ears, palate, and jaw. Tested by the Binet system, he did three out of five of the tests for five years satisfactorily. He was easily fatigued, refused at times to respond, said he had been forbidden to reply, said he would be whipped if he did. In school he was always poor at manual work, wanted to be moving about, to go out of classes on errands, was always calling notice to himself in a good or bad way. He paid very little attention to his lessons, played alone or with younger children, leading them often into mischief. It was found that he got much of his material for stories from his older brother who told him of robbers and accidents. From his good father he got the form of his tales, because the father was wont to tell him stories with a moral.

[22] ``Un cas de mythomanie.'' Arch. de Psych. 1908, pp. 259-282.

In summary, Rouma stated that this child possessed senses acute beyond the average, and was of very unstable temperament, refusing regular work, not submitting to rules, rebelling at abstractions. There were evidences of degeneracy on the mother's side.

Remedies in education for such children are: Suppress food for imagination, such as came from the stories of father and brother. Direct perceptions to accurate work. Systematize education of attention, exercise the senses, use manual work, such as modeling and gardening. Give lessons in observation in the class room and on promenades.

Meunier[23] tells of three girls in a well known Parisian school who indulged in wonderful tales. The first, in the intermediate grade, told stories of the illness of her father to account for her not having her lessons. The second, 11 years old, said that her mother was dying; she came bringing this news to the teachers at two different periods of her school life. She was a calm, thoughtful, analytical child with no reason for lying. Family history negative. The third, 13 years old, told of an imaginary uncle who was going to collect funds for needy children; she kept up the deceit for two months. She was an anemic, nervous, hysterical child with a nervous mother. Meunier calls these cases of systematized deliriums. The development of such delirium annihilates, so to speak, the entire personality of the subject, and his entire mental life is invaded by abnormal extra and introspection—the delirium commands and systematizes all acquired impressions. There is a veritable splitting of the personality in which the new ``ego'' is developed at the expense of the normal ``ego'' that now only appears at intervals.

[23] ``Remarks on Three Cases of Morbid Lying.'' Journal of Mental Pathology, 1904, pp. 140-142.

CHAPTER III

CASES OF PATHOLOGICAL LYING AND SWINDLING

In the group of twelve cases making up this chapter we have limited ourselves to a simple type in order to demonstrate most clearly the classical characteristics of pathological liars. How pathological lying verges into swindling may be readily seen in several of the following cases, e.g., Cases 3, 8, 10, 12, although only two, Cases 3 and 12, have had time as yet to show marked development of the swindling tendency. For the purpose of aiding in the demonstration of the evolution of lying into swindling, and also to bring out the fact that facility in language may be the determining influence towards pathological lying and swindling, we have included Case 12, which otherwise possibly might be considered under our head of border-line mental types.

In any attempt to distinguish between pathological accusers and liars, cases overlapping into both groups are found—so some of the material in this chapter may be fairly considered as belonging partially to the next chapter.

In discussing the possibility of betterment, a fact which we as well as others have observed, consideration of Cases 1, 4, and 7 is suggested.

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.

The mother and sister brought out the facts that Hazel had been giving an assumed name recently and lying about her age. She had alleged that she was married. In the last year she had run away from home on several occasions. At one time had written to her mother about her happy married life. One letter reads, ``Dearest Mother:—I can picture your dear face when you receive my letter. I know you have your doubts about the matter, the same as I had the first few days. But mama, you know I love him and I have the satisfaction of being a married woman before Annie is.'' In the letter she describes the appearance of her imaginary husband, tells about her new dress and gloves and ``the prettiest little wedding ring that was ever made.'' In another letter she says, ``It is just one o'clock A.M. and Jack has just gone to sleep and so I stole a little time to write,'' etc. (It was later shown by the stationery used, and by the girl's final confession, that these letters were written in the rest room of a department store.)

Hazel's lying began, it seems, when she was a little girl. She would come home from school and out of whole cloth relate incidents which occurred on the way home. One of her earliest efforts was about being chased by a white horse. The mother states that for years she has had to check Hazel because she recognized her remarkable tendencies in this direction. The father's death was somewhat of a shock and it seems that after this the girl's other delinquencies began. Prior to the time she first went away from home she had some sort of hysterical spells when she said she could see her father lying in his coffin before her in the room. Her behavior became quite outrageous with some young man in her own household at just about this time. Not that she was immoral, although she once suddenly blurted out in the parlor a grave self-accusation: ``Now, John, mother thinks you must be careful. You know I am a prostitute.'' When we first saw her she had been away from home four times, on this last occasion for three weeks. Before she went she had said she wanted to kill herself. Mother had notified the police but no trace of her was found.

From Hazel's own story told at this time and even after she became more stable it seems very likely that her bad tendencies began with her acquaintance with a certain rather notorious woman. Her mother came to believe that this was undoubtedly the fact. Our inquiry into beginnings brought to light the fact that Hazel while a school girl for long associated with this woman who taught her about sex immoralities. ``I don't believe my mother knows what this Mrs. R. did to me or she would have her arrested. She started me on all this. When I was about 11 years old I first knew of those things. The first I ever heard was from that woman's daughter. I never said anything to my mother. I was always ashamed of myself to say anything about it. After I got to working with factory girls I heard a lot about it.'' The mother told us later that she thought it probable from what she now knew that this Mrs. R. may have been largely responsible for Hazel's tendency to delinquency. Hazel kept this association of several years' standing quite to herself. The mother remembers now how Hazel once stayed for hours after school and told a story in explanation that they felt sure was untrue. The teachers used to tell the mother that Hazel seemed as if she couldn't pay attention to her school work. One teacher reported to us that she remembers Hazel as a girl who seemed peculiar and hysterical. The other girls called her queer and used to steer clear of her.

The mother reports Hazel as being for several years impulsive, erratic, talkative, untidy, and rather dishonest in other small ways besides lying—all this in spite of vigorous home discipline. The girl at one time under the influence of revival meetings left the religious faith of her parents. However, they thought if any form of religion would make her better it would be all right.

At our last interview with Hazel before she was sent away, an interview which she prefaced by saying, ``I want to apologize for everything I did,'' the girl showed herself unable to avoid prevarications. Coming back, for instance, to the subject of her schooling she tells us how she won a graduating medal. This her mother said was untrue.

About her own lying tendencies she confessed that sometimes she hardly knew whether things were really so or not. Asked about her knowledge of other cities; ``I read a whole lot and learn things in that way. I used to have to write compositions and imagine we were going places. I was pretty good at that.'' One felt very uncertain about Hazel's mental condition when in almost the same breath she denied having said anything about the seals on the rocks at San Francisco, or about obstetrical cases, but, of course, the denial may have been itself another falsification. Her knowledge of army affairs was gained through her acquaintance with young soldiers. An unusual amount of what she heard or read was photographed with the greatest clearness in her mind and was recalled most vividly.

A peculiarity of Hazel's case which was quite obvious was her lack of apperception concerning her own interests. Her lies all along, after her identity was discovered, were so easy to trace, and they so quickly rebounded upon her, that there seemed every reason for her to desist. Nothing so clearly proved the absence of self-realization as her feeling under detention that other girls with whom she was in forced association were much beneath her in quality, although many of them were not nearly so untidy and had not been nearly so immoral. During all this period of several months, beginning with her running away and her writing the housewifely letters about her imaginary married life, and ending with her appeal for aid at the social center, Hazel was indulging in veritable orgies of lying. When away from home she several times picked up men on the street and stayed at hotels with them.

At the time of our first studies of this case we hardly dared to offer either a mental or moral prognosis.

In the institution for delinquent young women to which she was sent Hazel's traits were long maintained. She proved very troublesome on account of lies to her family, to the officers, and to the other girls. The latter soon discovered, however, the peculiar lack of foundation for her stories. In the institution was also noted the tendency to untidiness of which her mother spoke. The authorities steadily persevered with Hazel. They secured another operation on her eye, which successfully straightened it, and she became fully ``cured'' of her pelvic disease. She received instruction in a form of handicraft in which she quickly showed special dexterity and skill. Her tendencies to falsify gradually became less. About two years later the mother again assumed control with great success.

This is the remarkable interest of Hazel's case, to wit, that with proper discipline and the development of new interests her fabricating tendencies have been reduced to a minimum. She has made a wonderful improvement and has long been a self-supporting and self-respecting young woman with her own relation to the world realized in a way that before seemed entirely lacking.

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Mental conflict: About early secret Case 1.
experiences. Girl, age 16 yrs.
Mental conditions: Either mild psychosis
or extreme adolescent
instability.
Bad companions: Early.
Delinquencies: Mentality:
Extreme lying. Normal ability.
Running away. Psychosis (?).
Sex.
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CASE 2

Summary: A girl of 19, under partial observation for three years, was during all this time a great mystery. Brought at first to us by her family as being insane because she was such a great liar and unreliable in other ways, we never could find the slightest evidence of aberration. No satisfactory explanation was forthcoming until the remarkable denouement when we learned that the mother, whom we had come to know herself as an extreme falsifier, was not the mother at all. It seems clear that the girl's behavior was largely the result of mental conflict about certain suspected facts, and psychic contagion arising from the world of lies in which she had lived.

Beula D. has been known in several cities and in more than one court as the ``mystery girl.'' She has appeared on the scene in various places, giving a fictitious name and telling elaborate stories of herself which always proved to be without foundation. She ran away from home on several occasions, but except in one instance which we know about, has never been seriously delinquent. We saw her on many occasions and tried to get at the truth of her stories of ill treatment and the like. Investigators found there was unquestionably some truth in her statements, but never from first to last in the many interviews which we had with her was there ever any possibility of separating truth from falsehood. The girl simply did not seem to know the difference between the two. What was more, we found that the mother presented the same characteristics. She also, by her most curious and complicated fabrications, led even her most rational sympathizers into a bewildering maze. A woman of magnificent presence, tremendous will, and good intelligence, she nevertheless was soon found to be absolutely unreliable in her statements. This woman's numerous inventions, so far as we have been able to ascertain, have been quite beside the mark of any possible advantage to be gained by her or her family. Naturally we here thought heredity played an important role, until our final discovery that the two were not related. The details which we know about this case would cover scores of pages. In summary it stands as follows:

On the physical side Beula at 17 was a striking looking young woman, but of very poor development. She was only 4 ft. 7 in. in height and weighed 102 lbs. Expression was quiet, pleasant, and responsive. Unusually clear and pleasant voice. Typical Hutchinsonian teeth. All other examination negative. Menstruation first at 13 1/2, normal and regular.

Notwithstanding the mother's report of her being subnormal mentally, we found that she had fair ability. Her range of information was good. She was always desirous of writing compositions, she wanted to be a story writer, she said, but her diction was very immature and her spelling was poor, making altogether a very mild production. Never did we see any essential incoherency in her mental processes, or any other signs of aberration. A series of association tests given in an endeavor to discover some of the facts which her mother maintained she herself was desirous of knowing (but really could not have been), failed to elicit anything but the most normal reactions, even to ideas about which we considered there must be some feeling-tone.

On the ``Aussage'' Test only ten items were given from the picture upon free recital. On questioning twelve more details were reported correctly, but no less than seven of these alleged facts were incorrect. Only one out of the five suggestions offered was accepted.

