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October 23, 1909, Vol LIII, No. 17 >
ARTICLE | October 23, 1909

SIMULATED INSANITY

CHARLES K. MILLS, M.D.
JAMA. 1909;LIII(17):1373-1381. doi:10.1001/jama.1909.92550170001001h.
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INTRODUCTION  One simulates insanity who, being sane, by his action and speech or by his suppression of both speech and action, tries to prove that he is of unsound mind. One who is insane may also feign the symptoms of a type of insanity from which he does not suffer. For one simply to assert that he is insane, which is occasionally done, does not constitute simulation of insanity. Such assertion must be accompanied by some evidences of the playing of the part in order to constitute feigning. One dissimulates insanity who endeavors to conceal the fact that he is insane. This pretense of sanity by the insane is a far more common procedure than the feigning of insanity by the sane.Well-known historical instances of the feigning of insanity are to be found in the classical works on mental and forensic medicine—the feigning

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