Rorschach Developmental Quality and Intelligence Factors

Research has demonstrated a relationship between cognitive development and the location and complexity of Rorschach responses. This study examined the association between the Wechler Adult intelligence Scale-Revised (WAIS-R) and Exner's Developmental Quality (DQ). This study had two objectives: to examine the relationship between DQ and WAIS-R intelligence factors and IQs and to determine whether the DQv/ + score taps a synthesizing visual-perceptual operation. An overall goal was determining the extent to which DQ represents Friedman's operationalization of Werner's orthogenetic principle. Subjects were 125 nonclinical volunteers. Findings suggest that DQ taps a visual-perceptual problem-solving skill in which complex whole responses make the most significant contribution. There was no evidence that DQv/+ responses represent visual-perceptual synthesis. It was concluded that DQ not an operationalization of Werner's orthogenetic principle and that developmental quality, at least in the sense that Werner or Friedman might have intended it, may be a misnomer.     

Bender-Gestalt emotional indicators and acting-out behavior in young children.

This study was designed to investigate the relationship between 15 emotional indicators on the Bender-Gestalt Test and acting-out behavior in young children. The subjects were 93 children ranging in age from five to 12 years. Each was administered the Bender. A measure of each subject's overt acting-out behavior was then obtained by having teachers rate each student on a Behavioral Rating Scale. Subjects' records were then divided into groups on the basis of both sex and age. Results indicated that neither the total number of Bender indicators nor any of the individual Bender indicators were correlated significantly with total scores on the rating scale. Use of the Bender as a projective device to measure acting-out behavior was seriously questioned.     

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.     

Main and interaction effects of metallic toxins on classroom behavior

This study investigated the relationships of metal levels and metal combinations to children's classroom behavior. Hair-metal concentrations of lead, arsenic, mercury, cadmium, and aluminum were determined in 80 randomly selected elementary-age children, who were also rated by their classroom teacher on the Walker Problem Behavior Identification Checklist (WPBIC). Parents were interviewed to control for confounding variables that may have affected behavioral development. Regression analysis indicated that the set of metals was significantly related to increased scores on four of the five WPBIC subscales and on the total scale, with lead being a major contributor to four of the six dependent measures. Metal combinations were significantly related to increased scores on the WPBIC subscales measuring acting-out, disturbed peer relations, and immaturity, and on the total scale. A continuing reexamination of metal poisoning concentrations is needed because metal levels and metal combinations previously thought harmless may be associated with nonadaptive classroom behavior.     

Blood lead (Pb) levels: a potential environmental mechanism explaining the relation between socioeconomic status and cardiovascular reactivity in children.

OBJECTIVE: A number of studies have shown an association between socioeconomic status (SES) and cardiovascular reactivity to acute stress. In addition, the authors recently reported that higher early childhood blood lead (Pb) levels are associated with significantly greater total peripheral (vascular) resistance (TPR) responses to acute stress. It is not known whether the SES-TPR association is mediated by underlying differences in blood lead levels. DESIGN: Participants were 9.5-year-old children (N=122) with established early childhood blood lead levels. MAIN OUTCOME MEASURES: Family SES was measured using the Hollingshead Index, blood lead levels were abstracted from pediatrician and state records, and children's cardiovascular responses to acute stressors were measured in the laboratory with impedance cardiography and an automated blood pressure monitor. RESULTS: Lower family SES was shown to be associated with significantly higher blood lead levels as well as significantly heightened systolic blood pressure, diastolic blood pressure, and TPR responses to acute stress tasks. A mediational analysis confirmed that Pb was a significant mediator of the SES-TPR reactivity association; some evidence also suggested moderation. CONCLUSION: These results suggest the importance of considering the chemical environment as well as social and psychological environment when evaluating cardiovascular effects of low SES.     

Bender Gestalt test performance as a predictor of differential reading performance

Sixty Ss (two groups of second graders, with differential reading skills and average or above intelligence, matched with regard to CA, IQ, and sex) were compared on Bender test performance. No significant differences were found for rotations, integrations, perseverations, sex, or number of errors on Designs A through 8. Although significant differences were found between groups for both Bender composite scores (p = <.05) and distortion errors (p = <.01), there was no significant difference in the number of students in each group above and below the mean Bender score for that age group.

Poor Bender performance was found as often for good readers as for poor ones. This strongly suggests that Bender performance should be used with extreme caution in predicting or diagnosing poor reading performance.     

