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Pathology of Lying, accusation, and swindling: a study in forensic psychology by William Healy;Mary Tenney Healy
page 26 of 328 (07%)
therefore wove a mass of phantasies. II. A young man charged
with grave falsifications. He had come from an epileptic family
and himself had slight attacks in childhood. He bore various
pathological stigmata. Koppen considered that the patient
believed his own stories about his rather superior education and
that in general his lies became delusions which influenced his
actions. He diagnosed the case as psychotic; insane in a legal
sense. III. A young man undoubtedly insane brought forward his
pathological lies with such force that Koppen was persuaded that
the patient believed in them.

Bernard Risch[10] has seen many cases of delinquents with more or
less marked psychopathic signs in which pathological lying was
the focal point. He reports five cases at great length, in all
of whom the inclination to fabricate stories, ``der Hang zum
fabulieren,'' is irresistible and apparently not to be repressed
by efforts of the will. Risch's main points, built up from study
of his cases, are worthy of close consideration: 1. Mental
processes similar to those forming the basis of the impulse to
literary creation in normal people lie at the foundation of the
morbid romances and fancies of those afflicted with pseudologia
phantastica. The coercive impulse for self-expression, with an
accompanying feeling of desire and dissatisfaction, plays a
similar part in both. That the making up of tales is an end in
itself for the abnormal swindler, just as it is for the normal
author, seems clear to Risch. 2. The morbid impulse which forces
``zum fabulieren'' is bound up with the desire to play the role
of the person depicted. Fiction and real life are not separated
as in the mind of the normal author. 3. The bent of thought is
egocentric, the morbid liar and swindler can think of nothing but
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