Chap. XXIX.] SPEECH AND THOUGHT. 661 



of seeing him, about three years ago, he gave me very many sheets 

 of his peculiar writing at different times, and from what I have 

 in my possession I have cut out the sixteen specimens that have 

 been lithographed. These show, plainly, that he either wrote 

 with a peculiar and continual iteration of certain sets of letters, 

 the writing being partly intelligible, or else that it was a mere 

 succession of letters or strokes to which no meaning whatever 

 could be attached. 



One of the principal peculiarities about this case is, that whilst 

 the man writes in this fashion he speaks in the ordinary way. 



At my request Dr. Orange very kindly submitted the patient to a 

 careful re-examination, and the replies with which he has furnished 

 me seem to show that the man has now become more demented, 

 though his special defect is much less marked than it was. The 

 principal peculiarities observed were as follows : — 



1. He can speak fairly well for a short time, but his attention 

 wanders, and his voice then becomes drawling and monotonous, 

 when he often either mispronounces a word (generally by altering 

 its termination) or he substitutes another word or mere sound 

 having no meaning. 



2. He can read the newspaper either to himself or aloud — but 

 he does not seem to gather the full meaning without effort, and his 

 power of continuous effort is small. When he reads aloud he 

 stumbles over the difficult words, and he reads in a drawling tone, 

 but the words which he utters, if not actually those before his eyes, 

 are words of a somewhat similar sound, and do not appear to have 

 any obvious relation to the peculiar style of his writing. 



3. He spells a word, when asked to do so, in the way in which 

 he would write it, and then he pronounces it correctly immediately 

 afterwards. 



It is interesting to find that this man's mode of Beading 

 was in accordance with his mode of Speaking, rather than 

 with his peculiar style of Writing.* Upon this, in part, 

 we base our view as to the nature of his particular defect, 

 viz. : that it was due not so much to disordered action in 

 the Visual Word-Centre as to some defect in the emissive 



* Though the reverse obtained in the case of the government clerk 

 recorded by Dr. Jackson (p. 628). 

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