Brief report: Neurocognitive functioning in adolescents following childhood maltreatment and evidence for underlying planning & organizational deficits

Children and adolescents with a history of childhood maltreatment are at risk for a host of psychiatric conditions, although the underlying neurocognitive functioning of these individuals remains largely understudied. This study examined the neurocognitive functioning of childhood maltreatment victims in an adolescent psychiatric inpatient setting. The sample consisted of adolescent inpatients (ages 13–19) that completed intellectual testing as part of a neuropsychological/psychological assessment during hospitalization (n = 39). The sample was grouped based on childhood maltreatment history with one group categorized by maltreatment history (n = 15) and the other group characterized by no maltreatment history (n = 24). Analyses revealed statistically significant differences (p < .01) between maltreatment groups on the majority of assessed domains. When controlling for intelligence, only performance differences on the RCFT remained. RCFT differences remained after controlling for the influence of visual-motor and visual-perceptual/visual-spatial functioning, highlighting the influence of organizational and planning difficulties in those individuals with maltreatment history. Group differences in the frequency of impaired performance for neuropsychological tasks were largest (p < .001) for FSIQ and RCFT. Compromised neurocognitive functioning may negatively contribute to the clinical presentation of this population, highlighting the importance of the child neuropsychologist in the effective treatment of children and adolescents with a history of childhood maltreatment.     

Main and interaction effects of metallic toxins on aggressive classroom behavior

The present study investigated possible relationships of metal levels and metal combinations to children's aggressive classroom behavior. Hair-metal concentrations of lead, arsenic, mercury, cadmium, and aluminum were determined in 80 randomly selected elementary-age children. Each child was also rated by his classroom teacher on the acting-out subscale of the Walker Problem Behavior Identification Checklist. Parents of subjects were interviewed to control for confounding variables that may affect behavioral development. Regression data indicated that the set of metals was significantly related to increased scores on the acting-out subscale (P < 0.07) with lead being the major contributor (P < 0.05), and the metal combinations were also significantly related to increased acting-out scores (P < 0.01) with the interaction of lead-cadmium being the major contributor (P < 0.001). A continuing reexamination of metal-poisoning concentrations is needed, because metal levels and metal combinations previously thought harmless may be associated with aggressive classroom behavior.     

Cognitive Development of Lead Exposed Children from Ages 6 to 15 Years: An Application of Growth Curve Analysis

The effect of lead exposure on cognitive growth patterns was assessed in a longitudinal study of 196 children. Performances on tests of verbal comprehension and perceptual organization (Vocabulary & Block Design, Wechsler Intelligence Scales for Children) were measured at ages 6.5, 11 and 15 years. Growth curve analyses revealed that the quadratic model best described the relationship between test scores and age. Children with higher lead levels, as measured at age 15 years, demonstrated lower verbal comprehension scores over time and greater decline in their rate of Vocabulary development at age 15 years, as compared to children with lower lead levels. Lead exposure was not significantly associated with growth in perceptual organization test scores. Socioeconomic status and maternal intelligence were statistically significantly associated with growth patterns for both test scores, independent of the effects of lead. The findings suggest that lead negatively impacts the developmental progression of specific cognitive skills from childhood through adolescence.     

Cognitive development of lead exposed children from ages 6 to 15 years: an application of growth curve analysis.

The effect of lead exposure on cognitive growth patterns was assessed in a longitudinal study of 196 children. Performances on tests of verbal comprehension and perceptual organization (Vocabulary & Block Design, Wechsler Intelligence Scales for Children) were measured at ages 6.5, 11 and 15 years. Growth curve analyses revealed that the quadratic model best described the relationship between test scores and age. Children with higher lead levels, as measured at age 15 years, demonstrated lower verbal comprehension scores over time and greater decline in their rate of Vocabulary development at age 15 years, as compared to children with lower lead levels. Lead exposure was not significantly associated with growth in perceptual organization test scores. Socioeconomic status and maternal intelligence were statistically significantly associated with growth patterns for both test scores, independent of the effects of lead. The findings suggest that lead negatively impacts the developmental progression of specific cognitive skills from childhood through adolescence.     

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.     

Age-related deficits in generation and manipulation of mental images: I. The role of sensorimotor speed and working memory.

The authors investigated age-related slowing of information processing in mental imagery tasks. Eighty-five healthy adults (ages 18 to 77) performed a visual, sensorimotor, reaction-time task; a visual-perceptual choice reaction task; and 3 mental imagery tasks that varied in apparent difficulty and involved stimuli at 2 levels of graphic complexity. Age was associated with prolongation of response time across all tasks and both levels of stimulus complexity. Accuracy of response was adversely affected by increase in stimulus complexity in all tasks, whereas it was negatively related to age only on the tasks with substantial mental imagery requirements. Slowing of information processing and reduction in accuracy were mediated by declines in working memory but not by decrease of sensorimotor speed.     

Are visual-perceptual and visual-motor skills separate abilities?

This study explored the independence of visual-perceptual and visual-motor abilities. Scores on the Motor-free Visual Perception Test were correlated by Pearson's method with scores on tests that weight the visual-perceptual, motor, and visual-motor components differently. Small but significant correlations were found between the Motor-free Visual Perception Test and tests of visual-motor integration, but there was no relationship between the motor-free test and tests of motor ability. These findings support the premise that tests of visual perception, visual-motor integration, and motor ability measure different skills.     

