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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¡¡make¡­up¡¡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¡¡noted¡¡such¡¡lying¡¡in¡¡people¡¡who¡¡could¡¡not¡¡be¡¡designated¡¡as¡¡being¡¡mentally¡¡abnormal£»¡¡but¡¡our¡¡material¡¡is¡¡peculiarly¡¡rich¡¡

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