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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¡¡psychopathyall¡¡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£º¡¡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¡£


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