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sily confused. Place two of the objects before him, the car and the sheep, and speak the name of one of them, "car," we will say, loudly and distinctly close to his ear, but in such a way that he cannot see your mouth. Then show him the car. Repeat it with "sheep" and show him the sheep. Repeat "car," and take his little hand, put it on the car. Then "sheep," and make him put his hand on the sheep. Continue this process until he will indicate to you the object you name. When he makes only occasional mistakes with two objects, add the cap. When he can get the right one about 90 per cent. of the time, then take three new words, returning occasionally to the first three. Very soon his own name and those of others, with photographs to enable him to indicate which, will prove of interest to him. When he has successfully learned to distinguish a few single words, a beginning can be made on short sentences. Commands that he can execute are convenient. "Shut your eyes," "Open your mouth," "Clap your hands," can follow drill on the three words, "eyes," "mouth," "hands." "Open the window," "Shut the window," "Open the book," "Shut the book," "Open the door," etc. "Stand up," "Sit down." When this beginning has been made, the road is open to the gradual increase in a hearing vocabulary, but do not attempt so much at once as to confuse and discourage the child. The suggestions already made should be studiously followed throughout his whole childhood. If his hearing is not too seriously impaired, he will begin to attempt to imitate spoken sounds by the time he is twenty-four to thirty months old. But his ability to imitate sounds is not an accurate measure of his ability to hear. He may perceive the sounds much better than he is able to reproduce them. Distinct utterance comes slowly to the child with normal hearing, and still more slowly and imperfectly to the child whose hearing is not good. But the continued effort to make him hear _words and sentences_ is a very valuable exercise for him and should be faithfully continued till he is old enough to respond to the tests of hearing as outlined and it has been definitely proved that he cannot possibly tell whether ae, or (o with macron) or (e with macron) is said, no matter how loud or how near the ear the sound is uttered. The question will naturally arise as to whether the child's hearing of speech can be aided by an electric or mechanical device. When it is possible to make the
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