No purpose would be served in recounting the details of falsehood which were told by this girl about family affairs, about the places she had worked, about the facts of home treatment, etc. Her lying was not done cleverly, but it served to create much confusion and gave considerable trouble to a number of social agencies that came in contact with the family. Even when she was applying directly for help her lies stood greatly in the way of achieving anything for her. The confusion was vastly added to by the many vagaries of her alleged parent, but, even so, one of the chief accusations of the prevaricating mother was that the girl herself was a terrible liar. The whole situation was rendered completely absurd and needless by the behavior of both the woman and the girl.

After we had known this case for about three years and the truth about Beula's antecedents had come to light as the result of a new person stepping in on the scene, the girl's tendency to falsification seemed quite inexplicable. No one who came to know the circumstances, even as we previously had been acquainted with them, felt they could blame Beula much for her attitude of dissatisfaction and her tendencies to run away. We felt, too, that the mystery which had always hovered about this girl was sufficient to have led her to be fanciful and imaginative and that the fabrications of the self-styled ``mother'' did not form an atmosphere in which the girl could well achieve respect for truth. But Beula's almost confusional state concerning the facts of her family life seemed quite explicable in the light of what we at last ascertained. Soon after we first saw the girl the woman had told us a most remarkable tale of how it was she happened to be the mother of the child, and the attempt was then made by several to straighten out the apparent doubt in the girl's mind. But it seems that the clever and tragic tale of the mother, although well calculated to do so, did not entirely cover the points remembered by this girl of her earliest childhood. Evidently for a time Beula tried to correlate the two, but doubt grew apace. It seemed almost as if her doubt as to who she was led her to say first one thing and then another. It was particularly at a period of stress of this kind that she was figuring in other cities as the ``mystery girl.''

The earlier facts of the case probably never will be known. Of the many details known by us it is sufficient to say that the woman adopted Beula as a young child and proceeded by devious methods to weave a network of lies about the situation of their relationship. Who Beula's parents really were neither she nor any one else of whom we have heard, ever knew.

Beula showed such delinquent tendencies after a time that she had
to be sent to a corrective institution. After coming out she
made off in the world for herself before we could give her the
information soon afterwards obtained by us. At her last visit we
felt that her report in a terribly tragic mood on the family
conditions was totally unreliable. She went forth to weave, no
doubt, new fabrications.
———————————————————————————————-
Early experiences: Peculiar treatment Case 2.
and excessive misrepresentations Girl, age 19 years.
in home circle.
Mental influences: Contagion from long
continued untruthfulness at home.
Mystery of antecedents.
Mental conflict about the above.
Heredity and developmental conditions (?)
Hutchinsonian teeth only clew.
Delinquencies: Mentality:
Lying. Fair ability with
Running away. poor educational
Sex. advantages.
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CASE 3

Summary: In its wonderfully clear presentation of characteristics this case classically represents the type. A woman of 27 years (usually claiming to be 17), during a career of 7 or 8 years has engaged in an excessive amount of misrepresentation, often to the extent of swindling. Alleging herself to be merely a girl and without a family, she has repeatedly gained protection, sometimes for a year or more, in homes where her prevaricating tendencies, appearing with ever new details, have sooner or later thwarted her own interests. By extraordinary methods she has often simulated illnesses which have demanded hospital treatment. For long she was lost to her family, traveling about under different names, making her way by her remarkable abilities and unusual presence.

This case illustrates, again, two points we have often made, namely, that the difficulty of getting safe data concerning genetics increases rapidly with age, and that the chance of altering tendencies after years of character formation vastly diminishes. These features appear strongly here, yet our long knowledge of the person and of the many details of her career gives the history great interest.

A young woman, whom we will call Inez B., a name she once assumed for a time, arrived at a girls' boarding home in Chicago with merely a small traveling bag and money sufficient only for a few days. In appearance and conversation she gave distinct evidences of refinement. She showed indecision and confessed she knew no one in the city.

Just at this time a wealthy eastern girl, Agnes W., was missing from her home, and the police everywhere were on the lookout for her. A detective who was ordered to visit the boarding club showed a picture of Agnes W. to the matron, who instantly discerned a likeness to Inez and informed him of her recent arrival. Inez was questioned, but could or would give no satisfactory response concerning her own home. She maintained she was just 17 and had come to Chicago to make her own way in the world. After some account of herself, the details of which were somewhat contradictory, it was inferred that she might be Agnes W. She vehemently denied it, but being the same age and some likeness being discerned, the questioning was continued. Various matters of Agnes W.'s antecedents were gone into and after a time Inez burst out with, ``Well, if you must have it so, I am Agnes W.'' The girl was thereupon taken in charge by the police authorities, and she herself registered several times as Agnes W. After the family of the latter had been communicated with, however, it was ascertained that Inez was not the lost heiress.

She now said that anyhow she really was a runaway girl. She had left her adopted parents because they were cruel and immoral. It was her unhappy brooding over her own affairs that led her to lie about being the other girl. She insisted she was sorry for the many lies she had told various officers, but felt, after all, they were to blame because their obvious desire to have her tell that she was Agnes W. led her on. They deceived her first because they misrepresented themselves and did not say they were police officials. Nevertheless, she makes much of how she hates her false position, being registered under a false name and figuring as a deceiver.

The significant points in the long story of Inez, as told to us in the days of our first acquaintance with her, are worth giving. (At this period she was with us thoroughly consistent; at all times she has appeared self-possessed and coherent.) Inez states she is 17 and has just come from a town in Tennessee where she has been living for a couple of years with some people by the name of B. who adopted her. At first they were very good to her and she loved them dearly. She was quite unsophisticated when she went to them and did not realize then that they were not good people. She met them at an employment agency in St. Louis where she had gone after leaving the Smiths, the people who had brought her up. At that time the B.'s appeared fairly well-to-do, but Mr. B. had been running up debts that later carried him into bankruptcy. Inez was sick and exhausted now from having worked so hard for them. She finally ran away from that town because the B.'s wanted to go elsewhere, leaving her in a compromising position with a young man who rented their house. She first tried boarding in two places, however, before she ventured to go.

The Smiths were the people she lived with until she was 14. She remembers first living with them, but faintly recalls bearing the name of Mary Johnson before that. Who the Johnsons were she does not know, but she feels sure of the fact that she was born in New Orleans. However, Inez does not worry about her parentage even though it is unknown. Mrs. Smith was an elderly woman of wealth who was very good to her, and by the time she was 14 she had studied German and French, algebra and trigonometry. She had a French tutor and took lessons on the piano. Always did well in school and loved her work there. The Smith children, who were much older, were very angry with their mother for all the money she spent on Inez—they would have preferred its being expended on their children. The son grew quite abusive and Mrs. S. was made to suffer so much that the girl came to feel that she was largely the cause of the old lady's unhappiness. After one particularly deplorable scene she slipped away from their home in New Orleans, traveled to St. Louis and went to an employment agency where she found the B.'s. At the present time, above all things, she does not want the Smiths to know about her when she is temporarily a failure. She will never go back to them until she can help the old lady who was so good to her.

Inez tells us she is now suffering from a wound still open as the result of an operation for appendicitis performed two years previously. She also suffered from tuberculosis a few years ago. (She was found to be running a slight temperature, and some slight hemorrhages in the sputum were observed.)

It may strengthen the portraiture so far sketched to give our impressions as stated after our first study covering a week or two; nor will it lessen the reader's interest to remark that it was not for lack of acquaintance with the pathological liar type that we failed to correctly size up this individual. Indeed, we had already studied nearly all the other cases cited in this monograph. Our statement ran as follows: ``This girl is very frank and talkative with us. With her strong, but refined features and cultivated voice she is a good deal of a personality. She is sanguine and independent. Very likely she does not exaggerate the hard times she has had in going from one home to another. One cannot but respect this unusual young woman for wanting to keep her early history secret. It would be fortunate if some one would care for the girl and get her ailments cured. With her very good ability she might easily then be self-supporting.''

A woman of strength and judgment undertook to look after Inez. The girl's personality commanded interest. In a few days she complained more vigorously of her abdominal trouble; an operation seemed imperative and was performed. (An account of this will be given later.) Later the girl was taken to a convalescent home and then to a beautiful lake resort. While here she suddenly was stricken desperately ill. Her friend was telegraphed for, a special boat was commissioned, and the girl was taken to a neighboring sanitarium. The doctors readily agreed that the case was one of simulation or hysteria. She was brought back to Chicago and warned that this sort of performance would not pay. After being given further opportunity to rest, although under less favorable circumstances, in a few weeks she was offered work in several homes, but in each instance the connection was soon severed. Then without letting her guardian-friend know, Inez suddenly left the city.

Inquiries had brought by this time responses telling something of the career of Inez in the past two years, but nothing earlier. She was the ``mystery girl'' in the Tennessee town, as she was in Chicago. The B.'s kept a boarding-house and took Inez as a waitress, knowing her first by still another alias. She worked for them about a year and then went to Memphis, where she was sick in a hospital. She had now taken the B.'s name. They were regarded as her guardians (on the girl's authority) and they finally sent for her again out of pity, although they felt she had a questionable past, and they knew she had lied tremendously while with them. Then the B.'s moved away and turned Inez over to a respectable family. While with the B.'s Inez had been regarded as a partial invalid; their physician diagnosed the case as diabetes and found it incurable. In fact, the B.'s went into debt for her prolonged treatment. Another physician, who was called in after the B.'s left, said the trouble was Bright's disease. At any rate, all regarded her as suffering from some chronic disorder. Except for her extraordinary lying, of which she made exhibitions to many, and some little tendencies to dishonesty mixed with her lying, Inez was regarded as being quite normal. The two other families with whom she lived for a time found it impossible to tolerate the girl on account of her lying. Finally, obtaining money by false representation, telling the story of a rich uncle in Chicago to whom she was going, Inez departed, taking with her a trunk containing valuables belonging to the B.'s.

Dropping our chronological account of this case we may from this time deal with it as a whole, putting together the facts as they developed by further study of Inez herself and by the receipt of information from many sources.

Since we have known her, Inez has been under the observation of several skilled medical specialists. She all along has been in good general physical condition. Having been treated previously for diabetes, special examinations were repeatedly made, but never a trace of this trouble was discernible. Her own story of having had tuberculosis, and the traces of blood in the sputum, which she presented on handkerchiefs, etc., led to repeated tests for tuberculosis. These also proved absolutely negative. Before all this, there was found on the left side of the abdomen a mass which, from the history the girl gave, was surmised to be a tubercular abscess. At this time she was running a little temperature. An operation was performed and an encysted hairpin was removed from the peritoneal cavity. This had undoubtedly found entrance through the old appendicitis wound; the hairpin had evidently been straightened for the purpose. Both wounds now speedily closed. Gynecological examination showed no disease and established the fact of virginity. Thorough neurological examination showed that the girl was not of nervous type and that there was no evidence whatever of organic disease. There was complaint of frequent headaches, but no signs of acute suffering from these were ever witnessed and by this time no reports of subjective symptoms could be credited. No sensory defects of any importance. It was always easy to get a little variation upon visual tests and the like, however. Weight 130; height 5 ft. 1 in. Color good. Head notably well shaped with broad high forehead. Strength good. Very normal development in all ways.

Most important to note as bearing on her social career was the fact that Inez was possessed of markedly strong, regular, pleasant features, including a good set of teeth well cared for, and an unusually firm chin. In attitude and expression she seemed to give complete proof of great strength of will and character. Her face suggested both frankness and firmness. When with quiet force and dignity asserting her desire for education and a place in the world, Inez presented a most convincing picture. Perhaps even more significant is the fact that Inez possesses a speaking voice of power and charm, well modulated and of general qualities which could belong apparently to no other than a highly cultivated person.

