Keep 'Gestalt' in the name of the test: the curious name permutations of the Bender-Gestalt Test

The Bender-Gestalt Test is often referred to in the literature by several different names, or just as the Bender Test, without the term Gestalt. As a consequence, the figures of the test are frequently called Bender figures or Bender designs, terms which are unjustified and misleading because the figures have been taken from Wertheimer's classical study of Gestalt laws. In this article, I trace the beginnings of the name of the test and its curious permutations, and I advocate the retention of the term Gestalt in the name of the test for logical and historical reasons.     

Visual motor ability in normal and disabled readers

A group of 42 third graders were grouped equally into sequentially deficient, simultaneously deficient, and normal readers based on their performance on Boder Reading and Spelling Pattern Test and Gates-Macginitie Reading Test. The subjects were then administered Bender Visual-motor Gestalt Test. There were significant differences among the three groups; the simultaneous-deficient group committed the most errors on the Bender test. The results were related to reading.     

Motor and perceptual determinants of performance on the Bender-Gestalt and the Beery Developmental Scale by retarded males.

The Bender Visual-motor Gestalt Test and Beery's Developmental Test of Visual-motor Integration were administered to 51 educable mentally retarded boys ranging in age from 72 to 161 mo. These scores were compared with scores boys received on three gross motor tasks by computing simple correlation coefficients and multiple regression coefficients with Bender and Beery's tests as dependent variables. The simple rs were similar but order of inclusion of independent variables in the regression analysis suggests differences.     

Bender Gestalt Test performance and the word recognition skills of disadvantaged children

The Bender Gestalt Test and the WRAT reading section were administered to 147 disadvantaged children. The zero-order correlation of ?.62 was found to be moderated by the variable of age. For younger subjects, highly significant first- and second-order partial correlations were obtained with age and/or WISC information scores held constant.     

BIP-Bender protocols of learning disabled and regular education students

20 learning disabled and 20 normal elementary school children took the Bender Visual-Motor Gestalt Test twice, once under standard conditions and again using Background Interference Procedure paper. Based on Koppitz's scoring system, the disabled pupils did equally poorly on both modes but performed significantly worse than the normal children when given the standard Bender first. No other differences were found. Other scoring methods are suggested for investigation.     

VISUO-PERCEPTIVE AND VISUO-MOTOR PERFORMANCE OF CHILDREN WITH READING DISABILITIES

N ielsen , H. H. & R inge , K. Visuo-perceptive and visuo-motor performance of children with reading disabilities. Scand. J. Psychol ., 1969, 10 , 225–231.—Twenty 9–10-year-old children with reading disability were compared with twenty normal readers on Frostig Test of Visual Perception, Bender Visual Motor Gestalt Test and Goodenough Draw-a-Person Test. Contrary to prediction, the results showed more similarity than difference in performance level between the two groups, only the Bender Test discriminating significantly ( p<0.05 ). It was concluded that impaired visual perception and visuo-motor dysfunction did not seem important correlates of reading disability.     

Low lead and cadmium levels and childhood visual-perception development

This study investigated possible relationships of lead and cadmium levels to childhood visual-perceptual development. Hair-metal concentrations of lead and cadmium were analyzed in 25 children who were having learning problems. They were also administered the Bender Visual-motor Gestalt Test. Lead and cadmium levels correlated significantly and negatively with age-deviations of Bender errors. A continuing reexamination of lead and cadmium levels is needed because levels previously thought harmless may be associated with decrements in childhood visual-perceptual development.     

Practice effects within a multiple-phase Bender administration.

Practice effects within a multiple-phase administration of the Bender Visual-motor Gestalt Test were investigated. The addition of a 5-sec. Flash phase prior to the standard presentation did not significantly influence performance on the standard presentation. Students who attempted both the Flash and standard administration prior to a recall phase remembered significantly more designs than students receiving only the standard administration prior to recall. Those skills possibly measured by the multiple phase Bender format are discussed and the need for research using the three-phase method is suggested.     

Torque as a Predictor of Reading Achievement

The present study assessed the utility of the Torque Test (Blau, 1977b) as a predictor of reading performance. Children (N = 149) were administered the Torque Test, the Harris Test of Lateral Dominance (Harris, 1958), the Wide Range Achievement Test, (Jastak & Jastak, 1965), and the Bender Gestalt Test (Koppitz, 1975). Torque scores of disabled and nondisabled readers did not differ significantly, and the correlation between torque and WRAT grade level scores was substantively low. It was concluded that torque is not a useful measure of reading ability.     

