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. We well remem ber a patient, a brilliant conversationalist and letter writer, but an absolutely frank case of paranoia, whom we had not seen for a period during which she had concocted a new set of notions involving even her own claim to royal blood, confronting us with a merry, significant smile and the remark, You don't believe my new stories, do you?