During a year there has been no variation in the general well-being of Inez, although she has been taken to hospitals in at least two more towns and has figured again as a sufferer from tuberculosis and appendicitis, and has written several times to friends that she was about to be operated on.

The diagnoses of several competent medical men are that the girl is a simulator or is an hysterical, and their findings show that she has lied tremendously about her past. (There were never any positive signs of hysteria, and our own opinion is that the case is much better called one of extreme simulation and misrepresentation, as in the diabetes and sputum affairs, etc., and of self-mutilation, as with the hairpin.)

We have had ample opportunity to become acquainted with Inez's mental qualities. She has repeatedly been given tests for mental ability. As judged by the average of those seen in our court work we are forced to regard her as having ability clearly above the normal. Her perceptions are keen and quick. She works planfully and rapidly with our concrete problems and shows good powers of mental representation. It is notable that she is very keen to do her best on tests and takes much delight in a good record. Her psychomotor control is astonishingly good. In a certain tapping test, which we consider well done if the individual has succeeded in tapping in 90 squares in 30 seconds, she did 117 and 129 at two successive trials with only one error in each. This is next to the best record we have ever seen. Our puzzle box, which is seldom opened in less than 2 minutes, she planfully attacked and conquered in 52 seconds. She also rapidly put it together again, which is an unusual performance. Reaction times on the antonym test, giving the opposites to words, were very low; average 1.4 seconds. Her immediate memory for words was normal, but nothing extraordinary. She gave correctly, although not quite in logical order, 18 out of 20 items on a passage which she read herself. On a passage read four times to her she gave 11 out of 12 items in correct sequence. The Kent-Rosanoff association test showed, to our surprise, nothing peculiar. Notwithstanding her known social characteristics, there were very few egocentric or subjective reactions.

Nor did the ``Aussage'' test show great peculiarity. On free recital she gave 17 items, two of which were incorrect. They were misinterpretations rather than inventions, however. On questioning she added 15 items. She was incorrect on 5 more details, but all of these were denials of objects actually to be seen in the picture. Not one was a fictitious addition. She rejected all the 6 suggestions proffered.

Our psychological observations were important beyond the giving of formal tests. We found her to be a fluent and remarkably logical and coherent conversationalist. Her choice of words was unusually good. Questioned about this she said she had always made it a point to cultivate a vocabulary and was particularly fond of the use of correct English. (This was all the more interesting because we later knew that she had been living recently with somewhat illiterate people and that her original home offered her very little in the way of educational advantages.) Inez told us that she had earlier carried her desire for self-expression in language to the point of writing stories and plays, but we were never able to get her to do anything of the kind for us. One of her constant pleas was that she might get the chance to become a well-trained teacher of English. Her letters never showed the same skill with English that her conversation denoted, but her meagre education probably accounted for this.

Characteristic of Inez, also, is her intense egoism and her abundant self-assertion under all circumstances. It often seemed to us as if for her the world revolved, with passing show, around a pivot from which she regarded it as existing only for what it meant for her career. These qualities have led to her statements, and perhaps to the actual feelings, that she was the aggrieved one, and had been badly treated on many occasions. This seemed to reach almost paranoidal heights at times, and yet, before passing judgment on this, one should be in position to know, what probably will never be known, namely, the actual facts of her earliest treatment. Occasionally Inez showed most unreasonable bad temper and obstinacy. This only came out when she was asked to do things which she considered occupationally beneath her. In general she felt herself much above the ordinary run of people. When she could be patronizing, as with children, she acted quite the grand lady. Indeed, in asserting herself on numerous occasions she has assumed just this attitude, which is all the more strange because our further information shows that it was not justified by any social station which her family ever held.

Going further with psychological considerations it is to be asserted that Inez showed marked lack of normal apperceptive ability in not appreciating the necessarily unfavorable results of her own lying. For that matter, she also fails to learn by experience, for very frequently she has suffered from her own prevarications. It might, however, be argued that to Inez the thought of a possible hum-drum future in which there was no adventure, no roving, and no playing the part of a successful personality, was a worse choice than that of lying, which might and, indeed, often did serve the purpose of making friends with people, who otherwise would not have entertained her. So one could hardly judge her deficient even in this particular. (Of the character of her lying and the special observations on that point more later.)

We found Inez, then, neither mentally defective nor insane. To even say that she was without moral sense would be beyond the mark, for in many ways she showed great appreciation of the best types of behavior. Her peculiarities verging on the abnormal are, however, undoubted; they render her a socially pernicious person. They are to be summed up in terms of what we have discussed above, namely, her excessive egoism, her faulty judgment or apperceptions, her astounding tendency to falsification.

Inez was next heard from in Iowa where she wrote that two doctors had pronounced upon her case and said an operation was again imperative. She asked her recently made friend for permission to have this done, and also for $150 to cover expenses. Neither, of course, was forthcoming, on the grounds of there being no guardianship. (Her age was then unknown.) Inez wrote, ``I just thought I was compelled by law to let you know of my whereabouts, for I understood I could do nothing without your consent.'' In the same letter, replete with other lies, Inez asks, ``Please forgive me now for all my willfulness and wrongdoing. I will do my best never to do it again, and Oh! I do so want to be good so that you may feel proud of me some day in the near future.''

A month or so later this friend was called up by the director of a religious home for girls in Chicago, who stated that Inez had just come to them and had been taken seriously ill. Advice was given to discount her symptoms, but she was sent once more to a hospital. Here she produced more blood as if from a pulmonary hemorrhage and more symptoms were recounted, but the doctors decided after careful examination that she was falsifying. Her illness ceased the minute she was told to leave the hospital. Matters were serious, for Inez was now without home, money, or relatives. She was once more taken under protection and greater effort was made to trace her family. They were discovered through letters containing remittances sent by Inez herself from Iowa, after years of silence. Much of her career was soon brought to light. By this time, we may note, several observers had insisted that from a commonsense standpoint the girl certainly was insane.

While affairs were being looked up, Inez conferred with us from time to time. She started by telling a thoroughly good story, the general import of which was the same as she told months previously, but there were differences in many details. In the first place she still insisted she was 17 years old and gave us an exact date as her birthday— this was in response to the mild suggestion that she might be considerably older. Since her letters, although showing very good choice of words, were incorrectly punctuated, we inquired further about her education. She said she had received 18 credits in a noted girls' seminary in the south, but later reversed this and stated she had very little education. She told us her experiences of the last few months when she had been introducing literary works in the towns of Iowa. She had done well for a beginner at this, we found from other sources, but had made misrepresentations and had talked too freely, against her employers' wishes and advice. Finally she had sent in forged orders. This was quite unnecessary, for her salary was assured and sufficient, and her employers had regarded her as an extremely promising representative. In Iowa she was receiving mail under two different names; she still found it convenient to represent herself sometimes as Agnes W. In her peregrinations she had again made close friends with some substantial people, who found out, however, in short order that she was untruthful, and her chances with them were at once spoiled.

In the next weeks, when under observation, Inez varied her story from time to time even with the same persons. She was now 17 and now 19 years old. She had an operation first in one town and then it was in another. Her antecedents in many particulars varied from time to time. Inez seemed to have lost her desire or ability to be consistent, and in particular appeared to have no conception of the effect upon the adjustment of her own case which her continual lying was likely to have. (At this time again some non-professional observers insisted strenuously that Inez was insane. They based their opinion upon the fact that she showed so little apperceptive ability, so little judgment in relating the results of her continual lying to its necessary effect upon her career.) It requires too much space to go over the complicated details of her many stories, but some of her expressions and behavior are worth noting.

We always found Inez most friendly, sometimes voluble, and she ever dealt with us in a lady-like manner. Again we noted that many a society woman would give much for her well modulated voice and powers of verbal expression. Without any suggestion of melodrama she would rise to strong passages in giving vent to her feelings of indignation and ambition. At this time we were still wondering where she could have obtained her education; it was not until later that we comprehended that her abilities represented sheer native traits.

She first came to us much hurt because a certain official had warned her, after one of her simulating episodes in a hospital, never to deceive again. ``My trying to get sympathy! I don't want any sympathy. I told her I was independent and always wanted to make my own way in the world. If they thought I wasn't sick in the hospital why didn't they say so. The doctor told me to stay in bed.

``Doctor, yes, I did lie to you about my age before; why shouldn't I? I have been deceived on all sides and have found that people are against me. If they want to leave me alone, they can get the truth, but when one is deceived one has to tell lies sometimes. I've had many troubles. Oh, doctor, if you knew what I've been through and what's in my heart you'd think I do pretty well. I would rather starve than have it cast up to me that I had asked for any body's help or sympathy. I want to make my own way. I must have an education. In September I plan to go to the M. Academy and work my way through. I am just past 18 now.

``The B.'s are ashamed of me I suppose. I ran away from them. They are refined people. But I can't be treated in that way. They adopted me. They said that I got some money dishonestly, but, doctor, it is not in me to be bad. I feel that through and through.

``Well, I know that I'm a Yankee by birth, on both sides. My people came from Mayflower stock. I will make my way in the world, I will succeed, and you'll see, doctor. I will have an education. As to going back to the Johnsons, I would commit suicide rather than do that. It was not true that I had a good education as I told you. They did not treat me well. They can write as they please and talk about forgiveness for what I have done, but it is they who were cruel and abusive. Suppose they do say I'm their child. I know I am not because I was not treated the same as the others. I was 12 or 13 when I ran away from them. How could I belong to the family? They are all so much older than I am.''

Inez now gave us, most curiously, some addresses which opened up knowledge of her career over several years. But what she told us about these new people was directly denied by return mail. At one interview her first words were, ``Do you know now, doctor, that I was in a State hospital?'' Having made this challenging statement she went no further, merely involved herself in contradictions as to the place, and would say nothing more than that she had once suffered from an attack of nervous prostration. She absolutely denied items of information about herself which we had gradually accumulated, and this type of reaction obtained all the way through our last period of acquaintance with Inez, even after we had the detailed facts about her early life from her parents.

Inez never lost an opportunity to impress upon people whom she did not regard as her equals that she considered herself much of a lady and quite above housework. On one occasion, when held as a runaway girl, she had a terrible outbreak of temper simply because she was asked to clear the dinner table. This was no momentary affair. Her recalcitrancy was kept up the larger part of one day, and she made the place almost unbearable that night by screaming and moaning. Telling me about the incident, she said it was because she would not allow herself to cater to such people. ``If a person asks me, I may do things, but nobody can tell me to. I would not give in. I would not do it.''

To some of us it has seemed highly significant that at moments which would ordinarily be expected to bring out great emotion Inez showed almost none. For instance, when going to an important interview about the disposition of her case, she first plaintively said she did not know what to say, and then immediately began to dwell with evident pleasure upon the costume of the person addressing her. Many normal emotions were seen expressed, however, and many moral sentiments were undoubtedly held, but there seemed to be curious displacements upon these levels of her mental life; there was faulty mental stratification. Probably the force which caused this is egocentrism.

In relating what we now know of the past history of this case we shall put together that which we have heard from many different sources. There is no question about all the important facts—correspondents largely corroborate each other.

Inez came from a family of French extraction, apparently stable and normal tradespeople. The old mother at 74 years wrote us an unusually well-thought-out, detailed account of her daughter's early life. The paternal grandfather was insane and an aunt had epilepsy. Defective heredity in other respects is denied. We get no history of convulsions in the immediate family, nor of any other neurotic manifestation, except that one sister is ``very excitable.''

