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Pathology of Lying, accusation, and swindling: a study in forensic psychology by William Healy;Mary Tenney Healy
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frequently by far over a period of years, or even a life time.
It represents a trait rather than an episode. Extensive, very
complicated fabrications may be evolved. This has led to the
synonyms:--mythomania; pseudologia phantastica.

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

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

The inclusion of swindling in our discussion is due to the
natural evolution of this type of conduct from pathological
lying. Swindling itself could hardly be called a pathological
phenomenon, since it is readily explicable by the fact that it is
entered into for reasons of tangible gain, but when it is the
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