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The analysis of a case of severe strephosymbolia is described. Rosen's (1955) finding of a lack of synthesis between the ordinal (phonetic) aspects of words and the visual aspects and the origin of this lack in primal scene fantasies and the pattern of object relationships is confirmed as well as his finding that precocity of the "reading readiness stage" of ego apparatus development is important etiologically. The importance of pregenital factors in the formation of early language, and the decisive role of pregenital conflicts in the predisposition to the operation of oedipal factors are described.
The opinion is expressed that regression rather than an initial failure to synthesize the ordinal (phonetic) and the visual aspects of words is