Inez came when the mother was unusually advanced in life, and the brothers and sisters, of whom there were five, had long since been born. There was a difference of 10 years between Inez and the next older. In telling the facts, the mother dwells much on this and the bearing which her chagrin during pregnancy may have had upon the girl's physical and mental development. She was born, then, after a troubled pregnancy, a weak and sickly child, ``almost like a skeleton.''

Inez was rather slow at walking, but at one year spoke her first words. We do not know with accuracy about the earliest factors in the mental environment. (Inez has told various stories about early family friction, and even about contracting an infection at home, much of which seems highly conjectural.) Between the ages of 7 and 10 several sicknesses, diphtheria, measles with some cardiac complication, etc., kept her much out of school. Part of the time she lived in New Orleans, and part of the time in a country district. She only went to school until she was 14, and was somewhat retarded on account of changing about and illnesses. However, it is said she always liked her school and showed fair aptitude for study. At 14 she returned to New Orleans and, desiring to be a dressmaker, started in that trade. She worked in several places, but finally went back to her home.

At the age of 18 Inez met with what, according to her family, was a decisive event in her life. She was in a trolley car accident; after being knocked down she was unconscious for some time. No definite injury was recorded. Her family marked an entire change of character from that time. They say she then began lying in the minutest detail about people and seemed to believe in her own falsifications. Besides this she started the roving tendency which she has shown ever since.

The extensive information which we have received concerning the later history of this remarkable case we can only take space to give in summary. We know definitely that Inez has received attention, during periods varying from a few days to six months, in no less than 18 different hospitals. Besides this she has been under the care of physicians at least a score of times. Her swindling in this matter was so flagrant in one eastern city to which she had journeyed that she was handled through the police court and was sentenced to a state hospital for the insane for a term of 6 months. The charge was that she was an idle person and a beggar, and she was regarded as perhaps being unbalanced. The report from this town is that she would be taken with ``spells of apparent violent illness on the street, in the trolley cars, at railroad stations, and so be carried to various hospitals and doctors' homes.'' She has visited numerous cities, getting her sustenance largely through hospitals and physicians.

After being admitted into one famous hospital and showing some of her curious manifestations she was transferred to a state institution in the vicinity to be studied for insanity. Correspondence with one physician tells the story of how five years ago he was called from a medical meeting to attend this ``girl'' who had been taken from a trolley car into his home. She was apparently suffering great pain in the region of the old appendicitis scar and she was conveyed in an ambulance to a hospital. After investigation for a few days, it was decided she was hysterical or a simulator.

On numerous occasions her feigned illness has been so apparently overcoming that she has had to be transferred in an ambulance to a hospital. One of her usual performances has been to get into some home or institution and then keep others awake all night with her signs of distress. It is interesting that she has used the same methods over and over again, but has been adroit enough to vary the illnesses which she has simulated. At one time investigation in a hospital seemed to show that she was neurasthenic. She has been given chances in homes for convalescents, but has never maintained herself in such a place for long. We note she was sent back from one of these to the main hospital on account of having vomited the medicine she had been given. In fact, she has repeatedly been found resisting the treatment which had been prescribed.

The record of admission and treatment given in one hospital is of peculiar interest. She was received there four years ago and evidently had been unable just previously to take care of herself properly on account of roaming. Her clothing was dirty and her head unclean. She was found to have the old appendicitis scar, which contained a small sinus. She remained in bed after admission, complaining of much pain in her abdomen, not well localized however, and would lie moaning, crying, and rolling across the bed. She was then running a slight temperature. After a time an operation was decided upon and a hairpin was found in the abdominal wall, undoubtedly inserted through the scar by the patient herself. (The findings of the surgeon in Chicago, then, revealed a repeated performance.)

At another place the patient maintained she was unable to urinate, but at the same time strongly resisted catheterization. From the variability of her complaint it was found it could not be caused by a local condition, and examination showed no reason for the difficulty. Analysis of her symptoms undertaken at this time led to several stories, one about urethritis, which Inez claimed to have contracted from her brother at 3 years; an episode when she had received a great fright during micturition; an incident when she had seen a man exposed when she went to the toilet. (Of course, our experience with this type of case leads us to appreciate the difficulties of psychological analysis with extreme liars.)

On one occasion she entered a hospital, claiming to have been recently injured; she had been taken in a supposed fainting condition from a car. Then it was she maintained that she had been struck by an iron bar and that a spike had entered her back. She also claimed at this time to have had her toes frozen. Study of the case here, too, showed no signs of injury or frost bite. On another occasion she told of having been dropped by a nurse while being lifted from a bed. Altogether her stories and her simulations have been convincing enough to get for her on many occasions good attention during at least a few days.

We can get no account of true hysterical signs being discovered by any one. There has been no showing of anything but that she is a liar and a simulator. In the hospital records the portions devoted to previous history are thoroughly vitiated by her untruthfulness, and they contain statements which offer great contradictions, one to the other.

Inez has been observed, then, for two long periods by psychiatrists. While at the end of neither period were the observers willing to state that the young woman was compos mentis, still their verdict in this matter had to be made up from considerations of her social behavior rather than from what they were able to discern by direct observation of her mental processes. From one case-record we read that ``The patient was quiet, pleasant, and agreeable, replied promptly and intelligently to questions, and talked spontaneously of her affairs. She was quite clear as to the environment, had apparently a satisfactory memory, with the exception of a recent period preceding admission. Her statements, too, were probably not altogether truthful, but frequently a reason for the untruthfulness was made out. She thought that her mind was all right, but complained of having occasional difficulty in thinking.''

Another prolonged study of her mental status was made four years ago. From the record we learn that there were no apparent reactions to hallucinations. Consciousness was clear and the patient was completely oriented for time, place, and persons. The train of thought was coherent and relevant. Questions were readily answered and attention easily held. Memory was fair for most events. School knowledge was reasonably well retained. Judgment, to this observer, seemed impaired, although no definite delusions could be elicited. Emotionally she was found more or less irritable, fault finding, and at times a trifle despondent. (Certainly the latter would be a natural reaction under the circumstances.) Often, however, she was found cheerful and contented. No special volitional disturbances were noted. Was found to act in an hysterical manner when she felt ill. She was neat, tidy, and cleanly in her habits. Appetite was good and she slept well. Such was the report from the institution where she was held for six months. There was no material change in her condition during this time; she showed herself very proficient with the needle; she was discharged when her sentence expired.

We note a statement from one hospital that this ``girl'' gave no evidence of having had any direct sexual experience, or that she had ruminated much over these matters. Her story about frequent fainting attacks given at this time was not corroborated by observation. The diagnosis from one hospital was neurasthenia, but investigation of her case in most places seems to have led merely to the conclusion that she was a tremendous liar.

Notwithstanding our long record of this case and the accounts which have been handed in to us of experiences with her in other localities, we do not presume to know a tithe of the places Inez has been to or lived in during the last eight years. It is more than likely that she herself would find it difficult to give any accurate account of her rovings. At the time we first saw Inez her parents had not heard from her for about three years. Shortly after this we found that she had renewed correspondence with them and had sent them money as if she were now prosperous. Her family have all along, in spite of her stories, been poor. At one period she visited several cities in the southeastern states and was at a hospital in one of them. In Charleston there is a family by the name of B. (spelled the same as the name of the people she was with in Tennessee). These were the people Inez asked us to write to in an appeal, because they had long known her and were wealthy, for a chance to get an education. She stated they were immediate relatives of the B.'s in Tennessee, and that she had visited them once at their fine home in Charleston for three or four months. These people replied to us that they had been receiving letters for years from associations and organizations in regard to this girl whom they had never seen. They were convinced she had assumed their name because she had understood they were well-to-do and liberal. ``We know nothing about her education, but judge she has enough to dupe people with; posing as poor at one time, sick at another, and anxious for an education at another, as you inform us.''

From another correspondent with whom Inez had lived in Alabama for a few weeks we had a marvelous tale which they heard from her. She had told them she formerly lived in the most beautiful part of New Orleans and when 5 years old was placed in a convent, and then taken to a boarding-school, from which she was kidnapped and taken to a small town in Georgia. She was later placed in another boarding-school and there met the wealthy B.'s of Charleston who took her home with them. While there she had to go to a hospital on account of some infection. One day she was thrust into a taxicab, taken on a boat, landed at another city, etc. The B.'s of Charleston have thus figured long in her story, and we learned from several correspondents that this kidnapping has figured over and over as a big event in her life.

Once, years ago, Inez was taken into a private home accompanied by a trunk, we hear, which was found to contain a considerable amount of jewelry. This was pawned in the name of the people with whom she then lived and was redeemed later by some one else. Inez laid claim to the jewelry after a time, but apparently was unable to produce anybody who could vouch that it was really hers. Its ownership has remained unknown.

When she went to St. Louis at one time she had stated she was to meet a relative there, but the person, we have come to know, was a certain very decent young man who had become acquainted with her through a correspondence bureau. He had thought well of her and warned her not to come to that city, but when she did so he met her and took her at once to his own home where the womenfolk looked after her until she was found a place elsewhere. The deliberate attempt to throw herself upon his protection was thus frustrated by his relatives. Many other reports of the misrepresentations of Inez have been given us. She has discovered that borrowing money on the strength of invented statements is sometimes possible, particularly for her with her good presence and convincing manner. The B.'s complained that when she left Tennessee there were in her trunk many dollars' worth of articles that belonged to them.

Throughout our long experience with Inez we have never been able to make up our mind whether or not she remembered all of her past. Her lying always stood in the way of getting at anything like the real facts. On no occasion has she truthfully dealt with her career as we know it. She has professed absolute lack of knowledge of her accident, and of the time and place of its occurrence. It is interesting that none of her acquaintances mention this. Although Inez has told long stories of her past to many people, and with some inclusion of truth, she never seems to have mentioned this important event of which we learned from her family. We cannot, then, decide about possible amnesia for this occurrence.

On occasion Inez has expressed the same desire for religious experience as for education, and has written to friends that she had become imbued with the Spirit. Her story of her religious upbringing is altogether unreliable and contradictory, but while in one hospital she professed belief, took communion, and was baptized in a certain faith. Her behavior was not, however, in the least modified by this.

One serious minded woman took Inez at her word when she said she wanted to study algebra and offered her a good opportunity which was never accepted. This demonstrated clearly that the desire was a matter of words only. Inez' constant assertion of independence has been one of her main sources of temporary success. Kindly people have speedily taken up with her. Sympathy is undoubtedly, in spite of her statements to the contrary, one of the strongest needs of her nature. In one of her letters we note her expression of satisfaction in a certain situation where she found herself much ``mothered'' by kind nurses. All her chances, however, have been spoiled by her indulgence in lies.

Inez has remained adamant to every plea and suggestion made by many well-wishing friends that she reform and begin again. After her parents and other relatives were found and communicated with, her career partly known, and her mother's need of sympathy shown to her, she still refused to change her story in many particulars—even when she knew that we had discovered about her writing home within recent months. She steadily refused to acknowledge her true age. When the evidence was complete, showing that she could not be held as a runaway girl, but must be treated under the law as a woman, she went forth to begin, as we heard from many other sources, her old misrepresentations of herself, which speedily got her into further trouble.

