Title: Pathological Lying, Accusation, And Swindling -- A Study In Forensic Psychology
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Author: William Healy, A.B., M.D., and Mary Tenney Healy, B.L.
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Pathological Lying, Accusation, And Swindling A Study In Forensic Psychology
William Healy, A.B., M.D., and Mary Tenney Healy, B.L.
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Table of Contents
Pathological Lying, Accusation, And Swindling A Study In Forensic Psychology.................................1
William Healy, A.B., M.D., and Mary Tenney Healy, B.L. ....................................................................1
Pathological Lying, Accusation, And Swindling A Study In Forensic Psychology
i
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Pathological Lying, Accusation, And Swindling
A Study In Forensic Psychology
William Healy, A.B., M.D., and Mary Tenney Healy, B.L.
PREFACE
I. INTRODUCTION
II. PREVIOUS STUDIES
III. CASES OF PATHOLOGICAL LYING AND SWINDLING
Case I
Case II
Case III
Case IV
Case V
Case VI
Case VII
Case VIII
Case IX
Case X
Case XI
Case XII
IV. CASES OF PATHOLOGICAL ACCUSATION
Case XIII
Case XIV
Case XV
Case XVI
Case XVII
Case XVIII
Case XIX
Case XX
Case XXI
Case XXII
V. CASES OF PATHOLOGICAL LYING IN BORDERLINE MENTAL TYPES
Case XXIII
Case XXIV
Case XXV
Case XXVI
Case XXVII
VI. CONCLUSIONS
To
Merritt W. Pinckney
Judge Of The Juvenile Court
Chicago
``Bonus et sapiens et peritus utilitatis dignitatisque civilis.''
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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 grouptypes 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 thoroughgoing 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.
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William Healy
Mary Tenney Healy
WINNETKA, ILL.
June, 1915.
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, selfaccusation. Mendacious selfimpeachment 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
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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 wellequipped 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. 5970.
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 selfdefense,
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.
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MALES FEMALES
Lyingcounted only when excessive and a 104 80
notorious characteristic of the individual, (15%) (26%)
False accusationsonly 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 sneakthief or
pickpocket class, has taught us that living conditions for the individual may be founded on whole careers of
misrepresentation and liesfor very understandable reasons. Selfaccusations 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 selfincriminator.
In selection and treatment of our material we have confined ourselves as closely as possible to the definition
first given in this chaptera 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 borderline types, has so far shown
any indication of this. That some of our cases have more or less recovered from a stronglymarked 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 BorderLine 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.
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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. Grudgeformation 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 casesso it seemed to us at firstwhere 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 selfaccusations 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 selfprotection. 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
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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 safeblower 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 crosssection
studies have been made in a number of cases, and it has been possible to get a varying amount of
afterhistory. 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 averagesthere 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.
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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 traitsthus 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 casestudies.
The first patient presented by Delbruck was an Austrian maidservant 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 KrafftEbing 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
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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 hysteroepileptic 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 highgrade 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 deepseated 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
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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,'' ChariteAnnalen, 8, 1898. Pp. 674719.
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 selfexpression, 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
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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. 576639.
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 selfaccuser 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
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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
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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
selfcentered 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
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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.
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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.'' Vierteljahrschrift fur gerichtliche Medicin und
offentliches Sanitatswesen, 1904 Bd. XXVII; pp. 189242.
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.'' ChariteAnnalen, 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 makeup must lead
unconditionally and necessarily to swindling and law breaking. A degenerative alteration furnishes the basis
from which a wish or wishcomplex 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. 482500.
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.
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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 wishcomplex 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.'' Juristischpsychiatrische 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 subclass 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
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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] ``Gerichtlichpsychiatrische 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.
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[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 fiveyearold 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. 259282.
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 introspectionthe 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. 140142.
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
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included Case 12, which otherwise possibly might be considered under our head of borderline mental types.
In any attempt to distinguish between pathological accusers and liars, cases overlapping into both groups are
foundso 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 wellbalanced story of her family life; one which it was impossible to break down. It
involved experiences at army postsshe stated her only relatives were brothers in the armyand 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 crossexamination 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
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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 selfaccusation: ``Now,
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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 lyingall 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 selfrealization 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.
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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 selfsupporting and selfrespecting young woman with her own relation to
the world realized in a way that before seemed entirely lacking.
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.
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:
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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 feelingtone.
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 selfstyled ``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.
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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.
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
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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
selfpossessed 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 welltodo, 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 Inezthey 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 selfsupporting.''
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
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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 guardianfriend 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
boardinghouse 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 wellbeing 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,
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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 selfmutilation, 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 KentRosanoff 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 selfexpression 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 welltrained 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 selfassertion 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.
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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 humdrum 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
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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 nonprofessional
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 ladylike 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
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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 factscorrespondents 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 wellthoughtout, 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
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``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
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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 caserecord 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 welltodo 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 boardingschool, from which she was
kidnapped and taken to a small town in Georgia. She was later placed in another boardingschool 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
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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 wellwishing 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
particularseven 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
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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
17all 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 selfconfidence 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.
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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 metaphysicsit 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
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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 overdressed 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
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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 selfcontradictions. 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 thingsbits 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
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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 downtown. 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.
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``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 itwhat 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 everready fabrications.
The afterhistory 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
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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 freeliving
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.
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.
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.
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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 lyingfor 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 daydreamer. 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
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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 boardinghouse 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
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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 boardinghouse 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, openeyed, 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 semisorrowful manner, ``I am sorry you think so.'' Her expression was sincere
enough to make even experienced observers half think they must themselves be wrong.
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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 foreheadthat 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 overindulged 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.
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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 mixup 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 boardinghouse 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
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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 selfevidently 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 selfgratification. 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
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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 latethe 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 daydreamer. 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 welltodo 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.
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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.
Telling us the story of her school career, Janet insists her memory had never been good for learning poems or
for languages, particularly Latin, but anything in the way of a picture she could recall with ease. What she has
read she often thinks of in the form of pictures. Concerning her lying she denied it was done particularly to
cover up things, at least since the time when the habit was first formed. She feels that it really is a habit, a
very bad one. She hardly knows she is going to prevaricate; the false statement comes out suddenly. In
thinking about it all she harks back once more to that crowd of girls; everybody thought they were good, but
she knew they were not.
After a time of quieting down in her behavior tendencies, although there was never complete cessation of the
inclination to falsify, a new exacerbation of lying arose. This time it seemed to center about a clandestine
love affair of a mild type. There was one trouble with this case which neither I nor any one else was able to
clear for the parents. It was perfectly apparent that the girl might naturally be expected to marry at some time.
Now, when an honest young man felt inspired to keep company with this vivacious, healthy, and generally
attractive young woman, what were the parents to do? It was easy enough for them to decide that she must
not go with a man of bad character, but were they bound in honor to inform any young man, before affairs
had gone too far, that the girl had this unfortunate tendency and that she had had rather a shady career? It was
perfectly clear to them that she herself would not tell him. This was how the matter stood at the time we last
heard of the case, and while the parents were holding back, a young man's affections and the girl's
fabrications were growing apace.
Janet had been suffering from a chronic inflammation of the bladder, which, however, did not cause any
acute symptoms. A chronic pelvic inflammation was discovered, for which she was operated upon in her
home town. The surgeon reported to the parents that conditions were such that they would naturally be highly
irritative, although there had been no previous complaint about them. The girl made an exceedingly rapid
recovery. It was after this that her last affair of the affections was causing the parental quandary and distress.
Our final diagnosis of this ease, after careful study of it, was that it was a typical case of pathological lying,
mythomania, or pseudologia phantastica. The girl could not be called a defective in any ordinary sense. Her
capabilities were above the average. She showed good moral instincts in many directions and was at times
altogether penitent. Nor could she be said to have a psychosis. The trouble was confined to one form of
conduct.
The lying, as in all these cases, seemed undertaken sometimes for the advantages which thereby might
accrue. On the other hand, at times the falsification seemed to have no relation to personal advantages.
Indeed, this girl had experience, many times repeated, that her lying very quickly resulted in suffering to her.
There were aspects of her falsifications which made it seem as if there was pleasure in the mere manufacture
of the stories themselves and in the living, even for a short time, in the situations which she had created out of
her imagination and communicated to others. Frequently there seemed to be an unwillingness on her part to
face the true facts of existence. In her representation of things as different from what they really were she
seemed to show even the desire for selfdeception. Another point: no student of cases of this kind should
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allow himself to forget the potency of habit formation. There can be little doubt but that a large share of this
girl's conduct was the result of her well developed and long maintained tendency to trim the facts.
As far as we were able to determine, and we undoubtedly got at the essential facts, this girl's falsifying trait
was based on the following: The fact that she came of neuropathic stock would make us think that she
possibly inherited an unstable mental makeup. To be sure, the only evidence of it was in this anomalous
characteristic of hers, namely, her pathological lying. She seemed sound in her nervous makeup. The idea
that the grandmother passed on as inheritance her prevaricating traits is open to discussion, but we have seen
that environmental influences from this source may have been the only effect, if there was any at all. Very
important in this case, without any doubt, is the early sex teaching, its repression and the mental conflict
about it for years, and then the reintroduction into the subject just before puberty. Probably this is the vital
point of the girl's whole career. The success she early achieved in deceiving her mother, not by denials, but
by the elaboration of imaginary situations, has been the chief determinant of her unfortunate behavior. Added
to that was the formation of a habit and of an attitude towards life in which the stern realities were evaded by
the interposition of unrealities. Even the affair of the imaginary social gathering can be conceived in this
light, for evidently she and her family were not engaged then in social affairs and the preparation for a gay
event would for a time be a source of excitement and pleasure. Her autoeroticism may have helped towards
the production of phantasies and the general tendency to evasion of the realities of life.
It was clear from first to last that the exploration of the genesis of the tendencies in such a case as this could
be but one step towards a cure. What was also needed was prolonged disciplinary treatment under conditions
which were well nigh impossible to be gained at her age. Willingness on the part of the individual to enter
into any long period of discipline or education, such as an institution might offer, is not easily obtained.
Mental conflict: early and severe. Case 6.
Early sex experiences and habits. Girl, age 19 yrs.
Mental habit formation.
Home conditions: defective understanding
and control, although ordinarily good
home. Early acquaintance with lying.
Heredity: neuropathic tendencies on
both sides.
Delinquencies: Mentality:
Excessive lying. Ability well up to
Runaway. the ordinary.
CASE 7
Summary: A girl of 16 brought to us by her mother, who regards her as abnormal mentally because she is an
excessive liar and delinquent in other minor ways, proved to be an habitual masturbator. Under direction, the
mother succeeded in curing her of this habit, with the remarkable result that the young woman became in the
course of a couple of years quite reliable.
We first saw this young woman of 16 with the mother who maintained that there must be something wrong
with the girl's mentality because of her lying, recent running away from home, and some minor misconduct.
There had been trouble with her since she was 7 years old. She was the twin of a child who died early and
who never developed normally. Her mother said she seemed smart enough in some ways; she had reached 7th
grade before she was 14, but even at that time she was a truant and would run off to movingpicture shows at
every opportunity. Her father was a rascal and came of an immoral family. He had a criminal record, and that
was another reason why the mother felt this girl was going to the bad. The mother herself was strong and
healthy; she was remarried. The existence of feeblemindedness, epilepsy, or insanity on either side was
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denied.
We quickly observed by the physical conditions of this girl that something was the matter. Expression sad
and dull. Long thin face and compressed lips. Vision almost nil in one eye, but normal in the other. Hearing
normal. Color only fair. Weight 115 lbs.; height 5 ft. 4 in. Most notable was her general listlessness. ``I feel
draggy and tired. I'm yawning all the time.''
On the mental tests we found much irregularity. Tasks that were done without effort were done fairly well.
The girl was a good reader and wrote a good hand. A long task in arithmetic was with difficulty done
correctly. When she was able to get hold of herself she could do even our harder tests with accuracy. Her
failures were apparently from lack of concentration and attention. Although she did some things well we felt
obliged to call her dull from physical causes, feeling that if she were in better condition she might give a
much better performance.
On the ``Aussage,'' or Testimony Test, 11 items were given on free recital and 2 of these were wrong. Upon
questioning, 17 more details were added and 4 of these were incorrect. 2 out of 5 suggestions definitely
accepted.
Under observation it was just as the mother said. The girl was an extreme falsifier. As one observer puts it,
``she is not malicious in her lies, but just lies all the time and seems to try to make herself believe what she is
saying.''
``I was in the 7th grade. Had a hundred jobs since then. Can't keep them because I'm so draggy. They want
their money's worththey want a more live girl. Sometimes I don't mind my mother and I get spunky. I feel
lonesome and get mad. I feel tired. I can't please my mother no matter how hard I try. I'd like to go in some
little home where I could have a chance.''
After a few days we found this girl in a decidedly good mood, wanting to be helped. She willingly entered
into the analysis of her case with us and said she thought most of her trouble came because she was a
daydreamer. ``Sometimes I dream of things in the day time. I'll sit and stare and stare and think of different
things. I'll think I'm doing them. I'll dream of things what I do and if I read a good play I'll dream of that.
When I think of myself or somebody starts looking at me I'll stop dreaming.''
To another observer this girl gave a vivid description of how she felt after seeing pictures in the nickel shows.
She states that lovemaking scenes lead her to practice selfabuse. This matter was taken up with her mother
who stated that when this child was 7 years old she and the father had caught her at this habit and had
severely reprimanded her and had thought she had stopped it. We were particularly interested to hear this
because it was exactly the time the mother had specified as the beginning of her lying and general bad
behavior. Going farther into the case with the mother and the girl we ascertained that her bad sex habits had
been continued more or less during all these years, and of late, particularly under the influence of picture
shows, and of what some other girls were doing in the way of delinquency, the habit had become worse than
ever. It was closely connected evidently with daydreaming all these years and with the development of the
fabricating tendency.
The mother who had been apparently so negligent of causes proved now to be a stalwart in this case and took
the girl under her immediate charge. There was steady betterment. The girl went back and finished school and
at the end of a year was reported as tremendously improved. There was no further complaint about her lying.
We know that after this she long held a good position which any hint of untrustworthiness or lack of capacity
would have lost her. Thus the cure of her sex habits brought about cessation of her extreme untruthfulness.
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Bad sex habits long continued. Case 7.
Heredity. (?) Father immoral Girl, age 16 yrs.
and criminal.
Home conditions.
Lack of understanding and
supervision.
Delinquencies: Mentality:
Excessive lying. Dull from physical
Early truancy. causes. (Later
Running away. quite normal.)
CASE 8
Summary: A thoroughly illustrative case of long continued, excessive pathological lying on the part of a very
bright girl, now 17 years old. As this young woman has well known, her falsifications have many times
militated against the fulfillment of her own desires and interests. In the face of clear apperception of her fault,
the tendency to react to a situation by lying sometimes appears to be fairly imperative. The only ascertained
bases of the tendency are her early reactions, unthwarted by parental control, followed by habit formation; all
in an environment peculiarly favorable to deception. The lying passed over into swindling.
Gertrude S., who immigrated from England with her parents ten years previously, was seen by us when she
was 17, after she had been engaged for months in a career of misrepresentation which had led her case into
the hands of several social agencies. Much difficulty was encountered because repeatedly when people had
tried to help her she had led them astray in their investigations by telling ridiculously unnecessary falsehoods.
Her parents came to see us and gradually we obtained a detailed and probably quite reliable family and
developmental history. About the evolution of the young woman's mental life we have unfortunately had to
rely much upon her own word. This has made our studies rather more unsatisfactory than in other cases
where corroboration from parents was obtained. However, there is much that rings true and is of interest even
in the unverifiable part of the study.
There is not much to be said about the physical examination; it was negative in most respects. She is of rather
slight type; weight 110 lbs., height 5 ft. 1 in. Delicate features of mature type. Expression intelligent and
decidedly refined for her social class. Gynecological examination made by a specialist revealed nothing
abnormal and no evidence of immorality. Menstruation said to have taken place at 13 years and to be regular
and not difficult.
In studying Gertrude's mental powers we gave a considerable range of tests and found her to be well up to the
ordinary in ability. She showed no remarkable ability in any direction, but gave an almost uniformly good
performance on tests. Concerning her other mental traits and especially her range of information and reading
more will be said later. No signs of aberration were discovered by any one.
The record on the ``Aussage'' picture test is as follows: She gave 16 items on free recital with considerable
reference to functional details and with side comments as to who the little girl might be, and what the dog
wanted, and so on. So far, this was the performance of a rational, quickminded person. On questioning, 28
more items were added, but no less than 12 of these were incorrectshe evidently supplied freely from her
imagination. Of the 7 suggestions which were offered she took 5. Twice not only was the main suggestion
accepted, but imaginary details were added. Naturally, this is a very unusual record from a normal person.
There is absolutely nothing of significance in the heredity, according to the accounts received by us. All the
grandparents are still alive in the old country. They are small townspeople of good reputation. Epilepsy,
insanity, and feeblemindedness are stoutly denied and are probably absent in near relatives. The father is a
staunch citizen who feels keenly the disgrace of the present situation. He is a hard working clerk. We early
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learned the mother was not to be relied upon. Our best evidence of this came from Gertrude. She told us she
had always been accustomed to hearing lies in her own household. According to the father his wife's
falsifications are merely to shield the children and she only shows the ordinary deceit of woman. We have no
history of this woman ever having indulged in elaborate fabrications and, in general, she is of thoroughly
good reputation. In delicacy of feature the girl is her mother over again.
Gertrude's birth was comparatively easy after a normal pregnancy. After a healthy first infancy she had an
illness at 2 years which lasted for three or four months. The exact nature of this is not plain, but it was
probably bronchitis with complications. There were no evidences of any involvement of the nervous system.
She walked and talked early, at about 1 year of age. She has had no other serious illness in all her life and has
had no convulsions. None of the children has suffered from convulsions. Gertrude is one of five, all of whom
are alive and well. In the last couple of years she has complained a little of headaches and some other minor
troubles. It was typical of the family situation that after Gertrude had told us of a series of fainting spells a
year previously, the mother corroborated her and, indeed, made them out even worse. But when the reliable
father was consulted on the matter it turned out there had been no such fainting attacks, nor could they be
verified by communication with a doctor who is said to have attended Gertrude. Unquestionably they never
occurred. Gertrude went to school at the usual age, but on account of poverty and immigration missed many
long periods. However, at 14 she had gone through the 6th grade.
About Gertrude's moral evolution we got very little aid from the parents or indeed from any others. It was
very evident that from earliest childhood the girl had led a mental life of which her relatives knew nothing.
Naturally, the mother gave us no account of the development of the tendency to lying; she merely glossed
over her daughter's deceptions. The father, who had been obliged to work away from home much during
Gertrude's early years, merely knew that at about the time she left school, namely 14 years, she began to lie
excessively.
Anything like a complete account of Gertrude's prevarications, even as we know them, would require much
space. Some idea of their quantity and quality may be gained from the facts which we have gleaned from
several sources. As might be supposed, Gertrude has established a reputation for falsification among many of
her acquaintances. One friend tells how she represented herself as a half orphan, living with a hardhearted
stepmother. Demanding promises of secrecy, Gertrude told this girl about a sum which she had with much
difficulty gradually saved from her earnings in order to buy needed clothes. She asked the friend to come and
help her make a selection. (Now the $20 or so that was spent Gertrude had stolen. By following her strange
impulse she, with danger to herself, related a complicated story to this other girl who needed to know nothing
of any part of the affair.) We have knowledge of scores of other fabrications which were detected. They
include her alleged attendance at a course of lectures, her possession of a certain library card, and her
working in various places. For many of these stories not a shadow of a reason appearedespecially during
the time we have known her she has had every incentive to tell the truth about everything.
When by virtue of our court work we first knew the case, her lying centered about her other delinquencies,
but even so its peculiar characteristics stood out sharply.
Gertrude was held to the adult court in the matter of the forgery of a check, which had been presented in an
envelope to a bank teller by her and cashed as in the regular line of business between the bank and the firm
for which she worked. Finding the girl had lied about her age, she was held, after the preliminary hearing, to
the proper court. There, in turn, she did not appear at the right time, it being stated that she was sick in a
hospital. One officer knew better and further investigation showed that Gertrude herself had come to the
court, represented herself as her sister, and made the false statement about the illness. A telephone call the
same afternoon to her house Gertrude answered.
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Months of difficulty with the case began now. Her employer and all concerned experienced much difficulty
in getting at the truth of the forgery, particularly through her clever implication of a man who had no easy
task in freeing himself. Even after the girl confessed herself a confirmed liar she told more untruths which
were peculiarly hard to unravel. Gertrude's firm bearing, her comparative refinement and her ability made
every one unusually anxious to do her justice, and to save her from her own selfdamaging tendencies.
During the continuance of the case, when all her interests demanded her good behavior, Gertrude could not
refrain from what were almost orgies of lying and deceit. She well realized how this would count against her
and, indeed, wrote letters of apology repeatedly for her misconduct.
``Let me come and tell you all. The time has come when things must stop, therefore I feel that I must talk to
someone. I have lived a lie from the day I was born until now.''
After these letters she went on making false statements which could readily be checked up. Nothing is any
more curious in Gertrude's case than the anomaly of her telling several of us who tried to help her that up to
the time of the given interview she had not thoroughly realized how bad it was to lie, and how she now felt
keenly that she must cease, while perhaps at the end of the very same interview a reaction to a new situation
would produce more fabrications. Personally I have seen nothing any more suggestive of the typical toper's
good resolutions and sudden falling from grace.
The story of the forged check was fancifully embellished and ever more details were supplied at pleasure.
While this matter was under investigation Gertrude stayed away from home several nights, two of which have
never been accounted for. She told fairly plausible stories about going out of town, but she first should have
studied time tables to make them wholly convincing. The mother, too, told that the girl had been out of town,
but in this she was caught, for it was found that Gertrude had been part of the time with other relatives.
The main story of the check involved a man who worked in the same office. She stated that he made an
immoral proposal to her on the basis of immunity from prosecution. After a couple of months Gertrude got
round to confessing that she alone was responsible for the entire forgery and that her previous quite clever
stories were not true. Her main confession was made in the form of a long letter written entirely aside from
the influence of any one. In this she also stated that she had stolen money and jewelry, which was known to
have been taken. There was no untrue selfaccusation, except that she may have exaggerated her own
tendency to falsify at a very early age. Naturally, in such a case as this, even the latest confession must
always be taken cum grano salis.
Passing from the above probably sufficient account of Gertrude's falsifications as we knew them, we can take
up her mental life and traits. We have had to rely on the girl herself, as we stated above, for many of these
facts. She was brought up in poor circumstances in a manufacturing town in England where there had been
many labor troubles. On two occasions when she was a child she had seen encounters on the street, and
during one riot in their neighborhood her uncle was injured. She was considerably frightened, but, so far as
we could learn, this was the only time in her life that she experienced any fear. Very early she found that
stories told to frighten her were untrue, and what was said about the undesirability of certain children as
playmates proved false when she came to know them. She early discovered that for selfsatisfaction she
would have to live a mental life of her own. There were many things which she could not discuss with her
mother. In early childhood she was a great reader of novels and spent many hours lying on the bed living an
imaginary life. She never discussed her ideas with any one. Later she took to more serious reading, and of
recent years she has assailed many of the world's greatest problems. Particularly she tells of the influence of
Tolstoi's ``Kreutzer Sonata'' upon her. During two years she has read it four times and it has convinced her of
the shams of character and that people lead dual lives.
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When she was about 9 or 10 years old she began talking with other girls about sex problems and up to the
present time has never consulted any grown person about them. Her first information of this kind was
obtained from a crowd of girls who used successfully to lie to their teachers and mothers to get out of school
work. Going further into the question of this hidden knowledge of sex things, she tells us she has never
worried much about the things she has heard, but she has wondered a great deal and they have often come up
in her mind. She pursued the course of asking many girls what they knew about this subject and then, getting
unsatisfactory answers, picked up what she could from ordinary literature. Gertrude maintains that all her
dwelling upon sex affairs never aroused within her any specific desires. (Gertrude is anything but a sensuous
type and it may be that her statement in this respect is true.) When she went to work she fell in with girls who
talked excessively about boys and sex affairs, but at this time she had a mental world of her own and so did
not pay much attention to them. Gertrude talked much to us of the possibility of her studying civil law,
history, economics, and so onit is very clear that she has really dwelt on the possibility of being a student
of serious subjects.
Very willingly this young woman entered into the problem of solving the genesis of her own tendencies. She
repeatedly said that she, of all things, wanted to break herself of this. She maintains she can perceive no
beginnings. It seems to her as if she has always been that way. She spoke at first of this crowd of girls who
successfully lied to their parents and talked to her about sex things, and we are inclined to believe that this
really may have been the beginning, but later she affirms this was not the beginning and that her lying began
in earlier childhood. All that she knows is that it has grown to be a habit and now ``when I speak it comes
right out.'' After she has told a lie she never thinks about it again one way or another. Her conscience does not
trouble her in the matter. She does not tell lies for what she gets out of it, nor does it give her any particular
pleasure to fool people. She does not invent her stories, but at the time of talking to people she simply says
untrue things without any thought beforehand and without any consideration afterward. To one officer she
flung the challenge, ``Oh, I'm clever, you'll find that out.'' After months of effort and when it was clear that
the girl for her own good must be given a course of training in an institution she quite acquiesced in the
wisdom of such procedure, after a few hours' rebellion.
It has been noted by many that one of Gertrude's outstanding traits is her lack of emotion. She never cries and
only rarely does the semblance of a blush tinge her cheeks. She neither loves nor hates strongly. She seems
remarkably calm under conditions where others storm. She says she never is frightened, that she never
worries, or is sorry. She is well aware of her own ego; that she may be trespassing upon the rights of others
never seems to enter her head. Certain simulations of physical ailments, which at times she showed, we could
only interpret as part of her general tendency to misrepresent.
Our summary of the causative factors in this case, made, unfortunately, partly on the basis of this unreliable
girl's testimony, offers the following explanation of her remarkable tendencies:
(a) There was early development of an inner life which dealt vividly in imaginary situations. This grew into a
mental existence hidden entirely from the members of her family.
(b) There was early experience with successful lying on the part of others, and this as a main episode
probably occurred at the time when the emotion natural to first knowledge of sex life was present.
(e) There was frequent experience with the falsifications which were her mother's frailty.
(d) For her lying there were no parental disciplines or corrections at any time, so far as we have been able to
learn.
(e) The young woman shows unusually little emotion, and only sporadically demonstrates conscience.
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(f) There is unquestionably marked habit formation in the case.
Habit formation: Very strong. Case 8.
Lack of parental correction. Girl, age 17 years.
Early experience with lying.
Development of inner life: Imaginative and
hidden.
Delinquencies:
Excessive lying and misrepresentation.
False accusations.
Forging. Mentality:
Stealing. Good ability.
CASE 9
Summary: A girl of 14 had been notoriously untruthful for years. She had created much trouble by her petty
false accusations, and her lying stood often in the way of her own satisfactions and advantages. Analysis of
the case shows the girl's dual moral and social experiences and tendencies, her inner conflicts about the same,
and her remarkably vivid mental imagery all of which leads her to doubt sometimes concerning what is
true and what is false.
A strange admixture of races, of religion, and of social and moral tendencies was brought out in the study of
Amanda R. and of her family conditions. We were much helped in the study of this case, which has long been
a source of many social difficulties, by the intelligence of certain relatives who knew well the family facts,
and also by the good mental capacities of the girl herself.
Amanda is an orphan and has been living for years with relatives. She has caused them and others, even those
who have tried to help her, extreme annoyance on account of her quite unnecessary lies, her accusations, and
some other delinquent tendencies. The main trouble all concede to be her falsifications, which vary from
direct denials to elaborate stories invented without any seeming reason whatever. Reports on her conduct
have come from a number of different sources. Neighbors have complained that she has come to them and
borrowed money with the statement that her family was hard up. At school she stated for a time that she had
come unprovided with lunch because her people were so poor, but it was ascertained that she had thrown
away her lunch each day. The lies which she told to the other school children were extraordinarily numerous
and fertile; unfortunately they sometimes involved details about improper sex experiences. A long story was
made up about one of her relatives having committed suicide and was told to the school teachers and others.
She defamed the character of one of her aunts. To her pastor she told some outrageous falsehoods. A home
for delinquent girls, where she was once placed on account of her general bad behavior, would not put up
with her, so much trouble arose from her prevarications. She accused the very good people there of not
treating her well because she was not of their race. All of the above is quite apart from the girl's own romantic
stories which have been told in her family circle and have done no especial harm. Of these we had the best
account from the girl herself.
An intelligent relative gave an account of the facts. Amanda has been tried in a number of households, but
has been given up by everyone after a short period of trial. Her word is found so unreliable that in general she
is regarded as thoroughly untrustworthy. This particular relative, who is most interested in her, tells us she
thinks the girl is mentally peculiar. She states that in general her mind is both romantic and rambling. She
constantly has the idea that her beauty will bring her a wealthy husband. She lies about other people to these
relatives and about them to others. They have a comfortable home and are very anxious for Amanda to do
well, and many times have had serious talks with her, all to no purpose. They themselves have attempted to
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analyze the nature of the girl's characteristics, and say it is quite evident that the telling of untruths with this
girl is the result of quick reaction on her part. Fictions of all kinds come up in her mind constantly and are
uttered quickly. It is doubtful whether she premeditates her stories. She has threatened suicide. They think she
is the biggest liar that ever lived and can't understand how she can engage in such unforesighted behavior
unless she is somewhat abnormal. Only once did they ever notice anything suggestive of a mental peculiarity
other than her lying. Then she did talk quite incoherently and at random for a time (she is a great talker
anyhow), but later she said she realized what she had done, and said not to mind hershe had just let her
tongue rattle on and did not mean anything by it.
