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In fact, the trauma he suffered was so profound that he has been diagnosed with a severe case of Ganser syndrome, also known as prison psychosis.

In contemporary terms, Moriarty seems even closer to a prison psychosis that is a variety of the Ganser Syndrome.*

Reich supposes that this acute prison psychosis may be included in that large group of abnormal psychic processes, developing from affect and affect-like situations.

This is a fair example of what has been termed an acute prison psychosis, and occurs with considerable frequency among prisoners awaiting trial.

The clinical pictures presented by the acute prison psychosis are especially apt to awaken  suspicions of malingering in the minds of the untrained.