We were not astonished, even after we had accumulated almost the entire knowledge of the career which we have outlined above, and Inez knew that we had done so, to be visited by two fine philanthropic women who wanted to consult with us about an unfortunate girl who had won their sympathy, and who had been placed by them in a leading hospital after having shown some signs of acute bronchitis. In fact, she was in such a bad condition that she had to be transferred in an ambulance. But her illness had rapidly cleared up and now after ten days of observation an eminent diagnostician had thoroughly scolded her for simulation, and the girl was once more on their hands. Indirectly they learned that we knew of the case of this ``girl of 16.'' They realized that they had been taken in, but it had been done so cleverly, and, as they expressed it, Inez showed herself such a splendid actress, that they wondered if she had not extraordinary histrionic abilities which could be utilized. (It remains to be seen whether anything constructive can be done by following this lead. We feel that previous psychiatrists who gave earlier an unfavorable prognosis in this case were perhaps quite right. But perhaps we should not let our opinions in this be swayed by the fact that my associate, Dr. Bronner, who went to this last hospital was met by an absolute denial on the part of Inez of the essentials of the above career, by her insistence that she was not the same person as the daughter of the Smiths, and that she was only 17—all this in spite of her knowledge of our correspondence with her family and others, and her own previous acknowledgments of lying.)

Summary: In summarizing the characteristics of this woman we may first insist that she has ambition, push, and energy in high degree. Her personality as expressed in general bearing, features, and facial action is remarkably strong and convincing. Her ambition was shown in her work on our tests as well as in her social behavior. (We have wondered if it was not her desire to shine which prevented the typical performance of the pathological liar on the ``Aussage'' test.) Her self-confidence as expressed on numerous occasions is no less striking. ``I tell you, doctor, that I have told lies, but you will see that I will come out on top.''

Inez has been free from the overt problems of sex life. We have repeatedly been informed that she has been a girl of good character in this respect. ``I ran away from home for a good cause. I'm not one of those girls who is crazy about the boys.'' Usually Inez shows a very even temper. It is only when her own personality is trod upon that she grows angry, and obstinacy is then her leading reaction. Some pathological liars may be weak in character, but not Inez. She is the firmest of persons. On occasions her attitude is entirely that of the grand lady. Her type of lying is clearly pathological. It would often be very hard to discern a purpose in it, and over and over again she has defeated her own ends by further indulgence in prevarications. To her the utterance of lies comes just as quickly and naturally as speaking the truth comes to other people. Even in interviews with us when she was voluntarily acknowledging her shortcomings in this direction she went on in the same breath to further falsifications.

The medical aspects of the case come under the same category as the lying. The dysuria, the spitting of blood, the sugar in the urine, the hairpins found twice in the abdomen, the simulated pains, neurasthenia, and bronchial attacks, together with her stories of accidents and fainting spells illustrate her general tendency. This behavior, like her lying, serves to feed her egocentrism, her craving for sympathy and for being the center of action. As with the lying, repetition of this type of conduct probably is largely a matter of habit.

The bearing of this case on the problems of testimony is interesting. As shown in our account of tests done, when objective concrete material was considered by this woman she reported it well. It is only when her egocentrism is brought into play that she becomes so definitely unreliable. This is a line of demarcation that students of this subject would do well to recognize.

Causative Factors: Our study of causation in this case, as we intimated at first, is necessarily incomplete. But some things, probably explanatory, stand out very clearly. Heredity is moderately defective. Inez was the outcome of an unfortunate pregnancy and was a poorly developed infant. She suffered early from a number of illnesses, which, however, left no perceptible physical defects. Her unusual relationship to the other children, based on the difference in age, was perhaps a starting point for the development of her inventional theories of her own origin. She has given us many hints of this in speaking of her earliest remembrances of hearing the Smiths whispering something about adoption, and of her feeling that the other children were too old for her to belong to their family.

Then we insist on the positive bearing which this woman's native traits have had in the production of her career. Her facility with language marks her as possessing one of the chief characteristics of the pathological liar. Added to this she showed the other personal traits which we have described in detail, leading to her success in misrepresenting herself. Her strongly developed physiognomy has caused many people to believe her older than she stated, but still one has seen such lineaments belonging to girls of 17.

The bearing which the accident at 18 had upon the case it is impossible for us to estimate. Her family are very clear on this point; they maintain that all her bad conduct has developed since then. Through unwillingness, or barely possibly real amnesia for the injury, Inez has not helped us to know the facts. Dr. Augusta Bronner, who has studied this case with me, cleverly suggests that just as anyone becomes confused in distinguishing really remembered experiences from what has been told by others was one's experience, so Inez gets confused between what has really happened and what she herself has told as having happened. This finally involves a pathological liar in a network which is difficult to untangle. Part of the causation of the present lying, then, is the extensive lying which has been done previously.

Psychological analysis in such a case is most difficult because of the unreliability of the individual's own statements about her life, inner and outer. Psychoanalysts will be delighted, in the light of what we long afterward found out, at the pregnant opening sentence of an interview, recorded above, when Inez blurted out that she was once in a State hospital. However, from what we ascertained, we may see clearly that here is an individual with a past that she desires to cover up. Much more delinquency may be involved of which we know nothing. As the result of circumstances and traits she finds herself, despite her very good ability, inadequately meeting the world. Her forceful personality carries her into situations which she is incompetent to live up to. The immediate way out is by creating a new complication, and this may be through lies or the simulation of illness, at which she has become an adept. Altogether, Inez must be thought of as one who is trying to satisfy certain wishes and ambitions which are too much for her resources. Towards the goal to which her nature urges her she follows the path of least resistance. Being the personality that she is, the social world offers her stimulation which does not come to others.

To discuss the problem of her responsibility would be to introduce metaphysics—it is sure that in the ordinary sense she is not insane. The cause of her career is not a psychosis, although we readily grant that out of the materials of her mental experience she may ultimately build up definite delusions.

CASE 4

Summary: A girl of 16 had been engaged in an extraordinary amount of clever shoplifting under the influence of her ``mother.'' In the courts where the cases against her were heard there was much sympathy with the girl, but it was difficult to carry out any measures for her benefit because of the excessive prevarications which had characterized her for a long period. Under oath she falsely accused her ``father'' of sex immorality with her. She was removed from her home, and with knowledge of the mental conflicts which beset her, splendid efforts to ``cure'' this girl met with success. It is another case where supposed inherited traits turn out to be the result of environmental influences.

Through frequent communication with the highly intelligent woman with whom Edna F. was placed in a small western city after she was taken from her previous miserable environment, we have been able to keep close check on the progress of the case for several years. It was also very fortunate for our understanding that a nurse who knew the girl's real mother in New York, where Edna was born, appeared on the scene and gave us data upon which we could base some opinions of the outcome. The case in its entirety had proved very baffling to detectives because of the mass of contradictory lies told by both the girl and her ``mother.''

Our attention was first called to this girl when a number of court people were trying to solve the mystery. She had been arrested for shoplifting and her curious attitude and statements had made some believe she was not quite right mentally. Once before she had been detected stealing things in a shop. One of her remarkable statements this last time was that her parents were implicated in the thieving and she named certain stolen articles which might be found at their home. She went with the detectives and accused her ``mother'' of wearing a dress which she, Edna, had stolen. The woman was forced to give up the dress and other articles, but it was found later that these goods had been actually bought and paid for by the parents. Later it was found that the woman was a party to the girl's stealing and this made the girl's story seem all the more strange, for if she were going to involve the people at all why did she not pick out the actually stolen articles? However, long study of the case brought out the fact that this type of statement was a characteristic of Edna's. Her word on even important points was absolutely unreliable and her own interests were frequently thwarted by her prevarications.

The case in its different aspects came up in court again and again until finally most of the truth was ascertained, enough to justify radical measures being undertaken. During this period the mother was discovered to be an atrocious liar; even with her last bitter confession that all she had said about her motherhood had been untrue, she manufactured more quite unnecessary falsehoods. In the meantime the family physician and the family lawyer had both informed me of the peculiar mysteries of the case and of the perfect mass of lies into which the statements of both mother and daughter led. This sort of thing had been going on for years. It is of no small interest to note that the woman was greatly over-dressed and made up. On numerous occasions she appealed to us to study the girl and find out why she lied so much and why she had such an inclination to steal, in the meantime attempting to fill us up with many inventions about the girl's antecedents.

Physical examination showed a perfectly normally developed girl. No sensory defects. Pleasant features. Well shaped head. Weight 101 lbs; height 5 ft. 1 in. We found no hysterical stigmata. Menstruation had first occurred at 14. No trouble or irregularity was reported. We learn the girl has never had any serious illness. She herself told of fainting spells after being whipped and so on, but these were undoubtedly falsifications. The family physician informed us he had operated on the girl for appendicitis about three months previous to the time we first saw her. He had found some evidences of an old appendiceal inflammation, but it is quite likely from the various accounts which we heard that her symptoms recounted to him were largely fabrication and that the signs which he found, at least in their excessive phases, were partly deceptions. The most important point for the court proceedings was his findings that the girl had never been sexually tampered with and had no local disease. At the time when we knew Edna she was being treated for a local infection which must have been recent and superficial, for it rapidly subsided.

We had ample opportunity to test Edna's ability and found it quite normal. She had been out of school much and had been careless in general about her education, but she had finally finished the grammar school. A long list of tests was done almost uniformly well. Where a prolonged task which required concentration was asked, Edna was inclined to work carelessly, but in general her capacities proved to be decidedly good. She was accustomed to read nothing but the lightest literature and fairy stories and her interests were of the superficial sort. Neither in powers of imagery or imagination, nor by anything else ascertained about her mental abilities did we come to know of any point of special bearing upon her behavior.

On the ``Aussage'' picture test, she gave only 12 details, all correct, on free recital. Upon questioning she gave 28 more items and almost the only variation from accuracy was in respect to the colors. Evidently she let her fancy run when she could not remember correctly; through this she got 6 items incorrect. She readily accepted 3 out of 4 suggestions.

Our earliest impressions of Edna state that she seemed much confused in her stories and in her manner of telling them, leaving sentences unfinished and trying to explain inconsistencies by other inconsistencies. At this time she was referring constantly to her doubts about her age, her family, and her origin. She then seemed highly suspicious of every one and talked of suicide. However, when she was showing these signs she could be diverted, for she worked with much pleasure at the tests, particularly certain memory tests on which she did well.

On account of the difficulties of the solution of this case under the law considerable time and effort were spent in looking up her record. It was found that some years ago Edna had run away from home and there was a newspaper article published about her. Even at that time an officer who went to the home was unable to ascertain the truth in the case. The family had frequently moved and the mother asserted it was because of the bad reputation which the girl's actions had given them. The neighbors complained of the cruelty of the parents to Edna, but this meant only the whippings which the mother had given her. By all accounts the father was a good man who insisted that affairs between his wife and Edna were not his own. (Edna always maintained that this man had been unusually good to her, although she so strangely made in court the false accusations of prolonged sex immorality on his part and reiterated these statements even to us. It was not until many months afterward that she acknowledged the falsity of her accusations, although we knew from her physician that they were not true.)