On two or three occasions Amanda has started to school in the morning and wandered off and kept going all
day. She had been immoral with boys, but not to any great extent. She undertook to be religious for a time,
but her sincerity was always in question. She knows the character of her own mother and threatens at times to
follow in her tracks.
The racial heredity of this girl is a strange mixture. Her father was a Scandinavian and her mother colored.
The maternal grandfather was colored, and the maternal grandmother was an alcoholic Irish woman and died
in an insane hospital. It is possible, also, that there is Indian blood in the family. The mother kept an immoral
resort and drank at times. The father is said, even by his wife's relative, to have died some years ago of a
broken heart about her career. She died of tuberculosis a few years after him. Amanda was the only child.
About the early developmental history we have no reliable information. The girl was taken by relatives before
her mother died, but was allowed to visit her, and there was evidently real affection between mother and
daughter. Long contention over religious affairs in the family led to some bickering about placing the girl.
We found Amanda to be rather a good looking girl with very slight evidences of colored blood. Quiet and
normal in her attitude and expression. Slightly builtweight 93 lbs.; height 4 ft. 10 in. Vision R. 20/80, L.
20/25. Coarse tremor of outstretched hands. No evidence of specific disease. All other examination negative.
The girl complains of occasional sick headaches with photophobia. Pelvic examination by a specialist
negative.
On the mental side we quickly found we had to deal with a girl of decidedly good general ability. Tests were
almost uniformly done well. Memory processes decidedly good span for eight numbers auditorily and for
seven numbers visually. No evidence whatever of aberration.
Results on the ``Aussage'' test: Amanda on free recital gave 12 details of the picture; on questioning she
mentioned 32 more items, but a dozen of these were incorrect. Of 7 suggestions offered she accepted 6. This
was an exceptionally inaccurate performance.
In the course of our study of this case we obtained from Amanda a very good account of her own life, deeply
tragic in its details, and a probably correct analysis of her beginnings in lying. It seems that she remembers
well her mother, particularly in the later visits which the relatives allowed. These must have been when she
was about 5 or 6 years old. ``I know a lot. There isn't anything bad that I have not seen and heard. I try to
forget it, but I can't. What's the use anyhow? When I think of my mother it all comes up again. When I was
very little I would sit in a room with my mother and a crowd of her friends and they would say everything in
front of me. I would see men and women go into rooms and I kept wondering what they did in there. I think I
was quicker and sharper then than I am now. I think I was about 3 when I used to see them smoking and
drinking. Then I used to think it was all right. I thought it was swell and that I would like to do it too. I
thought about it a lot. Mother, you see, would tell me to be good one minute and the next would teach me
how to swear. I remember once when I was about 7 they brought her home drunk. She looked terrible. I can
close my eyes and see her just as plainly as if it is there before me. A protective society once found me and
took me to their place. Then I lived with my grandfather. Mother stole me from them and then my uncle took
me. I lived around in lots of places. I have done lots of bad things. . . . .
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``I picture these things tooI can't help it. The pictures come up in my mind as plain as can benot just at
night, but in the daytime too. The only thing I have ever been really afraid of is the dark. Then I imagine I
hear people talking. I see things too. I see whole shows that I have been to. But then, as I have said, I see
them when I'm awake and in the daytime. I dream about them also. Sometimes they are so real I don't know
whether I'm asleep or awake. For instance, a long time ago I read Peck's Bad Boy and I can see those pictures
now just as plain as when I read the book. It is always that way about what I read. The things I read I always
see in pictures. It's that way with the love stories too. I used to read lots and lots of them. I like to read about
murders. I can see those too. When I read about the R. murder in the papers lately I just felt like I was there. I
could see everything he did. I don't know why I like to read such things so much. It was the same way last
winter. I read a story with suicide in it and someway I just wanted to commit suicide myself. I did go to the
railroad tracks and stood around until the train came and then walked away. . . . .
``My aunt says that I am too attractive and that I stare at the men. Well, when she was with me a man did
stare at me and I stared back at him. I could have turned my head away, but I'm not that kind of a girl. I'm a
bad girl. Everyone believes me so and I might just as well be. When I was little in my mother's place I used to
smoke and drink. I dream every nightoften about men doing bad things. I wake up and sit up to see if men
are there or if they are gone. My dreams are always just that plain. If I read a book I can sit down and imagine
all the people are right before me. I can get it just by reading. If anybody speaks to me I jump, and it is all
gone. When I go to the theatre or the nickel show I can come home and see the whole show over again. I have
been that way ever since I could understand things. When I was small and people would tell me things I could
imagine them right in front of me. Even now I will be sitting still and I will imagine I see my mother taking
me up in the way she used to. When I came to see her she would rock me to sleep, and I can plainly see her
lying in the coffin. Often I think I see my mother brought home drunk.
``If I have anything to recite in school I just think of it all the time. I dream a good deal about what that boy
did and about these other things. I can sit and think of everything he did to me. I go to bed and I lie awake
and think all these things and I can't get them off my mind and then I start to dreaming about them.
``There is always this troublemy mother wasn't good and I can't be good. That's what people say, but, of
course, that's not so. I know I start talking to girls about these things when they are talking to me. I sometimes
think that things will come backthat the Chicago fire is coming back, and that slavery is coming back.
``About my lying? I don't know why I tell things like that about my aunt committing suicideit just came
into my head. Oh, I've got lots of things in my head. I never had any chance to forget. I can't forget at school.
School does not interest me any more. That's why I want to go to work. Perhaps then I should be interested in
something new.
``I used to tell lots of things that were not so out there at P. Sometimes I did it as a joke and sometimes I
meant it. It is hard sometimes to tell just what is the truth, I imagine things so hard. I can remember lots that
I've read.''
Amanda in several interviews went on at great length in a very rational way, but altogether the gist of her
view of her case is to be found in the above. She told that she was a masturbator, as might be supposed. She
feels she can't help this and never felt it was so particularly bad. Apparently it is a part of her life of
imagination at night. She insisted frequently on the vividness of her mental content, and indeed was anxious
to talk about her peculiarities in this respect. It was very apparent that she showed real understanding of the
forces which had influenced her. It should be noted that we felt sure that it is not only the strength of imagery,
namely, of actually recollected material, but also of imagination which is characteristic of this girl's mental
makeup. This was noticeable, as we have shown above, in the ``Aussage'' Test. In our notes on
psychological findings we stated that the girl has both strong emotions and strong convictions, together with
her other qualities. She expressed herself with considerable vehemence, and under observation we noted
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changes from pleasantness to extremely ugly looks when her relatives were mentioned. It was true that she
had seen immorality in other households than that of her mother, and this, of course, rendered her even more
skeptical about true values in life.
It seemed clear that this bright girl had experienced so many contradictions in life that she was much mixed
about it all. We might venture to suggest that the delinquency involved in lying could seem very little
compared to the actual deeds with which she had come in contact. No idea that falsification was wrong was
expressed by her. She had used double sets of standards in behavior all through her life. What she was urged
to be and to do seemed impossible in the light of her past and its connections. Even her apparent decency
belied the reality underlying her career, she thought. With all this and her vivid imagery it is little wonder that
her magnificent powers of imagination had full sway and that she said and half believed all sorts of things
which were not true. Then, probably, habitformation of indulging in daydreams accentuated the falsifying
tendency.
It is too early to report on further progress of this case. For some months she has been in a school for girls
where discipline and education are both emphasized.
Mental traits: special powers of imagery Case 9.
and imagination. Girl, age 14 years.
Early immoral experiences: much later conflict
about them.
Home conditions: unstable for many years.
Heredity (?): mother immoral,
maternal grandmother
alcoholic and insane.
Delinquencies: Mentality:
Excessive lying. Good general ability,
Sex. special capacities.
CASE 10
Summary: A boy of 14, supernormal in ability, coming from family circumstances which form a remarkable
antithesis to his intellectual interests, is found to be a wonderful fabricator. His continuous lying proves to be
directly inimical to his own interests and, indeed, his own satisfactions are thwarted by the curious
unreliability of his word. The case unfortunately was not followed far, but study of it clearly shows
beginnings in the early obtaining of advantages by lying, and brings out the wonderful dramatic and
imaginative traits of the boy and his formation of a habit of falsification.
This case in its showing of intrinsic characteristics and incidental facts is of great interest. Robert R. for about
a year when he was 14 years old we knew intimately, but after that on account of the removal of the family
we have no further history of him. Intellectually and in his family and home background he presented a
remarkable phenomenon. His parents were oldcountry peasants who just before Robert was born came to
the United States. The father had never been to school in his life and could not read or write. Here he was a
laborer; before immigration he had been a gooseherd. The mother was said to have had a little schooling at
home and could read and write a little in her native language. In 15 years in the United States she had failed
to learn to speak English. It is needless to say that our knowledge of the forebears is almost nil. Inquiry about
mental peculiarities in the family brought negative answers. These parents had had nine children, seven of
whom had died in early infancy. Robert was the older of the two living. We did not learn that the other child
displayed any abnormalities. The mother helped towards the support of the family by doing coarse sewing.
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About the developmental history we had the assurance that it was entirely negative as regards serious
diseases. Pregnancy and birth were said to have been normal. For long, Robert had been very nervous and
frequently slept an unusually small number of hours. Sometimes he would go to bed very late and get up
early. Although he was a very small boy he was accustomed to drinking six or seven cups of coffee a day. No
suspicion from any source of other bad habits or of improper sex experiences. The boy's home was clean and
decent. The father was accustomed to celebrate once a month or so by getting intoxicated, but otherwise was
a well behaved man.
On physical examination we found the boy in fair general condition, although very small for his age. Weight
80 lbs.; height 4 ft. 7 in. Well shaped, normally sized head. No prematurity or other physical abnormality.
Somewhat defective vision. No complaint of headaches. All other examination negative. Regular sharp
features. Much vivacity of expression. A nervous, alert, responsive, apparently frank and humorous type.
Speech notably rapid.
Our acquaintance with this boy on the intellectual side proved to be a great treat. He was only in the 4th
grade. His retardation was the result of having been changed back and forth from foreignspeaking to
English schools and having been sent away to an institution for truancy. In spite of his backwardness Robert
had a fund of remarkably accurate scientific and other information which a mature person might envy. We
found our regular series of tests were all done unusually well, except those which called for foresight and
planfulness. It was interesting to note that when a problem in concrete material was given that required
continuous thoughtful effort he proceeded by a rapid trial and error method and without the application of the
foresight that many a slower individual would show. He consequently did not always make a good record.
It seems an important fact that on the ``Aussage'' Test this exceedingly bright lad gave a fairly good detailed
narrative account of the picture and proved himself not in the least suggestible, but he added a number of
items which were not seen.
It was in the field of general information, obtained from a really wide range of reading, that this young boy
shone. We found that he remembered an unusual amount of history he had read, that he had a lot of
knowledge picked up from the newspapers, and that he had digested considerable portions of scientific
works. He described correctly the main principles involved in the use of telescopic and other lenses, he knew
well the first principles of electricity, and he could draw correctly diagrams of dynamos, locomotives,
switchboards, etc. We noted he had read books on physiology, astronomy, physics, mechanics, etc.
It seems that neither his school nor his home offering him much intellectual satisfaction, he had frequented
the public library, sometimes being there when he was truant from school, and staying there in the evening
when his mother supposed he was out in a street gang. In regard to his selection of reading: he had perused
novels and books on adventure, but ``I wanted to read something that tells something so that when I got
through I would know something.'' He copied plans and directions, and with a hatchet, hammer and saw
attempted at home to make little things, some of which were said to have been broken up by the parents. The
boy had much in mind the career of great men who had succeeded from small beginnings, and he spoke often
of Benjamin Franklin, Morse, and Bell, all of whom had started in the small way he had read of in their
biographies. Robert had not been content with book knowledge alone, but had sought powerhouses and
other places where he could see machinery in actual operation.
Our acquaintance with Robert began and continued on account of delinquencies other than lying. He had run
away from home at one time, he had stolen some electrical apparatus from a barn and was found in the
middle of the night with it flashing a light on the street. He also had taken money from his parents and had
threatened his mother with a hatchet. After much encouragement and help he yet stole from people who were
trying to give him a chance to use his special abilities, and he began various minor swindling operations
which culminated in his attempt to arrest a man at night, showing a star and a small revolver. Before we lost
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sight of him Robert had gained the general reputation of being the most unreliable of individuals.
Given splendid chances to use his special capacities, his other qualities made it impossible for him to take
advantage of them. His wonderful ability was demonstrated in the school to which he was sent; there the
teacher said that if she had the opportunity she really believed she could put him through one grade a month.
His mental grasp on all subjects was astonishing and he wrote most admirable essays, one of the best being
on patriotism. But even under the stable conditions of this school for six or seven months the boy did not
refrain from an extreme amount of falsification and was much disliked by the other boys on account of it.
Robert had continued his lying for years. At the time when we were studying his case his prevaricating
tendencies were shown in the manufacture of long and complicated stories, in the center of which he himself
posed as the chief actor. These phantasies were told to people, such as ourselves, who could easily ascertain
their falsehood, and they were told after there had been a distinct understanding that anything which showed
unreliability on his part would militate against his own strongly avowed desires and interests. After special
chances had been given this boy with the understanding that all that was necessary for him to do was to alter
his behavior in respect to lying, on more than one occasion new fabrications were evolved in the same
interview that Robert had begged in fairly tragic fashion to be helped to cure himself of his inclination to
falsify.
A great love of the dramatic was always displayed by this boy, which may largely account for the evolution
of his lying into long and complicated stories. When truant one day he boldly visited the school for truants,
and when under probation, after having fallen into the hands of the police two or three times, he impersonated
a policeman. The latter was such a remarkable occurrence and led to such a peculiar situation that much
notice of it was taken in the newspapers. The incongruity between apperception of his own faults and his
continued lying, considering his good mental endowment, seemed very strange. One day he sobbed and clung
to my arm and begged me to be a friend to him and help him from telling such lies. ``I don't know what
makes me do it. I can't help it.'' Over and over he asserted his desire to be a good man and a great man. This
was at the same time when some of his most complicated fabrications were reiterated.
No help was to be had from his parents in getting at the genesis of this boy's troubles; we had to rely on what
seemed to be the probable truth as told by the boy himself. It is only fair to say that in response to many
inquiries we did receive reliable facts from the lad. My assistant also went into the question of beginnings and
was told at an entirely different time the same story. Robert always maintained that his lying began when he
was a very little boy, when he found out that by telling his grandmother that his mother was mean to him he
could get things done for him which he wanted. Later it seems he used to lie because he was afraid of being
punished or because he did not like to be scolded. We found there was no question about the fact that his
parents never were in sympathy with his library reading and his attempts to learn and be somebody in the
world. At first, then, there seemed to be a definite purpose in his lying. At one time he pretended to be hurt
when taken in custody and thought because of this he would be allowed to go home.
On many occasions this boy made voluntary appeal to us, describing his lying as a habit which it was
impossible for him to stop, and implored aid in the breaking of it. Up to the last that we knew of him he
occasionally made the complaint to strangers of mistreatment by his family, which in the sense in which he
put it was not true at all. The dramatic nature of his later stories seemed to fulfill the need which the boy felt
of his being something which he was not, and very likely belonged to the same category of behavior he
displayed when he attempted to impersonate a policeman in the middle of the night, and to pose as an
amateur detective by telling stories of alleged exploits to newspaper reporters. A long story which he related
even to us, involving his discovery of a suspicious man with a satchel and his use of a taxicab in search for
him, was made up on the basis of his playing the part of a great man, a hero. When we ran down this untruth
(it was long after he had told us what a liar he was) it seemed quite improbable that he had suddenly
improvised this story. It was too elaborate and well sustained. Later, when the boy again tragically begged to
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be helped from making such falsifications, he said the incident had been thought out some days previously
and it seemed an awful nice story about the things that he might do. Daydreaming thus masked as the truth.
Environmental maladjustment: Case 10.
incongruity between Boy, age 14 yrs.
supernormal ability and home
conditions.
Innate characteristics: nervous, active,
dramatic type.
Stimulants: excessive use of coffee.
Mental habitformation.
Delinquencies: Mentality:
Lying excessive. Supernormal in ability.
Petty stealing.
CASE 11
Summary: An orphan girl of 10 had been in several institutions and households, but was found everywhere
impossible on account of her incorrigibility. The greatest difficulty was on account of her extreme lying
which for years had included extensive fabrications and rapid selfcontradictions, as well as defensive
denials of delinquency.
We were asked to decide about this girl's mentality and to give recommendations for her treatment. We need
take little space for describing the case because the facts of development and heredity and of earliest mental
experiences are not known by us. The case is worthy of short description as exemplifying a type and as
showing once more the frequent correlation of lying with other delinquency, and especially with sex
immorality.
We found a girl in good physical condition, small for her age, but without sensory defect or important organic
trouble. Hutchinsonian teeth. High forehead and well formed features. Expression old for her years and rather
shrewd, and notably unabashed. No evidence of pelvic trouble. Clitoris large. All the other examination
negative.
Mentally we found her rather precocious. Tests well done. Reads and does arithmetic well for her age, in
spite of much changing about and other school disadvantages. No evidence whatever of aberration. The
examiner noted that she seemed a queer, sophisticated child, laughing easily and talking fast and freely.
Evidently tries to put her best foot forward. Cooperates well on tests.
On the ``Aussage'' test this little girl did remarkably well both as to the details and general ideas expressed in
the picture. Absolutely no suggestibility shown. The examination was made before our later methods of
scoring this test, and the inaccuracies were not counted, but even so the positive features are of interest,
namely, the good memory and nonsuggestibility .
We found this youngster all along to be evasive, shifting and selfcontradictory, even on vital points. She
glibly stated anything that came into her mind, and ideas came very rapidly. She told us stories that with a
moment's thought she must have known we could discover were false.
This child was a foundling, and was adopted by people whose family was broken up by death when she was
about 6 years old. By the time she was 8 years old she was expelled from school and was generally known as
an habitual liar and a child who showed most premature sex tendencies. She then went much with little boys
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and was constantly in trouble for stealing as well. Occasionally good reports were made of her, but
sometimes she was stated to have a perfect mania for taking things. A number of people who have tried to
help her have spoken of the elaborateness of her verbal inventions. At one place she destroyed letters and
took a check from the mail and tore it up. She talked freely of sex affairs to many people, particularly to
women, and showed evidence of intense local feelings. At one time she expressed great desire to be spanked,
probably from a sex impulse. One intelligent person reported her as being simply animallike in her desires.
In a country home a thoroughly intelligent woman was unable to cope with her and she was finally delivered
into the hands of an institution.
Through dearth of reliable information about the antecedents in this case we were unable to make a card of
causative factors. It is sure, however, that the pathological lying and other delinquencies sprang from a
background of congenital defect, probably syphilitic in nature, of lack of early parental care, of precocious
sex desires, and sex experiences.
In the school for girls, where this unfortunate child remained for four years, it is stated that her tendencies to
prevarication were mitigated, but never entirely checked. Her school record was decidedly good; she was
regarded as a bright girl, and advanced rapidly to the eighth grade. She was tried again in the world midway
in her adolescent period with the most untoward results. She found temptations offered by the opposite sex
irresistible and began a career of misrepresentation concerning her own conduct. Through her lies, proper
oversight was not given in the home which received her once more. Pregnancy ensued and again she had to
receive institutional care.
CASE 12
Summary: An extremely interesting case showing strong development of a tendency to swindling on the part
of a young man of curiously unequal mental abilities, a subnormal verbalist. Pathological lying in this case
quite logically developed into swindling. The main behaviortendencies of this individual closely follow the
lines of least resistance, the paths of greatest success. As a matter of fact, the use merely of his general
subnormal abilities would never have led to as much advancement as he has enjoyed. His special capabilities
with language have brought him much satisfaction at times, even if they have also led him into trouble. An
astonishingly long list of legal proceedings centers about this case, illustrating very well the urgent need for
cooperation between courts.
Adolf von X., now just 21 years old, we, through most unusual circumstances, have had more or less under
observation for a number of years. Correspondence with several public and social agencies has given us close
acquaintance with his record during this time, and earlier. Our attention was first called to Adolf in New
York, when he was a boy under arrest in the Tombs. A fine young lawyer, a casual acquaintance of Adolf's
through court work, asked us to study the case because he felt that perhaps grave injustice was being done.
Before his arrest the boy, who seemed to be most ambitious, had been about the court rooms looking into the
details of cases as a student of practical law. He had attracted attention by his energy and push; he earned
money at various odd jobs and studied law at night. At this time the boy was under arrest charged with
disorderly conduct; he had beaten his sister in their home.
We found a nice looking and well spoken young fellow who said he was 17. Although he had been in this
country only three years from Germany, he spoke English almost without an accent and did quite well with
French also. He had been brought up in Hamburg. His statement added to that previously given by the lawyer
aroused in us great interest concerning the constructive possibilities of the case. It seemed as if here was an
immigrant boy for whom much should be done.
``I was taking up law suits, little law suits. There was a case on before Judge O. and I wanted a new suit of
clothes to wear to go to court in. My sister said I could not take my brother's suit. He told me to take it and
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bring it home in good condition at night. My sister is supposed to be the plaintiff, but she did not make the
complaint. The landlady came in and hit me three times in the head with a broom. My sister called her in and
then she threw a piece of wood after me. Sister started crying, but she did not get hit. The landlady got hit.
When I fell down I striked her with my head and hurt my head bad. I think I hit her with the left side of my
head. The landlady made complaint in German to an Irish policeman. He could not understand. The officer
did not do what the law tells because he took a complaint from a boy of the age of 6 years. He translated for
her.
``The trouble started because I wanted to get my brother's suit because I wanted to appear before Judge O. to
protect a party in the hearing of a case. I took a few lessons over in the Y.M.C.A. class and in a law office I
read books through. I have books at home, rulings of every court. I know I got a good chance to work up
because I know I have a good head for the law. My father he wont believe it, that's the trouble. I know I could
stand my own expenses. I said, `Officer, wait here a minute. I'll explain how this is.' He began stepping on
me. He threw me on the floor. I wanted to go out the back way so nobody would see me. He kicked me down
the front way. There was a big crowd there. Another rough officer pinched my arm. At the station when the
officer said this boy hit his sister, my sister said, `No, he did not hit me,' but she said it in German.
``I was in court awhile ago because father thought I would not work. I was paroled. I was trying to find a
position. This man that had the rehearing said, `You wont lose anything.' He made as much as a contract with
me. He said to another person in my hearing, if that fellow wins my case I will pay him $10 for it. The first
case I had was in X court. I was interpreter there. I want to make something out of myself. Labor is all right,
but I like office work or law work better. I tell you, doctor, if I come up before the judge I will tell him just
the same story I tell you. I can remember it just that way.''
This young man told us he had graduated from intermediate school in Hamburg; in this country he had
attended for about a year and a half and, in spite of the language handicap, he was in sixth grade. There is a
brother a little older and an older sister. Mother has been dead for 5 years. His father is an artisan and makes
a fair living.
We soon found means of getting more facts concerning this case. The first point of importance was
concerning his age. It appeared that he at present was lying about this, probably for the purpose of concealing
his previous record in the Juvenile Court and in other connections. There had been previously much trouble
with him. He had been long complained of by his father because of the bickering and quarreling which he
caused in the household and on account of his not working steadily. He had shown himself tremendously able
in getting employment, having had at least twenty places in the last year and a half. He was known to lie and
misrepresent; on one occasion when he was trying to get certain advantages for himself he falsely stated that
he was employed by a certain legal concern, and once he tried to pass himself off for an officer of a court.
The father willingly came to see us and proved to be a somewhat excitable, but intelligent man of good
reputation. We obtained a very good history before studying the boy himself. Mr. von X. began by informing
us that we had a pretty difficult case on our hands, and when we spoke of the boy's ambition he became very
sarcastic. He stated that up to the time when the boy left school in Hamburg he had only been able to get to
the equivalent of our third grade. To be sure, it is true that Adolf had learned English quickly and much more
readily than any one else in the family, and in the old country had picked up French, but ``he hasn't got sense
enough to be a lawyer.''
Both the older children did very well in school, and the father and mother came from intelligent families. All
the children are somewhat nervous, but the two older ones are altogether different from this boy. They are
quiet and saving. A grandfather was said to have been a learned man and another member of the family very
welltodo. The mother has one cousin insane and the father one cousin who is feebleminded. All the other
family history from this apparently reliable source was negative. Both the father and mother were still young
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at the birth of this child. The mother died of pneumonia, but prior to this sickness had been healthy.
The developmental history of Adolf runs as follows: His birth was preceded by two miscarriages. The
pregnancy was quite normal; confinement easy. When he was a few days old he had some inflammation of
the eyes which soon subsided. Never any convulsions. His infancy was normal. He walked and talked early.
At three years he had diphtheria badly with delirium for a couple of weeks and paralysis of the palate for
some months. After this his parents thought the boy not quite normal. He had slight fevers occasionally. At 9
years he was very ill with scarlet fever. Following that he had some trouble with the bones in his legs. Before
he left Hamburg he had an operation on one leg for this trouble which had persisted. (It was quite significant
that in our first interview Adolf had told us his leg had been injured by a rock falling on it, necessitating the
operation.) Up to the age of 14 this boy, although apparently in good physical condition, used to wet the bed
always at night, and sometimes during the day lost control of his bladder. Also lost control of his bowels
occasionally after he was 10 years old. He sleeps well, is moderate in the use of tea and coffee, and does not
smoke.
When young he played much by himself. After coming to this country his chief recreation was going to
nickel shows. He was fond of music as a child. He had been a truant in Hamburg. As a young child he was
regarded as destructive. The general statement concerning delinquency is that Adolf is the only one of the
family who has given trouble and that the father was the first to complain of the boy to the authorities. Before
he reported it there had long been trouble on account of frequent changing of employment and
misrepresentations. The boy had forged letters to his family and others. In the office of a certain newspaper
he once represented himself to be an orphan, and there a fund was raised for him and he was outfitted. The
father insists that the boy, in general, is an excessive liar.
Further inquiry brought out that other people, too, regarded Adolf as an extreme falsifier. The principal of a
school thought the boy made such queer statements that he could not be right in his head. In the office of a
clerk of a court he represented himself to be employed by a certain legal institution and demanded file after
file for reference. Everybody there was friendly to him at first, but later they all changed their attitude on
account of his unscrupulous and constant lying.
Physically we found a very well nourished boy, rather short for his age. Weight 121 lbs.; height 5 ft. 1 in.
Musculature decidedly flabby; this was especially noticeable in his handshake. Attitude heavy and slouchy
for a boy. Expression quite pleasant; features regular; complexion decidedly good. A North European type.
Eyes differ slightly in the color of the irides. Noticeable enlargement of breasts. Well shaped head of quite
normal measurements; circumference 54.5, length 18, breadth 15 cm. No sensory defect, nor was anything
else of particular interest found upon examination.
The mental study, particularly the testing for special abilities, has been of very great interest. Fortunately for
the scientific understandings of the problems involved we have been able to see Adolf many times at intervals
and to check up previous findings. Our first statement will be of the results obtained at the earliest study of
the case.
When we first saw Adolf, although he talked so intelligently, we asked him to give us some evidence of his
educational ability, and to our tremendous surprise he failed to be able to multiply simple numbers or even to
do addition correctly. There was no evidence of emotional upset, but we waited for further testing until we
had seen the father, that we might be sure of the school history. As mentioned above, we found that the boy
had entirely misled us.
We then entered upon a systematic study of the boy's abilities and found some strange contrasts. Perceptions
of form and color were normal. Given a very simple test which required some apperceptive ability, he did
fairly well. Given simple ``Construction Tests'' which required the planful handling of concrete material,
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Adolf proceeded unintelligently. He showed no foresight, was rather slow, but by following out a trial and
error procedure and with some repetition of irrational placing of the pieces he finally succeeded. Moderate
ability to profit by trial and error was shown, but for his age the performance on this type of test was poor. On
our ``PuzzleBox,'' which calls for the analysis of a concrete situation, a test that is done by boys of his age
nearly always in four minutes or less, Adolf failed in ten minutes. He began in his typically aggressive
fashion, but kept trying to solve the difficulty by the repetition of obviously futile movements. On a
``Learning Test,'' where numerals are associated in meaningless relation with symbols, Adolf did the work
promptly and with much selfconfidence, but made a thoroughly irrational error, inasmuch as he associated
the same numeral with two different symbolsand did not see his error. His ability to mentally represent and
analyze a simple situation visually presented in our ``Cross Line Tests'' was very poor. In this he failed to
analyze out the simple parts of a figure which he could well draw from memory. This seemed significant, for
the test is practically always done correctly by normal individuals, at least on the second trial, by the time
they are 10 or 12 years of age. A simple test for visual memory of form also brought poor results.
As an extreme contrast to the above results, the tests that had to do with language were remarkably well done.
A visual verbal memory passage was given with unusual accuracy, also an auditory verbal passage was
rendered almost perfectly. Considering that the former has 20 items and the latter 12 details, this performance
was exceptionally good. Also, the socalled Antonym Test, where one is asked to give as quickly as possible
the opposite to a word, the result, considering his foreign education, was decidedly good. Three out of twenty
opposites were not given, apparently on account of the lack of knowledge. The average time was 2.3 seconds.
