It is hypothesized, on the basis of a lexical model of reading, that t
here are two different underlying causes of phonological alexia. It is
predicted that these two types of phonological alexia will be accompa
nied by different sets of symptoms. Published cases of phonological al
exia are examined for evidence in support of these predictions. Two di
stinct groups of phonological alexic patients are observed. These resu
lts support the notion of two types of phonological alexia. The failur
e to find any phonological alexic patients who do not fall into one of
these two categories provides evidence against non-lexical reading mo
dels.