Pathological lying

“ 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. ”

“ We are hardly called on in this work to discuss the lying of drug habitues, although they so frequently in their mental conditions represent border-line 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. ”

“ 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. ”

“ 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. ”

“ 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. ”

“ 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. ”

“ 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. ”

“ 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. ”

“ It is very easy to see that the tendency to pathological lying begins in the early formative years. Common-sense 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. ”

“ 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. ”

“ In the last analysis malingering is to be looked upon as a special form of lying, and its proper understanding will necessitate a clear insight into lying in general.
Lying, a very natural and generally prevalent phenomenon, may manifest itself in all gradations—from the occasional, quite innocent “white lie” as it occurs in a perfectly normal individual to the pathological lying exhibited in that mental state known as “pseudologia phantastica.” ”

“ A degenerative alteration furnishes the basis from which a wish or wish-complex arises, increasing in force until it becomes autosuggestion, hence it is pathological. Then follow the practical consequences, and we have developed, on the one side, pathological lying, and, on the other, swindling, i.e., criminality. Purely symptomatically pseudologia phantastica is characterized by the groundlessness of the fabrications, the heightened suggestibility of the patient, and in its wake arises double consciousness and inadequate powers of reproduction of reality. ”

“ 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. ”

“ 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. ”

“ 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. ”

“ CHAPTER V CASES OF PATHOLOGICAL LYING IN BORDER-LINE 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. ”

“ 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. ”

“ 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. ”

“ 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 ”

“ 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. ”

“ 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. ”

“ 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 behavior-tendencies of this individual closely follow the lines of least resistance, the paths of greatest success. ”

“ 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 young fellow whom we found to be a most persistent and consistent liar was discovered to have been already well schooled in the art of professional criminalistic self-protection. So it has gone. Investigation of each of these episodic cases has shown the fabrications to emanate either from a distinctly abnormal personality or to partake of a character which rules them out of the realm of pathological lying. In our cases of temporary adolescent psychoses lying was rarely found a puzzling feature ”

“ The 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. ”

“ 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 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. ”

“ 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. ”

“ 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 self-defense, 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. ”

“ There is, of course, no question here about the genuineness of his lying as a symptom of mental aberration; i.e., the fabrication as manifested by this individual is something over which he has no more control than the dementia præcox patient has over his delusions. In both instances the symptoms are spontaneous and genuine expressions of a pathological mentality. ”