Paraphrasia.—Under the same circumstances as in the case of bradyphrasia the (slow) speech may be marred and may become unintelligible because the train of thought is confused—e. g., in persons "drunk" with sleep—so that words are uttered that do not correspond to the original ideas.

In the case of children who want to tell something, and who begin right, the story may be interrupted easily by a recollection, a fresh train of thought, and still they go on; e. g., they mix up two fairy tales, attaching to the beginning of one the end of another.

Skoliophrasia.—Distracted and timid feeble-minded persons easily make mistakes in speaking, because they can not direct their attention to what they are saying and to the way in which they are saying it, but they wander, allowing themselves to be turned aside from the thing to be said by all sorts of ideas and external impressions; and, moreover, they do not notice afterward that they have been making mistakes (cf. p. 53).

Children frequently put a wrong word in place of a right one well known to them, without noticing it. They allow themselves to be turned aside very easily from the main point by external impressions and all sorts of fancies, and often, in fact, say the opposite of what they mean without noticing it.

III. DYSMIMIA.

Disturbances of Gesture-Language (Pantomime).

Perceptive Asemia.—Patients have lost the ability to understand looks and gestures (Steinthal).

Children can not yet understand the looks and gestures of persons about them.

Amnesic Amimia.—Aphasic persons can sometimes imitate gestures, but can not execute them when bid, but only when the gestures are made for them to imitate. Children that do not yet speak can imitate gestures if these are made for them to see, but it is often a long time before they can make them at the word of command.

Ataxic Dysmimia and Amimia (Mimetic Asemia).—Patients can no longer execute significative looks and gestures, on account of defective co-ordination.