If two of the other timereactions were left out, which were probably slow from lack of knowledge, the
average time would be 1.6 seconds for 15 opposites. This shows evidence of some good mental control on the
language side. Motor control was fair. He was able to tap 75 of our squares with 2 errors in 30 seconds, just a
medium performance. A letter written on this date contains quite a few misspelled short words: ``My father
Send me to This Court for The troubels I had with my sister,'' etc.
While awaiting trial Adolf, stating that he was desirous of doing so, was given ample opportunity to study
arithmetic. After a few days he told us unhesitatingly that he now could do long division, but he utterly failed,
and, indeed, made many errors in a sum in addition. He had acquired part of the multiplication table.
Study of his range of information brought out some curious points. He told of some comparative merits of
law schools, had some books on hometaught law, and was a great reader of the newspapers. In the latter he
chiefly perused reports of court cases. He was quite familiar with the names of various attorneys and judges.
He could give the names in contemporary politics, and knew about sporting items. His knowledge of the
history of this country was absolutely deficient, but he does not hesitate to give such statements as the
following: ``The Fourth of July is to remember a great battle between President Lincoln and the English
country.'' Again he makes a bluff to give scientific items, although he has the shallowest information. When it
comes to athletics, much to our surprise, we hear that our flabby boy is a champion. Of course, he knows
some of the rulers in Europe and by what route he came to New York, but he informs us that Paris is the
largest country in Europe.
Adolf says he plays a very good game of checkers, that he had played much, but on trial he shows a very poor
game, once moving backwards. When purposely given chances to take men he did not perceive the
opportunities.
We asked him to analyze out for us a couple of moral situations, one being about a man who stole to give to a
starving family. He tells us in one way the man did right and in another way wrong. It never is right to steal,
because if caught he would be sent to the penitentiary and would have to pay more than the things are worth,
and, then, if he was not caught, a thief would never get along in the world. The other was the story of Indians
surrounding a settlement who asked the captain of a village to give up a man. Adolf thought if he were a chief
he would say to give battle if the man had done no wrong, but on further consideration states that he would
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rather give up one man than risk the lives of many, and if he were a captain he would surely rather give this
man up than put his own life in it. He thinks certainly this is the way the question should be answered.
On our ``Aussage'' or Testimony Test Adolf gave volubly many details, dramatically expressing himself and
putting in interpretations that were not warranted by the picture. Indeed, he made the characters actually say
things. On the other hand, he did not recall at all one of the three persons present in the picture. He accepted
three out of six suggestions and was quite willing to fill in imaginary details, besides perverting some of the
facts. This was unusually unreliable testimony.
Our impressions as dictated at this time state that we had to do with a young man in good general physical
condition, of unusually flabby musculature, who showed a couple of signs that might possibly be regarded as
stigmata of inferiority. Mentally, the main showing was irregularity of abilities; in some things he was
distinctly subnormal, in others mediocre, but in language ability he was surprisingly good. No evidence of
mental aberration was discovered. The diagnosis could be made, in short, that the boy was a subnormal
verbalist. His character traits might be enumerated in part by saying that he was aggressive, unscrupulous,
boastful, ambitious, and a continual and excessive liar. In the exercise of these he was strikingly lacking in
foresight. This latter characteristic also was shown in his test work. The abilities in which he was
overbalanced gave him special feelings of the possibility of his being a success and led him to become a
pathological liar. From the family history the main suggestion of the causation of the mental abnormality is in
illness during developmental life, but neither antenatal nor hereditary conditions are quite free from
suspicion.
At the time of this first trial Adolf maintained a very smart attitude and tried to show off. He had succeeded
in having two witnesses subpoenaed in order to prove that he did not hit his sister, but on the stand it came
out that one of them was not there at all, and the other, who was a little girl, stated that she saw Adolf hit
some one. Just why the boy had these witnesses brought in was difficult to explain. Perhaps he had the idea
that some one ought to be called in every case, or perhaps he thought they would be willing to tell an untruth
for him. His statement in court did not agree with what he had told us and was utterly different from what his
sister stated. It came out that he had struck her on a number of previous occasions. It was shown clearly that
the boy was a tremendous liar. The case was transferred to the Juvenile Court and from there the boy was sent
away to an institution for a few months. After the trial his father said in broken English, ``To me he never
told the truth.''
Just after his release the family moved to Chicago and Adolf soon put himself in touch with certain social
agencies. He found out where I was and came to see me, bright, smiling, and well. He had gained eight
pounds during his incarceration. He wanted to tell all about his life in the institution and because we were
busy said he would come the next day. He did not do this, but a few months later came running up to me on
the street with a package in his hands, saying he was already at work in a downtown office and was doing
well and going to night school. Five years more would see him quite through his law course. A few months
after this he applied at a certain agency for work as an interpreter and there, strangely enough, some one who
knew him in New York recognized him. He, however, denied ever having been in court and produced a list of
twenty or twentyfive places where he worked and gave them as references. It is to be remembered that at
this time he had already been brought up in court at least three times, that he had been on probation, and been
sent away to an institution.
During the last four years we have received much information concerning the career of Adolf, although his
activities have carried him to Milwaukee, Cleveland, St. Louis, and other towns, in several of which he has
been in trouble. He has very repeatedly been to see us and we have had many opportunities of gauging his
mental as well as his social development.
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His family continued to live in one of the most populous suburbs of Chicago and Adolf maintains that his
residence is there, an important point for his political activities which are mentioned later.
What we discovered in our further studies of Adolf's mental condition can be told in short. We have retested
him over and over. (When he has been hard up we have given him money to induce him to do his very best.)
There are no contradictions in our findings at different times. Once, in another city, in connection with his
appearance in court, Adolf was seen by a psychiatrist who suggested that he was a case of dementia precox,
but nothing in our long observation of him warrants us in such an opinion. His mental conditions and
qualities seem quite unchanged in type during all the time we have known him, and instead of any
deterioration there has been gradual betterment in capacities, certainly along the line of adjustment to
environment. His wonderful ability to get out of trouble is evidence of these powers of adjustment, as is also,
perhaps, his keen sensing of the utility of the shadier sides of politics and criminal procedure.
In work with numbers Adolf is still very poor. He is unable to do long division or multiplication, and cannot
add together simple fractions. Addition he does much better, but even at his best he makes errors in columns
where he has to add five numerals. He now can do simple subtraction such as is required in making change,
but fails on such a problem as how much change he should get from $20 after buying goods costing $11.37.
His memory span is only six numerals, and these he cannot get correctly every time.
After numerous attempts to mentally analyze our simple ``Cross Line Test,'' with much urging and extreme
slowness he finally succeeded at one time in getting it correctly. As stated above, this is a test that is done
with ease usually by normal individuals 12 years of age. On our ``Code Test,'' requiring much the same order
of ability, but more effort, he entirely failed. For one thing, he has never known the order of the alphabet
either in English, German, or French. Our ``Pictorial Completion Test,'' which gauges simple apperceptive
abilities, he failed to do correctly, making three illogical errors.
The result on the Binet tests are most interesting. From years of experience with them we ourselves have no
faith in their offering sound criteria for age levels above 10 years. Adolf goes up through all of the 12year
tests (1911 series) except the first, where he shows suggestibility in his judgment of the lengths of lines. In
the 15year tests he fails on the first, but does the three following ones correctly. Two out of the adult series
are done wellthose where the definition of a word is required and the statement of political ideas. Two or
three of his specific answers are worth noting: ``Honor is when a person is very honest. It means he will
never do what is wrong even if he can make money by it.'' ``Pleasure is when everything is pleasant, when
you are enjoying yourself.'' Adolf tells us that the king is head of a monarchy, he has not the power to veto,
and he acquires his position by royal birth. In contrast to this he says the president is the presiding executive
of a republic, he has the power to veto, and he gains his position by election. It is perfectly clear in this case,
as in many others, that the Binet tests show very little wherein lies the nature of a special defect or ability.
Adolf's capacity for handling language has grown steadily. He has been reading law and knows by heart a
great deal of its terminology. In a short conversation he talks well and is coherent. The aggressiveness which
is ever with him leads him to stick to the point. He has had very little instruction, his pronunciation is often
defective and he does not know the meaning of many of the longer terms with which any lawyer should be
acquainted. He speaks fluently and has now long posed, among other things, as an interpreter.
Our final diagnosis after all these mental tests is, that while he could by no means be called a feebleminded
person, still Adolf is essentially subnormal in many abilitieswe still regard him as a subnormal verbalist.
Probably what he lacks in powers of mental analysis has much relation to the lack of foresight which he
continually shows in his social career. His lying and swindling have led him almost nowhere except into
difficulties.
Adolf has been steadily gaining weight, although he has grown only an inch and a half in these years. He is
stout and sleeklooking and as flabby as ever. He has not been seriously ill during this time. Whereas before
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he used to be untidy in dress he now gets himself up more carefully.
The following are examples of Adolf's conversation and show many of his characteristics: (Soon after he
came to Chicago we spoke to him of his progress.)
``The other day I met a fellow and he says, `How long have you been in this country?' and when I says four
years he says, `You're a liar. There never was a fellow I ever heard of who got hold of the language and was
doing as well as you are in four years.' '' A few months later he tells us he is selling goods on commission and
descants on how much he can make: ``That's `GetrichquickWallingford' for you. There's Mr. A. and
Congressman X., they started out from little beginnings just the same as me. I'm going along their line.
``Do you know I got sued by the Evening Star for libbel. That's what I got for testifying in that case. I tell you
what I would like and that's vice investigation work.''
At another time: ``Well, doctor, I am general manager for my brother's business now. He's got a bottle
business. There's money in that, ain't there? I was down in court today. I tell you, there was a fellow who
got what was coming to him. It was a case before Judge H.assault and battery. He was fined $10 and
costsall amounted to about $30. Well, I had a little dog and I tell you I have a heart for animals just the
same as persons. He kicked the dog and I told him not to do it and he says, `You're a liar,' and then he ran
down stairs and pushed me along the stones over there. I called the police and they did not come for about
three quarters of an hour.
``I'm studying law. Taking a correspondence course. They give you an L.L.B. It's a two years work and you
get all the volumes separately,'' etc. ``Then we have a slander suit. A neighbor called my sister dirty names. I
am going to file a $5000 slander suit. I would not let that man call names like that, and then he's got about
$5000 in property.
``Some people are down on me, but I tell you I have been a leader of boys. We got the Illinois
championshipyou know, the boy scout examinations. There was an examination on leaves. I was their
leader. I had 9 boys up and there were 117 leaves and every boy knew every leaf. Of course I told them or
they would not have known. Some people are down on me for what I do for the boys, but I tell you I've been
in court and I've made up my mind I will help other kids. Sometimes kids can be helped by talking to. Then
there is me. I won the boxing championship this year.'' (At this period I enquire about his prowess and the
recent encounter with the young boy who dragged him over the stones. With a blush he says he never was
any good at real boxing or real fighting.) ``I'm this kind of a fellow. If they let me alone I'm all right, but if
they start monkeying with me something is going to happen. When you start a thing don't start it until you
can carry it through. These people that started with me were not able to do that.''
Later it came out that the alleged fighting with the boy is all in Adolf's mind. He tells us, without noticing any
discrepancy, that no complaint against this boy, who he said had been already tried and fined, would be
received by the police authorities, nor will they issue a warrant.
Within the last year or two there has been almost complete cessation of Adolf's attempt to become a lawyer.
At an earlier time he came to us with a speech written out in a book. He was going to recite it when a certain
case came up in the Municipal Court. As a matter of fact we heard that the boy said nothing on the occasion.
At various times we have heard of his getting mixed up in different ways in a number of cases. Once he
succeeded in giving testimony in a notorious trial. His own account of his interest in the case is shown in the
following:
``Doctor, you remember that X. boy and that Y. boy. Judge B. is going to try them. They are down in the S
Station and they are going to stay there unless they sign a jury waiver and they can't do that. They are only 15
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years oldI got their agesit cost me $1 to get their ages and I am going to be there when they are being
tried.'' (The statement of the ages is untrue.) ``It ain't right to keep these boys down there. They look pale.
They don't give them anything but black coffee. I'm going to represent them boys. You know, doctor, I'm
working in three places nowholding three jobs. Two days in the week I work for the A's, two for Mr.
B.he ain't exactly my bossand then for myself. The A's pay me $6, Mr. B. pays $3, and then I make $7
or $8 myself interpreting. I'm saving it up to go to law school. In three years I graduate. They are going to
hold it up against them boys, their records, and I am going to deny it. It ain't right. I was talking to the
detective that arrested X. and I says to him, `Look here, you took the knife. What right have they got to take
in one fellow without the little fellow?' I want to represent this case myself.''
Adolf has worked for law firms and aided at times as an investigator of criminal and vice situations.
Occasionally he has been much worried about his own court record. He did not want it to stand against him.
He thought he could get his sister to swear that he never quarreled at home. Shortly afterwards he served a
short sentence for stealing from a law firm. Later he came in and said he had a job in the legal department of
a large concern and that he had changed his name because he believed his old name was ruined. ``I'm
determined to be a lawyer. Ever since a little fellow I have wanted to beever since I have had an
understanding of what the law means. I used to play court with the other little ones and talk about law.'' At
this time he wanted a little loan. He had become particularly interested in philanthropic work and thought he
could do something on the side about thatperhaps become a leader of boys, or help the unprotected in
some way. Adolf was really employed now to investigate cases by some lawyer. About this time he had been
wearing a badge, impersonating an officer of a certain philanthropic society.
For long this young man was concocting all sorts of schemes how he might work in at the edge of legal
affairs, as an interpreter, a ``next friend,'' an investigator, etc. More recent activities have taken Adolf away
from the field of his first ambitions and he has tried to use his talents in all sorts of adventuresome ways. The
accounts of his lying and impostures belong logically together, as follows.
During all our acquaintance with Adolf we have known his word to be absolutely untrustworthy. Many times
he has descended upon his friends with quite unnecessary stories, leading to nothing but a lowering of their
opinion of him. Repeatedly his concoctions have been without ascertainable purpose. His prevaricating nearly
always centers about himself as some sort of a hero and represents him to be a particularly goodhearted and
even definitely philanthropic personone who loves all creatures and does much for others. Pages might be
taken in recounting his falsehoods. Most of them, even when long drawn out, were fairly coherent. I
remember one instance as showing how particularly uncalled for his prevarications were. After hearing one
of his tales, we started downtown together, but missed a car. Adolf walked to the middle of the street and said
he could see one coming just a few blocks away. Being doubtful, I a minute later went to look and no car
even yet was in sight. Adolf sheepishly stared in a shop window. He never took any pleasure in his record of
misdeeds. He was never boastful about them and indeed seemed to have quite normal moral feeling. But so
far, none of his perceptions or apperceptions has led him to see the astonishing futility of his own lying and
other misrepresentations.
Already this young man's court experiences we know to be very numerous and possibly we are not
acquainted with all of them. Early we knew of his forging letters and telegrams and engaging in minor
misrepresentations which were really swindling operations. Later his transactions have been spread about in
different cities, as we have already stated. The young man borrowed small sums frequently on false pretenses.
He has found the outskirts of legal practice a fruitful field for misrepresentations galore. For instance, at one
time he stood outside the door of a concern which deals with small legal business and represented to the
prospective patrons that he as a student of the law could transact their business with more individual care and
for a less sum. He really succeeded in getting hold of the beginnings of a number of legal actions in this way.
In one city he posed as the officer of a certain protective agency and posted himself where he would be likely
to meet people who knew of this organization, in order to obtain petty business from them. We have heard
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that he has been a witness in a number of legal cases and has earned fees thereby. In Cleveland Adolf
succeeded in starting a secret service agency and obtained contracts, among them the detective work for a
newly started store of considerable size. This was a great tribute to his push and energy, but his agency soon
failed. In St. Louis, where he stayed long enough to become acquainted with not a few members of the legal
fraternity, he forged a legal document. A great deal was made of the case by the papers because of its
flagrancy and amusing details. It seems Adolf had become enamored of a certain woman who was not living
with her husband. The account runs that he urged his suit, but she refused because she was not legally free.
Adolf replied that he would make that all right and in a week or two produced papers of divorce. These were
made out in legal form, but it seems that he overstepped the mark. The alleged decree stated that the fair
divorcee must be remarried inside of a week. This seems to have aroused her suspicion, as had also some
violence which Adolf had prematurely displayed. The young man was duly sentenced for the fraud.
Concerning punishments we can say that in the five years since he left New York he has served at least four
terms in penal institutions and has been held to trial on one other occasion. This latter event concerned itself
with Adolf's impersonating a federal officer. He made his way into a home under these conditions, just why
we do not know. The case was difficult to adjust and was dismissed because no statute exactly covered it.
Perhaps nothing in his remarkable history shows Adolf's aggressiveness and peculiar tendencies any more
than his political career. He had been voting long before he was of age and had even succeeded in getting a
nomination for a certain party position during his minority, polling a considerable vote at the primaries.
Following his defeat at election, which was at the time when the new party showed marked weakness, Adolf
told us that he, after all, was only in the Progressive Party to wreck it. He felt that the leaders belonged back
in the Republican ranks, and he thought he could help to get them there.
Mentality: Subnormal verbalist type. Case 12.
Man, 21 years.
Developmental: Early illness with
involvement of nervous
system.
Delinquencies:
Lying excessive.
Swindling.
Stealing.
CHAPTER IV. CASES OF PATHOLOGICAL ACCUSATION
We include in this chapter pathological selfaccusation as well as incrimination of others. In court work one
sees many cases of false accusation, but few belong to the pathological variety. We have not considered those
based upon vindictiveness, or selfdefense, or where any other even slight, recognizable, normal gratification
was at the bottom. We have tried to hold strictly to our definition. Selection of the cases for this chapter has
been easier than discriminating those who are merely pathological liars in general. It is simpler to distinguish
those who accuse others for the purpose of injury or selfprotection, or those who make selfaccusation
under the influence of delusional conditions, than it is to decide upon similar distinctions in cases of mere
pathological lying. Several authors, such as Gross, have noted false accusations made during a short period of
early adolescence, or in connection with menstrual disturbance. Our cases corroborate these facts, but show
also that extreme false accusations may be made by girls BEFORE puberty. Satisfactory knowledge of such
cases is not gained by learning merely that the accuser is under temporary physical stressit is to be noted
that our material clearly shows that there is always more in the background.
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The many cases observed by us of false accusations made, rarely, by the feebleminded and, more often, by
those suffering from a psychosis, need not be mentioned herethey are obvious in their abnormality and
have little bearing upon our immediate problem.
For the sake of illustration of the fact of pathological accusation Case 17 is given in this chapter, but in its
mental aspects it belongs more properly under the head of borderline cases. In our final deductions this has
not been counted as a mentally normal case.
CASE 13
Summary: An exceedingly important case from a legal standpoint. A girl of 16 years persistently, but falsely
accused her own mother and her stepfather of the murder of the youngest child of the family. Some apparent
physical corroboration was found. The woman and her spouse were held from the inquest to the grand jury
and later were indicted. They were in jail for four months until the case was finally tried, when they were
discharged.
We studied Libby S. as a delinquent some eight months after her mother and stepfather had been acquitted
of murder. These unfortunate people had been held and tried almost entirely upon the testimony given by this
girl. It goes without saying that they were very poor and not ordinarily selfassertive, and so did not obtain
competent legal advice. We were naturally interested in this remarkable affair and were glad to be able to get
at the truth of the matter and bring about forgiveness and reconciliation within the family circle.
Libby was now under arrest for stealing and for prostitution. Her statement to us was that she had been
immoral and wanted to be sent away to an institution where she would be kept out of trouble. She had been
working in a factory. Her mother and stepfather were temperate and the latter was always good to her and to
her brother. She told about being extremely nervous when she got to thinking about different things, and
maintained that she worried so much at times that she did not know what she was doing. Later we learned
from her of her little sister's death, of the fact that the child was not really her sister, and that her mother had
not been married to her present husband until the time of the trial, although for long they had been living
together. She added that she had been a witness five times in court against her mother and stepfather. A
younger brother had also testified against them to some minor extent. ``We had to tell what we sawwe told
enough lies as it was.''
Following the latter remark as a clew we went as thoroughly as we could into the details of the whole case.
No report of the court proceedings being available we obtained what we could from the newspaper accounts.
Obviously, however, much of these was impressionistic and unreliable. The coroner's physician testified to
many bruises being on the body, and to the bottom of the feet being blistered. The report of what the police
said at the inquest made anything but conclusive testimony. Even from that, the murder seemed highly
improbable. It was shown that a physician was called to the child before she died, but did not respond. Libby
testified at the inquest and later against her mother, stating that the child had been beaten and tortured in
various ways. We also learned from other than newspaper sources that when Libby was waiting to testify,
with her mother suffering imprisonment in the same building, the girl was nonchalantly singing ragtime
songs in the courthouse corridors.
The facts about the alleged murder of the five year old child as we could finally summarize them from
various accounts, and after hearing the confession of Libby, are as follows. This child was an epileptic and
had frequent attacks of falling, when she injured herself, once having fallen in this way against a hot stove.
The little child engaged in extremely bad sex habits. Indeed, Libby herself had been somewhat involved with
her in these. Once when she was ill hot bricks had been placed in the bed, and, while unconscious, her feet
had been blistered. The child had also suffered from various other ailments, including a skin disease which
left sore places and scars. When she died Libby first told a neighbor that the parents were responsible and this
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person referred her to the police. The false testimony began there and continued at the inquest, before the
grand jury, and at the trial. Upon thorough final sifting of the evidence in court nothing was found in the least
indicating that the child had died from mistreatment. The younger brother had been told by Libby to testify
against the mother. There was no question but that Libby started and continued the whole trouble, but the
unnatural fact that she was willing to make sworn statements jeopardizing her mother made her testimony
have all the earmarks of antecedent probability.
The mother herself, in whom we gradually came to have full confidence, informed us that the dead child had
an epileptic attack and was unconscious for several hours before she died. They lived on the outskirts of the
city and it was bad weather, and although they sent twice for doctors, no one appeared. The child had been
mildly whipped at times in an attempt to cure her of her bad sex habits. She had many sores from her skin
trouble and these were by some interpreted as caused by beatings.
When under our observation, and during our attempt to analyze her career, Libby underwent a change of
attitude and confessed thoroughly and definitely that the story about the murder was lies all the way through.
For the sake of the poor little mother we had the girl make a sworn statement to this effect. It was of some
little interest to us to note that the police account given in the newspapers about the little child being beaten
with a rubber hose was derived from the story told by Libby. It was a wonderfully dramatic and pathetic
scene when this woman met her daughter and the latter confessed to her lies and asked forgiveness. All the
mother could say was, ``Oh, the suffering she has caused me! But I do want her to be a good girl.''
From the girl's long stories to us we may derive the following points of interest. Before her confession she
was very emotional on the subject of her little sister. She dwelled much upon her dreams of the child, but
proved selfcontradictory about the matter of her death, as well as about her own history. Even then she
began telling us what a bad girl she herself was in various ways. She said, ``I did not see Laura die, but I
guess they did burn her up because her finger tips were all gone and her hands were all swollen up. Ma said
she would burn her up if she did not quit wetting the bed. Yes, I used to worry about Laura awful. She always
had been the trouble. I would have been a good girl if it had not been for her. I used to worry so fierce that I
could not help from stealing and then when I stole I was scared to go back to my jobs. I had to have money
and so I made good money by going with these fellows. I used to feel fierce about the money I took from my
mother and used to put it back and then would say, `No, I just must have it.' ''
This girl had been working at different factories and homes since her mother's trial. She confessed to thieving
from stores. The stealing she had done at home was, it seems, long before the death of the little child. Libby
made much of her mental states and of her dreamlife in talking to us. ``I like to go to nickel shows. I saw a
sad piece once and if I feel sad now I think about it and it makes me want to go to my mother. I have a funny
feeling about going home. I don't know what it is. At night I dream about it and something keeps telling me
to go home. I want to go to an institution now and learn to do fancy work and to be good, and then I want to
go home.''
Libby told us enough about her first father for us to know he had had a terrifically bad influence upon her.
She also long associated with bad companions who instructed her thoroughly in the ways of immorality. She
described attacks in which she felt weak and thought she was going to fall, but never did. (The young child in
the family who had epilepsy was no relation whatever to her.) She knew that her mother had long been living
with her stepfather in commonlaw relationship, but insisted on what was undoubtedly the truth, namely,
that they were temperate and very respectable people. Libby never gave us any explanation for her testimony
against her mother, but acknowledged that she herself had been delinquent earlier.
The physical examination showed a normally developed girl: weight 108 lbs.; height 5 ft. 3 in. Well shaped
head and rather delicate features. Her teeth showed a defective line in the enamel near the gums on the
incisors and the cuspids. Bites her finger nails. Slight irregularity of the left pupil. Careful examination of the
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eyes in other ways entirely negative. Prompt reaction of pupils to light. No sensory defect of importance.
Knee jerks active. Heart sounds normal, and all other examination failed to show defect. Complained of
frequent headaches, but these were not of great severity. After information from the mother we felt that
Libby's feelings of weakness and tremblings were probably of the hysterical variety.
During the period in which we had Libby under observation she showed more or less emotional disturbance,
but even so we were able to assure ourselves that her mental ability was fair. We did not expect good results
from formal education because in her case it had been very irregular. Many of our ability tests, however, were
done well, but she failed where she was asked to demonstrate good powers of concentration and attention.
We noted that she showed a very eager attitude toward her work, but was nervous about it. Always pleasant
demeanor.
Most significant results were obtained on the ``Aussage'' or testimony test. After viewing our standard picture
she volunteered only 8 details in free recital. On crossexamination she gave 21 more, but no less than 7 of
these were incorrectly stated. Then she accepted the 4 suggestions which were given her. This result from a
girl of her age and ability was exceedingly poor.
We never found any evidence whatever of aberrational mental conditions. Our final diagnosis was ``fair in
mental ability with poor educational advantages.''
It should be definitely understood in considering this case that even to the time of our last interview with
Libby, after she had acknowledged her own extensive prevarications, we had evidences of the unreliability of
her word. In giving details she never made any special effort to tell the truth, whether it was in regard to the
date of her father's death or any other immaterial detail. We were inclined to classify her as a pathological
liar, as well as a case of pathological false accusation. Her traits as a liar and a generally difficult case have,
we learn, been maintained during her stay up to the present time in an institution for delinquent girls.
From the fairly intelligent mother, who cooperated well with us, we obtained a carefully stated developmental
history. During pregnancy with Libby the mother was run over by a bicycle, but was not much injured. The
child was born at full term and was of normal size and vitality. Instruments were used, but no damage was
known to have been done. Libby walked and talked early. A couple of times when she was an infant she had
convulsions, but never after that. From 7 weeks until she was 3 years old there was constant trouble on
account of some form of indigestion. For a time at that age she was in the hospital, but the mother was never
told exactly what the trouble was. Her stomach was large. As an older child she was subject to fits of anger
when she could not have her way. She never had anything that was suggestive of epilepsy. Twice she fainted,
but once was when she came home half frozen one winter's day. At 11 years she had pneumonia. She
menstruated at 14 years.
The heredity and family history in this case is of great interest. Libby's mother went to work for her first
husband's family in the old country. At about that time this man's first wife died, but he had previously left
her. He came of a good family, he was himself, however, a harddrinking man. He left two children by his
first wife with his parents and came to this country with Libby's mother. Here they lived in a commonlaw
marriage relationship for many years, and two children (one of them Libby) were born to them. The man
continued to be a terrible drunkard and was probably insane at times. He once bought a rifle to kill his family.
He was notorious for his great changeableness of disposition. Sometimes he would be very pleasant, and then
quickly be seized by some impulse when he would grind his teeth, become very angry, and use vile language.
Even when sober he would go along talking to himself and people would follow him on the street to hear
what he was saying. He threatened often to kill his wife. He deserted her at times for months together. He
only partially supported his family and his wife worked as a washerwoman. She left him once, but later went
back to him.
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In evidence of the character of this man and his wife we have seen several statements from reliable people.
The man's son by his first wife came to this country and lived with them. He found his own father
impossiblea terribly bad man who was continually fighting at home. He himself urged his stepmother to
break up the home on account of the way in which she was abused. He made a statement of this fact under
oath. (It is only fair to say in this whole connection that these people all came from a part of Europe where
what we call a commonlaw marriage is an ordinary relationship.) It was from the language of her father that
Libby first gained acquaintance with bad sex ideas, we are assured by the mother. After a terrific time of
stress Libby's mother was rescued from her miserable conditions by the man who later lived with her and
finally married her, and who has supported her and been true to her ever since. He is a sympathetic man of
good reputation.
Libby's maternal grandparents died early and her mother had to begin very young to support herself. All that
we know of the mother's developmental history is that she had some sort of illness with convulsions once as a
child and is said to have been laid away for dead. She has brothers and sisters who are said to be quite
normal. She knows her own relatives and her first husband's, also, and feels very sure there has been no case
of insanity, feeblemindedness, or epilepsy among them.
Libby's moral history is of great import. She became definitely delinquent very early in life. At 13 years she
had already been in an institution for delinquent girls in an eastern State and the superintendent writes that
she was notorious for disobedience, lying, and stealing. She was placed there twice, besides having been
returned once after an escape. When she was 6 or 7 years of age she began thieving. She took things from her
mother's trunk and pawned them. The child stole from the people's rooms where her mother worked as
janitress. Later she was truant and associated with immoral girls. In Chicago she stole a bracelet and a ring
from a downtown store, wearing the bracelet later. She took $15 from a neighbor's house. She went to
saloons in company with an immoral woman, and at least on one occasion she had been drinking. At 12 or 13
she was known to be ``crazy about boys,'' but probably was not immoral then. The mother insists that the girl,
resembling her father in this, is most changeable in disposition. Long before the trial for murder her pastor
had urged the mother to put the girl away in an institution, but the mother's heart was too soft. (It seems
strange that all this evidence of the girl's own bad character and unreliability, which was readily obtained by
us, was not utilized at the time when she first made the charges of murder.)
