In my OEN article "Temple Grandin on Thinking with Words versus Thinking with Images" (dated January 10, 2023), I discussed her op-ed piece in the New York Times (dated January 9, 2023). In the present review essay, I discuss her new 2022 autobiographical book Visual Thinking: The Hidden Gifts of People Who Think in Pictures, Patterns, and Abstractions (Riverhead Books) in connection with Walter J. Ong's mature work.