CHAP. XXIX.] SPEECH AND THOUGHT. 659 



as ' paralytic ' defects in the power of mental expression 

 by Writing. Even with this extension, however, the cases 

 on record that can be included under this head are com- 

 paratively few. The first to be quoted is one of the ' inco- 

 ordinate ' type. It is one of the many cases illustrative 

 of Speech -defects for which we are indebted to Dr. 

 Hughlings Jackson.* 



An elderly, healthy-looking woman suddenly became ill five 

 weeks before admission. She lost the entire power of speech for a 

 week, and was also paralysed on the right side. When seen there 

 was no apparent hemiplegia, but she complained of weakness in 

 the right side. She could then talk, but made mistakes. For 

 instance, when I was trying her sense of smell, which was very 

 defective since the paralysis, she said in answer to a question, " I 

 can't say it so much," meaning she could not smell so well. She 

 frequently made mistakes in speaking, and called her children by 

 wrong names. This was never very evident when she came to the 

 hospital, and might easily have been overlooked, but her friends 

 complained much of it. She seemed to be very intelligent. Her 

 power of expression by writing, however, was very bad, although 

 her penmanship was pretty good, considering that she wrote with 

 the weakened right hand. She wrote the following at the hospital. 

 I first asked her to write her name I do not like, for obvious 

 reasons, to give her real name for comparison: it had not, 

 however, the slightest resemblance to the following, in sound 01 

 spelling, 



" SUNNIL SlCLAA SATRENI." 



When I asked her to write her address, she wrote, 



" SUNESB, NUT TS MEB, TINN LAIN/ 



Thinking she might have been nervous when she wrote at the 

 hospital, Dr. Jackson asked her to bring something that she had 

 written at home. She did so, but the specimen (a fac-simile of 

 which he gives i was not in the least better than what she had 

 previously written. It is a perfectly meaningless assemblage of 

 letters, notable only for the frequent repetition of small groups of 

 them, in a fashion which we shall also find repeated in the next 

 case. 



* Lond. Hosp. Reports, vol. i. p. 432. 



U U 2 