The first time Edna was in court was when she was about 14 years old. At that time she had been observed by a department store detective stealing hosiery and a bracelet. She perceived she was being shadowed and walked up to the counter and ordered some children's garments, having them charged and sent to a fictitious name and address. The detective thought this a masterpiece of slyness, this endeavor to throw them off the track. Since the family, who really kept an account at this store, appealed to the manager to have Edna let off as it was an ordinary trick of a growing girl, the charge was withdrawn. Detectives who had been employed from a private agency made a very poor showing on getting at the real facts. The husband was doing well in his business and there never seemed to be any reason to suspect his wife of being directly or indirectly connected with the shoplifting. Earlier there was some intimation that Edna was not the child of these people, but the persons who suggested this did not know the true facts and were found to have a grudge against the mother. In the meantime the latter had strongly maintained her relationship.

It was months after this and just before we saw the case when a detective, who had kept the case in mind, went to the house to get the goods which Edna maintained had been stolen. There he found the ``mother'' and another woman smoking and thought he detected signs of their being drug habitues. Later, I myself felt sure of this point, but we were never able to state to what drug they were addicted. Edna frequently stated she had been accustomed to buying morphine for these women, but her statements about its appearance and its cost were so at variance with the facts that though it is likely she had bought something of the kind, yet no amount of inquiry brought out the definite facts. The woman's appearance and her remarkable lack of veracity were both highly suggestive of a drug habit.

In our several interviews with this woman we were amazed by her strange self-contradictions. It was not only that she stated something different from what she had said a week before, but even at different times on the same day her statements would be changed. Concerning her relationship to Edna she gave us the facts of the girl's birth and laughed off the idea that she was not the girl's mother. ``Why, I can remember every moment of my pregnancy with her.'' It was anomalous that this woman had hired a righteous man as a lawyer to represent her and the girl. This attorney, consulting with me, soon came to the conclusion that the only interest he would serve in the case was that of the girl, and then only in the effort to save her from the miserable influences of her mother.

Edna's school record was most peculiar. She had been frequently changed on account of her dishonesty. In one sectarian school she was said to steal all sorts of useless things—bits of string, pieces of pencils, and articles no one else would want. She also stole a two dollar bill from a grocery store; the cashier followed her and recovered the money from her person right there in the school. Edna always denied that she took things. While in another school she had flowers sent to all the teachers and the florist's bill was presented to her there. In still another school she took a pair of shoes from a boy at recess, wore these and left her old ones in the locker room. Her word was everywhere recognized as being most unreliable.

After the case had long been in court and Edna still stoutly maintained that she was not the child of these parents, but had complicated her story by adding incidents which were known to be untrue, such as her ``father's'' immorality with her, that there had been another adopted child in the family, that even the dishes the family used were stolen by her, and so on, the woman came and suddenly blurted out that she herself had been lying all along and that this was not her child. She then alleged the parentage was so and so, but this matter was in turn looked up and found to be false. It was adjudged that these people had absolutely no parental rights, and then work was begun on constructive measures of redeeming the girl if possible. It was not long after this that the nurse came to us who had known the girl's real mother in New York and who had taken charge of Edna as an infant before her foster mother had taken her. It seems that the mother was an American, that this child was illegitimate. A few months after her birth the mother abandoned her, became dissolute and is said to have since died.

Edna had run away from home on several occasions and slept in hallways for a night or two at a time. She had not been sexually immoral until just previous to our seeing her. Then while away from home she had gone with a man to a hotel, and probably had also been with boys. These were her first and last experiences of the sort, but how much these affairs had been on her mind we obtained some intimation of from herself.

``My mother took me to S's when I was 8 years old and told me to take anything I could and I got into the habit of it. I can't stop myself. I take anything I want. Mother said she would kill me if I told the truth. I had to say lots of things that were not so. I had to lie and say mother did not beat me, but she had a horsewhip that was plaited, father burned it. Then they bought a little one, but she beat me with a rubber hose and everything. The first thing I think I stole was jewelry in a store down-town. The woman I call `auntie' said if I would give her the goods she would pay me for them.''

``My mother fixed it up that if she got the goods and got caught she would get a clerk to make out receipts and get them stamped paid. She has not done this yet, but I think she will in this case.'' (This was a statement at the very first interview with Edna and no doubt had reference to the fact that the mother could produce receipted bills for the dress and other articles which Edna had maintained to the detective she herself had stolen. Of course the girl's story of this was untrue; the receipts were genuine.)

``One of my sisters is adopted, but my father does not know it. She ain't real. It was this way. When my pa was out west for a year ma asked me to look in the papers for a baby and I looked and found an advertisement about one. Ma said she must not be redheaded because that ain't like the family. We went and got her and ma went to bed for nine days and pretended it was her baby. She took a shawl and gave the nurse $25 and made out adoption papers. She took me with her. It was a month old. She made me go and tell my aunt I had a little sister. My aunt said it looked kind of big for 3 days old, but ma said she had been keeping it in an incubator. She had padded herself out before, and pretended it was her own child. Pa came home when it was six months old and he loved the baby just like his own. I ain't jealous, but it makes me sick to hear such lies.''

This alleged fact, reiterated to us and testified to in the court, was in itself a source of the whole case being farther followed up. The nurse was found who took care of Edna's ``mother'' during her confinement and it was found that Edna's whole story was quite untrue. It was evidently an elaborate fabrication representing the facts as they might have been about Edna herself. The only part of it that was true was that one of the younger children had been for a time in an incubator.

``Since I was 10 years old I have known about that. I have known I was not her child. She said something that sounded queer to me once when I ran away. It made me think she was not my mother.

``Why do I tell lies? I got started at it when I was small. She used to make me tell lies to my father. I began to steal when I was about 8 years old. My little sister has started to take things already. She is only 4. I was trying to break her and mother said, `Let her alone.'

``She's had about nine different servants. She never can keep any. She used to make me forge letters. She made me sign a girl's name to a receipt for wages which the girl never received. The girl had no case against her because she had the receipts. The poor girl lost it.

``I am going to tell the truth. There's going to be lots of things come out. I am going to tell the judge I lied when I told him I did not steal the things. Why did I lie? Well, she gave me just one look and I knew what she would do to me when I got home. Everything I told you about my father is the truth. Where else would I get that disease? I was never allowed to go out with boys.''

At another time when we inquired what bothered or worried her more than anything else we obtained an account of her sex repressions. Of course there would always be difficulty in knowing just how true the details were but probably she gave us the main factors in her mental life.

``I used to be out in the streets all the time. There were hardly any houses around there then. I used to hear mother talk about things. She would send me out of the room and say it was not for me to hear. Then boys lived near me and they asked me to do bad things. I first heard about those things from a boy on the porch. I was 7 or 8. I was always thinking about it—what my mother said at that time, I mean. She did not explain it enough. I am always fidgety, always nervous. My hands and feet are always going. Whenever I would see a boy it would always come up in front of my eyes. It was mostly when I saw boys. If she had explained it more it would not have come up that way. I know a girl who does that thing. She's bad. She does it with boys too. The people said so. When I was little I imagined there were some bad girls. You can't tell, but you can guess a little. That boy had lots of things. I don't know if he took anything. It was when I was about 4 until I was 8 that I played with him. These things never came up in my mind when I was taking things. It was only when I was not busy. I was always thinking about it when I haven't anything else to do. These few little words were not enough to explain. I remember I asked my aunt once. I tried to put things together what I heard, and what words about it meant.''

The above excerpts from many interviews with this girl represent points upon which there is the least contradiction. It is obviously useless to give any more of her story because of the variation from time to time. Even on the last occasion when we talked earnestly to her before she was taken to her new home, she lied to us about a number of points. Any attempt at an accurate analysis of her impulse to steal seemed quite beyond the mark in the light of her ever-ready fabrications.

The after-history of this case is of the utmost importance. A woman of strong character took Edna and surrounded her with new interests. Conference was had with us on the nature of the case. For the next few months reports came that the girl was a liar through and through and grave doubts were entertained of ultimate success. It was after she had been tried in her new environment for 3 months that, seeing us again, she confessed that her stories about her foster father were absolutely untrue. From about this time on there has been steady improvement. No more elaborate fabrications have been indulged in. On several occasions when Edna has been late from school she has lied about it, but even that tendency for the last year has been nearly obliterated. A good deal of interest in boys has been maintained, but not with any show of immorality. There has been nothing but normal flirting; accounting for the occasions when Edna has been late from school.

At two or three periods during her new life Edna has engaged in stealing. She has taken articles for which she had no particular use and has told lies about the matter. The thieving has not been a single event, but each time has seemed to represent a state of mind she has been in, and for a week or so numerous articles have been taken. We warned her good friend to make a study of her social and mental influences at such periods. It was found then that Edna was undergoing special stress on at least one such occasion. A young man had been making up to her, and later she confided that this given period was one of great turmoil because of the renewed arousal of many ideas about sex affairs. After this there was still more attempts to win Edna's confidence about her daily experiences, including such as the above. There has been the gradual development of character, and Edna is now, two years after she was taken from her bad environment, only very occasionally guilty of falsifying, and she is otherwise trustworthy.

Our study of the causative factors of this girl's delinquency and particularly of her extraordinary lying led us to see that perhaps all of the following have a part: (a) Heredity. Father unknown. Mother a free-living woman. (b) Home conditions. Mental and moral bad influences in the home life on account of the foster mother conniving at stealing and being herself an extreme liar. (c) Psychic contagion from the atmosphere of lies in which the girl has been brought up. (d) Mental conflict arising from the suspicion of her parentage, early acquaintance with sex knowledge, and the irregular morale of her home life. (e) Bad companions, including her foster mother's friends, and boys and girls.

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Mental Conflict. Case 4.
Girl, age 15 yrs.
Home influences: Extremely bad, including
excessive lying.
Bad companions.
Heredity (?).
Delinquencies: Mentality:
Much stealing. (Shop lifting, etc.) Fair ability.
Excessive lying.
False accusations.
Sex immorality.
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CASE 5

Summary: A young woman of 20, bright mentally, strong physically, ``confessed'' to a professor of a university where she was studying that she had shot and killed a man. The facts were known to only three or four people and she was terribly worried about it all. Upon her information the affair was taken up by a group of professional men, one of them a lawyer of large practical experience. She aided in an investigation which attempted to uncover the ``white slave'' feature of the case. The data of verification proved most elusive. Later, the young woman implicated herself in a burglary, and altogether an elaborate story of her life was evolved. It was found that from early years she had been a great fabricator.

While a first year student at a university Marie M. begged for an interview with one of her instructors at his home and there, with him and others, she told a detailed story of how some months previously she had escaped a difficult situation by killing a man.

The exceedingly long account which was given at intervals to several professional men and enlarged upon in response to inquiry, or as the occasion otherwise demanded, we are not justified in taking space to retell. This case figures, as a whole, in somewhat anecdotal fashion among our others, we freely confess; it is cited to show the extent to which apparently purposeless fabrication can go. It has been found impossible to gain a satisfactory idea of the genesis of this young woman's tendency, quite in contrast to the other cases we have cited. It forms the only instance where we have drawn from our experience with merely partially studied cases.

Marie's story involved many items of her life since she was about 12 years of age. A distant relative who had come to know her whereabouts (she was an orphan living with friends) figured extensively in her narrative. This relative had hounded her in an effort to get her to engage in an evil life. His attentions varied greatly; sometimes for months she was not bothered with him. Once when she was on her way to Milwaukee a gray haired man approached her on the train, said he knew her relatives, they were rather a bad lot of people, and he wanted to protect her from them. Then came a long account of being driven in a carriage, changing her clothes in a hotel, having her picture taken in an immodest costume, signing a paper at police headquarters, and, at last, safely returning home, all guided by the mysterious gray haired man. Another trip led to an encounter with a man who took her in an automobile under the promise of meeting a friend. Entering a building where men carried revolvers and girls were given hypodermic injections, just as she was about to receive the needle in her arm, she reached the man's revolver and shot him in the back. Events follow swiftly in her tale, but all is thoroughly coherent, and a number of facts are included which could be substantiated. The professional men could not help being impressed and spent much valuable time before they felt convinced that it was a fabrication. The exact locations could not be discovered, but then Marie was a stranger in the city.

