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‘On affections of speech from disease of the brain’. By J. Hughlings Jackson, MD, FRCP, FRS, Physician to the London Hospital, and to the Hospital for the Epileptic and Paralysed. Brain 1878: 1; 304–30 and "Aphasia" in a partial deaf-mute’. By Macdonald Critchley. Brain 1938: 61; 163–9.
In the first volume of Brain, John Hughlings Jackson wrote ‘no doubt, by disease of some part of the brain, the deaf-mute might lose his natural system of signs which are of some speech value to him’. Sixty years later, Macdonald Critchley suggests that W.H.H., who first attended his outpatient clinic in 1930, provides that evidence. Dr Critchley begins with a scholarly analysis of ‘symbolic formulation and expression’, of which spoken words are only one mode, and ‘articulate speech ... not essential for making known one's ideas and feelings’. Following Jackson, he points out that the
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