Aud. 7, 1885.] 



KNOWLEDGE ♦ 



siw tht, patunt some months if( i i | ] 

 Hosiys Hisfxce w^s mttUi i 1 I 

 benevolence Ht seemed by I i i ii 



by the oxpies&ion of his fin. j k isi. I t 

 could only utter in a falteimg voiet unmtel 

 m which Yes was frequently lepeated 

 tions he answered Yes even A\htn Ik si 

 in deniil * but he madean impnti iit tin 

 annoyed when it was wion 1\ j | li 1 1 

 pleised when it was piopnh I \' 



ivitlihiskft hand not hx\in 1 i 



ii^ht but ate with ] lopiict^ I \ 



taking pait m some of the i 

 when the lamb of the counti-^ | ' 



while ho shock his heul dis 1] I I I I 



said the kuU\ i 1 tt i fl \ i i 1 1 i 1 1 I i 

 to the stivuil ( I 1 1 il \v lull 



esteemed mu( ii li ( 1 il t n I nil 1 



prefeience t. tlie ctliu H 

 IS much skill 



All i oui 





with 



caid to 

 ml lithe u^h his son managed his 

 ilixiis msisttd on beuij, consulttd xbout his leases con 

 tiacts iLc mdicxting by gestuies when ceitiin paits cf 

 the deeds displeased him and not appeal m^ sxtisfied 

 until alterations were made which is a lule \\ ere useful 

 and reasonable His sight was good but he cculd 

 neithei read noi wiite, nor even put letters of the 

 alphabet together ; he listened, however, with pleasure 

 to reading aloud. He told his age, fifty-seven, in a 

 complicated way on his fingers. Once he dropped his 

 handkerchief, and when a lady picked it up, uttered the 

 word " i/(((/tt.s-.' " loudly and distinctly ; but, though en- 

 treated to say the word again, he could never succeed, 

 and could not even repeat the simplest sound which had 

 been uttered before him. I look upon the pronunciation 

 of the word thanhs ! in that case as a mere emotional 

 gesture; a cultivated gentleman like the patient, if in 

 possession of speech, would, in the above circumstances, 

 utter that word spontaneously and without thought ; 

 from much use it becomes wholly automatic, and is, I 



believe, produced by 

 courtesy, without that 

 higher centres of tin- 

 stimulus was a very si i 

 owing to the fact tha 

 handkerchief, and he W' 

 that she should have 

 Bazire, the translator :i 

 Lectuivs," fi-nn, «l,i.-l, 



her condition regiiv 

 that of M. X. win 

 understand, „l(luui-l 



ilight act of 

 h reaching the 

 'of M. X., the 



■^\'i\\ mentioned, 

 l.n rrstnrodhis 



* A similar case is mciitK. 11. il li\ Di llnsiian, wliosr paliunt was 

 utterly uuablo to speak, althoiiKli liia iuti'Uigenee was, to all appoar- 

 utice, unimpaired. His only word was " No," which he used in 

 auawer to all questions, even when he nodded his head in assent. 



[uently 



t on putting out 

 / » her to do the sc 



n imc xnd «hcn I mLutif ncd it she laUj,hLd and } uuitcd 

 to herself According to hei sister s statement she re 

 membeied localities xnd knew faces well Nine months 

 afterwards she was somewhat im]n-\ 1 till m^ 



Sapon sapon but could distmctl} I 



although not alwaj s using them cf 1 1 i I I 



count one two thite fom Hei sistei il 1I 1 



gieat excitement she sometimes exclainic I (Jli I ai 

 me ' a statement ^vhich agrees with the hypothesis that 

 emotional expiessions aic retained as being on a low ei 

 level and more anciently ingrained in the race when 

 words expressive of thought are wholly lost. She could 

 not yet write, though trying hard, nor even recognise the 

 letters of the al])habet. She had still great difficulty in 

 understanding what was said in words, though not at all 

 deaf, but immediately understood gestures. Her own 

 Ijantomimc was still lacking in clearness. She was fond of 

 looking at pictures, I have no clue to tlic origin nf the 

 word "Sapon," the only articulation used li\ i iil- i : i ' ii ; 

 but generally those words which, d : 

 familiarity have become, as it were, i i j ' i 



mind, are those which are retained. Tliii> ,1 n- 

 the commonest, although, as above shown, thej- ;ire n< 1 

 always used correctly. Next to this is the name of the 

 patient aud his address. 



Case 6.— Thus a patient of Dr. Bastian's, partially 

 paralysed on the right side after severe epileptiform 

 attacks, sixteen days after the seizure could say I't* 

 and No indistinetlv and not appropriatelv. Nineteen 

 days aflrr (lii.t >l,r I'uid added the wor.l " N:,,-., - • , l;. ,■ 





M., M. A.A ^. i ,-ive Signs 

 ■ n' [!,.• -^i'. , 1 -1;.' lived in 

 lUHiae.l at nnr.' ns I,, ;, ~Vr lu,ard th.' 

 r address, "i'itzroy-square.'' 

 nuel West, at a meeting of the 

 counted a case of aphasia, with .some 

 sensation in the right side. The 

 ,;■ «iil. tlir (il'S.Tvatioii made above. 

 Is in en,,ini.>n iisr. sarli as "Good 



» January 12, 1885. 



