In my Emacs A11y Tip #1 I've already touched the topic of this #2 from #EmacsA11yTips slightly. I did not explore all the details at the time so I feel I should try to correct this now.
When installing Emacs there are various possible build configurations and some of them have been adopted as a defacto standards meaning analogous packages are available in the multiple linux distributions package repositories. These are emacs, emacs-nox and emacs-gtk2.

Guessing from the package names it's obvious -nox variant has all the graphical dependencies stripped out. That means we will only see text UI when running no matter if we are in a graphical X session or on a text only console. I was expecting full package would therefore be unnecessary for me because it brings in a few more dependencies and the window it presents is inaccessible to orca anyway. So given this reasoning I assumed it might have minimal impact and I won't need X support in my install of Emacs.

My complicated reasoning has proven not to be quite right and X support within emacs might really be usefull. I have found out a few differences between X and no X variants and some of them are serious enough for me to install X support.

• When X support is installed, emacs kill and copy commands insert the text into the clipboard so it's possible to copy and paste from emacs into other applications and the other way round.
• No X variant can be also running within a terminal emulator like gnome-terminal. It means you can use orca's flat review to examine its output.
• When X support is installed Emacs creates its own window seperated from a terminal if emacs is started from a terminal emulator. It is completelly inaccessible to orca and it consumes all the keyboard input so orca even can't receive the insert / capslock key presses. It is possible to decide during runtime when X aware version of emacs is installed if we want / don't want X support. Run
  emacs -nw
  to start emacs with no X support.
• Installation which also features X support can also be started in pure text only console. In such a case X support won't be used obviously. Emacs should otherwise be as functional as intended. I've found askubuntu answer supporting this argument. Some parts of Emacs appear to inherit native accessibility and I am not sure where this is coming from. For example pressing C-x C-f brings up find interface accessible with Speechd-el but pressing F10 shows up GTK2 based menu bar and activating Open... from the File menu pops up GTK2 native file chooser dialog.
• emacs-gtk2 has X support and as an addition it also features mixture of its natural UI with some GTK2 based widgets. I don't know if there is something usefull for us here.

Given the fact there is no complete full browser inside Emacs, copy and paste is really essential. Additionally it is possible to configure Emacs to open web links in 3rd party apps so depending if you are in X or not you can configure to open these in Firefox or elinks directly.

There might be other notable differences when running emacs within X session or pure text console for example gpg agent setup or integration with other 3rd party tools. If I find it to be significant enough I will post a new tip.
I don't consider emacs with gtk+2 support particularly appealing just yet because it does not appear to be practical switching between operating system native and emacs specific screen reading app.

Update: Originally I have assumed graphical ATK accessible menu is only within emacs-gtk2, however it's also present in the original emacs with no GTK support. It sounds a bit dissapointing that we have no speechd-el accessible menu in this mode. But using keyboard shortcuts and other things is worth the trade I think.

Update2: Run

emacs -nw

if you would like to decide at runtime whether you do want an X support or not.

Emacs is a powerfull software. There are a few access solutions that enable blind or visually disabled people to make some good use of it.
Unfortunatelly getting used to it requires a bit more than launching, testing and using it.

I don't think I can write better documentation than Emacs tour, Emacs documentation either available online or built into emacs it-self. However I'll try to post a few so called #EmacsA11yTips getting my-self and hopefully someone else ready to make the most of it.

Why emacs?

Because it's more than a text editor. It can run on almost anything, it's keyboard driven since its start, it's still being maintained, there is a huge community of emacs users.

What access solution?

I've chosen Speechd-el for now because it concentrates on what it has been designed for and is known for overriding as little emacs built-in stuff as possible. Hopefully I'll be able to borrow from other general and community provided tips later on as I discover them. Here's a discussion thread that inspired me. And the F123E initiative made me to start writing this series of posts.

Where and how to install it?

