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"We just don't know how conscious this is. And if you look at the psychiatric nomenclature, a lot of the diagnosis ... hinges on how purposeful it is and how aware a person is that he's doing it. And unless the person suddenly comes to you and confesses — and says, 'I've just been playing you like a song. I've been faking it all along' — unless they say that, you never really know how conscious it is," Brandt said.
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