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ny cases they sound like _eng_, _ang_ (angophrasia--Kussmaul). _Palimphrasia._--Insane persons often repeat single sounds, syllables, or sentences, over and over without meaning; e. g., "I am-am-am-am." "The phenomenon in many cases reminds us of children, who say or sing some word or phrase, a rhyme or little verse, so long continuously, like automata, that the by-standers can endure it no longer. It is often the ring of the words, often the sense, often both, by which the children are impressed. The child repeats them because they seem to him strange or very sonorous." (Kussmaul.) _Bradyphrasia._--The speech of people that are sad or sleepy, and of others whose mental processes are indolent, often drags along with tedious slowness; is also liable to be broken off abruptly. The speaker comes to a standstill. This is not to be confounded with bradyphasia or with bradyarthria or bradylalia (see above). In children likewise the forming of the sentence takes a long time on account of the as yet slow rise and combination of ideas, and a simple narrative is only slowly completed or not finished at all, because the intellectual processes in the brain are too fatiguing. _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
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