When we saw her the whole story was reiterated with but few changes, which, however, from the standpoint of testimony were most important. We soon found we could get direct testimony on physical features which were provably untrue. For instance, the description of a certain hallway in a building where she had gone with one of the men interested in the events was totally unlike anything that existed there. Then, too, certain embellishments, which by this time included the payment of a large check to her as hush money, a check which she as easily gave away again, seemed altogether improbable. Marie by this time was implicating herself in a burglary with this relative, and some other curious incidents were given. In all of these, as we later found, there was a central event about which her statements MIGHT have been true. There was such a burglary; she had said in previous years that she was hounded by a man, and so on. We, too, were struck by the uselessness and lack of purpose in the lying—for we soon felt assured that it was such.

Physically we found Marie to be a decidedly good specimen. She weighed about 140 lbs. Strong and firm in carriage. Vivacious in expression. The physical examination at the university had shown her to be without notable defect of any kind. We can summarize Marie's characteristics by stating that from the earliest age of which we can get satisfactory record, when she was about 10 years old, she has been persistently addicted to falsehoods. Even then she made up, without any basis, stories which puzzled many people. It is much to the point that she has been a great loser on account of this tendency; it has injured her reputation on numerous occasions and destroyed many of her good chances. When she was about 15 it was noticed that she was a great day-dreamer. She thought she could write stories and once began a novel. Much more peculiar than this was the fact that she repeatedly wrote letters to her friends which were simply a mass of fabrications, describing such things as imaginary excursions.

Tests for mental ability were not given in this case, there was no need for it. Her marks in the preparatory course were just fair. It had been noted by her teachers, as well as by her foster parents, that she was prone to have periods when attention to her work seemed difficult. Aside from her peculiarities, which showed themselves entirely in her fabricating tendency and her assumed illnesses, nothing much out of the way in her mental life had ever been noted. On several occasions she had taken to her bed, but when a physician was called, a diagnosis was given of simulation, or hysteria. Nothing like major hysterical attacks at any time occurred,

From most excellent sources of information we have obtained an account of the family history. No instance of insanity is known, but it is said there is much evidence of ignorance and superstition. Marie's mother bore a good character, but was decidedly ignorant. At about the age of 50 she made a homicidal attack upon a second husband and then killed herself. The father was an industrious and sober laborer, but unable to support his large family. At his death in Marie's early childhood the family was broken up and the ten children were distributed about. None of the children is said to be abnormal mentally, but there has been a tendency to free living, even on the part of the older sisters. It seems very sure that no other member of the family was given to telling false stories. The brothers have been inclined to be shiftless and to roam, but then the environmental conditions often have been against them. However, some of them have done well. In general, as far as Marie is concerned, it may be said early home environment was not bad except on account of poverty. Marie bears no traces of having suffered from defective conditions before or after birth. Her early developmental history appears to be negative. She has lived about in several different homes, the longest stay being about seven years. In one place she was suspected of masturbation, but we were unable to get a perfectly definite statement that she was addicted to the habit.

Two years prior to the time we knew Marie she had worked up a story of adventure in which she was the heroine. She used the telephone to call for help, stating that she stood with a revolver covering a burglar. From this incident she gained a good deal of notoriety. The police found there was nothing to the case and later Marie herself made a confession. By the time we saw her this story varied somewhat from her original statement, but was still persisted in, although she must have known that we could readily trace the actual occurrence.

After Marie had continued her stories for a few weeks while attending the university they had grown so that they included night visitations in her boarding-house from the man who was said to be hounding her, she was found once more impossible to deal with and, as her work became poorer, she had to leave. At this period it was most significant to us that in spite of her expressed desire for freedom from persecution she did not want us to look further into her case because of certain mysterious letters which would incriminate her. We felt entirely convinced that the several reports which we received of her career in preceding years gave a satisfactory clew to her character, although we were never able to analyze the case far enough to ascertain the genetic features. Thus it is impossible to make any summary of causative factors.

CASE 6

Summary: A thoroughly characteristic example of the type of pathological lying which led to the invention of the term pseudologia phantastica. A young woman, well endowed physically and mentally, for years has often been indulging in extensive fabrications which have no discernible basis in advantages accruing to herself. The peculiarities of the falsifications have given rise to much trouble for her, her family, and for many others who have been incidentally connected with the situation. The genesis of the tendency was finally found in early experiences about which there have been much mental repression and conflict. In the background there was also defective home control and chronic neuropathic tendencies in both parents and in their kin.

Janet B., 19 years old, we saw first in an eastern city at the request of her parents. There she had become involved in troubles which seemed particularly hard to unravel. However, we were told that this was an old story with her. A diagnosis of her mental condition was asked, and recommendations for the future. Janet had told some very peculiar stories at her place of employment where she was doing very well as a newcomer, without any seeming reason for fabrication. Several who had become interested in her were wondering if she were quite sane.

After having made her way alone to New York, Janet readily obtained employment. After a couple of weeks she approached a department manager of the concern for which she worked and related a long story, which at once aroused his sympathy. She told him that her father and mother had died in the last year and that she was entirely dependent upon herself. When she was about four years of age she had been in a terrible accident and a certain man had saved her life. Naturally, her father had always thought very highly of this person and had pensioned him. Formerly he lived up in the country with his family, but at present was old, penniless, and alone in the city. Now that her parents were dead she was in a quandary about keeping up her father's obligation to the old man. Out of her $8 a week it was hard to make both ends meet. She had to pay her own board and for this man also. She found that he needed to be taken care of in every way; she had to wash his face and dress him, he was so helpless. She made no demand for any increase of salary and the story was told evidently without any specific intent. The services of a social worker were enlisted by the firm and the girl reiterated the same story to her, even though it was clearly intended that the case should be investigated. Janet's boarding-house was visited and there she was found to be living with distant relatives whom she had searched out upon her arrival in the city. They knew she had run away from home and, indeed, by this time the mother herself was already in New York, having been sent for by them.

The situation then became more complicated through the girl's giving more explanatory details to the social worker, somewhat accusing her own family. It was at this time I first saw her. She then acknowledged that this story of a man who had saved her life was purely an invention. Now she stated that in the western town where she lived she had been engaged to a young man who was discovered to be a defaulter and who had recently died. When this fellow was in trouble, his mother, while calling on Janet's family, used to make signals to her and leave notes under the table cover, asking for funds with which to help him out. This was a great strain upon Janet and even more so was his death. She could stand it no longer and fled the city. Her lover's stealing was a secret which she had kept from her own family.

Before we had become acquainted with the true facts about the family this girl gave us most extensive accounts of various phases of her home life which included the most unlikely and contradictory details. For instance, they had a large house with beautiful grounds, yet before she left home she bought a sewing machine for her mother, which she is paying for on weekly installments. Her $8 a week is very little for her to live on because she is paying this indebtedness. Janet wishes now to take out a twenty year endowment policy in favor of her mother. Her brothers and sister are all very bright, she tells us, but she has never been particularly close to any member of her family except her mother. The others always remind her that they are better educated than she is. She expects to take up French and Spanish in the evenings because they would be very helpful to her commercially. She does not care to grow up, prefers simple enjoyments, and has no desire for social affairs. She is only desirous of improving her education. She relates her success as a Sunday School teacher. She thinks at times she is very nervous, and especially when she was in the high school she showed signs of it. Then she used to stutter much, but of late she has been able to control this.

At another time, very glibly and without the slightest show of emotion, she continues with her story. Tells of frequent fainting spells when she goes from one attack into another. She has not had them just recently, but she used to have them at home. Tells us now that her mother has been very sick and she has been worrying much about her. She wanted to send money to her and help support her. `It's awfully hard on one to know your mother is terribly sick and to think you can't reach her if anything should happen.'' (It is to be remembered that all this was told when the girl must have known, if she had thought at all, that we would certainly get the full facts in a day or so.)

On the physical side we found a very well developed and well nourished young woman. Weight 148 lbs. No sensory defect noted. Moderately coarse features, broad deep chest, quiet and strong attitude. No signs whatever of nervousness. Her only complaint at present is of headaches and ``quivering'' attacks. (We could get no corroboration at all of either of these from any one else.) She frequently spoke of herself as entirely healthy except for these slight ailments. Some months later, vide infra, it was discovered that Janet had a chronic pelvic trouble. The most notable finding was Janet's facial expression when confronted by some of her incongruities of behavior. Then she assumed a most peculiar, open-eyed, wondering, dumb expression. When flatly told a certain part of her story was falsehood, she looked one straight in the eyes and said in a wonderfully demure and semi-sorrowful manner, ``I am sorry you think so.'' Her expression was sincere enough to make even experienced observers half think they must themselves be wrong.

On the mental side she demonstrated good ability in many ways. She had been through two years of high school and showed evidences of her training. We tested her for a number of different capacities and, with one exception, we found all through that she did fairly satisfactory work, showing herself to have normal mental capabilities and control.

This exception was in the ``Aussage'' or testimony test. Here in reporting on our standard picture she gave in free recital 17 items, which is a fair result, but she added several incorrect details. On questioning she gave 12 more items, but invented still more details. Of the seven standard suggestions offered she very curiously accepted only one, and that not important. As an example of how she would supply details from her fancy is the following: The picture represents a little girl standing by the side of an older person. Janet said it was a little boy, that he had his hands in his pockets, a muffler on his neck, a stocking cap on his head, and black shoes and stockings. All of these were voluntarily offered and all were incorrect.

Beyond this curious performance, and her peculiar lack of foresight and shrewdness, or whatever it is that causes her so readily to falsify and fabricate, we found not the slightest evidence of aberration. Her conversation was coherent and to the point.

In the information obtained from the intelligent parents the following points stand out clearly. The heredity is of interest. There has been no known case of feeblemindedness, insanity, or epilepsy on either side, but there is a great admixture of very good with quite unstable qualities. This is true of both sides. Some members of the family have taken high positions in the community, and been exceptionally endowed mentally. Others have been notoriously lacking in stability. We are informed that on one side some have shown a marked inclination for tampering with the truth, and it is suggested that Janet's tendency is the result of early influence. The care of an incompetent grandmother, whose word was notoriously untrustworthy, devolved upon the family and it was impossible to prevent Janet from being much with her. All of the children were aware of the old lady's untruthfulness. One of Janet's parents had been addicted to narcotics, but had managed to shake off the habit. The other parent has had a severe attack of ``nervous prostration,'' largely induced, it is maintained, by worry over family affairs. It is most interesting to note that the other children, two boys and one girl, have turned out remarkably well; two being university graduates, and all being very stable in character. Both parents are people of good moral ideals, and in spite of their own nervous defects have given their children very good care.

The pregnancy with Janet was not entirely healthy, but no worse than with the other children. Her birth and infancy were normal. Walked and talked early. Started to school at 6. Menstruated first at 13; not irregular. She never had any severe illnesses of any kind. As a child she once fell down some steps and was unconscious for a few minutes, but the accident was not known to have left any bad effects. Janet's own stories of fainting are much exaggerated. In fact, the mother has never really seen her faint, nor is there any evidence of any minor lapses of consciousness. At times the girl would feel faint and ask that water be poured on her forehead—that was all there was to it. She was removed in the middle of her high school course on account of general nervousness. The doctor felt she was working too hard. Her parents are sure she was never a great sufferer from headaches. Nothing else of importance could be found in her physical history.

