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The above introductory paragraph to Hector Gavin’s 1838 book On the Feigned and Factitious Diseases of Soldiers and Seamen, in which he described clinical features of factitious disorders and malingering, indicates the pervasiveness of simulated disease. Also noteworthy is that in the second century a.d., the Roman physician Galen devoted a chapter to simulated disease in one of his medical texts (Adams 1846).
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