The balance between introversion and extroversion in hypochondriacal temperament is geared more towards introversion. Those likely to develop taijin kyofusho have more of a temperamental characteristic of being hypochondriacal. It may have derived from Henry Shirley Bunbury, a hypochondriacal acquaintance of Wilde's youth. Symptoms of fear are also considered to occur, as well as despondency and hypochondriacal delusions. Sir Patient Fancy, a hypochondriacal old man, has married the young and beautiful Lucia. He became hypochondriacal, and died at Harrogate in 1802.