ABSTRACT
For convenience we may divide the numerous kinds of speech defects into two general classes: the functional, and the organic. The latter consists of two kinds, not in reality distinct, the paralytic and the aphasic. Many of the disturbances of speech are not exclusively of one class but frequently are combinations of the two. In some instances there is difficulty in determining how much of each of the two elements is present. In many cases there are combinations, difficult to differentiate, in which apoplexy brings about a condition of aphasia plus a paralysis of the facial muscles. There may be added to this a functional disturbance not due to the brain disturbance. The method of dealing with these cases must necessarily differ in accordance with the character of the defects.
