fertile field for seeds of malingering.

E. D. C., a white male, aged thirty-four, came to us on April 16,
1914, from the penitentiary at Stillwater, Minn., where he was serving
a sentence of ten years for white slavery. He was admitted on a
medical certificate which stated that his father was supposed to have
died from pulmonary tuberculosis. The patient gave a history of
epilepsy until fourteen years of age, likewise of having been a
patient in a Vienna hospital for the insane for one and a half years,
in 1900 and 1901. So far as was known to the prison authorities, he
was mentally depressed and had delusions since his arrival at the
Minnesota State Prison on October 11, 1913. The present symptoms were
described as mental depression; says that everybody is persecuting
him; also has the delusions that he has or can invent a wonderful
electric machine which he wants to sell to the government for a
hundred million dollars; said he would shoot himself and die in
prison. Physical condition was not good. Patient suffered from
obstinate constipation, peculiar shuffling gait, suggesting partial
loss of control of legs and feet. Complained of constant headache on
the top of his head. No fever.

On admission to this hospital the patient was in poor physical health
and very anaemic. He was quite slender in stature and somewhat
effeminate in manners and speech. He walked with a very marked limp of
the right leg, stating that he had been afflicted in this manner ever
since his first attack of mental trouble at the age of nineteen.
Patellar reflexes were markedly exaggerated on both sides, the left
more so than the right, and ankle clonus was present on the left side.
Babinski phenomenon was absent. While the reflexes were being tested
he volunteered the information that his left patellar reflex was very
much stronger than the right. He was a very glib talker and spoke
fluently in five foreign languages. He gave his name as E. J. B.,
Count de C., the son of the chamberlain to the Austrian Emperor and of
a famous Austrian countess. In the official papers which accompanied
him to the hospital the above name was followed by several aliases. He
talked in an affected, whining manner, constantly complained of
various bodily ailments, and showed a marked tendency to
hypochondriasis. He spoke of himself as a poor, down-trodden, and
persecuted unfortunate who is being