I don't think out loud, but my thoughts are words. I think in complete sentences, sometime even paragraphs... That isn't to say that I visualize letters and words, but I just pace things in my head that way. No visualization, just words. More than once this has made me think about the ways that language limits our thoughts... But then, not everyone thinks in language.
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Cogito ergo spud -- I think, therefore I yam
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