The mother's explanation of Libby's behavior is that it was spite work. However, that is, of course,
unsatisfactory. The mother not long previously earnestly had warned the girl against pursuing her downward
path and had stated she must be sent away again if she did not do better. Libby then was doing pretty much as
she pleased, for the mother, who was all along a frail woman, sick much of the time, had really no control
over her daughter. Another feature of the case that is interesting came out in the fact that Libby herself had
neglected the little epileptic girl who died. When the mother was ill in bed Libby had refused to properly care
for the child. To some extent she also engaged in bad sex practices with the little girl. Libby never gave us the
slightest indication that her false testimony was incited by spite. Anyhow, she involved the stepfather, who
she always insisted had been very good to her. The motive undoubtedly is not so simply explained. A really
deep analysis of the behavior could not be undertaken.
Mental conflicts: About sex experiences Case 13.
and own Girl, 16 yrs.
misbehavior.
Bad companions: Including father.
Home conditions: Notoriously bad in early life.
Heredity: Father alcoholic, brutal, and
perhaps insane.
Delinquencies: Mentality:
False accusations. (Extreme case.) Fair ability.
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Stealing.
Sex immorality, etc.
CASE 14
Summary: A girl of 13 during the last year or more had been lying excessively and in uncalledfor ways. She
also obtained money by misrepresentations and had made false charges of sex assault against a stranger. To
be thought of as causative factors were defects of environment and possibly heredity, markedly imperfect
vision, improperly obtained sex knowledge, and a distinct mental conflict.
We were asked to study this Emma X. on account of the various social issues involved in her case. Her
family found her beyond control; she had been expelled from school; by her false accusations she had created
much trouble for the police in her home town; officials of a public welfare agency found her altogether
difficult to understand. We obtained an account of the case from several sources, including the mother.
The trouble with her had begun about a year previously. She had been notoriously untruthful, and had forged
a relative's name to the extent of obtaining $40in small sums. Emma remained out late in the evening
sometimes, and on three occasions stayed out all night. The first time this happened she came home scratched
and untidy and told a sensational story which led to much newspaper notoriety. She said a man took her to
the woodsthis was in the summertimeand kept her there all night. A loafer in the town, who was
arrested the next day, she positively identified as the one who had assaulted her. This man was later
discharged in the police court, however, because he abundantly proved an alibi, and because by this time the
girl's story had become so twisted that even the mother did not believe it. A physician's examination also
tended to prove that no assault had been attempted.
After this Emma was known to sleep one night in a cellar coalbin. In stealing and general lying she became
worse until with a change of residence to an uncle's home she improved for a time. It was after a little
backsliding that we saw her.
The mother frankly tells us that the girl's mind must be affected; otherwise how could she act as she does.
Emma has complained frequently of headaches and of a little dizziness. She has lately been lonely for a sister
who went away. For the last two years Emma has not seemed altogether well; she has been nervous. A time
ago she had for a friend a girl who spoke too freely with men, and her mother stopped the companionship.
This other girl has a sister in the Industrial School. Emma's mother does not know of any definite harm done
by the companionship.
During the pregnancy with Emma the mother had a rather hard time for a while on account of the severe
illness of another child. The pregnancy began when the mother was still nursing a baby. However, when
Emma was born she proved to be a healthy and normal child. Birth was normal. No convulsions. First walked
and talked at the usual age. She was a fat child until 8 years, and then, after an attack of pneumonia, she
began to ail somewhat. At 10 years tonsils and adenoids were removed. The mother had no knowledge of
Emma's defective vision. Emma started to school at 7 years, but at 13 had reached only the 5th grade.
There are 8 living children in the family; one died in infancy. There has never been much illness among them.
Most of them did well in school. The family physician says the boys show a ``queer streak,'' but nothing,
evidently, at all well defined as compared with the career of Emma, whom he characterizes as a ``moral
pervert.'' The mother is a wellmeaning, hardworking, moderately intelligent woman of about 45. She is
said to be somewhat slack in her household, but perfectly honest. The father is desperately alcoholic and
peculiar at times. It is not known that his aberrations are ever shown apart from his drinking. Years ago he
was in a hospital for the insane for several months as an alcoholic patient. The trouble with this girl is said to
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have led him to drink again. Both parents were from immigrant families. It is positively denied that there are
any cases of insanity, feeblemindedness, or epilepsy on either side. Some other members of the family are
known to have better homes.
On the physical side we found a small child for her age; weight 81 lbs., height 4 ft. 9 in. Nutrition and color
fairly good. Vision about 20/80 R. and 20/60 L.; never had glasses. Crowded teeth. High Gothic palate.
Regular features. Expression peculiarly stiff with eyes wide open. Flushes readily. With encouragement
smiles occasionally. Other examination negative. Tonsils, and probably adenoids, removed three years
previously; formerly had trouble with breathing through the nose. Complains much of frequent frontal
headaches. Says she gets dizzy often in the schoolroom.
Our ``psychological impressions,'' dictated by Dr. Bronner, state that at first we found Emma very quiet and
diffident, possibly somewhat shy and timid. At best she did not talk freely, only in monosyllables as a rule.
She appears rather nervous. She says she thinks of lots of things she does not speak of. Emma smiles in
friendly enough fashion, and later became more at ease, and more talkative. She was rather deliberate in work
with tests. With concrete material she did better than with tasks more purely mental. She succeeds eventually
with nearly everything, but is slow. She seems anxious to do well, but acts as if unable to rouse herself to any
great effort. She is quite inaccurate in arithmetic, and only fair in other school studies. Emotions normal. In
many ways appears normally childish. Her interest in fairy tales and in the type of makebelieve plays in
which she engages with her younger sisters seems mixed with her wonderment in regard to sex life. There is
a distinct tendency to daydreaming.
In reviewing the results of tests the only peculiarities to be noted are a definite weakness displayed in the
powers of mental representation and analysis (she failed on Test X, usually readily done at 12 years), and a
rather undue amount of suggestibility and inaccuracy in response to the ``Aussage'' test (Test VI). The latter,
naturallytobesupposed important test in a case where lying was a characteristic, showed a result that
belonged to the imaginative, inaccurate, and partially suggestible type. Many details of the picture were
recalled correctly, but a few were manufactured to order, and 4 out of 7 suggestions were accepted.
About the general diagnosis of mentality there could be no doubt; the girl had fair ability, but there had been
poor educational advantages on account of extremely defective vision. No signs of mental aberration were
discovered.
Our attempt to try to help Emma decide why she got into so much difficulty resulted in a most convincing
discovery of beginnings. We found a keynote to the situation in asking her about the companionship which
the mother had said she had broken up. It seems that Emma had for a year, quite clandestinely, been familiar
with this family. She apparently now desired to reveal the results of the acquaintance. Long ago the older
sister, at present in a Reform School, boasted of her escapades with boys. Emma states that she herself never
talked of these topics with her mother, who had said that girls who don't do such things should not talk about
them. But Tessie, the younger sister of the delinquent girl, says many bad words about boys. These words and
ideas about them bother Emma much. They come up in her mind, ``sometimes at night and sometimes in the
day.'' She even dreams much about them and about boys. ``I seen the girls do bad things with boys. It is in the
dream, it was in the house, in the front room on the floor.'' Emma says she never saw it in reality, but Tessie
had boys in their front room when she went there, and then came running out when she heard Emma coming.
She wonders just what Tessie does. Boys never bother Emma, but all these ideas bother her. ``Then I think
that the boys are going to do it to me.'' In school she cannot study for this reason. ``Sure, when I start to study
it comes up. I just think about what she tells me, Tessie. She tells me she liked to do these things with boys.''
This little girl in the couple of interviews we had with her gave vent to much expression of all this which had
perplexed her, and she really seemed to want help. She was very willing to have her mother told. She went on
finally to say that the delinquent girl had taught her long ago about masturbation and that she thinks of it
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every night in bed. She can give no explanation of why she runs away and why she falsely accused the man.
She says it was not true at all what she said about him. She thinks she would behave better if she were less
bothered about the things which those girls taught her. Emma says she questioned a young woman relative
who did not tell her any more than her mother did.
Regarding her diversions Emma says that she likes reading, especially fairy tales. She reads mostly
Andersen's Fairy Tales. She enjoys dressing up as a grown lady and playing makebelieve. She particularly
likes to go to bed early and lie and imagine things. She imagines sometimes that she is grown up and married
and has her own home and children.
The neglect, through ignorance, of the several genetic features of Emma's case was quite clear. The mother
was made acquainted with the facts, which her little daughter then affirmed to her, and she promised to alter
conditions. We insisted on attention to Emma's eyes and general physical conditions, on removal from
neighborhood association with these old companions, on the necessity for motherly confidences, on
watchfulness to break up sex habits, and on the development of better mental interests. Through relatives in
the home town it seemed there was some chance to get these remedial measures undertaken.
A year and a half later we can state that a certain number of our suggestions were followed out. The mother
gained a better understanding of the case and there were some, although not enough, environmental changes.
The father's mental condition has been much better, perhaps because he has largely refrained from drink, and
consequently family affairs are more stable. The girl herself is said not to be doing perfectly either in school
or home life, but to be vastly improved. We have obtained no definite statement concerning whether she now
lies at all or not, but it is sure that Emma has engaged in no more egregious types of prevarications and in no
more false accusations. Competent observers think the case is fairly promising in its general moral aspects if
environmental conditions continue to improve.
Mental conflict. Case 14.
Improper sex teachings. Girl, age 13.
Bad companions.
Home conditions: Lack of understanding
and control.
Father alcoholic,
insane (?)
Defective vision.
Delinquencies: Mentality:
False accusations. Ability fair.
Runaway.
Obtaining money by false representations.
CASE 15
Summary: Girl of 16, over a period of some weeks made extreme accusations against several members of her
family. She gave detailed account of sex immorality, alleged drunkenness and thieving, and an attack on her
own life. She had herself, it was found, begun delinquent tendencies. The family circumstances and her
clearly detailed account gave the color of possibility to her accusations, but investigation proved some of
them false, and all of a sudden, after maintaining for long a most convincing demeanor, she withdrew her
allegations. Both before and since this episode she has given no marked evidence of being a falsifier.
We were asked to study this case by police officials who thought perhaps the girl was the victim of some
delusional state. She appeared at the police station and informed them her adult brother had been thieving
from the place where he worked. She lived with him. Investigation by detectives on the strength of her
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convincingly given details proved his innocence. When the brother appeared on the scene he said he had been
intending to report her on account of her being away from home. She herself was then held in custody.
We found a girl in very good general physical condition. Well developed in sex characteristics and a very
mature type of face. Outside of a somewhat enlarged thyroid and moderately defective vision, we found
nothing abnormal. Weight 114 lbs.; height 5 ft. Notable was her strong features, deep set eyes, high, broad
forehead and sharp chin.
Our study of her on the mental side led us to denominate her as having fair general ability. She had had poor
educational advantages. We noted much irregularity on work on tests. She did comparatively poorly on
anything that called for careful attention and concentration. This was especially notable when she was dealing
with abstractions or situations to be mentally represented. Although she could do arithmetic up to simple
division she made a bad failure in the continued process of subtraction as given in the Kraepelin test of taking
8's from 100. In the work on the Code, Test XI, she found it altogether impossible to keep her mind
concentrated. In tests where perceptions were largely brought into play she did very well. We noticed that she
was possessed of a very dramatic manner. She sighed frequently as she worked. She was very nervous,
continually moving her hands and tapping the table. She was quite satisfied with her superficial efforts. It was
very curious that we, as well as others, were able to note her apparent sincere belief in her own statements
about her family. As she made them she looked the interviewer straight in the eyes; there was not a hint of
evasiveness.
Her result on the ``Aussage'' (Test VI) was very meager. She only recalled 10 details of the picture. On
cross examination she gave correctly 14 more items and was wrong on 3 of them. She accepted only 2 out
of 5 suggestions offered and these were the most probable ones.
A full family history was never to be obtained. The best that we came ultimately to know was that her father
and mother had been long dead and she had lived in institutions for years, then with a relative who was not at
all a good person, and then with her brother and sister, whom she bitterly accused. These were people in
decidedly poor circumstances and living in very congested quarters. Indeed, we were inclined to believe,
finally, that crowded housing conditions with the necessary unfortunate familiarity with sex affairs and the
like was largely responsible for her trouble. A few months prior to these events she had become acquainted
with a girl who had drawn her into running away from home a few nights. During her unsettled home life she
had seen a good deal of immorality in other houses, but had not been immoral herself. Conditions of squalor
surrounded the whole situation.
Her accusations against her family as told to others, and reiterated to us, involved the drunkenness of her own
father and mother. (We were never able to verify whether this charge against her mother was true or not.)
Then she went on to allege extreme immorality on the part of her three sisters. She gave these in the utmost
detail. (There is little doubt but that one of her sisters was rather free living before she was married.) She
constantly maintained that she was the only virtuous one in the family and had withstood all advances. She
then recounted much personal abuse and cruel treatment, and accused the brother and his wife of an attempt
to poison her because they wanted her out of the way.
Her story was told in such detail, was so well remembered from time to time, and she presented such outward
form of sincerity that experienced people were led to believe there must be much in what she said. On one
occasion, under observation, she cried nearly all of two days because one good woman would not believe her
statements. At least she said this was the reason of her tears. Her general behavior during this period of
observation was perfect.
We found her hazy and somewhat incoherent about a number of the details of her life, but she had lived under
such varied circumstances that this alone was not convincing of her insincerity. When we met her brother we
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were very sure that at least a part of her story was false. He seemed to be a very decent fellow and was really
interested in her. Several months earlier he had trouble with her on account of her staying out late at night,
and had threatened her. Then there was no more difficulty until her recent acquaintance with this other girl.
He stated that he had been obliged to scold her very severely, and then finally she stayed away for five nights
and wound up by going to the police station and making the accusations against him and the other members
of the family. When the case came up in court she stated she wished to go back to live with this brother and
admitted having continued misrepresentations about him and the others in the family since her acquaintance
with this girl. It really was all false. She was placed under probation and the case has been, except for
environmental circumstances, entirely successful. She is now a young married woman, and has had no further
delinquent record against her.
Our investigation of the causation showed perhaps selfprotection from punishment for her own behavior, but
there was apparently much mental conflict about sex affairs and she had a very unfortunate acquaintance with
such details, resulting partly, as she acknowledged, from her peeping through keyholes and so on. On account
of her peculiar unreliability of statement and many quiet and staring periods, seen while she was under
observation, we questioned whether she was not verging on psychotic conditions. However, all this tendency
seems to have passed away.
Adolescent instability. Case 15.
Girl, 16 years.
Home conditions: Defective through poverty
and congestion.
Early sex experiences and mental conflict
about them.
Reaction to own delinquencies, self
protection phenomenon.
Heredity. Mentality:
Delinquencies: Fair ability, poor
False accusations. advantages.
CASE 16
Summary: A motherless girl of 9 1/2 years, following her complaint of local symptoms, which proved to be
due to vulvitis, accused her father and brother of incest. She was a bright child and normally affectionate,
even towards these relatives. Her father and brother were held in jail for several weeks, but were dismissed at
the trial because of the ascertained untruth of the charges.
As causative factors of her false accusations our study showed (a) her local irritation, (b) for which her father
had treated her, (c) prior crowded housing conditions with her father and brother, (d) her lack of mother's
control, (e) early and intimate acquaintance with atrocious sex knowledge and sex habits, and (f) recently
becoming the center of interest in a group of friends made through her statement of the vileness of family
conditions.
We were requested to study this case by the judge of the court in which the father and brother of Bessie M.
were to be tried for the crime of incest with her. At a preliminary hearing the judge had felt that the
remarkable statements of the little girl savored of untruth, and that the character sustained by the brother, in
particular, was quite out of keeping with the grave accusations against him. The girl's charges, so clearly
detailed, together with her local ailment, had proved thoroughly convincing to a group of women who had
become interested in her. Bessie was evidently quite normal mentally and apparently affectionately regarded
her only near relativesthis father and brother. Her story appeared thus entirely credible. The judge stated
that he had been approached outside of court by these women, who in their righteous indignation were
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insistent upon the need of dire punishment of the outrageous conduct of Bessie's natural protectors.
We found a rather poorly developed little girl. Weight 64 lbs.; height 4 ft. 4 in. Bright, pleasant, vivacious
expression. Attitude normal. High, prominent, narrow forehead. Head: length 19 cm., breadth 13 cm. Slightly
asymmetrical frontal bosses. Snub nose; eyes fairly bright; ears asymmetrical in size.6 cm. difference in
greatest length. Thyroid palpable. Tonsils enlarged moderately. No sensory defect of importance. Strength
good for size. Color only fairly good. (Results of gynecologic examination later.)
Bessie was given a wide range of mental tests, with the result that we classified her as being well up to the
ordinary in ability. Indeed, considering her poor school advantages through frequent changes of residence she
did very well in the subjects covered by formal education. Her memory processes and ability to testify
correctlyin which we were naturally most interestedseemed, so far as we were able to test them, quite
normal. Of a standard passage about a fire (Test XII), which she read once to herself, she recalled 17 out of
the 20 items. A passage containing 12 main details (Test XIII), which was read to her in the usual way four
times, she recalled with 2 details omitted. The ``Aussage'' test (Test VI) was done very well indeed, with 17
items of the picture given correctly on free recital, and 5 rejections out of the 7 suggestions proffered.
Bessie's conversation was fluent and coherent, her range of information was good. She showed fondness for
the dramatic statement.
Her mother died in the old country when she was about four years old, and her father had immediately come
to America, but had never established a home of his own. For the last nine months Bessie had been living
with a woman, Mrs. S., who was deeply interested in her. Previously to this she roomed for about six months
with her father and brother, and prior to that time she had been placed about in different homes by her father.
After some months with Mrs. S. she complained of local pain and irritation. When taken to a physician, she
said her father was accustomed to touch her, and her story involved incest by both her father and brother.
After others had become interested in her case, the matter was turned into the hands of the police. It was
notable that during this period Bessie's love of the dramatic was being fostered by her newly found woman
friend, who was providing her with lessons in dramatic reading and taking her extremely frequently to
moving picture shows and theatres.
When first seen by us, Bessie reiterated her story of sexual relations with her father and brother. As she had
done with others, and with the judge, she went into almost convincing details. Her knowledge of such
relationships was apparently complete. She informed us that she had caught ``an awful disease'' from her
father. She said that while rooming with them her sexual relations with her father and brother were nightly
occurrences. They all slept in one bed.
A careful inquiry into Bessie's earlier knowledge of such things brought forth the most astounding account.
One may say that this little girl had the most extensive acquaintance with many kinds of pervert sex practices
that one has ever known in a young individual. She now said that the last ones who engaged in such things
with her were her father and brother. Her experiences began at 5 years with a boy and a girl, and, she
maintained, they had been very frequent ever since, up to within the last 9 months. A number of boys and
girls were involved, as well as the men in two households where she had been placed. The practices she had
engaged in were many, running all the way from self use of pieces of broom to normal intercourse, and both
active and passive forms of pervert practices. It is unnecessary, even in this medical case, to go into details or
to give her actual phraseology. It is sufficient to say that she frankly stated her early discovery of the
pleasures of local stimulation and how she asked others to give it to her in various ways. Then she performed
different perversions on boys and men. She told about observing sex relations between husband and wife in
households where she had lived. She now says she had a disease before she came home to her fathera
doctor had told other people previously. The men in two homes frequently had complete intercourse with her,
she maintains, and gives description of it.
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The credible substance of Bessie's long story elaborately told upon inquiry into her life history was that she
certainly had had many sex experiences. When, in the light of these, it finally came to the question of the
charges against her father and brother she said that it was really she who had been the instigator. When in bed
she had begun playing with them. She described her method, learned before. She now says they did not have
real intercourse with her, but the other men did.
The account of local physical conditions as obtained from several sources is as follows. Bessie was taken to a
physician for vulvitis, etc., by some people before she came back to her father. During the period she roomed
with her father he regularly treated her locally with a salve and a wash. The physician who later examined her
for Mrs. S. found the parts so swollen that he could make no diagnosis of ruptured hymen, but took it for
granted. After the father and brother had been in jail for some weeks the inflammation had subsided. (It is
only fair to say that the father had clamored for a specialist's examination, which, he contended, would prove
his innocence. Of course he was not aware of her earlier experiences or he would not have been so sure.)
Then a competent gynecologist found that coitus had never taken place. The hymen was intact. This was at
the time we studied the case. On the day of the trial, I with two other physicians examined the girl. It was
found that a cotton swab about 3/8 of an inch in diameter could with difficulty penetrate the vaginal orifice.
There was not the slightest evidence of any rupture of the hymen or of any vaginitis. So far as the ``awful
disease'' was concerned, repeated bacteriological tests over a considerable period failed to show the extensive
vulvitis to be due to gonorrhea. It seemed much more likely that it was due to nonspecific infection following
traumatism from the use of the various foreign objects which the girl told she had used. Perhaps it was partly
the result of the perversions which, judging by her knowledge of them, had been practiced by others on her.
We were informed later that much indignation at our report to the judge was expressed by the crowd in
attendance at the trial. The girl's first story was so well told that many had been irrevocably convinced of the
utter guilt of the father.
The father himself, who was brought to us in the course of our study of the case, was rather a low type in
appearance. He was a poor earner, evidently had earlier been alcoholic, a small whining figure with tears in
his eyes. His appearance would prejudice against him. The brother, on the contrary, made an unusually good
impression. He had the best of recommendations. His sister's first charges ought not to have been believed on
the basis of his qualifications. There had been 5 children, 3 died in infancy. No history of any significance
was obtained except that the development of Bessie had apparently been normal in all ways. Her mother was
said to be normal. Both parents were evidently representative products of the underfeeding and generally
poor hygienic conditions of the laboring classes in a large Irish city. There was unquestionably a great feeling
of affection between the three. Indeed, Mrs. S. stated that it was the excessive kissing of the child by the
father which made her suspicious. Bessie always maintained that both father and brother treated her very well
and that she loved them much.
It seemed clear to us that Bessie never knew in the least the significance of the charges she so glibly made at
first. Her mind had long been so full of these things, and their social import seemed so slight, that it meant no
vindictiveness towards her loved ones to say what she did about them. She asserted to us later that she really
did not know what she said to the judge at the first hearing. The case illustrated well the fallibility of a young
girl's accusations coming even from the lips of a normally bright and affectionate daughter or sister.
For her own protection Bessie was given a trial in an institutional school. From there it was reported after a
few months that her mind was found to be so continually upon sex subjects that it would be most advisable
for her to remain long under the quietest conditions and closest supervision.
Physical conditions: Local irritation. Case 16.
Girl, age 9 1/2.
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Housing conditions: Crowded.
Early sex experiences: Excessive and pervert.
Parental control failure: No home, no mother.
Delinquencies: Mentality:
Serious false accusations. Good ability.
CASE 17
Summary: Boy of 16 years, not living at home, made false accusations of excessive immorality against his
own family. These involved sex perversions, and he implicated even his own sister and brother, and alleged
the connivance of his mother. The main complaint was against the stepfather, who he also said was a
professional thief. The improbability of such stories being told without good foundation led to much time
being spent on investigating the case.
As possible causative factors of the unmitigated lying we found (a) defective heredity leading to (b) typical
constitutional inferiority with the peculiar states of mind characteristic of the latter, (c) poor developmental
conditions through early illnesses; (d) excessive bad sex practices on the part of the boy himself. Vindictive
reaction to charges of delinquency against himself might be considered a factor if his false accusations had
not been made without any such stimulus a long time previously.
(According to another classification this case belongs in our chapter on Borderline Types. It is retained here
because it so well illustrates pathological accusation.)
John S., an undersized boy of 16, a pitiable specimen, when under arrest for vagrancy told such a
heartrending story of home conditions, with assertions against family morality, that the judge and others were
moved to indignation and an investigation was started. The general feeling was that no one who was not
insane could make such statements about their nearest of kin without foundation in fact.
We found a poorly developed, but fairly nourished young fellow; weight 112 lbs., height 5 ft. 2 in.; good
strength for his size. Stigmata: slight facial asymmetry, ears very long and narrow, dentition very
irregularone upper canine having erupted behind the central incisors. Tattooing on the chest. Vision
defective, but how much so was impossible to estimate on account of corneal ulcer and general gonorrheal
ophthalmia. Gait and attitude very slouchy. In contrast to general poor development, has already full sex
development and much hair over body for his age.
On the mental side we found an excitable and talkative fellow, quite coherent, and giving in no way any
indication of aberration by the form or trend of his conversation. He tells us he reached the 6th grade. He
willingly works on tests and we note the general result as follows: Learning and memory processes, both for
logical verbal and for meaningless associations, quite good. Perception of form, normal. Power of analysis of
situations mentally represented, only mediocre. Associative processes, verbal, not normally accurate. Writes
good hand. Simple spelling correct. Arithmetic correct for 4th grade. Tests for several other points hardly fair
to register on account of defective eyesight. On one he failed because of not knowing the alphabet in order.
Suggestibility extreme, as evidenced by testimony test. In giving report on the ``Aussage'' picture, Test VI, he
enumerated 12 items, 11 of them correct, on free recital. Then he gave 11 more details, all correct, on
crossexamination, but he accepted no less than 7 out of 8 suggestions offered.
Information on current events is good, but on points said to have been learned at school is much mixed up. In
giving responses to questions, he seized on any slight suggestion and adopted the idea. For instance, he said
he had read the life of Napoleon, but could not remember to which country he belonged. When England was
suggested he agreed to it. He then told various wrong incidents of Napoleon's life and death, also as
suggested by the examiner. It finally came out that Bonaparte was an English nobleman who fought against
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France and Waterloo, was never defeated, and got sick in England. Then in the same way we get the
information that this country gained its freedom from France, that Lincoln was president directly after
Washington, and so on. John has read books from the library and various magazines, a considerable
assortment. He knows almost nothing of even simple scientific facts, but is well acquainted with items gained
from the newspapers and the theatres.
Going into his story, as we were requested, we heard at once about the cruel conditions at home. The boy's
own father had been dead for ten years and up to within three years he had lived with a relative. While he was
there letters indicated that queer things were going on at home, and the stepfather was cruel to the other
children. The mother was afraid to tell the whole story. When the boy came home the stepfather at once
began pervert sex practices with him, horrible things, and John found this man had been doing deeds of the
same kind with an older sister and a younger brother. It seems the stepfather also beats the children and has
put this older girl out of the house. Recently he has left his wife.
When we go into John's own record, with which we had already made ourselves acquainted, he tells us he
does not know what gets into him, but he has run away from home no less than eleven times. He works for a
while, takes his wages and then stays at a hotel. He says he has been arrested several times on this account.
His mother always telephones to the police about him and that is why he is under detention now. He wishes
he were at home. The next day we went into more of the details which had been liberally sketched to the
judge and other officials. We now learn that the stepfather is a professional thief and that stolen goods he
has taken are to be found in their home. He often leaves home and perhaps takes his wife's wagesshe has to
work outand just now is again living at a hotel. The family have been informed by a physician that he is
probably crazy.
On a later occasion the boy told my assistant that he wished to relate the whole story of his family. He then
describes how the stepfather even blackens the eyes of the sister and that he has long been immoral with
her. It now appears that perversions began between this man and John some two months ago, never before
that. The mother is there in the house all the time and knows about and permits the stepfather's immorality
with daughter and son. Crossquestioned afterward, the boy (evidently remembering what he said before)
states these practices with him began the night he came home three years ago, but they had been going on
with his sister before that. He knows this because his mother wrote and told him about it. His uncle wrote and
told her to put a stop to it, but the stepfather intimidates her with a revolver.
Our notes state that one afternoon when tests were being given him, John seemed to be in an excited state and
often interrupted the procedure with talking. Seen in the hallway soon afterwards he waved his hand and
insisted on telling more about home conditions and about what the officers would find if they went up there.
On still another occasion he reiterated the same things, giving many details.
It was about this time that John was found to give strangely fantastic and childish accounts of circumstances
with which he had been connected. We transcribe his story of a celebration at a schoolit is a good example
of his tales.
``They had it on Lincoln's birthday and on the 4th of July, too. The teacher did not believe that Abraham
Lincoln freed the slaves. The children said, oh yes, he did. But they did not believe it. The children all
hollered and said yes, he did. Then they all run up on the platform and got to fighting about it. The teachers
would not believe that Lincoln freed the slaves till an old soldier came up there and told them yes, he did do
it.'' I questioned him about this matter whether it was only a play they had, or were they in earnest. ``Oh, all
in earnest and they had a fight about it. The teachers would not believe that Abraham Lincoln freed the slaves
and the children all run up on the platform and had a fight about it.''
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Home conditions were next looked up by a court investigator and we came to know the mother and sister.
Much to our surprise we found them to be quite selfrespecting, entirely credible people of good reputation
in the neighborhood. The mother is an honest hardworking woman and is exceedingly depressed about the
career of this boy. The sister is a modest and unquestionably good, selfsupporting, young woman. Not a
word was heard against them in any way. In their distress they gave us the full story.
The parents were immigrants when young. The father died through an accident some ten years previously.
The mother has kept track of the members of both families fairly well. She had a sister insane, said to have
become so as the result of the menopause. The father himself had occasional attacks of epilepsy, but they
were never frequent enough to hinder him working as an artisan. He was a very moderate user of alcohol. The
mother has always been fairly healthy. Thinks she now has a cancer. There are no other significant points in
heredity that she knows. There are three living children; a number of miscarriages came after John was born.
