634 THE CEREBRAL RELATIONS Of 



rational in her actions. She rose with au air of kindness 

 to receive a visitor, and pointing to an arm-chair, said, 

 " Cochon, animal, fichue bete ! " whilst her son-in-law, 

 v/ho was present, and knew what she really meant, said, 

 ' Madame vous invite a vous asseoir " the lady all the 

 time seeming quite unconscious of the insulting expres- 

 sions she had used. 



b. Incoordinate Amnesia. 



The cases detailed in the foregoing section are so dis- 

 tinctly illustrative of the ' incoordinate' defects of Verbal 

 Memory, that we are now naturally led on to a considera- 

 tion of the mode in which these defects are to be explained. 

 Such a wrong use of Words as was encountered in the 

 case recorded by Dr. Banks, is to be met with in very 

 various degrees, and constitutes, in fact, one of the most 

 common defects of Speech from cerebral disease, some- 

 times showing itself more especially in Articulate Speech, 

 sometimes more in Writing or, in other cases, the power 

 of Expression may be nearly equally bad in both. 



Patients are mostly aware when they make use of wrong 

 words in either of these modes of expressing themselves, 

 though this is by no means always the case. 



Luys* alludes to an instance where the person was continually 

 in the habit of using one word for another without being con- 

 scious of his mistakes. One day he pronounced the word 

 ' jardin,' wishing to say ' lit,' repeated it several times, and after- 

 wards fell into a violent passion because his orders were not com- 

 prehended. He was then made to write the word he wished to make 

 use of, and the sight of the proper written symbols soon convinced 

 him that the word which he had actually uttered was not the one 

 he had intended to utter. 



* " Syst. Nerveux," 1865, p. 395. 



