This paper reports a longitudinal study of a patient (B.C.R.) who was
initially diagnosed as 'pure word deaf' (word sound deaf). Her perform
ance, and change over time, on tests of speech perception and environm
ental sound discrimination are reported. The study demonstrates that r
ecovery of word sound deafness can occur despite the presence of bilat
eral lesions. B.C.R. performed abnormally in both auditory and visual
time estimation tasks. We tentatively suggest that the slow operation
of an 'internal clock' that regulates perception across modalities und
erlies her difficulties. This clock may also regulate the timing of mo
tor production (Ivry and Keele 1989) and thus account for the associat
ion between word sound deafness and phonological errors in speech prod
uction in all reported cases.