The pregnancy and birth were, normal. John walked and talked very early. Never any convulsions. At about
two years of age he was very low with a complication of diseases. He was sick at that time for three months.
Later he was operated on for rupture. The trouble with his eyes is of recent origin. When he was a young boy
in school a teacher once told her she did not consider him right mentally.
There has been an exceeding amount of trouble with this boy. He was a great truant and reached only the 4th
grade. When he was living with the uncle he caused much trouble, and the uncle warned her. He has run
away from home twelve times, stays away perhaps two weeks at a time, and comes home ragged and filthy.
He has had many jobs, but stays only a day or two at work. He steals in petty ways, takes money from home
when he runs away. He is very lazy, but a great reader, especially of cheap novels.
Among the troubles with this boy is his extremely filthy talk. He has even lost one position on account of
this. An aunt caught the boy in bad sex practices several years ago and told the mother. Neighbors, and earlier
the school people, warned the mother that this was what was the matter with the boy. About a year ago John
was found in a room with a man and other boys engaged in bad practices. The man was sentenced to a long
term in the penitentiary on account of it.
Worst of all, the mother says the boy is the most malicious liar she has ever heard of. They have had a
frightful time with him on account of this. For over two years John has been telling bad stories about the
stepfather. Recently he could not stand it any longer and left the mother. He was a good and rather strict
man who took much interest in the children. He tried rewards with John, but this was of no avail. The boy has
destroyed the home life, but she thought it her duty to try further with her own flesh and blood. The sister is
in utter despair about what John has said concerning her. The younger brother also feels great humiliation.
The boy has told his worst stories about them even in their own neighborhood.
After our investigation the boy was sent to an institution for delinquents where he could have the best of
treatment for his ailments. The report from there after a few months was that he proved to be an exceedingly
weak and vacillating type. He was notorious for being a boy that would do anything that was suggested to
him. An outlook was kept for signs of insanity, but none was noted.
Over three years later we hear that John's character has not shown any radical change as demonstrated by his
mode of living. He has served at least one term in a penal institution for adults. We do not know anything
further about lying or false accusations in the case.
Constitutional inferiority: Stigmata. Case 17.
Mentality. Boy, age 16.
Heredity: Father epileptic.
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Maternal aunt insane.
Masturbation plus.
Pervert sex experiences.
Developmental: Much early illness.
Delinquencies: Mentality:
False accusations excessive. Dull from physical
Running away repeatedly. causes (?).
Stealing. Beginning psychosis (?).
Sex perversions. Pathological liar (?).
Vagrancy.
CASE 18
Summary: Little girl of 7 makes false charges of sex assault against boy in the same institution. She is later
found to be an excessive liar and to steal.
Causative factors: (a) atrociously immoral home environment, (b) early sex experiences, (c) local irritation
from active gonorrhea.
This case illustrates the fact that a young girl, who has had unfortunate sex experiences, especially if her
mind is kept dwelling on sexual subjects through bodily irritation, is apt to take advantage of the stir which
she knows she can make by her statements, and glibly make false accusations. The case offered no difficulties
for study and can be presented in short as typical of a number of similar cases seen by us.
We were asked to see this girl a few days after she had been taken from very bad home conditions and
temporarily placed in a good institution for dependent children. While there she had much upset the
highminded superintendent and her helpers by stating that an older boy in the place had sex relations with
her.
She was a small, brighteyed, vivacious child. General physical conditions decidedly good. No sensory
defect. Well shaped head. Weight 55 lbs.; height 4 ft. Active gonorrheal vulvovaginitis.
On the mental side we found, although she spoke in somewhat broken English, an ardent conversationalist.
With her many ideas about many subjects, she appeared decidedly precocious. We noted her also to be very
defiant and selfassertive, and her tendency to lie without rhyme or reason was soon discovered. Her exact
age never was ascertained, but undoubtedly it was about 7. She was in the 2d grade. At times when doing the
Binet tests inhibitions would appear and she would give no answer at all even to some easy questions. Her
positive responses graded her as 6 2/5 years, but undoubtedly she could have done much better had she so
wished.
In her talkative way she used English very graphically, but with curious misuse of pronouns and a few other
words. Considering the fact that her family spoke a foreign language at home and she had been but a short
time in school this was not strange. Her lack of veracity was shown even in her assertions about her inability
to understand English. At the first approach she denied her ability to do so, but later showed that she
understood very well. This behavior was of a piece with her attitude shown in doing the Binet tests.
``Police bringed me. Don't know why. Cause my father run away, she don't want to stay with my mother. My
father Austrian. Sometime my father talk Italian. Then God make him sick cause she talk Italian. My neck is
sick. I go to Italian church and I talk Italian and God makes me sick.
``They bringed me home today, then they bringed me back here, then I stay here all along.'' (What is the
matter with you?) ``A big boyup in schoolupstairsdon't know his name. I came Saturday. She came
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Saturday. She came Sunday, too. When we come to listen to music then she gave to me that disease.
``Papa is bad. She run away. She run away. She take from my mama $12all the clothes. She got another
lady. Is that your lady? Why do you write? I could write better than you because I go to school all the time. I
never take money. I Catholic and Catholic can't tell lie. Well, I going to tell the truth now. I found it in bed, in
paper inside. Then I give it to teacher and then I give it to nurse. I never tell lies.''
Before we had seen her this child had given some sort of description of a big boy in the institution who she
said had assaulted her. There was no such person there, but her vehement statements caused much
disturbance. Later she denied this to us and accused somebody at her own home. She came from miserable
environment, as may be surmised from the fact that her father was a deserter and probably immoral. On
account of her unreliability nothing could be done in the way of prosecuting the offender. We always felt it a
possibility that some member of her own family was guilty and that was the reason she had told so many
different tales about it. An owner was not found for the money which she had stolen. The person from whom
she said she had taken it had not lost it. She took it under conditions when she had no chance to spend it. Her
excessive lying was a continual source of trouble as long as she was kept in this institution. She was long
treated in a public hospital for her gonorrhea. Since then she has been lost track of. It is interesting in this
case to note that the child maintained that she belonged to a church, which made it impossible for her to tell
lies. We have heard almost exactly this same assertion on numerous occasions. It is clearly made by way of
affirmation when the offender covertly feels the need of bolstering up false statements.
Early sex experiences. Case 18.
Bad companions. Girl, age 7.
Physical conditions: Local irritation.
Home conditions: Father immoral and
deserter.
Heredity(?): Father as above.
Delinquencies: Mentality:
Stealing. Fair ability.
Sex.
Lying.
False accusations.
CASE 19
Summary: Girl of 18 made accusations to officials that a lawyer for whom she worked had been immoral
with her. About the same time it was found that she herself had been stealing and lying about other matters.
Later, when there was reiteration of the charges, a physician's examination showed that she had not been
immoral. Some months afterward she went to other officials and insisted she ought to go to a reform school.
A year still later she did have sex experiences and contracted venereal disease. Her succeeding record is
totally different. For several years now she has been a young woman of thoroughly good character.
In its progress, after extended exhibition of exceedingly erratic conduct, to complete stability now long
observed, this case is of considerable interest. It was after some months of effort on the case by experienced
social workers that we were asked to study this girl. We found no difficulty in rapidly becoming intimately
acquainted with her conditions and troubles.
Physically she was a normally developed young woman of distinctly good strength, but slouchy attitude. In
expression rather dull and pleasant; laughs much in rather childish way for her age. Weight, 110 lbs.; height,
5 ft. 2 1/2 in. No sensory defect. Good color.
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Mentally we gave her a wide variety of tests with the result, in general, that she did well on them. She had left
school at 14 years when in the 7th grade, but had not forgotten what she had learned. Her arithmetic was done
very well indeed and she wrote a very good hand. The tests, which brought her abilities in many directions
into play, were done almost uniformly well. Her memory processes were distinctly good and showed her
capacity by her remembering logical connections as well as details. Her casuistic responses which were asked
for in two moral situations, verbally presented, Test XXI, were rather vacillating, but evidently sound. It was
easy for her to appreciate the intricacy of the situation.
On the ``Aussage'' experiment, Test VI, out of 15 details given as remembered from the picture just seen two
were imaginary, and of 9 more items given on crossexamination two were erroneous. Her account as given
was functional, not at all enumerative as in the usual childish fashion. Out of 6 suggestions proffered she
accepted 4. This was a poor result for a person of her age. Her range of information was normal. Her interests
while at home had been very simple; for instance, she had not been allowed to read novels nor go to theatres.
In all our work on tests and in our several interviews with her we never discovered any signs of aberrational
tendencies. Her social conduct furnished the only evidence of erraticism.
This young woman's mother, who is said to have been a normal person, died a few months before we knew
her daughter. She had long been ill and consequently had had very imperfect control over her daughter all
through adolescence. The father had been dead for several years previously; he was a storekeeper in a small
way, fairly educated and nonalcoholic. No other family history of importance was ever forthcoming. There
was only one other child in the family, a younger brother, who was quite normal. Outside of bronchitis during
infancy it was said this girl had never had any serious disease. In the last few months there had been much
complaint about suffering at the menstrual period. Menstruation began at 13 years of age and was said to
have been regular until seven months or so prior to the time when we first saw her. However, this latter
statement was made by the girl herself and at this stage her word was not particularly reliable.
When we began study of this case we were put in possession of the following notes made by an unusually
competent social worker, extending over the previous nine months. Attention was first drawn to her when she
was living with someone who had offered to give her a home while her mother was mortally ill in a hospital.
She then had clothing and trinkets the possession of which she could not satisfactorily explain. It was
discovered that she was lying. It was about this time that the girl told her friends that she had been immoral,
and accused a man for whom she had worked of being responsible for her downfall. She had also been
flirting with a married man who had been talking to her about eloping with him. It was learned that she stayed
all one night at a downtown hotel, but probably alone. Further investigation showed she had stolen a
considerable sum of money from an acquaintance and also a watch. Then a physical examination was made
and a certificate given that the girl had not been immoral.
Much trouble was taken about the case in the ensuing year, the notes naively say, ``object being to see if the
girl could not be reclaimed.'' She was given an unusually good opportunity with a sterling family. She made
much trouble for them and others who were interested in her. Her mother died early in the period. On a
number of occasions she left her place and stayed away all night, sometimes walking the streets. On one
occasion she is reported to have gone to a certain agency, looking as if she had been recently intoxicated, and
appealed to be sent to a reform school. She was taken in by the police on one occasion. We first saw her after
she had been living in this good home for several months.
At the same time we studied her physical and mental conditions we attempted to make some analysis of her
selforientation. She maintained then that her main trouble was because she had got mixed up with this
married man. She declared he threatened her. (This was very likely from what was discovered about his
character.) She had very good words for the officials who had helped her so much. She told us how she had
stolen a matter of $100 or so. When we questioned her about her early accusations she said that she did tell a
lot of lies when her case first was looked into. ``I thought they were too inquisitive. I thought if I told them a
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few lies they would leave me alone. Everybody has to know everything. I forget half of what I'm to say. I
don't know why I stole that watch. I would have brought it back home if he had not taken it on me. I never
told anybody that I wanted to go to the reform school. I was afraid to go home because I was afraid I would
get a good scolding. I think I have told all the truth to the officers since the first. I was ashamed to tell it,
that's the whole truth. That's the truth, there was no one with me this other night. I did not meet a soul I knew.
I went out to the South Park. I had never been there before. Where I have been living they would not let me
go out anywhere. I had to stay there Sundays and all the time. When I got out I was worse than a wild calf.
Maybe if I went out oftener I would not be so bad. I am here now because I went to the police station and told
them I would not go home. It was late and I was afraid to go home. I had stayed out on the street all night.
One night I went home and it was all dark and I was afraid to ring and I stayed on the street all night. I was on
the street all the next day too. I went to the cemetery. Late that afternoon I met a young man and stayed
talking to him and a detective came along and told us we shouldn't stand there. I never did anything bad with
any man. I never said so. A visiting nurse told me the dangers of life. My mother told me I should be careful.
Oh, I worked for that lawyer before my mother died. I worked for him about two weeks and he did not pay
me what he owed me. No, he never did me any harm. A man came along with a lady from that office and he
asked me some questions and I was so scared because I thought they were going to lock me up. I guess that
was the question maybe and I said, yes, but I did not know just what it was.''
It was after this that the girl gave much trouble because of queer little trickery concerning some insurance
papers, and about losing some money. Her friends wasted much time in the endeavor to get these matters
adjusted. The family she was with thought she was very childish for her age.
Our opinion as dictated at this time was that the girl was physically and mentally all right, but that she
showed a decidedly childish reaction towards the world and was very suggestible and unreliable. We knew
many more facts about her which proved these points. Our judgment set down was that she was an unstable
adolescent with possibility of showing very different characteristics inside of a year or two. We noted she had
a weak type of face.
She was seen four months later, after a period of having run away twice for several days at a time. On inquiry
she maintains she was impelled to do it by her own feelings of restlessness and general dissatisfaction. She
thought the people with whom she lived were very nice and only strict as they should be. There was some
question raised about this time about the periodicity of her impulsions, but except for her own statement that
it was just before her menstrual time, nothing definite was proved. On the last occasion she did pick up with a
young man and was immoral with him. She stayed out in a hallway all night. A venereal disease was then
acquired. This was speedily treated in a hospital and the girl was found another place. Three years have
elapsed, and during the time this girl has continued under the observation of one of her old friends. She has
remained steady and trustworthy, and shows no tendency whatever towards untruthfulness or evasiveness.
She has lived in one good home for two years and the people are deeply attached to her.
Adolescent impulses: Lack of selfcontrol. Case 19.
Sex temptations. resisted. Girl, age 18.
Lack of parental care.
Deficient interests: Both mental and
recreational.
Delinquencies: Mentality:
False accusations. Good ability.
Stealing.
General lying.
Staying away from home.
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CASE 20
Summary: A girl of almost 16 years, of attractive and innocent appearance, alleged that she had been leading
an immoral life and frequenting houses of assignation. She told the story to the people of her church, who
were naturally horrified and demanded a thorough investigation of the social vice problems involved. This
was undertaken by the police authorities, but they failed to get any satisfactory evidence from the girl. It was
later found that the story was all a myth and the girl had not been in the least immoral. Her first statements
followed directly after her attendance at an emotional revival meeting where these topics had been preached
about. Afterward this girl was in court many times for various reasons. She is a mild psychoneurotic type,
exhibiting under stress unusual mental phenomena. She and her family have created an astonishing amount of
trouble in law courts as both defendants and complainants, because their peculiar unreliabilities have not been
understood.
This case has long been under observation and we have much information concerning it. It was found
difficult to understand by pastors and others who had given considerable attention to various aspects of it.
Annie F. was first seen by us when under custody because of her own statement that she had been leading an
immoral life. We have seen her and members of her family many times since. The account of the case can
best be given, not by commencing with the crosssection study as obtained at first, but by going at once into
its whole connections and evolution. At first it was merely learned that we had to do with an unstable,
adolescent girl who had engaged for apparently no purpose whatever in false selfaccusations which would
naturally blight her career.
On the physical side we found a rather slight girl, however, of normal development. Weight 102 lbs.; height 5
ft. 3 in. No organic defect was ever discovered. Neurological examination showed as follows: No tremors.
Tendon reflexes normal. Conjunctival and palatal reflexes absent. The sense of pain to pin pricks was almost
nil on the arms, and diminished on the face. Strength poor in the arms even when there was evidently great
effort made. (Several of these functional findings, however, have varied from time to time in the ensuing
years.) Hearing normal. Ocular examination showed hypermetropia 1.5 D. R. and L. with marked
astigmatism. Fields and color vision normal. Left pupil about twice the size of the right. (A competent oculist
could find no evidence of organic affection of the nervous system correlated with this.) Shape of head
normal. Bowels regular. Appetite capricious. When first seen was anemic, but later color was very good.
Temperature was taken regularly, but no significant observations made. Petite, pretty features, and unusually
beautiful eyes. Complaint of frontal dull headaches, soreness of scalp, cold hands and pain ``about the heart.''
Menstruated at 15 years, then much irregularity for two years. Several badly carious teeth and great crowding
in a narrow upper dental arch.
This girl was several times observed during a period of about 5 years. She developed into an unusually
attractive young woman, showing at times various mild nervous disturbances as well as character difficulties.
Only occasionally has she worn the glasses which corrected her errors of refraction. During this time she has
not been severely ill. She has a palpable thyroid which has hardly increased in size. When last seen she was
notable for a very clear skin, good color, and bright eyes. Conjunctival and corneal reflexes much diminished.
Palatopharyngeal reflexes quite absent. The headaches are said to have persisted during all the time we have
known her.
We have repeatedly attempted to summarize the mental status and functionings of this young woman, but our
findings on tests and otherwise have been irregular and diverse. She reached 6th grade at 14 years, but had
been absent much on account of sickness. When first seen we found that she was already fond of Lytton,
Scott, and Dickens, and that she was a great reader of the daily newspapers, dwelling much on accidents and
tragedies. What we say about her ability must be based upon the best that she has demonstrated. Often when
seen she has been in some mental state which has prevented her from doing, or being willing to do, the best
that is in her. She writes a good hand, does long division promptly, and reads well. Her association and
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memory processes have been proved normal, but given a task to do she is prone to show inhibitory pauses
and other phenomena which interfere much with a satisfactory result. She has some little reputation of being
able to give long, almost verbatim accounts of sermons which she has heard, but the accuracy of her report
we have not been able to verify. She gave the antonyms of twenty words in average time of 1.4'', which is a
good record. There was one failure, but that was quite typical. At the end of 20'', which is beyond the time of
failure, she gave ``unhappy'' as the opposite of ``happy,'' adding that she had thought of that before, only she
did not speak it out. Her tests for psychomotor control were miserably done. She was rapid in movement, but
absolutely inaccurate and did not follow instructions. However, we felt that even this did not indicate her full
ability, for she had capably held a position in a millinery establishment where she was required to show
manipulative dexterity. Perhaps the best statement of her performances is that she demonstrated great
irregularities from time to time, and even at the same examination in her work on different tests.
On account of her peculiar testimony against herself, her memory processes and especially her performance
on the ``Aussage'' test the case seemed of great interest. We found, as we stated above, in various ways that
her abilities to remember, when at her best, were normal, but using the ``Aussage'' picture we obtained only 6
details in free recital; she was sure that was all she saw in the picture. Then on crossquestioning she
mentioned 9 more items correctly, and gave 8 others much altered from the truth. No other item was added,
but her report on these was almost illusional in its incorrectness. Of 5 suggestions offered she accepted 2 of
the least important, refusing the others entirely. This was a remarkably poor result for a girl of her age, but
may not be indicative of her best abilities even on this type of work. Our final opinion was that she was not
clearly subnormal in native ability.
Annie has grown somewhat more stable as the years have gone on. Following our first acquaintance with her
we have known this girl to make serious false accusations against others (vide infra) and to again damage her
own reputation by alleging herself to be pregnant when she was not. Her word in other matters all along has
been found somewhat unreliable, but there has been no extensive weaving of romances such as those
indulged in by typical pathological liars. Our original diagnosis of this as a case of pathological accusation
upon the basis of mild hysteria we have seen no reason to change. Both Annie and other members of her
family are representatives of a most important type for court officials and all other social workers to
understand. A great deal of trouble has been caused in several religious congregations by the unusual
character of the behavior of these people. Also the number of times they have been in courts for various
reasons is astonishing.
The history of physical and mental development merges closely with the story of evolution in the moral
sphere, and all can be given together. On account of the mother having long been dead and the father being
the peculiar man that he is there is some question about the truth of some of the details which have been
given us, but we have reason to believe that the main facts are true because they have been held to be the
truth in the family circle generally and were not merely given to us. Verification of details would be very
difficult because the family are distributed between Europe and America, and no relatives outside the
immediate family are at hand. The mother was in excessively poor condition at the birth of Annie. She had
miscarriages preceding and following. It is stated that the diagnosis of malaria was made and that the mother
had convulsions both before and after confinement. At the birth the prolonged labor and instrumentation were
not known to have done any damage. As an infant Annie is said to have been frail, but not to have had any
definite sickness or any convulsions.
However, at about Annie's fifth year there began a long list of illnesses. She had scarlet fever severely and
also a number of other children's diseases. At 8 years she had an attack of muscular jerking, and then had a
number of successive attacks until she was 14 years. At one time she was in a public hospital for three weeks
on account of this. It was stated that this was chorea, but of course we can not be sure on this point. Annie
was always regarded as a very nervous child; she was frequently a somnambulist until she was about 12. She
is very nervous before the onset of menstruation. Of recent years she has been an excessive user of tea at
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times before we first saw her she is said to have had 12 cups of tea in a day. At times she was then suffering
from sleeplessness, and was wont to feel tired in the morning. As a young child she had severe night fears,
seeing terrifying shadows upon the wall.
On account of her illnesses and her general nervous condition, Annie was very irregular in her school
attendance. However, she reached 6th grade. As to the family opinion of her mentality we hear that they have
regarded her as being an odd type, not lazy, but irritable, hateful, and moody by spells. Her memory is said to
be most irregular, sometimes exceedingly good. The other children find it difficult to get along with her
because she slaps them so much. At times she swears. At the time of the revival meeting, shortly before we
saw her, she is said to have come home from church in an hysterical state. When in custody she was in rather
a dazed condition. Where she was detained they say she acted as if she were stunned. Her memory did not
seem at all clear, nor has it ever seemed other than confused about the events immediately surrounding the
main episode of her career. She maintained she could not remember just exactly what she had said, and her
account of it contradicted that of her father.
As we afterwards learned from the church people, it is undoubtedly a fact that her notions of selfaccusation
came from a Sunday School session in which her teacher repeated what had been talked about in the revival
meeting concerning the scarlet woman. A day or two afterward the girl told that she herself was ``a scarlet
woman.'' She told it first to the teacher, was then taken to the pastor, when she reiterated the story, and the
police authorities were called in. Of course her story implied lack of home guardianship and consequently the
whole affair was handled for some days by the police alone, after the girl had given a very detailed
description of her immoral life. By the time we saw the father it had been ascertained that this girl had never
been away from home a single night in her life and probably had never been in the least immoral sexually.
It is necessary to have knowledge of the heredity and environmental background to understand this case.
Almost nothing is known of the maternal family. After losing his first wife, the father was twice remarried,
and even the third wife has divorced him. He had a brother who, after going insane and killing two laborers,
committed suicide. His grandmother, and probably also a cousin, were insane. Two of his sisters were of a
nervous and hysterical type and said to have attacks of aphonia. A child by his second wife is epileptic. This
man gives us a long account of his own defective heredity and of his own physical ailments. He does not
recognize the fact, however, that he also is mentally below par. We have seen him on numerous occasions
and known of his great activity in the courts, and have attempted to size him up. He is undoubtedly a
constitutional inferior, in poor general physical condition and subject to episodic mental states. One would be
inclined to call him a semiresponsible individual with mild delusions, defective reasoning ability, great
energy in selfassertion, and of combative disposition. This latter shows itself in his voluble emphasis on the
alleged ill treatment of himself and family, even by his wives. He is never physically violent. On account of
false accusations, whether delusional or not, he got at least one pastor into a peck of trouble, and, strangely
enough, his wives have been involved in some other church embroilments when his own character was called
severely into question. On one occasion we were interested to enumerate an astonishing list of people and
organizations which, he stated, had treated him and his family unfairly. It seemed to us that during the last
two or three years he must largely have lived in the courts to carry on his transactions there. His concern for
his daughter seemed genuine and her delinquency led him to seek the law more than ever. Some of the good
people who have become interested in his affairs tell us that his is the strangest story they have ever heard.
His veracity is often in question. On more than one occasion with us he has dwelled on his nervous states,
and on the fact that he is subject to times of mental confusion, but he defends his own judgment and actions
on all occasions with great vigor.
This most erratic father has nearly always sided with Annie and offered excuses for her under all
circumstances. However, she has stated that he was most difficult to live with on account of his quarreling at
home and general bad management of the household. We know that at times he has been a seeker of
newspaper notoriety. From his conversations with us and with others we know that his mind dwells much on
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sex affairs and these things are frequently discussed in the home. There has been much turmoil and quarreling
in the family circle, at least with the last two wives. On several occasions the family have had to appeal for
aid from the charities because none of them succeeded in making a living. Annie alleged she was taught
shoplifting by the second wifewe regard this as being possibly true on account of the woman's general
reputation, the fact that they were desperately poor, and that she drank at times.
The father has the ability to make a very good presentation of himself, to use the best of language and he has
had musical training enough to be able to give lessons. Annie herself has taken many lessons in music.
The afterhistory of this case is instructive. Almost none of our suggestions were taken when our first
diagnosis was made. Two years after we first saw Annie she was placed in an institution for delinquents, then
having run away from home, ``picked up'' a man on the street and stayed all night in a hotel with him. At the
institution the girl became very nervous and behaved badly and the authorities decided it was a poor place for
her. The father, who at first wanted her placed there, very soon decided that she should be removed. It is very
likely his attitude had something to do with her behavior there.
About this time Annie worked in a millinery shop where she proved herself quick and skilful. There she told
stories again defaming herself. She said she had had a baby and went into complete details, such as giving the
name of the nurse who had taken care of her, and so on. On account of this she was discharged. Later she told
us she related these stories to get even with her father, for if there was ever a hell on earth it was living with
him.
About three years after our first study of Annie, the father himself brought a complaint against her of
untruthfulness and general unreliability. This was at one of the times when he was complaining bitterly of
other people. It seems he had lately tried to restrain her from leaving the house and she had cut his head open
with an umbrella. It was evident she had started downhill again, and she was placed in a Rescue Home. She
now repeatedly told people she was pregnant and made charges against some man, but these soon fell through
because a little detective work showed she was corresponding with a boy and had very likely been immoral
with him and others. She was then making an attempt to lead a dual life, maintaining she wanted to save
some of the unfortunates with whom she was placed, while at the same time entering into various escapades
with them and others. At this period a suicidal attempt was reported, but we never had satisfactory proof of
the genuineness of this. Annie was now regarded as being excessively delinquent.
A few months afterwards, when the young woman was in one of her better moods and wished to do well, we
made a few vocational tests on her. We found her quite unfit for the position of telephone operator which had
been suggested for her. Psychomotor control appeared then decidedly defective. However, there was great
improvement on work done on intellectual tests two or three years previously. Although she had developed
physically (she now was a particularly good looking young woman) we felt she was quite unfit for work
which demanded steady effort. One trouble all along was the fact that she did not wear her glasses. We
advised then, as we had advised at first, a quiet country life for Annie and the other members of the family.
The constant stimulus of city conditions was too much for them.
Again our advice was not taken and some months later the father came to us with the story of extreme
poverty, some recent attacks of unconsciousness on his part, separation from his third wife, and the
information that Annie was about to become a chorus girl.
Even a final consideration of the general diagnosis in this case which has been so long observed by us does
not seem to justify our including it among our borderline mental types. Application of the term
constitutional inferiority seems a priori warranted by the family history and yet we have no proof that her
physical and mental conditions as enumerated above are not the result of her many early illnesses and the
excessively erratic environmental conditions, rather than of causes which existed at birth.
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On account of the peculiar inhibitory phases which arose nearly always during observation, we never relied
merely on the results of laboratory tests for our judgment, and her success in some social situations has
proved the wisdom of this. Our earliest feeling that we had to do with a temporary and mild psychosis was
perhaps justified, but further observation of her has led us to see clearly that she is not to be considered as a
deeply aberrational type. Could she ever have been free from the extraordinarily upsetting home conditions
one could have gauged much more accurately her mental capabilities. As time went on, the moral difficulties,
which were largely induced by family conditions, led to mental as well as moral upsets which could be
considered as little else than normal reactions to the situation. Her conduct lapses, under the circumstances,
are no indication of any mental breakdown. On the contrary, it is clear by our own examinations and the
accounts of other observers that she gradually has showed greater mental stability.
(Since writing the above, we have had, by chance, the opportunity of getting some important information
about this case from an entirely new source. A person who knew the family many years ago corroborates the
father's remarkable story of antecedents. The father himself remains in about the same state of social
incapacity. Annie, now married to a young man with a long criminal record, has a child. Her word has
recently been found absolutely unreliable, and testimony lately given by her in court concerning her husband
was grossly false when it would seem that her interests and welfare demanded her testifying the truth
concerning his nonsupport.)
Mentality: Psychoneurotic. Case 20.
Heredity: Extremely defective. Girl, age 16.
Developmental conditions: Defective antenatal
conditions. Difficult birth. Earlier neurosis.
Physical conditions: Earlier dental defects.
Defective vision, usually uncorrected.
Stigmata of eyes.
Stimulants: Excessive use of tea.
Home conditions: Highly erratic and unstable.
Many bad influences there.
Excitement and suggestion from revival.
Delinquencies: Mentality:
Selfaccusations. Abilities irregular,
Running away. and as above.
Sex affairs.
CASE 21
Summary: This case illustrates the fact that pathological lying and accusation may arise first during a period
of special stress. A young woman of 19, after illegitimately becoming pregnant, was found home after home
by a charitable organization. In each place she made false accusations of immoral proposals against some one
in the family or neighborhood. This created much trouble and lost her several good homes. Her lies persisted
after an abortion had been secretly produced, but it is to be noted that she now, as a sequel to the operation,
suffered from irritative pelvic conditions.
