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Besides this, patients themselves differ so much in their dispositions, that some, especially the so-called hypochondriacs and other persons of great sensitiveness and impatient of suffering, portray their symptoms in too vivid colors and, in order to induce the physician to give them relief, describe their ailments in exaggerated expression.1

1 A pure fabrication of symptoms and sufferings will never be met with in hypochondriacs, even in the most impatient of them – a comparison of the sufferings they complain of at various times when the physician gives them nothing at all, or something quite unmedical, proves this plainly; – but we must deduct something from their exaggeration, at all events ascribe the strong character of their expressions to their expressions when talking of their ailments becomes of itself an important symptom in the list of features of which the portrait of the disease is composed. The case is different with insane persons and rascally feigners of disease.

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