The story of this girl's falsifications and fabrications as obtained from her people is exceedingly long. As a young child she was not over-indulged in fairy stories, and the parents noticed nothing peculiar about her then. She was not regarded as a child who had any unusual powers of imagination. Somewhere about 12 years of age, her parents cannot be certain just when, they noticed she began the exaggeration and lying which has continued more or less ever since. In the past two or three years this has grown upon her and she has been making not only untrue statements, but has been concocting peculiarly long and intricate fabrications. The curious thing to the family is that Janet seems to have little shrewdness in lying; of normal ability in other things, she seems to have the mind of a child in this. Very many deceptions are discovered in short order, but even then the girl will sometimes argue at length that what she has said was really the truth. The parents insist she must know that she is lying, but her anomalous behavior has been so excessive that they have long felt she should be studied by a psychiatrist. Her mother asserts there is some periodicity in Janet's tendencies. She maintains she has noticed that most of her lies are told in the two or three days preceding menstruation. (This was certainly not true during the period we observed the girl.) The parents are sure there has never been any particular mental shock, and the mother has always felt that Janet was particularly free from contamination by bad children. At times she seems to realize her own bad behavior, and not long ago said she would become a nun, for in the tranquil life of the convent her tendency to lying would not be stimulated.

Further inquiry brought out the fact that it was true, as Janet stated, that in her high school course she became nervous to the extent of jerking and twitching, and that also for a time she stuttered. Their physician said, however, that there was no definite nervous disease.

As a young child the parents never thought this girl in any way different from the rest of the family. As she grew older she has been regarded as physically the most robust, but, as she stated to us, she has done the poorest intellectual work and that has often been a matter of family comment. The other children are careful truth tellers.

The type of Janet's lying has been not only in the form of falsifications about matters which directly concerned herself, but also involved extensive manufacture of long stories, phantasies. Meeting people she might give them extensive accounts of the wealth and importance of her own family. She once spread the report that her sister was married and living in a fine home close by, giving many elaborate details of the new household. Such stories naturally caused much family embarrassment. Then she worked up an imaginary entertainment and gave invitations to her brothers and sister at the request of a pretended hostess. Just before the event she, simulating the hostess, telephoned that an accident had taken place and the party would not be given. An extremely delicate situation arose because she alleged a certain young man wanted to marry her. The truth of her assertions in this matter never was investigated. The parents felt it quite impossible to go to the young man about the facts on account of the danger of exposing their daughter. They were long embarrassed by the extent to which she kept this affair going, but it finally was dropped without any social scandal occurring. In this and other affairs the family situation was at times unbearable because of the possibility that there might be some truth underlying the girl's statements. As the years went on Janet, of course, suffered from her loss of reputation, but still continued her practices of lying. In the two years before she left home she worked as a clerk. Previously she had held two or three situations and was reported to give good satisfaction in her work, but something would always come up about money matters, or other things, which would finally give rise to trouble. It is not known that she ever really took any money except the last time when she ran away and took a considerable sum from her parents.

A period of extensive untruthfulness and deception occurred before she left home. Janet represented to her parents that she was working at a certain place after she had left. She got into some mix-up about money matters, the rights of which never were straightened out. As usual, the affair was too complicated to be understood by anything short of a prolonged investigation. After things had come to this pass and her parents hardly knew what to do with her, she took money from them and ran away. She was readily traced because the ticket agent in her home town could give a description of her. She had bought a ticket to an intermediate point and there stopped over night. Her father followed her thus far. It seems when she finally got to New York she hunted up the distant relatives who took her in and informed the mother. The girl intended to earn her own living and soon found a good place. She was always able to make a good presentation of herself, being a quiet and convincing conversationalist.

Out of the mess of lies surrounding her New York experience, it was finally found that she had met a young man in a boarding-house and had become infatuated with him. He was an honest enough fellow, but fell in readily with her forwardness. He took her to shows, and letters, intercepted by the mother, showed that between them there had been some premature love passages. At that time Janet started making weekly payments on a gold watch to give to this young man at Christmas, a curious and quite unwarranted expenditure. Perhaps this was the fact around which some of her fabrications at that time centered. Perhaps it was this money which became now the amount she was paying to her father's pensioner, now what she had to send home to her mother, and, again, her payments upon an imaginary sewing machine. In this affair, as at other times, the lying was extremely childish, inasmuch as the truth, through receipts found in her room, proved to be readily ascertainable.

A good example of the character of Janet's falsifications was the story about the death of her lover, told to us at our last interview with her when she had come to us with the specific purpose of trying to get herself straightened out once and for all. She was not aware that her parents had given me any account of this young man, but she might well have supposed that I had inquired about him, or at least would inquire. Only a few minutes previously she had told about her lying and given a very definite account of its beginnings which was much in accord with what her parents had said. Mentioning her love affairs, she maintained that, unbeknown to her parents, she had been engaged to this man, but that he had proved to be a thief, stealing money and robbing the mails. She started off on a story of how another young man was accused, but no evidence was forthcoming about him, and soon afterward her lover died. Getting him safely buried for us, she was quite willing to go on to another topic.

The workings of Janet's mind in connection with her alterations of a story were sometimes most curious. We were interested to study a long letter quite coherently written to her mother a few days before we saw the young woman, and about the time when she first told her long story to the department manager. In the letter she spoke of the extraordinary opportunities she now had in this place of employment, exaggerating her salary to $14 a week. She stated she had already had a raise, and could get work for other members of her family at good salaries. She was about to start a bank account, and so on. But instead of making any remittances to her mother (such as she asserted at one time) she requested her parents to send her $5 to tide her over. We counted no less than nine definite falsehoods in this epistle. We were keen to know if Janet could remember her own prevarications and so asked her if she could recall what she had written to her mother. She trimmed her statements most curiously then, being aware we knew her salary to be $8 a week. She said she had told her mother her salary was $10, but in answer to our reply, ``Oh, you said more than that,'' she blurted out, ``Well, I said $14.'' It was quite evident she remembered this, as well as certain other exaggerated statements and figures in the letter.

We were fortunate enough to be able to analyze out much of the genesis of this girl's career as a pathological liar. After the immediate situation was somewhat cleared and Janet asserted she was anxious to make a new start in life, we began our inquiry into beginnings. Janet showed willingness to enter into the question of her mental antecedents and tendencies which she maintained she heartily deplored. To be sure we had evidence that even in her most sincere moments she was unable to refrain from occasional falsifying, but the main facts seemed self-evidently true, and some of them were corroborated at interviews with the parents.

After considering her own career with us for a time, she asserted that it now was clear to her just how and when she began lying. As a child of about 12 years it seems she was wont to meet with a certain group of girls on a hillside and they indulged in many conversations about sex matters. Evidently the circumstances surrounding this important introduction into affairs of sex life were indelibly impressed upon her mind. She was there instructed not only in the general facts, but also in methods of self-gratification. It is clear to her, she states, that it was exactly at this time that she first began deceiving her mother and telling lies. She explains these tendencies as the result of a guilty conscience. It comes out that the mother did not know this group of girls to be undesirable companions for Janet, but the latter's consciousness of their frailties always led her to state that she had been with other children when in reality she had been in this bad companionship. Through dwelling on their teachings she began sex practices by herself, and in order to carry this out she had to indulge in other deceptions. She remembers distinctly her willful repression of the facts, and states that the nervousness which she displayed for two or three years in her school work was undoubtedly due to this cause. In fact, she thought so at the time, but persisted in deceiving her mother and her physician in regard to the matter.

Her mental repressions and conflicts did not begin, however, at this period. By digging further into her memory Janet tells us about a girl in another town where they used to live, a girl who, when Janet was about 7 years old, wanted to show her about sex practices. Janet knew this girl to be bad by general reputation, and ran away when this offer was made, but it was too late—the mental impress had been formed. She thinks her mother would remember this girl. The things which this bad girl started to tell came frequently up in Janet's mind and she wondered much about them. No practices, however, were indulged in and even the thoughts were fought against until the time mentioned above when other sex ideas were implanted. Janet's mother had neither given nor received confidences on this subject, and indeed never throughout the daughter's life has there been anything except vague warnings on the part of the mother about the general dangers of sex immorality.

We gradually came to learn that Janet had been subject to much sex temptation from her own physical feelings. She never was a good sleeper, she thinks, and she often lies awake, or will wake up for a time in the middle of the night and think of sex affairs. She feels sure there has been considerable stress upon her on account of this temptation which she has felt should be combated. The occasional giving way to sex habits also resulted in mental stress and, as she expresses it, worry.

At the time of her failure to do well in school work her internal conflicts were especially acute. There was before her continually the success which the other members of her family had made, which she herself admired, and for which she was ambitious. She hid at that time the cause of her nervousness and failure; there was the danger of its being discovered. After thus reviewing her case with us, Janet reiterated that she was sure her tendency to prevaricate came on at the time when she first began her bad sex habits.

This girl was probably not much of a day-dreamer. She denies being so, saying she had always been too busy for such to be the case. We also obtained corroboration of this from others who had closely observed her. She says she had lived no specially imaginative life beyond occasionally thinking of herself as a well-to-do lady with many good clothes to wear, or sometimes lying in bed and imagining she had a lover there. Further inquiry into her imaginative life seemed futile because she was not trained in introspection and because even in her frankest moments we were always afraid that she might fall into her strongly formed habit of prevarication. We ascertained that in her home life special efforts had been made to keep her busy and she could not be regarded as a dreamer. Janet strongly denied the periodicity in her lying which her mother maintained, but the girl did state that her periods of sex temptation were mostly just preceding her menstrual period.

In giving the above account of what was ascertained by analysis with Janet we have offered such of her statements as are clearly probable or which are corroborated by the parents. Our many experiences with the young woman led us to be particularly careful in accepting as veracious any of her statements unless, as in what is given above, they clearly followed the type of fact which may be ascertained in the investigation of other instances of pathological lying where the individual's word is more reliable. The parents were able to corroborate many points. The mother remembers the older girl in the town where they lived when Janet was 7 years old and that this girl was notorious for her sex tendencies, although she was not in the least aware that Janet had been contaminated. Then she recollects that Janet used to tell her so particularly about going with a special crowd of girls (those which she now says were not her companions). Both parents considered the matter at great length in order to help my study of the case and both are very certain that it was just about this period when Janet says she was beginning her covert sex experiences that she began the lying, which was petty at first, but after a time expanded into the type of detailed falsifications we have enumerated above. Altogether there was little doubt in our minds that Janet was giving the truth in its main outlines. Undoubtedly it was merely her habit which always led her to alter somewhat the details.

We were interested to note that in her letters and in her ordinary conversation Janet took up the topics that a fairly well educated girl would naturally discuss. For instance, she would give us some account of her recent reading, or a visit to an art gallery, telling us with normal vivacity about a couple of pictures which had deeply impressed her. She spoke not only of their subjective influence, but discussed the details of composition and coloring. We might mention that in a characteristic way she interjected some remarks that she herself used to be very good at drawing and won several prizes at it. She stated that she thought of going farther in art, but that her parents could hardly afford to allow her to do this. These remarks were found later to be quite aside from the truth.