A short statement of this case will suffice to bring out the point that during a period of social and mental
upset pathological lying and accusation may be first indulged in. We studied the case of a young woman of
19 who had been the source of much trouble in a certain locality on account of her false accusations. She was
taken in hand by a charitable organization and found a home, after she had become pregnant at a wedding
feast where alcoholic stimulants flowed freely. There was then no one to look after her but an invalid father.
She was placed with an estimable family. In a short time she made the shocking announcement to the wife,
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and to others, that the husband had made immoral advances to her. He was a man of excellent character and
of course this could not be believed. She was then placed on a farm, where she showed erotic tendencies and
insisted that one of the helpers about the place wanted to take liberties with her. She was observed flirting and
making advances to thrashers and others. She had to be found a new home, and this time it was in a city,
where new accusations were made against a delivery boy. After this the young woman made off and shifted
for herself for a time, and succeeded in getting some shady character to produce an abortion on her. Later, she
again came to the official attention of the social agency by reason of making new accusations. From the date
of her impregnation to the time we first studied her, a period of about 10 months, she had made serious
accusations against many. When her lies were told in a new environment they, of course, always made new
trouble. Each time, however, the girl herself was the loser. Her real partner at the wedding feast had early
deposited several hundred dollars for the expected infant.
We found a strong, normally developed young woman of rather attractive appearance for the grade in society
from which she came. No sensory defect. Diseased tonsils. Complained of constant suffering from pelvic
conditions, perhaps induced by the abortion. However, being such a strong type she has been able to get
about well and do her daily work. When we saw her she was employed in a factory.
The question put to us was concerning her mentality. She came of a Slavic peasant family, had been in this
country only 6 years, and her relatives spoke only Slavic. She had been to school but a very short time, either
in the old country or here. Because of the language difficulty, the giving of many tests, such as those in the
upper years of the Binet system, could be regarded as most unfair. However, the simpler language tests she
did fairly well, especially those where she could understand the commonsense questions. In regard to her
acquirement of English, she has done better than her relatives, who continue to live in a neighborhood where
their own Slavic dialect is spoken. When it came to dealing reasoningly with concrete situations, such as
those presented by our performance tests, this young woman did comparatively wellquite above the grade
of the feebleminded. Our diagnosis, then, was that she could best be regarded as poor in ability or possibly
subnormal as compared with our general population, but as correlated with her peasant type she was probably
normal.
From the standpoint of aberration one could find no evidences of anything but eroticism and a constant
tendency to deviate from the truth. About the affair of the abortion she showed herself unexpectedly shrewd,
maintaining that she had had to work very hard carrying stones when a new silo was being built on the farm,
and at her next menstrual period she had flowed for a week or so, and that was all there was to it, except that
she had been suffering from pains continually since. (The charitable organization knew she had visited the
office of a notorious abortionist.) She smiled much in a silly way when in the company of men; she proved
herself easily led. Taking it altogether, there was no reason for considering her insane, or as being in any way
a psychopathic personality. She showed no stigmata of degeneracy.
There was no opportunity to get a satisfactory family history. Many of the relatives were still in the old
country. A sister and brothers have been known in the neighborhood where this girl lived, and are said to
appear quite normal in their simple ways of living. They are of the peasant type and good laborers, but given
to occasional indulgence in feasting with alcoholic embellishments. From the sister we learned that this girl
had passed through a sickly childhood and had been most irregularly brought up on account of the illnesses of
her mother. She was not known as a liar when younger. Her short school record showed nothing of value for
diagnosis. What happened to this girl was no great exception; among these people, we know from their own
accounts, free and easy sex relationships are common. We are advised that it was long ago known that this
girl was going with bad companions.
In this case we advised gynecological and other medical treatment and segregation in a reformatory or
industrial school. The young woman could be regarded as nothing else than a dangerous person in any
community. Even when being brought to us she had endeavored to flirt with a conductor on the train. A fair
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diagnosis could only be that she was, for the present at least, morally irresponsible.
This case has been only recently studied and no further report can be given. It is cited in illustration of the
fact that was not clearly brought out by our other cases, namely, that a period of stress may be very definitely
the exciting factor in developing pathological lying and accusation. This stands out particularly clearly in this
case because the young woman had, prior to the wedding feast, been a good worker and had given no trouble
in the community.
CHAPTER V. CASES OF PATHOLOGICAL LYING IN BORDERLINE MENTAL TYPES
We could load our pages with histories of cases where the statement of delusions, unrecognized as such, has
created much trouble in courts and out, but this type of case is too well known to need any illustration. Text
books of psychiatry deal with the falsifications of paranoia and other insanities. That the really insane also
sometimes lie pathologically, that is, tell for no normal purpose what they adequately know to be untrue, is a
fact not so well understood. But even that we need not be especially concerned with in our case histories. It
has been well brought out in the previous literature on pathological lying, as witness in our Chapter II. In the
present chapter we do not include the outandout insane, nor the definitively feebleminded, nor the
recognizably epileptic.
Much more difficult of understanding and much less easily recognized because of the mildness of many of
the symptoms, or their variations from time to time, are the types which we enumerate. Several of these offer
no complete picture of insanityeven Case 25, although clearly aberrational, extremely defective in
selfcontrol, and markedly criminalistic, did not show to some psychiatrists who observed him a sufficiently
clear correspondence to any form of insanity as laid down in the oldschool textbooks to be practically
regarded as insane and in need of long segregation. In considering this whole matter we must never forget
that there is no wall of demarcation between those whose conduct clearly betokens insanity and those who are
not insane. There are plenty of instances where the easily passable border between the two is permanently
occupied or is at times approached.
We keep our borderline cases separate in order to emphasize that pathological lying by an insane person
does not make a pathological liar in the true sense. We should hesitate, however, to give in legal form a
verdict of insanity in several of these borderline cases we citethey are very difficult to classify, and the
question of responsibility called for sometimes in court work is unanswerable. Keeping even these mild cases
away from our others serves, however, to lessen confusion; we need in this subject to conserve all the
clearness possible by holding to fundamental classifications and showing up vagueness of definition where it
does exist.
Perhaps we are overparticular in keeping such a case as No. 22 in this chapter. The commonsense observer
would hardly regard this girl as at all lacking, even in selfcontrol. On the other hand, for the purpose of
illustrating the subject of pathological accusation we have kept Case 17 in the previous chapter when it
clearly shows great resemblance to Case 26 and is in reality a borderline type. Then, too, the swindler, Case
12, in some respects belongs in this chapter.
We are hardly called on in this work to discuss the lying of drug habitues, although they so frequently in their
mental conditions represent borderline types. They are often on the verge of a psychosis as the result of their
intoxications. Their lying is mostly done for a purpose, to be sure, and hence much would not come under the
head of pathological lying, but occasionally veracity is so much interfered with that there seems to be a
tendency to aimless lying. This class of cases, however, is sufficiently discussed in special literature
pertaining to the subject.[24]
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[24] Vide, ``Morphinism and Narcomanias From Other Drugs,'' by T. D. Crothers. Philadelphia, Saunders
and Co., 1902. Also Chapter V, Stimulants and Narcotics, in ``The Individual Delinquent,'' by William Healy
Boston, Little, Brown, and Co., 1915.
CASE 22
Summary: A girl of 14, a most vigorous and vivacious personality, had for a couple of years pursued a
curiously active career of misrepresentation, of obtaining goods under false pretenses and running away from
home even to distant places. Her conversational ability was above normal; her lies were evolved for the
purpose of adapting herself to the peculiar circumstances in which she frequently found herself. Her general
conduct combined with her abnormal psychomotor activity gave ground for the diagnosis of constitutional
excitementhypomania.
Birdie M., 14 years old, we saw after some clever detective work had proved her to be the girl who in another
town had repeatedly swindled shopkeepers. It seems she had been accustomed to take the train for localities
where she had no connections whatever, and there enter shops and make away with whatever she could. An
astounding incident was when she returned some goods she had stolen and persuaded the manager to
``refund'' her the money on the same. This was regarded by the authorities as extremely clever.
We found Birdie very small for her age. Weight 76 lbs.; height 4 ft. 8 in. Tonsils very large. Teeth
excessively crowded. No sensory defect. Not yet menstruated. A very nervous type; quick physical and
mental reactions; exceedingly active, restless manner.
Our psychological impressions state that Birdie did all her tests brilliantly and quickly, but very often with
less accuracy than would have been the case had she taken the time to think quietly rather than work rapidly.
She was very keen to make the best possible record. ``I am proud of being quick; nothing is hard for me; it
was not hard at school.'' It was found by steadying her that she gave a more accurate performance. We
diagnosed her ability as good, but her school advantages had been poor. Otherwise we noted she was a pert,
talkative, responsive child, of a distinctly nervous and somewhat unreliable type. Her ideas came tumbling,
one on top of another. Under close supervision she was able to control her mental processes fairly well. For
instance, on the antonym test, where opposites to twenty stimulus words are called for, Birdie gave them in
the remarkably rapid average time of .8 of a second, with only one failure and one error. This is an
exceptional record. From this and her unexpected powers of selfcontrol exhibited on some other tests we
were obliged to conclude that her aberrational tendencies were not very deepset. Her mental traits seemed to
conform most nearly to the type designated as constitutional excitement, or hypomania. Further observation
of the case confirmed us in this first view of it.
On the ``Aussage'' or Testimony Test she gave 13 items, all correct, upon free recital. On questioning, 14
more details were added, but 6 of these were incorrect. Of the 6 suggestions offered she accepted none.
Birdie immigrated from Austria with her family when she was 10 years of age. She came of a healthy family;
all of her grandparents and many of her uncles and aunts are living. We get no history of any insanity,
epilepsy, or feeblemindedness on either side. She is one of 7 children, several of whom have had nervous
troubles. Two of the children had convulsions in infancy, but then only. One brother at 10 years old is an
excessive stammerer and extremely nervous.
Birdie was born after a pregnancy during which the mother was much worried and in poor health. The father,
too, was sickly at that time. The family conditions were defective on account of poverty and illness during a
large share of the period when the children were born. Birdie at birth was very small and there was difficulty
in resuscitation. She, however, was never seriously ill until she was 7 years of age, when she had something
like peritonitis. No spasms or convulsions at any time. She was a very small child during her infancy, but
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walked at 8 months and talked very well indeed when she was only one year old. Developmental history
otherwise negative, but all along there has been poor family control on account of ill health and the slight
earning capacity of the father.
During the several months we knew Birdie she was always a most unreliable person. She repeatedly ran away
from home and was lost track of. On one occasion she got as far as Omaha. By the use of elaborate, but
plausible stories she always succeeded in winning the friendship of reputable people. Once she was found,
after she had been away several weeks, residing in a good home in another State where the people thought of
adopting her on account of her brightness. Many times she wandered about her home city and in the most
active and sly fashion purloined anything she cared for. Several times when she was taken by the police she
invented clever stories, without the least faltering, that seemed entirely fitted to the occasion. As the
investigator said, she talked incessantly with not the slightest hesitation and was always airy and sure. No one
to whom she had gone with her misrepresentations questioned her veracity she always came out with a
clearly connected and plausible story. We noted that her parents in comparison seemed quite stupid.
Of course Birdie passed under various names. Once we recognized her picture in the newspaper representing
a weary, disheartened girl who was tired walking all day long from one employment bureau to another. She
stated to the reporter it was her ambition to become a model servant. When in Omaha her mental peculiarities
were recognized and she was studied by a competent alienist who, however, was not willing to render a
verdict of non compos mentis to the police. This was when she had run away from Chicago and had told a lot
of stories all of which had turned out to be untrue. The trouble which she created in various communities by
reason of her hyperactive delinquencies has not been small.
With much merriment and an excessive amount of facial expression this little girl held forth to us. It is hardly
necessary to say that the account varied somewhat from day to day. She did not like it at home and did not
propose to go back there. There were too many in the family. As soon as the floor was scrubbed one of the
children would get it all dirty again. She had started for New York, but the old gatekeeper at the station was
mean and she could not slip by him. She got along all right in Omaha, but finally she gave herself up to the
police there. She thinks perhaps she might go up to the people in Wisconsin who wanted to adopt her. In any
case, she can do a great deal better than Viola B. who ran away from New York and got caught, and was so
much talked about in the newspapers.
Thus her story would run along at great length, Birdie in the meanwhile chuckling with the thought of her
own escapades.
We never recommended institution life because it seemed as if better things might be done for this girl. We
felt that if she were built up from a physical standpoint her tendency towards nervous excitement might grow
less. Her tonsils were removed. Every one felt that the girl's good mental abilities should be conserved to the
utmost. Attempts at management in a different environment gave some hope of success, and after a time her
parents moved to a smaller town, when we lost oversight of the girl. Following our acquaintance with the
case it had been managed in the light of her characteristics, and her falsifying tendencies were constantly
discounted by those in charge. We felt that her tendency was to grow more stable.
Three years later: We have just gained further information concerning Birdie. The family is still in straitened
circumstances, the father having proved too weak a character to support them. He posed as somewhat of a
gentleman and made off to another country. Birdie is said to have worked steadily for months at a time, but
over a year ago suddenly left home once more, this time going with a stage company. Although the police in
several cities have been appealed to, no trace has been obtained as yet of our young friend. Whether her lying
was continued at home we cannot satisfactorily learn, nor do we know accurately about any continuance of
her state of excitement, but without doubt Birdie in her present wandering is fabricating anew, and is what
she was before, namely, a young adventuress.
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Mental conditions: Constitutional excitement. Case 22.
Girl, age 14 years.
Developmental conditions: Defective pregnancy.
Early impaction of teeth.
Poor general physical conditions.
Home conditions: Poverty. Irritability of father and
mother.
Delinquencies: Mentality:
Running away. Ability good;
Stealing. Constitutional
Lying. excitement.
CASE 23
Summary: A girl of 16 having been out all of one night, related a story to the police of having been led off,
and incidentally made the statement that she had been repeatedly immoral, once with a relative. She dictated
and signed a detailed account of the affairs, giving times and places. This was used in investigating and led to
much fruitless effort even on the part of experienced peopleher story was quite untrue. When studied she
proved to be a mild case of chorea, exhibiting the typical psychotic tendencies of that disease, such as we
have observed in court work a number of times.
Nellie M., when brought to us by her grandmother, following the girl's experience with the police who had
been told by her of immoralities practiced, was found to be rather a nice looking and gentle girl, pleasant and
responsive with us.
On the physical side we found her to be poorly developed and nourished. Weight 93 lbs.; height 4 ft. 9 in.
Vision about 20/40 in each eye, but wears glasses which correct this. Rather poor color. Complains somewhat
of headaches. Marked tremor of outstretched hands. Moderate amount of choreic movements in arms and
legs, exaggerated when attention distracted. Knee jerks exaggerated. Conjunctival and palatal reflexes almost
absent. Small regular features. Well shaped head. Said to drink at least 4 cups of tea a day. Heart sounds
negative.
Mentally, she seemed to be fairly normal in ability, but was undoubtedly in a peculiar psychical condition.
She had reached 7th grade in spite of much moving about, even to different cities. We found evidence of lack
of good apperceptive powers and the history of the case led us to see clearly that she had been just recently in
a very unstable, if not quite confusional mental condition.
The ``Aussage'' or Testimony Test was not given in this case.
The history of heredity and development shows many points of importance. The mother died when Nellie
was a very little girl. She was terribly abused by a husband who was excessively alcoholic and in general a
tremendous brute. They lived in a roadhouse where drunken fights were not uncommon. Nellie has been
brought up since her mother's death by other relatives. Outside of alcoholism on the father's side there is said
to be no family peculiarities. The mother came from a very reputable family. Nellie suffered early from
several severe illnesses. When only six weeks old she is said to have been in a comatose condition with
scarlet fever and diphtheria. Later she had measles, whooping cough and other mild ailments, and at one time
suffered extremely from constipation. Walked and talked early. No convulsions. Menstruated first several
months ago. Sometimes complains of severe headaches. One observer reported that the girl had been subject
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to slight melancholia within the last year. Choreic movements have been present off and on for about a year,
but have not been marked until a little while previous to the incident which brought her to us. The diagnosis
had been made that it was a case of mild St. Vitus dance. During all the year Nellie had been regarded as in
general unreliable, but nothing of importance had happened prior to the above episode.
Nellie's story as told to us seemed coherent enough. Apparently she had entire memory of her past actions
and, in general, of what she had said. Her own statements convinced us as much as anything else of her
unreliability at times. It seems she had run away and gone to a picture show and had fallen asleep there.
When she got out it was very late, but it was election night and people were about on the street. She finally
was accosted by a woman who took her home. After her story of being led off by a man the police were
called into the case and she gave them her remarkable statement. Nellie told us of picking up with a man, too,
who lured her to a theatre, but who left her there. There was no way of corroborating this. She fully
acknowledged to us the lies which had created so much trouble. ``Well, I was telling the first lies and then
when I was going to tell him that I knew that I was telling wrong he acted so cranky and said such things to
me. He said he knew somebody had done bad things to me and so I thought I had to give the name of
somebody and so I gave those names.
``The girls around in the schools I used to go to talked about these things. I never went with them. I was
always by myself. None of the boys said bad things. The police were so cranky I did not know what else to
say. They said someone must have done it to me when I was younger and I said it was my cousin because he
always used to want to. He said he would give me a pair of skates if I would. He was 13. I never asked my
grandmother or anyone about these things. No one ever explained it to me. Just the girls are the ones who told
me about these things. They told me themselves how they had been out at night with the boys. I never did do
it with anybody.''
Examination by a gynecologist about this time showed positively that there had been no immoral relations,
and after our findings the case became a closed incident so far as prosecuting anybody was concerned. Nellie
was taken in hand by the family physician and no further delinquencies or false accusations have been
complained of during the succeeding two years.
Outside of the girl's general frank bearing, undoubtedly a point rather indicating to the police possible truth in
her statements, was the detail in which the alleged events were given. The signed statement coming from an
apparently naive girl of 15 would seem in its clearness and coherency to bear the earmarks of truth. We
always regarded this case as one of our interesting examples showing the unreliability of girl witnesses,
especially those who have had unfortunate experiences, even though merely mental, with sex affairs.
Mentality: Mild choreic psychosis. Case 23.
Girl, age 15 years.
Early clandestine sex teachings.
Delinquencies: Mentality:
Running away. Normal ability,
False accusations. temporary aberration.
CASE 24
Summary: A girl of 16 whose general conditions won ready sympathy created much trouble. She repeatedly
made serious accusations against a man and her attempt at suicide made her statement seem convincing.
Further study showed the absolute falsity of her charges. It was a case of hysteria which had developed
largely upon a basis of injurythere was a traumatic psychoneurosis. Under good treatment she made a fine
recovery; there being no more indulgence in pathological accusations, although her nervous symptoms
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recurred for a short time after a couple of years.
At the time when we first saw Georgia B. she was somewhat over 16 years old and had been only 5 years in
this country. We saw her because she had run away from home and attempted suicide. From the latter she had
been rescued, and then had accused a neighbor of raping her. The case proved to be very troublesome until
the nature of the whole affair was understood.
We found a thin and anemic girl, not at all prepossessing in appearance, dull in expression, suffering from a
chronic suppurating otitis media.
On the mental side we had much trouble in conducting an examination because she was greatly given to tears.
She did work for us on a few tests and her efforts would have been graded as those of a feebleminded person
if her emotional state had been left out of account. Even our physical examination was largely hindered
through her crying. However, her story was told in a straightforward way and with that show of emotion
which had previously convinced others that grave injustice had been done her. Distinct proof of hysteria was
present; for instance, on one occasion in the middle of a test Georgia apparently became unconscious. Her
head dropped to the table, but her lips were red, her face did not change color, she resisted having her head
moved, and in a moment or two lifted it herself to a more comfortable position. The diagnosis from such
symptoms as these and from her history was not difficult to make.
The ``Aussage'' test, for obvious reasons, was not given.
Georgia told her story with surprising coherency; in outline, it was as follows: She ran away from home, and
then was put under protection of the police authorities by a man who caught her. She said she was caught
when standing by a drug store where she had been to get medicine, just ten cents worth of peroxide. When
asked by us if it were not really carbolic acid she called for, she said yes, it was and that she intended to take
it. She wanted to get rid of her life. What could she do in the way of living? Her father and mother were both
sick and they could not live long and then how could she get along taking care of three little children? When
asked if her parents would not be terribly affected by her suicide she said that it would not be the first time
they had buried a child. At this time she would go no further into her history.
On the next day she talked straight to the point, but with a remarkably dull expression on her face. She said
that about five weeks ago, she cannot tell the exact date, she went to a neighbor's house. A man there wanted
her to come and look at some pictures. He finally got her to go to a bedroom and then held her so she could
not scream, and raped her. She is sure of it. He later choked and beat her and kicked her out of the house. At
first she was afraid to tell her people. A couple of weeks afterward she went back and asked why he did that,
and he swore at her and accused her of being bad, and she and he talked back and forth for some time. ``He
says, `I'll kill you. I did not touch you at all.' I says, `You did. You're a liar and you can kill me now if you
want to. You have already killed me. See, I grow large like this.' '' He then set upon her and beat her again.
She has not seen him since. After telling this Georgia began to cry very hard and said that she really is killed
now and is done for. The whole story was told in a straightforward way with a full show of emotion.
A complicating feature of this case, resultant upon lack of understanding of the characteristic vagaries of this
type, was the action of a vigorous knight errant. He was the one who rescued her. Hearing her ask in the drug
store for the carbolic acid, which she did not get, he thought she was desperate and questioned her, but she
tearfully refused to answer. He quietly followed her until she got to the river, and then, when she had her foot
on the rail of the bridge and was about to jump off, he seized her. She fought and kicked him so that she
badly hurt one of his legs. She told him she had reason to commit suicide. He got her to some house and there
she fainted. When she came to she described her situation to him, naming a man who boarded with a
neighbor as having raped her. She told him this was the reason she had tried to commit suicide.
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This young man visited Georgia's family, found them strangely indifferent and not inclined to believe the girl,
so he set out to see that justice was done. With his wellintended efforts he succeeded in getting several
agencies to work on the case, the parents meanwhile partly resenting his interference. They said they knew
what kind of a girl she was.
We never felt thoroughly satisfied with the family history on account of the comparative ignorance of the
parents, our only source of information, although they were honest enough people. All points in heredity
seemed negative, nor could we learn that there had been anything significant in developmental conditions.
The girl had only recently menstruated. Her people felt that of late her word was quite unreliable. She went as
far as the 4th grade. On account of the short time in school in this country this was considered doing fairly
well.
Ten months prior she had fallen off a street car; it was not known she was damaged seriously. A jury had
given a verdict of several hundred dollars against the company, but on account of an appeal having been
taken the case was still unsettled. Since the accident a number of fainting attacks had occurred and Georgia
had lost one position on account of them, a place where she had worked for 2 years. She was said to have
been quite healthy before the accident. Some 5 weeks before we saw her, the girl had become hysterical and
announced that she had not menstruated the week before and the cause was that she had been raped. Her
behavior was so peculiar in regard to this that her parents did not believe her statements and did nothing
about it. The girl evidently was accustomed to telling falsehoods, although we could get no specific account
of them. The parents were very anxious to avoid a scandal, for though they were poor they made much of
their respectability .
Georgia was examined after a later reiteration of her charges; the physician said that she had not been raped.
After we saw her the parents thought it was best to go to another physician with the young man who had
become so interested. Once more the report was that there had been no rape, but it now appeared that there
had been some manipulation of the parts. After this the case quieted down, but Georgia had run away again
just before this second examination. When by our recommendation she was now placed in a convalescent
home she repeated the same stories and announced that she was pregnant. Of course more trouble was created
by this and a third examination had to be made to convince these good people who had been recently asked to
interest themselves in her.
After her stay in the convalescent home Georgia returned to her parents, and, appearing to be recovered, went
to work again. Her record for two years was unexpectedly satisfactory. When the above episode had blown
over she regained control of herself, adapted herself to family conditions, and worked steadily. On one
occasion her nervous symptoms have returned with much depression and again an attempt at suicide. She was
now carefully studied in a hospital for signs of insanity, but again it was determined that she was not of
unsound mind. She made a speedy recovery, adjusted herself once more to her surroundings, and after a few
months became married. During the last year or so there has been no further trouble. A settlement of the law
suit for injuries was made before her more recent period of depression. At the time of even her last attack we
can learn of no more false accusations having been made. The family attitude about her has, all along, not
been what it should have been to have gained the proper results, but the problem of poverty was always with
them.
Mentality: Traumatic psychoneurosis. Case 24.
Girl, age 16 years.
Accident, with law suit following.
General physical conditions: Anemia, poor
nutrition, otitis media.
Delinquencies: Mentality:
Running away. Poor ability;
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Attempted suicide. temporary
False accusations. aberration.
CASE 25
Summary: Case of a young man of 19, with already a long record of criminalism, who created much trouble
for a court where a judge was keenly anxious to do justice. The fellow implicated himself in a sensational
murder, but investigation proved this to be untrue. In other ways his word was found most unreliable. The
question concerning his sanity could only be answered by stating that he was an aberrational type peculiarly
inclined to criminalism, and therefore needed segregation, and that he was also given to pathological lying
and self accusation. From the legal and social standpoints it is important to note that the case represents a
type, unquestionably abnormal, although the mental pathology could not be subsumed under the head of any
one of the designated mental diseases.
The case of John B. was studied at the request of a judge who had continued the trial because of the manifest
mental peculiarities of the defendant. We were told that his behavior varied much, that one day he would cry
and apologize, and on another would show stupid bravado. As the judge stated, John had long been in
disciplinary institutions and this had failed to do any good. The immediately peculiar features of the case
were that while he was being held for vagrancy and robbery, John made a strong attempt to implicate himself
in a murder case. In other words he was a selfaccuser.
We found a strong young man of 19 years; weight 157 lbs., height 5 ft. 5 in. Very broad shouldered and deep
chested, but slouchy attitude. Good color. Eyes bright. Varicocele. Somewhat defective vision in one eye.
Wellshaped headcircumference 56.5, length 18.5 and breadth 16 cm. Thick, heavy voice. Appears dull
and depressed, but energizes under encouragement. Other physical examination negative. Complains merely
of headaches in left frontal region, but says he has had these only since last year when he was struck there by
a beer bottle. Recently an excessive user of tobacco.
In the mental examination we found much of interest. When first seen he gave every appearance of being a
mental defective, but by judicious stimulation he could be waked up to do comparatively good work in
several directions. On the Binet tests, 1911 series, he passed all but one of the 12 year set; in that he followed
the suggestion offered. On the 15 year old tests he did three out of five. The failures were on the memory
span of figures and in the repetition of a sentence of 26 syllables.
By our other tests we also found him defective in verbal memory processes, even when he read the passage to
be remembered. In working with our socalled construction tests, where his success depended not only upon
planning with concrete material, but even more on the ability to profit by his failures, he did decidedly
poorly. In handling the puzzle box, where above everything is required perception of the relationship of one
step to another, he succeeded very rapidly. With the crossline tests, which require mental representation of
an easily remembered figure and analysis of its parts, he did very poorly, succeeding only after the third
attempt in each of the two simple tests. This is a type of work that is especially easy for the normal person.
In our ``Aussage'' or Testimony Test we got a decidedly poor result. At first enumeration he gave only 8
items, and on cross questioning gave only 6 more. He denied seeing other objects plain in the picture, but
contradicted himself somewhat on this. It is interesting that he took only one out of four suggestions,
notwithstanding his suggestibility on the Binet test.
On school work he does altogether much better. He writes a good hand, reads fairly well, and promptly does
a sum in long division. He claims to have reached the 6th grade. One difficulty in testing him was his
prevailing lethargy. We constantly had to fight this by encouragement. Once he insisted he must give up the
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work because he had not had a smoke for an hour or so. Altogether, including his irregularities, we could not
call him lower than poor in ability, possibly subnormal. He did not come within the limits of the
feebleminded group. Just where to place him would depend upon what he perhaps could do under other more
favorable conditions. So much for the tests of ability.
In studying him for aberrational tendencies there were positive indications. Most significant it was when, in
the Binet tests, he came to the word ``justice'' and turned to the examiner, saying feelingly, ``I don't know
what that is,'' and then burst into tears. Yet this was from a fellow who had offered to get himself into even
worse trouble with the courts. He made much of his worrying about not having any home and not being the
child of his socalled parents. His attitude was of sorrow and hopelessness about his whole situation in life.
As seen again about two weeks later, still more evidences of aberration were found. He contradicted himself
then in regard to his previous stories, in regard to his home life, denied he had made selfaccusations, and
very clearly did not remember at all accurately what he had previously told me. In fact, he evidently was not
quite clear just who I was, although he had before been brought across town under the charge of a couple of
officers to see mean important break in his incarceration. He also told a different story from one he had
told before to a certain official who now was present. He seemed rather mixed on a number of points, and this
is all the more significant because he had been heartily afraid of being adjudged insane. Our diagnosis at this
time was purely tentative as far as exact diagnosis was concerned. We stated that in our opinion he was an
aberrational type and the practical point was that he should neither be allowed to go out in the community,
nor be sent to a penitentiary, but rather to an institution for observation and perhaps for long detention. The
jury found it necessary, as usual in such cases, to declare him insane.