A Procedural Critique of “Bender Gestalts of Organic Children: Accuracy of Clinical Judgment”

It is suggested that conclusions from a study by Wagner and Murray be tempered with respect to several procedural flaws: (a) their failure to include an appropriate control group for comparison with brain-injured Ss; and (b) failure to adequately describe the organic group. The results, therefore, cannot be taken as evidence for or against the use of the Bender Gestalt Test in differential diagnosis of brain-impaired children.     

Concurrent validation of Hutt's Bender Gestalt screening method for schizophrenia, depression, and brain damage

The effectiveness of Hutt's Bender Gestalt scoring system in screening for schizophrenia, depression, and brain damage was investigated in a sample of mixed, psychiatric inpatients. Fifteen patients represented each diagnostic category. After an examination of each patient's Bender Gestalt protocol according to Hutt's criteria, it was found that the true positive and true negative success rates of the screening procedures for depression and brain damage were significantly higher than corresponding base rates. The Lacks Bender Gestalt screening method for brain damage was no more successful than the Hutt method in identifying true positives and true negatives. With the brain-damaged patients excluded, Hutt's screening procedures for both depression and schizophrenia resulted in significantly high rates of successful identification of true positives and true negatives. Moreover, these rates did not significantly differ from those determined by patients' Minnesota Multiphasic Personality Inventory (MMPI) T scores on corresponding scales.     

SOME PERSONALITY TESTS APPLIED ON IDENTICAL TWINS

(1) The study concerns Rorschach, Children Apperception Test, Bender Gestalt Test and Draw-a-Man. Data have been obtained on a number of personality variables from 12 pairs of identical twins at the ages of 9;6–10;6. (2) For the Ro 17 out of 21 and for the CAT 15 out of 23 intraclass coefficients are positive. The coefficients for the Gestalt test and Draw-a-Man are high and positive. It is argued that intraclass coefficients must be considered as underestimating both the true reliability of the ratings and the correlation between true scores for identical twins. (3) The intertest correlations give support to the construct validity of the ratings on the variables studied. Especially favourable are the intercorrelations for 'General adjustment'.     

Test-retest reliability of the Advanced Psychodiagnostic Interpretation (API) scoring system for the Bender Gestalt in chronic schizophrenics

This study assesses the test-retest reliability of the revised Advanced Psychodiagnostic Interpretation (API) scoring system for the Bender Gestalt Test (BGT). The API system identifies 207 possible distortions in a BGT protocol. Test-retest reliability for 40 schizophrenic patients tested twice with a mean interval of 6.4 years (SD=3.8 years) was good, ranging from .71 to .80. Further reliability and validity studies are needed to further demonstrate the effectiveness of the system.     

The relationship between psychological test results and EEG patterns in healthy children

222 children (112 girls and 110 boys) aged 5–16 years with different types of EEG pattern, selected according to well defined normal criteria in order to exclude cerebral lesion elements, were investigated by current child-psychiatric diagnostic methods, including the Wechsler Intelligence Scale for children (WISC), which gave a mean IQ of 116.5. With two so-called tests of organicity (Bender Gestalt Test and Benton's Revised Visual Retention Test) poor performances indicating brain damage were shown in 22% and 24% of the children respectively. Various EEG patterns showed few significant correlations with the test variables. According to clinical judgement "slight symptoms of cerebral dysfunction" was found in some children, but no correlation appeared between such symptoms and poor performance in the psychological tests. The high frequency of defective scores in the Bender and Benton tests in this selected material of healthy children means that these tests cannot be used in clinical work for diagnosing brain injury in individual children. Nor can they be used to throw light on the clinical significance of the different EEG variables studied.     

Concurrent Validation of Hutt's Bender Gestalt Screening Method for Schizophrenia,Depression, and Brain Damage

The effectiveness of Hutt's Bender Gestalt scoring system in screening for schizophrenia, depression, and brain damage was investigated in a sample of mixed, psychiatric inpatients. Fifteen patients represented each diagnostic category. After an examination of each patient's Bender Gestalt protocol according to Hutt's criteria, it was found that the true positive and true negative success rates of the screening procedures for depression and brain damage were significantly higher than corresponding base rates. The Lacks Bender Gestalt screening method for brain damage was no more successful than the Hurt method in identifying true positives and true negatives. With the brain-damaged patients excluded, Hutt's screening procedures for both depression and schizophrenia resulted in significantly high rates of successful identification of true positives and true negatives. Moreover, these rates did not significantly differ from those determined by patients' Minnesota Multiphasic Personality Inventory (MMPI) T scores on corresponding scales.     