I've chosen Arch linux as my operating system of choice a few years ago because of its philosophy, its rolling release cycle so there is no need for a reinstall every so often and awesome but easily embraced packaging system that encourages creating own packages almost every time while installing something new avoiding dependency issues or other conflicts and any other kind of possible mess in general.

Installing is just a breeze. Emacs it-self can be installed from the Arch community repository by typing
sudo pacman -S emacs
Originally I've opted for nox package variant so I can run it on the text only console and I can be assured I won't turn into issues with graphics. I am now reconsidering that because it appears it would be nice to able to copy and paste between emacs and Firefox for example in the future.

Speechd-el has some hard dependencies. It's developed to speak by using speech-dispatcher. Except of speech-dispatcher, I need to install speech-dispatcher supported TTS engine. I'm using eSpeak with other screen reading apps so I'll just make sure both speech-dispatcher and eSpeak are installed at this point.
sudo pacman -S speech-dispatcher espeak
If you are already running orca on linux you should skip installation of these two as it's sure you do already have them working.
You can test if speech-dispatcher is working by typing in
spd-say hello

Speechd-el can be installed from the AUR.
cd /tmp
wget https://aur.archlinux.org/cgit/aur.git/snapshot/emacs-speechd-el-git.tar.gz
tar xvzf emacs-speechd-el-git.tar.gz
cd emacs-speechd-el-git
makepkg -s
sudo pacman -U emacs-speechd-el-git-*-any.pkg.tar.zst
All the above commands should be typed one at a time exactly as written except of the last one. In that last one you will have to find out the proper filename of the package you've just built.

How to activate it?

There is a file called .emacs you can put into your home directory to instruct emacs to do something while it's starting.
For now I won't be looking at if this is the proper emacs way of doing things because I am just at the beginning. My immediate goal is getting my current tools of choice working. So here are a few lines I have saved into my ~/.emacs file:
(setq speechd-out-active-drivers '(ssip ))
(autoload 'speechd-speak
"speechd-speak" nil t)
(speechd-speak)

What to do on the first run?

Now you can run
emacs
and it should start talking.

Emacs will display some introductory text in the default buffer. Buffer is kind of technical term however in the Emacs terminology it means a document open in the editor or otherwise generated content forming a document we can interact with.

To describe some commands we can use at this point we have to know that Emacs has implemented a lot of keyboard shortcuts and keyboard shortcuts configuration is layered. There are single key shortcuts multiple keys shortcuts or even shortcuts that consist of multiple keypresses one after the other.

When describing keyboard shortcuts a lot of keypresses are ordinary keys such as letters combined with either control / ctrl refferred to as C or meta / alt often reffered to as M . Other Emacs keynames include previous and next for page up / page down respectivelly, spc for space and esc for escape. Ofcourse there may be more.

Here are some command keys you can use to navigate over the text at this point:

• C-f - next character
• C-b - previous character
• M-f - next word or next item
• M-b - previous word or previous item
• C-p - previous line (in read only buffers it's often enough to press p alone)
• C-n - next line (in read only buffers it's often enough to press n alone)
• C-a - start of a line
• C-e C-e - end of a line - yes this is overridden from a standard emacs install by Speechd-el. Emacspeak does the same thing as far as I know.
• M-a - previous sentence
• M-e - next sentence
• M-less than symbol - begining of a buffer
• M-greater than symbol - end of a buffer
• F10 - menu bar
• M-` (meta and back tick) - another way of showing the menu bar
• C-H t - Emacs tutorial
• C-x k - kill / close a buffer
• C-e d l lang - change speech-dispatcher language within speechd-el. lang is abbreviation of your language code such as en, sk, cs, ru, de, fr, pt and similar.
• C-x C-c - exit emacs

Summary

If you haven't managed to get Emacs with Speechd-el running go through this post, try out the commands and follow the Emacs tutorial.

What if I am using Emacspeak?

Please see this excelent guide by Alex Midence as an addition to this.