The history of John runs as follows: From an evidently conscientious parent we learn of nothing significant in
the family history. At birth he was said to be bright and healthy. He had diphtheria severely at 4 years. At 6
he started to school. He always got along well in his classes, but was very troublesome. At 11 years he began
to run away from home. His father spent much time and money in going to various parts of the country for
him, and at 13 years of age he was placed in an industrial school. He is the only child. He came home after 2
years, remained there for 3 or 4 months and then ran away once more to California. (His home was in the
middle West.) He was returned by the police, sent to the industrial school for another year, and then again
returned home. He stayed only 2 weeks before running away to New York. Coming back he got into some
trouble and was sent for the third time to the industrial school. There he stayed until 6 months before we saw
him. He was released once more on parole, stayed at home a week, and again ran away. It is reported that
during his early time at the industrial school he was rather melancholy by spells, and at one time tried to
poison himself. His relatives say he has a bad temper. He had typhoid fever at 14, but made a good recovery.
John has been known for years as a great liar, having told miserable stories about his parents, all of which
were quite untrue. He has frequently mortified his father and mother by denying his parentage. The last time
John was on parole he wrote more than one letter to police authorities in his home State, informing them he
had been implicated in a serious crime. An officer at the reformatory institution had a letter from him
purporting to be written from a penitentiary, stating he was sentenced there on a charge of robbery. When he
was held in our city on a minor charge, he informed the police officials that he was connected with a certain
notorious murder of which the papers had been full just previously. He was sent out with a couple of
detectives who soon found he knew nothing about the actual facts, and that his alleged accomplices were
innocent men.
In jail it is reported that he seems childish. He has to be locked up alone at times and then begs and teases to
get out, but in ten minutes or so will repeat the bad behavior. He has stolen little things from others in
custody and has attempted to dispose of his own clothes for a few cents. It is definitely reported that he has
shown evidences of poor memory. From the institution where he previously had been so long, word comes
that he was regarded there as not quite normal. John had been held in another city on a charge of rape, but
without much evidence, for he was allowed to go. We could not find out whether he made selfaccusations in
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that case.
In his story to us he complains bitterly about his treatment at the old institution, maintains he was head
laundry man there, tells about his excessive smoking of late, denies his parentage, says the only friend he has
is a certain church worker, maintains he did not have any home to go to from the industrial school, intimates
he will commit suicide if there is any question of his being declared insane, says that he had earlier stolen
things from home, tells of having spells when things get black in front of his eyes and can't see for a little
while, says he wants to be sent to the penitentiary and wants to start right now serving his term.
All told, there was nothing so striking about this whole case as the extravagant tendencies towards
prevarication. For years he has been lying to no purpose, although he has never been previously regarded as
insane. Now he appears as an extreme selfaccuser and as a fellow whose word can't be trusted from hour to
hour. The lying, regarded as an aberrational tendency, is out of proportion to our findings of abnormality in
any other sphere of mental activity, except perhaps the evidences of defective memory processes. One trouble
in gauging his memory is, of course, the boy's prevarications, but one might argue that if his memory
processes were as good as his other abilities he would make equal use of them.
Following our study and recommendation in the case John was found not guilty, but insane. Then being
resident of another State, and, indeed, being on parole from a reformatory institution there, he was held over
to the jurisdiction of that State, and placed in a hospital for the criminal insane. We have a full report from the
latter place which is exceedingly illuminating. It appears that despite his first terror of being sent to an asylum
he adapted himself to his new surroundings very readily. It is stated that he assisted with the ward work and
spent his leisure time in reading and playing cards. He asked for work outside on the grounds and was
regarded as a very courteous and genial patient. No evidence of delusional or hallucinatory trends could be
obtained. He always seemed to be well oriented and conscious of everything going on about him.
Emotionally he appeared somewhat subnormal inasmuch as he did not worry about his own condition, but
said he was perfectly contented. (The latter, of course, to a psychiatrist would be significant.) He was a great
talker and his stories were well listened to. John said that when he was indicted for robbery his lawyer
advised him to feign insanity and as a result he had been sent to that hospital. (It is to be remembered that
with us he made great effort to show off his mental powers at their best and evidently did somewhat better
work than when later in the hospital.) He gave them a history of being somewhat of a cocainist and
morphinist, of being a slick ``pickpocket,'' and of associating with prominent criminals, particularly ``auto''
bandits. He was boastful of his experiences, but sometimes admitted that he prevaricated. It is most
interesting to note that he told a story of having concealed in Chicago some plunderjewels, money, and so
onand was really taken to Chicago by one of theBoard of Visitors of the hospital to find the booty. It is
hardly necessary to say it was not located. The last of the hospital report states, ``Inasmuch as we were unable
to prove that he had any form of insanity he was discharged.''
It is of no small importance for discussion of the relation between insanity and criminalism to know that there
are such cases as this where the individual is unquestionably aberrational and yet does not conform in mental
symptoms to any one of the definitive ``forms of insanity.'' They may be lacking in normal social control and
in ability to reason, impulsively inclined to antisocial deeds and therefore social menaces, but,
notwithstanding this, may not be classified under the head of any of the ordinary textbook types of mental
diseases.
It is clear that for the protection of society a different notion of what constitutes mental aberration or insanity
should prevail, so that these unusually dangerous types might be permanently segregated. It would really
seem that just the findings which the hospital statement enumerates would convince one of this individual's
marked abnormality from a social point of view and that his being at large was a grave undesirability.
The latest information concerning this young man is that he was being held in a Western city for burglary.
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We should hesitate to make out a card of causative factors in this case. It is clear that the major cause in his
delinquency was his aberrational mentality. What there was by way of causation back of this, our history,
although obtained from an apparently conscientious parent, is too meagre for explanation.
CASE 26
Summary: Boy of 16 had for 6 years caused a great amount of trouble by his general unreliability and
excessive lying. He had been tried away from his own people in private homes and in institutions without
success. His lying was excessive and often showed no purpose and no foresight. His peculiar delinquencies
demonstrated weakness of will. Although in good general physical condition he simulated illnesses. Mental
and physical characteristics rendered certain the diagnosis of constitutional inferiority.
We saw William S. first when he was over 16 years of age, after he had been arrested for stealing. He had
already been in three institutions for delinquents. From his father and others we gained a long story of the
case.
William was in fairly good physical condition. No sensory defect. Weight 125 lbs.; height 5 ft. 3 in. Although
well enough developed in other ways he was a marked case of delayed puberty; as yet no pubescence.
Strength only fair; for his age, muscles decidedly flabby. A high, broad forehead. Large nose. Peculiar curl of
the upper lip. Small, weak chin. These features give him a peculiar appearancereadily interpretable as
showing weakness of character. Cranium notably large. With small amount of hair measurements were:
circumference 57.8; length 19.6; breadth 15.5 cm. (Head same size as father's.) Expression downcast. Voice
high pitched. ``Under dog'' attitude. Slouchy. No analgesia or other signs of hysteria.
The performance on tests was peculiarly irregular. In this monograph we have omitted discussion of the
results of separate tests, but the citation of the summary as dictated when the case was first studied will prove
instructive: The work done on our tests was very irregular, peculiarly so. Perceptions good and most phases
of the memory processes fair, but in reasoning ability and especially in tests which require the application of
some foresight the results are poor indeed. The failure is remarkable in proportion to what he could do in
school work and to his abilities in some other ways. He reads fluently, writes a very good hand, and in
arithmetic is able to do long division, but showed no grasp of good method. When at his best he sticks at a
job well enough, but does it with no intelligence and does not save himself in the least by thoughtful
procedures. We were interested to note that in a game which he said he had played a great deal, namely
checkers, he made the most foolish and shortsighted moves. It is only fair to say that this boy varied in his
performance from time to time; his emotional condition largely controlled his performance.
On the ``Aussage'' or Testimony Test he gave a functional account upon free recital, with 15 details. On
questioning he gave 13 more items. Out of the entire number only 3 minor errors. Of 5 suggestions proffered
none was accepted.
There was a great deal more to be said about this boy's mental peculiarities than what was evidenced by the
giving of tests. Our observations of him made at intervals over a period of several months corroborated
entirely the statements of several others, including members of his own family. The boy was remarkably
unstable in his ideas and purposes. What he apparently sincerely wanted to do and be at one time was entirely
different at another. His changeableness was shown in many ways. When he had been found apparently
suitable employment or a new home he often would stay only a few days. The father's first statement that the
boy was a craven was borne out by all that we saw. He was too cowardly to be ``tough,'' but he was a
persistent runaway and vagrant. He sometimes used an assumed name. In general demeanor he was good
natured, but always restless. Not the least of his peculiarities was his ready weeping. It was amazing to see so
large a fellow draw down his chin and sob like a young child. He was easily frightened at night. Under
observation he had peculiar episodes of behavior. Once in a schoolroom, without any known provocation,
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he suddenly began to cry and scream, picked up a chair and soon had the entire room cleared out. A moment
afterwards he was found sobbing and bewailing his lot because he ``never had a fair chance.'' On another
occasion his legs strangely gave out and he had to be carried to bed by his fellows. The next morning a
physician found him with his legs drawn up and apparently very sensitive over his back and other parts of his
body, but with a little encouragement all his symptoms soon disappeared. He gave a history of having had
convulsions, but this was found to be untrue. He was a ``bluffer'' among boys; when met valiantly showed
always great cowardice.
We felt much inclined at first to denominate him a case of abulia, but his stubbornness in recalcitrancy led us
to change our opinion. From the above physical signs and mental phenomena he was clearly a constitutional
inferior.
Some facts we obtained on the family history were most significant. The mother of William suffered from
attacks which were undoubtedly epileptic. Her mother, in turn, had convulsions at least during one
pregnancy. We did not learn whether or not she had them at other times. No other points of significance in
that family are known. The father himself was brought up, as he says, strictly, but he was inclined to be wild,
and he has indulged for many years altogether too much in tobacco and alcohol. He is distinctly a weak type
and the poorest specimen of his family. William is the only child. There was nothing peculiar in
developmental history until he was 2 1/2 years old when he suffered from ``brain fever and spinal
meningitis.'' This was said to have left him with a stiff right arm and to account for his being left handed. (We
could discover no difference in the reflexes.) Then at another period he was sick in bed for 6 months with
some unknown, but not very serious illness. The mother has been dead for years and so we were unable to get
accurate details about this. At a very early age William sought the pleasures of tobacco, even when a child of
6 or 7 he used his pennies for that purpose. He was brought up in an environment defective on account of his
father being a poor earner and weak in discipline. But still his parent took for years a great deal of interest in
him and it was not until the boy had proven himself most difficult that his father proclaimed himself unable
to manage his son.
At about 10 years of age William began running away from home and manufacturing untrue stories. One of
his favorite statements was that his father had been killed in an accident. It is notable that all these years he
has been attempting to gain sympathy for this or that assumed condition, whether it be his own alleged
physical ailments, or fictitious family difficulties. As a matter of fact, during this time he has been in some
good homes, failing each time to comport himself so that he could be retained there. It was typical that he
reiterated, ``I have no friends; there is no one to stick up for me.'' Besides being in three institutions before he
was 16 years old, William had been in homes which he had found when he had run away, or in which he had
been placed by his father or by social agencies, the services of which had been evoked. His stealing was often
done with an extraordinary lack of foresight. For instance, in one good position that had been found for him
he took a box of cigars, when, of course, as the newcomer he would have been suspected, and even after his
employers made it clear to him that they knew of the theft he took another box the next day. His lying under
all occasions was nothing short of astonishing. To even his best friends he offered all sorts of fabulous tales
which one iota of forethought would have made him realize would redound to his disadvantage. Almost his
only show of common sense in this was when he gave an assumed name while getting a new position, and
even this performance could hardly be considered deeply rational. It is hardly necessary to give lengthy
specimens of his falsifications; they always pervaded his stories about himself, but strangely enough he
acknowledged many of his delinquencies. A good example of the latter was when he collected a little money
for a new employer and on the way back, looking in a shop window, saw an electrical toy and immediately
bought it. He then went home, not even returning to the office to get the wages which were due him. An
example of his lying is his responses to questions about his schooling. He maintained that he only reached the
third grade. (In reality he could do sixth grade work at least.) He said, ``I know long division by about 13 and
about 5 figures. I don't know it by any other numbers.'' William maintained these same characteristics over
the 6 years during which we have good data about him. We know he continued the same kind of a career for a
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year or so afterwards.
Three years later we have direct information from his family concerning William. His habits of prevarication
have been kept up steadily, so it is stated. He has been in and out of institutions and at present is serving a
sentence for larceny. He all along has been unwilling to face realities and has lied against his own interests
continually. For instance, we are told that if he lost a place, instead of obtaining the help his family would
have been willing to give him in gaining another, he would steadily pretend to be holding the former position.
He is still considered utterly unreliable and a thoroughly weak character with a tendency to meet a situation
as readily by a lie as another person would tend to react by speaking the truth. People who have known him
of late speak of him as being at 21 ``just the same fellow,'' which probably indicates that he is thoroughly a
victim of habit formation as well as of innate tendencies.
Mentality. (Typical constitutional inferior.) Case 26.
Boy, age 16 years.
Heredity: Mother epileptic. Maternal grandmother
had convulsions. Father alcoholic and
tobacco in excessweak type.
Developmental conditions: Early disease of the
central nervous system.
Delinquencies: Mentality:
Running away. Abilities irregular,
Stealing. psychic episodes.
Lying.
CASE 27
Summary: Case of a boy, age 16 years, who told the most extraordinary stories of his vagrant life and the
character of his family to officers of several organizations who tried to help him. He understood well that
evidences of his unreliability would count against him. His stories, although often repeated, were not
credited, and later, after a home had been found for him, he began a new series of lies that seemed almost
delusional and somewhat paranoidal. After months during which much had been done for him it was
suddenly discovered that he was an epileptic.
John F. appealed to an agency for assistance. He told a story of having wandered with his brother since he
was a young boy. ``My father was insane from what my uncle did to my mother. He drowned her. The house
caught on fire and he blamed her for it. She said she didn't. She was too sick to get up and he took her out of
the house and his big son pumped water on her. She was pretty near dead anyhow. We was too little to do
anything. I seen it. I remember that all right. I can see that yet Brother and sister died about 3 years ago.
Brother took sick from sleeping out. We slept around in barns for 2 years. Father was in an insane hospital in
Kansas. I think my uncle was hanged at N. Junction. We did not stay there. I remember yet when they went to
put my mother in the grave. I jumped in with her. We put right out and after awhile folks wrote that father
was dead.''
So much attention would not have been paid to this gruesome tale had it not been repeated to various people
during the course of several months. The boy wrote letters reiterating these incidents. His stories always went
on to include the most surprising amount of abuse. It seemed that everywhere he had been illtreated. Farmers
had whipped him, or clothed him badly, or defrauded him of his wages.
Physically, we found John to be in good general condition. A strong active country boy. No serious defect of
any kind was discovered.
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On mental tests he did better than we expected. To be sure he was very backward in arithmetic, but then his
story was that he had hardly ever been to school at all. He certainly did well in many of our tests with
concrete material, but the results as a whole were curiously irregular, even if we allowed for his deficient
schooling. At that time we were disinclined to pass ultimate judgment on his mentality without knowing
more about his antecedents.
On the ``Aussage'' Test he gave only 11 bare items on free recital. On questioning 19 more details were
added. Of the entire number only 3 were incorrect, and these were not serious mistakes. Of 6 suggestions
offered he accepted 3.
The history of this boy and his family has never been forthcoming. The authorities in his alleged home State
have not been able to trace his family, which they could have done had his stories been true. Their report
made it clear that the boy's reiterated family history was a fabricationthe raison d'etre of which is still in
doubt. In spite of his lying the boy was found a desirable home in the country at the work for which he was
suited. After staying for a few weeks he returned to the city and got lodgings for himself. We next heard of
him because he was induced by a ``holdup'' man to secrete a revolver on his person while the police were in
the neighborhood. Upon looking up his landlady, it was found that while with her he had suffered from
epileptic attacks. These had not been observed during the several months we had previously known him, and
he had strongly denied them to us. In our court work we constantly inquire for evidences of epilepsy; in this
case we received nothing but negation. After he served his sentence this young man was lost sight of. Even in
the institution to which he had been sent he continued his fanciful and often hideous stories, still largely
centered about the idea that he had suffered unjustly wherever he had been.
No complete summary of causative factors is possible in this case. The major cause for his lying as well as
other delinquencies, particularly his vagrancy, is, of course, the mental traits peculiar to epilepsy.
CHAPTER VI. CONCLUSIONS
CHARACTERISTICS OF THE INDIVIDUAL. DIAGNOSIS. PHYSICAL FINDINGS
Our 19 mentally normal cases (18 females, 1 male) showed:
Good general condition. . . . . . . . . . . . . 14
Fair general condition. . . . . . . . . . . . . .2
Poor general condition. . . . . . . . . . . . . .1
Poor development. . . . . . . . . . . . . . . . .2
Poor development, undersized for age. . . . . . .2
Defective vision. . . . . . . . . . . . . . . . .6
Headaches . . . . . . . . . . . . . . . . . . . .4
Mild nervous symptoms . . . . . . . . . . . . . .2
Tonsils and adenoids. . . . . . . . . . . . . . .3
Fainting attacks. . . . . . . . . . . . . . . . .1
Gynecological ailments. . . . . . . . . . . . . .6
Abdominal tumor, etc. . . . . . . . . . . . . . .1
Hutchinsonian teeth . . . . . . . . . . . . . . .2
``Stigmata of degeneracy''. . . . . . . . . . . .3
Premature sex development . . . . . . . . . . . .2
Comparing the above with the findings by previous writers we see little chance to draw safe deductions. So
many of the foreign cases have been insane; they can be more nearly compared with our 7 borderline types
where all sorts of physical conditions may be found. It is notable that a large percentage of our mentally
normal cases are in good general condition. Defective vision in 6 cases may be only a coincidence, but
perhaps resulting nervous irritation was sometimes a factor in producing misconduct. Headaches, which
Stemmermann makes so much of, appear as an incident in only a small number of our cases; her emphasis on
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periodicity also we cannot corroborate, there are hints of it in only one or two instances, but then her cases for
the most part are not comparable to ours. That 6 out of 18 females should have had severe gynecological
ailments is not to be wondered at, considering the trend of their lives, but, in turn, there can be little doubt
that, as in Cases 16, 18, and 21, the local irritation tended to bring about moral disabilities.
MENTAL FINDINGS
Considering first the question of mental capabilities we can classify our 19 normal cases as follows:
Supernormal in ability. . . . . . . . . . . . . . . . . . 2
Precocious; later, still considered bright. . . . . . . . 1
Good ability. . . . . . . . . . . . . . . . . . . . . . . 6
Fair ability, perhaps not quite up to the former classes. 6
Poor ability. . . . . . . . . . . . . . . . . . . . . . . 1
Poor ability, hysterical type . . . . . . . . . . . . . . 1
Poor in general, but with artistic and literary ability . 1
Dull from physical causes, but later normal . . . . . . . 1
Over and beyond the above enumeration there were some intensely interesting facts which came out during
the intimate study of these cases. We are at once forced to agree with previous writers that an unusual number
of the pathological liar group show great aptitude for language. This is shown by their general conversational
ability and by the fact that many of them have found out themselves that they had capacity, for instance, for
writing compositions. Taking our group of pathological liars in the strict sense, as given in Chapter III, we
find that no less than 7 of these 12 have been given to writing compositions and stories. Three of them had
definitely commenced long stories or novels. It is most unusual among other offenders to find evidence of
any such tendencies. A considerable number of our group were characterized as great talkers, and several as
romantic, dramatic, fantastic, etc., even by ordinary observers. All this goes to show clearly that the native
traits making for verbal fluency are strongly correlated with pathological lying. When it comes to
consideration of such an instance as Case 11 we have the point more strongly brought out. Here the
individual is fairly swung down his life's course as the irregularity of his capacities direct. His language
ability carries him along as nothing else will. In corroboration of this interesting point the conclusions of
other authors should be noted.
The aberrational types which show pathological lying are, several of them, depicted in our Chapter VI. But
little in summary of them needs to be said. The general mental and moral weakness of the constitutional
inferior very naturally leads him to become a pathological liar; he follows, by virtue of his makeup, the path
of immediate least resistancelying. The episodic lying or aimless false accusations of the choreic psychosis
needs no commentthe confusional mental state sometimes accompanying that disease readily predisposes
toward fantastic treatment of realities. The relationship of constitutional excitement to pathological lying is
less well recognized, but fully explicable when we recollect the rate at which ideas present themselves in the
mental content of such individuals, who have little time, as it were, to discriminate the true from the false.
The mental conditions leading to purposeless prevarication which supervene in the real hysterical mental
states, or during the course of traumatic psychoneurosis are well known. The individual is to be surely
regarded, at least temporarily, as suffering from a psychosis in many of these instances, and falsification,
while it may be difficult to distinguish between delusion and lying, is a well recognized phenomenon. The
very deliberate lying of psychopathic individuals, such as Case 25, who, though so strongly aberrational, do
not fit under the head of any of the classic insanities, is a matter for earnest consideration by all who have to
deal with delinquents. There is altogether too little general knowledge of this type of fact. The correlation of
the various epileptic mental states with pathological lying is well recognized. In many of the cases cited by
foreign writers it has turned out that the individual was subject to epileptic seizures. It is another illustration
of the great variety of epileptic phenomena. Something of a point has been made in the literature heretofore
that abnormalities of sexual life are unduly correlated with the inclination to pathological lying, and the
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conclusion is sometimes drawn, as by Stemmermann (loc. cit. p. 90), that the two prove a degenerative
tendency. Our material would not tend to show this nearly as much as it would prove that the psychical
peculiarities follow on a profound upset caused by unfortunate sex experiences.
A characteristic of pathological liars is undoubtedly a deepset egocentrism, as Risch states. If one goes over
our cases it may be seen that there is exhibited frequently in the individual an undue amount of
selfassertion. There is very little sympathy for the concern of others, and, indeed, remarkably little
apperception of the opinions of others. How frequently the imagery of the heroic role of the self recurs, and
how frequently it occupies a central stronghold is seen by the fact that nearly all of our cases indubitably
demonstrate the phenomenon.
Most of our cases have been studied by the application of a wide range of tests. Indeed many of the
individuals have been studied over and over. It is beyond our point at present to go over the separate findings
because there is no evidence of a strong correlation of any type of peculiarity, except the ones mentioned
here, with the pathological lying. Memory processes, for instance, as ordinarily tested seem to be normally
acute.
We have naturally been much interested in the result of the ``Aussage'' or Testimony Test work with this
present group, on account of the possibility of demonstrating correlations between laboratory work and the
individual's reactions in social intercourse, particularly when there has been falsification upon the witness
stand. In general we may say that while we have seen normal individuals who are not falsifiers do just as
badly as a number of these individuals, yet for the group the findings are exceedingly bad. Perhaps the better
way of stating it would be to say that not one case shows the sturdily honest type of response which is
frequently met with during the course of testing other delinquents, even as young as the youngest of the cases
cited here. Our findings stand in great contrast, we note, to the results on other test work. When looking at the
table given above we see that a large share of our 19 normal cases are up to the average in general ability, and
yet as a group they fall far below the average on this Testimony Test. Take Cases 8 and 9, for instance
both of them bright girls with, indeed, considerable ability in many directions, and yet both of them give a
large number of extremely incorrect items in reporting what they saw in the ``Aussage'' picture, and also both
accept a very large proportion of the suggestions offered. It seems as if frequently in these cases there is no
real attempt to discriminate what was actually seen in the picture from what might have been in a butcher
shop. In most cases the fictitious items were given upon questioning, but without the offering of suggestions.
When the individual was allowed to give merely free recital the result was better. This, however, follows the
general rule.
A general survey of work on other tests has not shown anything immediately significant in correlations, and
this makes the result upon the ``Aussage'' much more notable. Perhaps it may be urged that if these
individuals had been told to key themselves up to do this test well, being forewarned that otherwise it would
reveal their weaknesses, they could have done better. Some hint of this may be seen in our story of the results
of tests in Case 3. But of course the same might be argued about the other test work where no such tendency
to poor results was discernible.
The following table, with a word of explanation, will serve to bring out results on this test clearly to even the
reader unfamiliar with the specific details of this subject. A general description of the test is found in our
introduction.
ITEMS REPORTED ITEMS INCORRECT SUGGESTIONS CASE Denominator=number offered Free On
Number Percent Recital Questioning Numerator = number accepted 16 16<2> 12<1> 3 10% 2/7 15 10 14<3>
3 12% 2/5 4 12 28<6> 6 15% 3/4 19 15<2> 8<2> 4 17% 4/6 3 17<2> 20<5> 7 19% 0/6 7 11<2> 17<4> 6
21% 2/5 6 17<1> 12<6> 7 24% 1/7 13 8 21<7> 7 24% 4/4 8 16 28<12> 12 27% 5/7 9 12 32<12> 12 27% 6/7
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14 7 21<8> 8 28% 4/7 2 10 12<7> 7 32% 1/5 20 6 9<8> 8 53% 2/5
Only 13 of our 19 mentally normal cases were found to have had the ``Aussage'' Test done so uniformly that
results could be fairly compared, as in the above table. The reader will find it easy to refer back to the case
for noting other correlations with behavior. In the first double column the items which were given in free
recital come first, and in the second part the number of positive responses to questions by the examiner. The
coefficients attached to these represent the number of egregious errors or entirely fictitious items given. It
should be clearly understood that slight deviations from facts, for instance in color, are not counted as errors
for our present purposes. In a later study on this whole topic of the psychology of testimony there will be
much more complete itemizing. The errors in which we are particularly interested can perhaps best be called
pure inventions. In the next double column is given, first, the total number of incorrect items and, then, the
percentage of these to the total number of items reported. In the last column suggestibility is dealt with. We
have been accustomed to offer 7 suggestions, asking the individual whether such and such things which
might well be in a butcher shop really appeared in the picture. For several reasons not all of the 7 suggestions
were asked in every case, therefore the result is best viewed as a statement in fractions the numerator being
the number of suggestions accepted and the denominator the number of suggestions offered.
As a last statement on this question which we put to ourselves, namely, whether pathological liars show the
same traits in the laboratory as they do on the witness stand or in general social life, we can answer in the
affirmative. We may repeat that others have made as bad records as some of this group, but taking the group
as a whole, it is unlike any random 13 cases which might be picked out from our other classes of mentally
normal offenders. On the other hand, many a feebleminded testifier has done vastly better than the median of
this group. The errors themselves are of the purely inventional type, such as your ordinary report from a
mentally normal person does not contain. (There is perhaps one interesting exception to this; Case 3. The
report given by this subject included egregious denials of some of the main objects in the picture, and so was
fictitious to this extent. She did not say that she did not know whether these tobeexpected objects really
were in the pictureshe insisted that they were not.) So far as suggestibility is concerned, there are great
differences among even normal people in all classes. For comparison with the above group, we may take 63
cases of mentally normal delinquents, all of whom had been offered the full 7 suggestions. The median error
of this group was two. Lower than the fraction thus obtained was the result on only 4 of the present cases. We
have been interested to see that with some of the pathological liars there is no great suggestibility. The person
is willing to deal in his own inventions, but not with false ideas which others attempt to put in his mind.
DIAGNOSIS
The essentials for the diagnosis of pathological lying are contained in the definition at the beginning of our
book. The above considerations of the physical and mental makeup of pathological liars should leave little
question as to what belongs in this class. Of course here, as in the study of any mental traits, borderline cases
difficult to discriminate will always be found. Sometimes one will not be able to determine whether the
individual is a true pathological liar or merely a prevaricator for a normal purpose. We have already stated
our inability to determine this in some cases, and yet the nucleus of the type stands out sharply and clearly,
and there can be no doubt as to what is practically meant by the definition.
The differential diagnosis involves consideration of the characteristics of the insane, defective, and epileptic.
We repeat that we agree that the mentally abnormal person may engage in pathological lying quite apart from
any expression of delusions, and that during the course of such lying the insanity may not be recognized. This
occurred in many of the cases cited in the foreign literature, and if the prior histories of many individuals now
in insane hospitals were known undoubtedly such lying would be frequently noted. But once the person is
recognized as insane he need not be classified as a pathological liar. This term should be reserved, as we
stated previously, for normal individuals who engage in pathological lying. Of course other observers have
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noted such lying in people who could not be designated as being mentally abnormal, but our material is
peculiarly rich in examples of this kind.
CORRELATIONS STUDIED FOR CAUSES
Heredity. We come now to a very interesting group of factsshowing at once complete corroboration of
previous observers' statements that pathological liars are extraordinarily ``erbliche belastet.'' Taking our 19
mentally normal cases we find the following:
Insanity in the direct family (four of these being a parent). .6
One or both parents severely alcoholic. . . . . . . . . . . . .6
Criminal or very dissolute parent . . . . . . . . . . . . . . .4
Suicide of parent . . . . . . . . . . . . . . . . . . . . . . .1
Extremely neuropathic parent. . . . . . . . . . . . . . . . . .1
Syphilitic parent . . . . . . . . . . . . . . . . . . . . . . .2
Epileptic parent. . . . . . . . . . . . . . . . . . . . . . . .1
Unsatisfactory data . . . . . . . . . . . . . . . . . . . . . .2
Reliable data showing normal family stock . . . . . . . . . . .2
Thus, out of the 19 cases there are only three or four which do not come of stock showing striking defects.
Now, as we go on to show later that unfortunate conditions or experiences were often causal factors, the total
findings seem to show clearly that these latter influences generally bore their unfortunate fruition upon
inherited instability.
The heredity in the borderline cases is, as might be expected, even worse. These facts are easily discerned in
their respective case histories.
The question of inheritance of similar mental traits is, of course, important. We have found absolutely no
proof of the trait of pathological lying, as such, being inherited. The reader will note with interest particularly
the facts in Cases 2 and 4, where we at first thought we had to deal with inheritance, but later found there was
no blood relationship between the supposed parent and child. In those instances the lying of the younger
individual was much more likely to be the result of psychic contagion, and this also may be largely the
explanation of Cases 6 and 8, where an older relative was well known to be a prevaricator. The bad
inheritance in these cases then turns out to be, corroborating what we found in studying the general problem
of criminality,[25] a matter of coming from stock that shows defects in various waysall making, however, in
the offspring for moral instability.