Junior high norms for the Bender Gestalt

Several age gaps now exist within the normative data supporting the Bender Gestalt. One of these is for subjects within the junior high years. The present study was conducted to fill this gap and thus to supply junior high norms where none now exist. The normative group used in the study consisted of 135 junior high students, ages 12 through 14. Each was individually given the Bender Gestalt, and the resulting test protocols were then scored using the Pascal and Suttell scoring technique. Tables were then prepared to enable the clinician to transform the number of errors made on the Bender and/or the time required to complete the test into appropriate T scores. Subsequent statistical analysis of test results revealed that the subject's performance was not significantly related to sex, the occupation of the primary bread winner within the family, or the interaction between these two factors. As a result of this finding it would appear that these variables do not have to be controlled for in the norming of any future visual motor tests at the junior high level.     

The sensitivity of the Bender-Gestalt Test as a screening instrument for neuropsychological impairment in older adults

We investigated the sensitivity of the Bender (1938) Visual-Motor Gestalt Test (BGT) using the Halstead-Reitan Neuropsychological Battery (HRB) as the criterion for cortical dysfunction. We studied 95 subjects over age 55 who had been diagnosed as having dementia or pseudodementia. Subjects were classified as mild, moderately, or severely impaired on the HRB and as impaired or unimpaired on the BGT. The results indicated that the BGT is less sensitive (36%) than was expected when used on an impaired geriatric population. The data further indicated that false negatives occurred more frequently with the BGT when individuals had mild neuropsychological impairment. Less frequent misclassifications occurred as the severity of impairment on HRB indices increased.     

Projection,Play and Poetry

Ninety-two elderly Ss ranging in age from 57 to 92 were examined in an effort to find a battery of psychological tests which would effectively measure their level of intactness or deterioration of function. Five tests were used: the Rorschach, Gesell Incomplete Man Test, Bender Gestalt, Monroe's Visual Three, and the Color Tree Test. Ss were identified as normal adult, intact presenile, medium presenile and deteriorated on the basis of their Rorschach response. To check on the adequacy of this sorting, responses of each group were averaged for each of the other four tests. Differences between the several groups, on every test, were significant at the .001 level as measured by the median test.     

Visual‐motor and executive functions in children born preterm: The Bender Visual Motor Gestalt Test revisited

Böhm, B., Lundequist, A. & Smedler, A.‐C. (2010). Visual‐motor and executive functions in children born preterm: The Bender Visual Motor Gestalt Test revisited. Scandinavian Journal of Psychology, 51, 376–384. Visual‐motor development and executive functions were investigated with the Bender Test at age 5½ years in 175 children born preterm and 125 full‐term controls, within the longitudinal Stockholm Neonatal Project. Assessment also included WPPSI‐R and NEPSY neuropsychological battery for ages 4–7 ( Korkman, 1990 ). Bender protocols were scored according to Brannigan & Decker (2003) , Koppitz (1963) and a complementary neuropsychological scoring system (ABC), aimed at executive functions and developed for this study. Bender results by all three scoring systems were strongly related to overall cognitive level (Performance IQ), in both groups. The preterm group displayed inferior visual‐motor skills compared to controls also when controlling for IQ. The largest group differences were found on the ABC scoring, which shared unique variance with NEPSY tests of executive function. Multiple regression analyses showed that hyperactive behavior and inattention increased the risk for visual‐motor deficits in children born preterm, whereas no added risk was seen among hyperactive term children. Gender differences favoring girls were strongest within the preterm group, presumably reflecting the specific vulnerability of preterm boys. The results indicate that preterm children develop a different neurobehavioral organization from children born at term, and that the Bender test with a neuropsychological scoring is a useful tool in developmental screening around school start.     

Reliability and validity of scores on the Slosson Visual Perceptual Skill Screener

Psychometric characteristics of the Slosson Visual Perceptual Skill Screener were studied using three independent samples of 595 boys and 578 girls ages 5 to 10 years. Adequate characteristics for item selection were indicated by item difficulty (Mdn=.49) and item discrimination (Mdn=.59). Interitem consistency of .93 (n1 = 1,045) was recorded for the total scale, while 30-day test-retest reliability was .80 (n2=55). Convergent validity was estimated using the Bender Visual-Motor Gestalt test (Koppitz developmental scoring system; r = .43, n3=47), the Developmental Test of Visuo-motor Integration, Visual Perception subtest (r =.62, n3 =73), and the Test of Visual Perceptual Skills-Revised-Nonmotor Total Score (r = .63, n2 =59).