Age Effects on Visual-Perceptual Processing and Confrontation Naming*

ABSTRACT

The impact of age-related changes in visual-perceptual processing on naming ability has not been reported. The present study investigated the effects of 6 levels of spatial frequency and 6 levels of contrast on accuracy and latency to name objects in 14 young and 13 older neurologically normal adults with intact lexical-semantic functioning. Spatial frequency and contrast manipulations were made independently. Consistent with the hypotheses, variations in these two visual parameters impact naming ability in young and older subjects differently. The results from the spatial frequency-manipulations revealed that, in general, young vs. older subjects are faster and more accurate to name. However, this age-related difference is dependent on the spatial frequency on the image; differences were only seen for images presented at low (e.g., 0.25–1 c/deg) or high (e.g., 8–16 c/deg) spatial frequencies. Contrary to predictions, the results from the contrast manipulations revealed that overall older vs. young adults are more accurate to name. Again, however, differences were only seen for images presented at the lower levels of contrast (i.e., 1.25%). Both age groups had shorter latencies on the second exposure of the contrast-manipulated images, but this possible advantage of exposure was not seen for spatial frequency. Category analyses conducted on the data from this study indicate that older vs. young adults exhibit a stronger nonliving-object advantage for naming spatial frequency-manipulated images. Moreover, the findings suggest that bottom-up visual-perceptual variables integrate with top-down category information in different ways. Potential implications on the aging and naming (and recognition) literature are discussed.     

Fibromyalgia and childhood abuse: Exploration of stress reactivity as a developmental mediator

The purpose of this paper is to explore whether the human body’s stress reactivity in response to trauma may be a possible developmental mediator between childhood abuse and the development of fibromyalgia (FM). Four points are emphasized in this article. First, studies that have examined the prevalence of childhood physical, emotional, and sexual abuse in FM patients are evaluated. Second, health and neuroendocrine differences between abused and non-abused FM patients are examined. Third, studies that tested the association between childhood abuse and stress reactivity characterized by neurobiological abnormalities are reviewed. Fourth, studies that have investigated the association between stress reactivity and FM are analyzed. The results of the reviews showed significant associations between childhood abuse and FM, childhood abuse and stress reactivity, and stress reactivity and FM, indicating that childhood abuse may be one of the etiological factors that could lead to abnormal brain development, affecting stress reactivity, and ultimately lead to the development of FM.     

Bender Gestalt Evaluation of Brain Dysfunction Following Open-Heart Surgery

The heart-lung machine makes open-heart surgery possible by providing extracorporeal blood circulation; however, it creates microemboli in the blood that cause neurological damage. A new filter, designed to remove these emboli, was assessed by preoperative and postoperative Bender Gestalt testing. A lesser degree of the kinds of visual-motor difficulties associated with neurological deficit was produced by patients who received filtered blood. Postoperative impairment was assessed with some precision by using the Pascal-Suttell method of scoring distortions of Bender designs. The Bender scores were consistent with ultrasonic (sonar) counts of microemboli.     

THE RELATIONSHIP BETWEEN DIFFICULTY AND FACTOR LOADINGS OF SOME VISUAL-PERCEPTUAL TESTS

WERDELIN, I. & STJERNBERG, G. The relationship between difficulty and factor loadings of some visual-perceptual tests. Scand. J. Psychol. , 1971, 12, 21–28. – The study aimed at investigating whether it is possible to change factor loadings by varying the difficulty and complexity of the same visual-perceptual tests. 171 sixth grade pupils were given 27 tests. Some of these defined reference factors, others were differently difficult versions of four tests from separate parts of the visual-perceptual field. Data were treated by factor analysis, yielding the four factors R, S, N and P. It was found that the more difficult the test the higher its loadings on the S and R factors, and the easier the test the higher its loadings on the N and particularly the P factor.     

The Rorschach in the Context of Performance-Based Personality Assessment

Twenty-eight normal and 28 learning disabled children were given the Bender-Gestalt Test under instructional sets of low (standard) attention or high attention. Results failed to support the hypothesis that high attention instructions would lead to differential recall performance of the diagnostic groups. Normal children produced better designs during recall than learning disabled children regardless of instructional set. The evidence suggests that standard Bender instructions should not be altered in an attempt to elicit recall performance differences.     

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.     

Bender scores and the horse as a distinct item on object assembly of the WISC

This exploratory study investigated the relationship between two measures of perceptual-motor problems. Ratios derived from the Object Assembly subtest of the WISC with errors greater than 1 SD on the Bender test using Koppitz' scoring system were compared. The sample of 66 white middle-class children was 6 to 11 yr. old. The particular ratio studied was statistically significantly associated with the Bender, whereas ratios of other Object Assembly items were not. The Horse ratio was also significantly associated with the presence of learning problems shown in children's files.