[25]``Inheritance as a Factor in Criminality. A Study of a Thousand Cases of Young Repeated Offenders.''
Edith R. Spaulding and William Healy. pp. 24. Bulletin of the American Academy of Medicine, Vol. XV.
February 1914.
Developmental Physical Conditions. Inquiry into our 19 mentally normal cases gave the following findings:
Antenatal conditions were defective in 2 cases on account of syphilis and in one case from advanced age of
the mother. The accident during pregnancy to the mother in one case, the severe mental shock in another, and
the effect of illegitimacy in still another we can not evaluate. In 2 cases there were operative births with,
however, no bad results known. One was a twin. Early severe disease of the nervous system was experienced
by one, and convulsions during infancy by two others. Another suffered from some unknown very severe
early illness, and one from prolonged digestive disturbance in infancy. Three had in early childhood several
severe illnesses, one had a long attack of ``chorea.'' Two suffered from general nervousness, incited in one
case by the excessive use of tea and in the other by a similar use of coffee. One was an habitual masturbator
from childhood. Difficult menstruation was reported in only one case. In 5 cases there was a quite normal
early developmental period, according to reliable accounts. In 3 cases the early developmental histories are
completely unknown, and in 3 others uncertain. The data of developmental history in the borderline types
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may be easily noted in the case histories.
Previous Ailments. Ailments suffered from in our 19 cases after the early developmental period amount to
very little. The several gynecological troubles have been mentioned above under the head of Physical
Conditions. In one other case there had been urethritis previously. Head injuries, which play such a
significant part in the study of criminalistics, find no place in our mentally normal series, but should always
be kept in mind in considering the borderline types. Epilepsy as a possible factor in criminalistic problem
cases is to be remembered.
Habits. We have already mentioned the effect upon nervous conditions of excessive tea and coffee in two of
our cases. Masturbation, including its indirect effect, particularly upon the psyche, appears to be a very
important feature of these cases. We should be far from considering that we have full data on all of our cases
and yet this stands out most strongly. We have had positive reports from relatives or from the individual
showing this certainly to be a factor in 7 out of the 19 cases. This is a very large finding, when it is
considered that the data are frequently unobtainable. Of course we are not speaking here of masturbation per
se, but only of the fact of its ascertained relationship to the pathological lying. This is only part of the whole
matter of sex experience which, we find upon gathering our material together, plays such an enormous role.
Age of Onset. It is very easy to see that the tendency to pathological lying begins in the early formative years.
Commonsense observation of general character building would tend to make us readily believe that if an
individual got through the formative years of life with a normal hold upon veracity he would never become a
pathological liar. We can see definite beginnings at certain critically formative periods, as in Case 6 and
perhaps in Case 3, but our material shows that most cases demonstrate more gradually insidious beginnings.
(Case 21 is in this respect in a class by itself.) As we stated in our introduction, it is clear from the previous
studies of older individuals that the nature of the beginnings were not learned because it was too late. Our
material offers unusual opportunities in this direction and shows the fact of genesis in childhood most clearly.
For specific and often most interesting details we refer the reader to our various case histories.
Sex. Our findings show only 1 male out of 19 mentally normal cases. A general observation by practical
students of conduct, namely, that females tend to deviate from the truth more readily than males, is more than
thoroughly borne out here. There are certainly several social and psychological reasons for this, but they need
not be gone into here. If our figures seem not to be corroborated by the findings of previous students it is only
because the figures are not comparable the latter have mixed the mentally abnormal with the pathological
liars proper. It will be noted that in our examples of borderline cases 5 out of the 8 are males. Cases of
pathological swindling by mentally abnormal individuals, such as we have avoided, make up much of the
foreign literature. We can easily see that the social opportunities for swindling are vastly greater for males
than those offered to the opposite sex. Sex differences, as in many instances, must not be taken here too
seriously because social environment, differing so greatly for the sexes, is largely responsible for the behavior
which we superficially judge to be entirely the expression of innate characteristics.
Environment. We are far from feeling that a mere enumeration of material environmental conditions tells the
story of environmental influences important for our present subject. The psyche is frequently most
profoundly affected by environmental conditions which even a trained observer would not detect. But
conditions in the total number of unselected cases show something, and, for whatever it is worth, we offer the
following enumeration of environment in our 19 normal cases, who with much more reason might be
expected to be largely influenced by surroundings than our group of borderline cases.
Reasonably good home from birth . . . . . . . . . . . . . . . .5
Defective home conditions through poverty . . . . . . . . . . .2
Very ignorant parents . . . . . . . . . . . . . . . . . . . . .2
Immoralities in home life . . . . . . . . . . . . . . . . . . .6
Marked defect in parental control . . . . . . . . . . . . . . .6
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Very erratic home conditionsparent abnormal. . . . . . . . . .1
Early Mental Experiences. As will have been observed by the reader in going over the case histories, the
early mental experiences of many of our group of mentally normal pathological liars have been shockingly
bad. Full appreciation of this can only be gained through perusal of the text, but here we may call attention to
the fact that no less than 8 of the 19 have had very early untoward sex experiences, that 5 were markedly
under the influence of bad companions, including even the influence in one or two cases of vicious grown
people. The sex experiences we have just enumerated were received through otherswe are not here
speaking of masturbation, which is discussed above.
Psychic Contagion. Direct contagion of the tendency to lie seems more than likely to take place, at least
during the more plastic periods of life. It may be that this only develops when there is some sort of
predisposition to instability; our related findings on defective heredity would seem to indicate the fact. It
should be noted that in 5 instances out of our 19 mentally normal (Cases 2, 4, 6, 8, 20) some other member of
the household, we learned from reliable sources, was known as a chronic prevaricator.
Mental Conflicts. The fact that several of our cases started lying from the time when there occurred some
experience accompanied by a deep emotional context, and that this experience and the emotion was
repressed, seems to point clearly to the part which repressed mental life may play in the genesis. That as
children they kept to themselves secrets of grave import and dwelled long on them, shows in a large number
of our cases. Anything deeply upsetting, such as the discovery of the facts of sex life or questions about
family relationships, are the incidents which cause the trouble. For students of modern psychology nothing
more need be said on this pointthe concrete issues are perceivable in the case histories.
Adolescence. Quite apart from the age of onset, we may consider the physical and psychical instabilities of
adolescence as effective causes of pathological lying. Of course it is equally true that many other tendencies
to peculiarity are accentuated at this period. It has been suggested that cases which have their origin largely in
the unstable reactions of adolescence have much the better prognosis, but it seems that not enough evidence
has been accumulated as yet to justify us in this conclusion, which, we acknowledge, may prove to be true.
Irritative Conditions. In the same way the various types of irritative conditions, physical and mental, may be
considered as exciting moments. Individuals with a tendency to pathological lying will no doubt show
aggravation of the phenomenon at periods of particular stress. We have heard it suggested in several cases by
relatives that the menstrual period, for instance, brings about an access of tendency to prevarication. We
would grant the point without conceding this exciting factor to be a fundamental cause. (Case 21, we may say
again, illustrates a special fact.) The periodicity which Stemmermann makes much of may merely mean
succumbing during a period of physiologic stress. Social stress also may be met by pathological lying, in the
same way that the individual who finds himself in a tight place may attempt to get out of it by running away.
We have already spoken of the likeness of social and physical stress as showing when the weak individual is
brought to bay. That pathological lying does not run an even course, but shows remarkable fluctuations with
powerful exacerbations, is undoubtedly to be explained by changes of inner and outer stress.
Habit Formation. The influence of habit in causing chronicity must always be definitely reckoned with. It is
hardly necessary to say more than a word on this subject. Even the individual, as in Cases 8, 9, and 10, comes
to strongly realize it. Particularly is this point to be estimated in considering the possibilities of a rapid cure.
Special Mental Abilities. Once more, for the sake of completeness in giving a category of causes, we should
call attention to the fact acknowledged by all thorough students of this subject, namely, that, other things
being equal, it is particularly the individual who has linguistic abilities, who is especially good at verbal
composition, that seems to have most incentive to dally with the truth. But beyond this we would insist that a
combination of verbal ability with proportionate mental defects in other fields gives a makeup which finds
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the paths of least resistance directly along the lines of prevarication.
SOCIAL CORRELATIONS
The role played in society by the pathological liar is very striking. The characteristic behavior in its
unreasonableness is quite beyond the ken of the ordinary observer. The fact that here is a type of conduct
regularly indulged in without seeming pleasurable results, and frequently militating obviously against the
direct interests of the individual, makes a situation inexplicable by the usual canons of inference. To a certain
extent the tendencies of each separate case must be viewed in their environmental context to be well
understood. For example, the lying and swindling which center about the assumption of a noble name and a
corresponding station or affecting the life of a cloister brother, such as we find in the cases cited by Longard,
show great differences from any material obtainable in our country. In interpretation of this, one has to
consider the glamour thrown about the socially exalted or the life of the reclusea glamour which obtains
readily among the simpleminded people of rural Europe. Then, too, this very simplemindedness, with the
great differences which exist between peasant and noble, leads in itself to much opportunity for cheating.
With us, especially in the newer work of courts, which are rapidly becoming in their various social endeavors
more and more intimately connected with many phases of life, the pathological liar becomes of main interest
in the role of accuser of others, selfaccuser, witness, and general social disturber.
Here again, we may call attention to the fact, which is of great social importance, namely, that the person who
is seemingly normal in all other respects may be a pathological liar. It might be naturally expected that the
feebleminded, who frequently have poor discernment of the relation of cause and effect, including the
phenomena of conduct, would often lie without normal cause. As a matter of fact there is surprisingly little of
this among them, and one can find numerous mental defectives who are faithful tellers of the truth, while
even, as we have found by other studies, some are good testifiers. Exaggerated instances of the type
represented by Case 12, where the individual by the virtue of language ability endeavors to maintain a place
in the world which his abilities do not otherwise justify, and where the very contradiction between abilities
and disabilities leads to the development of an excessive habit of lying, are known in considerable number by
us. Many of these mentally defective verbalists do not even grade high enough to come in our borderline
cases, and yet frequently, by virtue of their gift of language, the world in general considers them fairly
normal. They are really on a constant social strain by virtue of this, and while they are not purely pathological
liars they often indulge in pathological lying, a distinction we have endeavored to make clear in our
introduction.
It stands out very clearly, both in previous studies of this subject and in viewing our own material, that
pathological lying is very rarely the single offense of the pathological liar. The characteristics of this lying
show that it arises from a tendency which might easily express itself in other forms of misrepresentation.
Swindling, sometimes stealing, sometimes running away from home (assuming another character and perhaps
another name) may be the results of the same general causes in the individual. The extent to which these
other delinquencies are carried on by a pathological liar depends again largely upon environmental
conditionsfor instance, truancy is very difficult in German cities; a long career of thieving, under the better
police surveillance of some European countries, is less possible than with us; while swindling, for the reason
given above, seems easier there.
Running away from home and itineracy show in a wonderfully strong correlation with pathological lying,
both in previous studies and in our own material. Several authors, particularly Stemmermann in her survey of
the subject, comment on this. This phenomenon, not only on account of the numerical findings, but also from
a logical standpoint, is easily seen to be the expression, in another form of conduct, of the essential tendencies
of the pathological liar. It is part of the general character instability, the unwillingness to meet the realities of
life, the inclination to escape consequences. As a matter of fact, frequently the pathological liar gets himself
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in a tight place by lying, and then the easiest escape is by running away from the scene. The delinquencies of
our present group as given below can with profit be compared with our previous statistics[26] on a large
group of offenders. We gathered the facts concerning a series of 1000 carefully studied youthful repeated
offenders. Of 694 male offenders, 261 were guilty of running away to the extent that it made a more or less
serious offense. Of 306 female offenders, 76 committed the same type of offense. For comparison with the
present group it is to be remembered that 18 out of the 19 mentally normal pathological liars were females.
NORMAL BORDERLINE
Running away . . . . . . . . . 12 6
Stealing. . . . . . . . . . . 7 6
Swindling . . . . . . . . . . 7 2
Vagrancy. . . . . . . . . . . 0 4
Attempt at suicide . . . . . . . 0 2
Sex offenses . . . . . . . . . 8 1
False accusations. . . . . . . . 10 4
Selfaccusations . . . . . . . . 3 2
Abortion. . . . . . . . . . . 1 0
[26] P. 140 ff. William Healy. ``The Individual Delinquent.'' Pp. 830. Boston: Little, Brown, and Co. 1915.
We have given figures on false accusations here, including other cases than were enumerated in our special
chapter on the subject. In that chapter the center of interest was on the false accusations, but it is true that in
certain other cases of pathological lying false accusations were indulged in as a somewhat minor offense. The
9 cases enumerated as swindlers showed this offense in varying degrees, as might naturally be expected by
the differences in ages, which, if nothing else, makes for variations in the evolution of social and character
tendencies. Perusal of the cases shows the small beginnings as well as the flagrant offenses on this order. As
we previously have stated, we have avoided dealing with the older careers of notorious swindlers. The nature
of the sex offenses can be learned from the case histories by those who wish to make special inquiry.
Masturbation we have regarded more as a causative factor, and have spoken of it in a previous section.
Truancy we have not enumerated. It goes without saying that it had been indulged in by practically all of the
males and by a considerable number of the females in our cases.
The observer of delinquents cannot help being constantly impressed by the fact that the offense of lying
seems to the usual offender small in proportion to the commission of other criminalistic deeds. Particularly
does this come out when one observes the chronic liar growing up in a household where grave sex and other
delinquencies are habitual occurrences. Should his lying be compared with these major antisocial
transactions? Indeed, it might be a field for speculation as to whether, given certain qualities of mind,
imaginative powers, etc., pathological lying may not play the part of a vicarious delinquencybeing to the
delinquent apparently less pernicious than more objective offenses. In our case histories may be seen some
indications of this.
PROGNOSIS. TREATMENT
In discussing prognosis and treatment we can eliminate at once consideration of pathological lying by the
insane. The outcome there depends upon what can be done for the underlying psychosis. We have avoided
intimate discussion of these cases, but many suggestions of the unalterableness of the fullfledged tendencies
among the insane are found in the European literature cited by us. Even discussion of the outcome of the
borderline cases, such as we have given examples of, needs but short shrift. Everyone knows the extreme
difficulties of dealing with constitutional inferiors; marked cases are socially fit only for proper colonization.
The epileptic, in default of cure of his disease, is ever going to be prone to many peculiar mental states which
may involve pathological lying. The slight mental confusion of chorea, which may lead to false accusation, as
we have seen in Case 23, is one of the most curable of all abnormal mental states. With proper attention to
diagnosis and treatment, favorable outcome of cases of hysteria, such as that in Case 24, is frequently seen.
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Another type which cannot be handled except by permanent segregation is the thoroughly aberrational and
socially dangerous class represented by Case 25, however one designates the type. Much more, undoubtedly,
can be done for such a borderline individual as Case 12, if there is sufficient cooperation among educational
and reformatory institutions and the courts. It has seemed to us that the chief cause of failure in this
interesting case has been the fact that this young man could go on ever entering new social situations and
finding new worlds for exploitation because no one had the means at hand for securing facts concerning his
past or for ascertaining what any good diagnostician could easily perceive to be his limitations and
tendencies.
Very much more to the point is consideration of the actual and possible outcome in cases of pathological
lying by normal individuals. Here, as in other matters where bodily, mental, and social issues are blended, no
prognosis or outlook can be rationally offered without consideration of possible changes in the circumstances
peculiar to the given case. First and foremost stands out the fact that cure of the tendency sometimes happens
even after long giving way to it. In this statement we are not contradictory to some previous writers.
As Stemmermann says, out of the general literature there is not much from which one can deduce any
principles of prognosis. But, again, we would insist that one of the great weaknesses has been that earlier
studies have not carefully distinguished between the mentally normal and the abnormal cases of pseudologia
phantastica. When, for instance, Forel speaks of pathological liars as being constitutionally abnormal
individuals who are not curable, he fails to differentiate where profitable differentiation can be made. If our
own work is of any practical value it is in offering safer grounds for prognosis and treatment. Stemmermann
summarizes well her followup work done upon cases seen years previously by other observers. Some of
these are still in institutions. After a period of well doing several of these have become backsliders and
reverted again to lying and swindling. Very few appear to have been cured, but yet some of the facts of
betterment are most convincing. This author states that, at the most, one dares to ponder over the point as to
whether there are not cases which recover, particularly when the pathological lying is a phenomenon of
adolescence.
Our own material is, in part, too recently studied to form anything like a generalization concerning prognosis.
Many years have to elapse before one can be sure there is not going to be a recurrence. But one is not
altogether certain that prognostic generalizations are of practical worth for this group of mentally normal
pathological liars. So many incidental factors of physical, mental, and social life, with all of the complicated
background of the same, come in to make the total result, that experiment and trial with the individual case,
while hesitating to give an exact prognosis, is perhaps the only sane procedure. What we do know definitely
is the immensely favorable outcome in Cases 1, 4, 7, 19, and the promising betterment in several other
instancesall in direct contradiction to what we had expected from survey of previous literature. In several
of these cases the years have gone by with nothing but steady improvement. The difficulty in getting
adequate treatment, either in home life or by the necessary individual attention elsewhere, makes it
impossible to say that many of the others also could not have been favorably influenced. Frequently a total
alteration of environmental conditions is necessary, and this, of course, is often very difficult to obtain. Also
it is extremely rare that one can get the whole matter, and its sure social consequences, fairly and squarely
met by anybody with influence over the individual. Until this can be done, little in the way of good results
may ever be expected. The splendid attack made by relatives or others upon the situation in Cases 1, 4, 7,
possibly 14, and 19 tells the story of the prime necessity for adequate handling of pathological lying.
Specific treatment of physical conditions should always be undertaken when necessary. It should go without
saying that any individual who is open to the temptations of inner stress should be strengthened at all points
possible and relieved from all sources of irritation. But, lest anyone should become too much persuaded of
the efficacy of surgical or other treatment, it should be remembered that the psychical reactions, even where
there is physical irritation, involve the definite wearing of neural paths, with habit formations, which bodily
treatment can only slightly alter. An enticing problem to the gynecologist is always the relationship of pelvic,
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particularly sexual irritations, to conduct. We cannot confirm the idea of a prime causal connection in this
particular, although we have evidence that betterment of the physical ailment may lead to less inclination
towards the unfortunate behavior. In Case 1 the lying came long before pelvic disease was acquired, but very
likely the irritation of the latter led to an accentuation of the psychical phenomena. In Case 6 the typical
conduct was persisted in after remedy of the pelvic disorder; so also in Case 3 after relief of abdominal
conditions, and in Case 21 after cessation of pregnancy. Other points bearing upon this may be read in our
case histories. On the general problem of the possibility of physical treatment it will be noted that a
considerable share of all our cases were in good general condition.
In discussing treatment great emphasis should be placed upon the primary necessity for directly meeting the
pathological liar upon the level of the moral failures and making it plain that these are known and understood.
It is very certain that frequently this type of prevaricator has very little conception of the social antagonism
which his habit arouses. There is faulty apperception of how others feel towards the lying, and to what depths
the practice of this habit leads. Appreciation of these facts may be the first step towards betterment. In several
of the improved cases we have mentioned that it was largely the acquirement of social foresight which made
the first step in a moral advance which finally won the day. In this whole matter the first ethical instruction
may well be based upon the idea of selfpreservationafter all the backbone of much of our morals. When it
comes to specific details of treatment these must be educational, alterative, and constructive. In Cases 1 and 3
under treatment we know that when the lying was discovered or suspected the individual was at once checked
up and made to go over the ground and state the real facts. The pathological liar ordinarily reacts to the
accusation of lying by prevaricating again in selfdefense, but when with the therapeutist there has been the
understanding that the tendency to lying is a habit which it is necessary to break, the barricade of self
defense may not be thrown up. An alterative measure of great value, then, is directly to meet the specific lie
on the spot, as it were, when it is told.
Next, accuracy of report may well be practiced as a special discipline. In these normal cases we have seen
that there could be little doubt about the individual having selfcontrol enough to stick to the truth, if the will
was properly directed. Indeed, many of our cases were exceptionally bright individuals with many good
powers of observation and memory. Had one the opportunity, there can be little doubt but that training in the
power to do well on such a test as that afforded by the ``Aussage'' picture would have yielded good results.
Indeed, there is some suggestion of this in our table of findings on this test, where we note that pathological
liars, when left merely to themselves and their first often comparatively meagre report on the picture, give
few incorrect details. The difference in their report as compared with other observers of the picture was found
when they answered questions. Since this is the case, there can be little question that training in the power to
respond accurately might be gained.
It may be of value in considering therapeutics of pathological lying to enumerate the general run of treatment
which was carried out in those instances where we know that betterment took place. Nearly always only a
part of what we advised could be carried out, but, even so, a brief statement of the conditions under which
betterment was accomplished seems worth much.
Case 1 was treated first in an institution for delinquents where every effort was made to cure her disease and
where she was taught to employ herself in constructive work. It was found she had ability to design, and this
was used to the utmost. Then her lying tendencies were checked by social disapprobation as much as
possible. A special effort was made toward this. The girl was undoubtedly made more seriousminded by the
aftereffects of her experience and perhaps by her disease. She was later successfully handled at home by her
sensible mother. Leaving the years of adolescent instability behind her was also undoubtedly a factor in
betterment.
Case 4 was taken in hand by a sterling character who restrained very carefully the tendency to lying, and by
firm methods showed her the social advantages of selfcontrol in this respect. At the same time she was
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given a vastly better environment, particularly in the matter of her friends. However, there is little doubt that
nothing would have been accomplished in this case without first a deep understanding of the girl's troubles
and of her mental conflicts.
Case 7 was treated for her sex difficulties under the constant care of a vigorous mother, who first, naturally,
had to gain an understanding of the case. With her bettered physical and mental conditions, the girl was able
steadily to hold a position for which earlier she had no capacity.
Betterment in Case 14 came about mainly as the result of an understanding of the child's mental conflicts and
somewhat through partially bettered environmental conditions. We learned lately that the severe visual defect
had been neglected.
In Case 15 the false accusations were made upon the basis of mental conflict. Investigation of the case,
followed by the personal services of a probation officer and by the legal proceedings, served to clear up
conditions, including those of the family in general, so that the girl was given a greater chance for success.
Case 19 seems to have been largely cured through the girl herself being able to work out her mental conflicts.
Adolescence was a factor and she was tided over this period in a good environment and with friends who
understood her type of case and who were willing to put up with her aberrancies for this time. Although we
would not minimize the efforts of stalwart friends, we may say that there were more evidences of cure by
selfhelp in this case than in any other we have seen.
Lest we should seem to be placing too much emphasis upon adolescence, with the idea that the mere passing
of that period will lead to change in behavior, we cite Cases 3, 5, and 6, where the addition of years has
brought no betterment. In neither of these was the essential nature of the difficulty explored during earlier
troublous periods.
An interesting consideration for treatment is embodied in the rational idea of utilizing the special powers, so
that there may be ample gratification in selfexpression, and in use of the imagination. Through this new
satisfaction there may be a mental swerving from the previous paths strewn with pitfalls. The inclination to
verbal composition, already spoken of as existing in so many cases, may be utilized, and imagination be
given full sway in harmless directions. It seems likely that just this deliberate practice may serve to more
clearly demarcate truth from falsehood in the individual's mind. Unfortunately we have had too little actual
proof of the value of this method, some cases being worked on now are too recent for report, but there is
plenty of indication of the possibilities. Had we been able to control environment better, much more of this
type of work would have been carried out.
A favorable outcome through this constructive treatment based upon utilizing the characteristic linguistic
powers of the pathological liar, is witnessed to by Stemmermann in her story of Delbruck's G. N. In the
history of this case a delightful note of comedy is struck. G. N. was found to be a man of considerable literary
ability. He had been observed over the period of 13 years. After he was first studied he twice managed to go 3
years without succumbing to his falsifying tendencies, and then found his chance for leading a blameless life
by becoming a newspaper man. In fact, he reached an honored place as an editor. Stemmermann suggests,
naively, that perhaps this calling is especially calculated to give the talents correlated with pseudologia
phantastica space for free play, so that the individual's special abilities may not come in conflict with the law,
or with social customs, and, on the other hand, may be utilized in fruitful pursuits.
All together, one would certainly advise every effort being made towards specifically stabilizing the
pathological liar in the matter of truthtellingby checking the springs of misconduct, and by diverting
energies and talents into their most suitable channels. The problem must ever be one for individual therapy.
Failures of treatment there may be, but from our study we are much inclined to believe that wellcalculated,
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constructive efforts will achieve goodly success among those who are mentally normal.
INDEXES
INDEX OF AUTHORS
Belletrud
Bresler, Johannes
Crothers, T. D.
Delbruck, A.
Duprat, G.L.
Ferriani, Ifino
Forel
Gross, Hans
Hall, G. Stanley
Healy, William
Healy, William, and Fernald, Grace M.
Henneberg
Hinrichsen
Jorger
Keller
Koelle, Th.
Koppen
Longard
Mercier
Meunier
Risch, Bernard
Rouma
Spaulding, Edith R., and Healy, Willlam Stemmermann, Anna
Vogt
Wendt
Wulffen, E.
INDEX OF TOPICS
Aberrational cases not definitively insane Accessory to murder, false selfaccusation of Accusations,
pathological, Bresler's classification of Adolescence
Adolf von X., case of
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Age of onset of pathological lying
Amanda R.
Annie F.
Apperception, lack of, in certain cases Attitude, strong, of pathological liars, see POISE ``Aussage,''
psychology of
``Aussage'' Test, see TESTIMONY TEST
Bessie M.
Betterment, conditions of in special cases Betterment, possibilities of
Beula D
Birdie M.
Chorea, psychosis of
Choreic psychosis
Constitutional excitement
Constitutional inferior, The
Constitutional inferiority
Day dreaming in special cases
Delinquency, lying considered relatively a minor Delinquency, relation of, to lying
"Der grune Heinrich''
Developmental conditions
Diagnosis of pathological lying
Drug habitues, lying of
Edna F.
Egocentrism in certain cases
Emma X.
Emotions, abnormality of, in certain cases Environmental causes
Epilepsy, case of
Epileptic mental states
Episodic pathological lying
False accusations of illtreatment; of incest; of murder; of poisoning attempt; of sex assault; of sex immorality;
of sex perversions; of thieving
False selfaccusations of accessory to murder; of sex immorality Feeblemindedness, relation of, to
pathological lying
Georgia B.
Gertrude
Habit, formation of lying
Habits in our eases
Hazel M.
Headaches
Headaches of pathological liars, Stemmermann on Heredity
Hypomania, case of
Hysteria, case of
Illtreatment, false accusations of
Incest, false accusation of
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Inez B., case of
Insane, fabrications of
Insanity and criminalism, relation of
Itinerancy, correlated with pathological lying
Janet B.
John B.
John F.
John S.
Language ability, cases of special
Language aptitude related to lying
Libby S.
Lies mixed with delusions
Literary composition in certain cases, see Language ability Lying, relation of, to delinquency
Marie M.
Memory, special features of, in certain cases Mental abnormality not typically insane, case of Mental conflicts
Mental conflicts and repressions,case material bearing on Mental discipline in treatment
Mental experiences, early
Mental findings
Murder, false accusation of
Mythomania
Nellie M.
Pathological accusations, Bresler's classification of Pathological accusation, definition of
Pathological liars, analysis of qualities of, by Risch Pathological lying a symptom of various disorders,
Wendt on Pathological lying, characteristics of, Delbruck on, Koppen on, Stemmermann on, Vogt on, Wendt
on,
Pathological lying, definition of
Pathological swindling
Pelvic irritations, related to pathological lying Periodicity
Physical conditions, treatment of
Physical findings
Physiologic stress, periods of
Poetic creation, relation of pathological lying to Poise, remarkable in cases of pathological lying Poisoning
attempt, false accusation of
Pregnancy, case of, false accusations beginning during Prognosis, favorable in some cases
Prognosis of pathological lying
Prognosis, Stemmermann on
Prognosis varies with age
Pseudologia phantastica
Psychic contagion
Psychopathic individuals
Purpose of pathological liars, Koppen on
Report, psychology of,
Robert R., case of
Running away from home
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Selfmutilation, details of, in one case Sex assault, false accusations of
Sex habits in special cases, bad
Sex immorality, false accusations of
Sex immorality, false selfaccusation of Sex life related to pathological lying, physical side of Sex of
pathological liars
Sex perversions, false accusations of
Simulation of ailments in special cases Simulation vs. hysteria in one case
Social correlations
Specialized abilities
Statistics on lying among delinquents
Subnormal verbalist, case of
Swindling arising from pathological lying Swindling in Europe, cases of,
Swindling, relation of, to pathological lying
Testimony, Psychology of
Testimony Test
Testimony Test, results on in individual cases Testimony Test, summary of results of
Thieving, etc., false accusation of
Treatment, direct, of the lying itself Treatment given in special cases
Truancy
Verbal fluency related to pathological lying Verbalists, mentally defective
Williams, S.
Wish, the morbid and fantastic, Wendt on
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Bookmarks
1. Table of Contents, page = 3
2. Pathological Lying, Accusation, And Swindling -- A Study In Forensic Psychology, page = 4
3. William Healy, A.B., M.D., and Mary Tenney Healy, B.L., page = 4