For children who depend on mentally escaping into their minds to survive, imagination can become both refuge and desert island.

However they coped, children are not wrong to have learned to do what they could.

Speechlessness, however, affirmed in the diagnosis, is carefully based on the facts of the examination, as we see by rendering the statements concerned, just as they stand in examination and diagnosis: "If thou examinest a man having a wound in the temple, ...; if thou ask of him concerning his malady and he speak not to thee; ...; thou shouldst say concerning him, 'One having a wound in his temple, ... (and) he is speechless'.

Without struggle there is no progress.