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.     

Cultural Influence on Hutt's Adaptation of Bender Gestalt Test: A Pilot Study

To test the hypothesis that Hutt's Adaptation of the Bender Gestalt designs is “culture free,” two groups, one American and one East Indian of 21 graduate students, each majoring in Engineering or Sciences were administered the 9 designs of B-G in accordance with the three phases of Hutt's Adaptation of the B-G test. Results indicate: a) Performance on the Elaboration Phase on cards 2 and 4 was significantly different between the Groups, b) Ss in both Groups showed significantly different levels of difficulty in Copying the B-G designs, and c) There is no significant interaction between the Groups and the performance on the Copy Phase of the B-G designs.     

The Bender-Gestalt Psychopathology Scale: Failure to Infer Validity in a School-Aged Sample

The concurrent validity of Hutt's (1977) empirical psychopathology scale of the Bender Visual-Motor Gestalt Test was evaluated among three groups of younger school-aged children within the 7-to-10- year age range (M = 109.1): adjustment disordered, conduct disordered, and nonclinical controls (n = 40/group). Excellent interscorer reliability was achieved with approximately 2 hr of self-study of the scoring manual. Although the conduct-disordered group was significantly more immature on Koppitz' Developmental Scoring System, there were no significant differences among groups on the psychopathology scale when visual-motor development was covaried (M = 50.5). This was an unexpected result, given Hutt's initial validation study among school-aged children. The psychopathology scale was not inferred to be valid among adolescents in the only known concurrent validation study. Pending supportive validation research, the psychopathology scale should not be employed in the clinical assessment of younger school-aged children.     

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.     

DETECTING CHANGES IN NON‐SIMULATED EVENTS USING PARTIAL INTERVAL RECORDING AND MOMENTARY TIME SAMPLING: EVALUATING FALSE POSITIVES,FALSE NEGATIVES,AND TRENDING

Several studies have evaluated false positives and false negatives produced with partial interval recording (PIR) and momentary time sampling (MTS) using simulated data. However, no study to date has evaluated false positives and negatives using a large sample of non‐simulated behaviors. In addition, few studies have evaluated whether interval methods of data collection alter trends that are evident in continuous records. We conducted three experiments to evaluate the extent to which various interval sizes of MTS and PIR produced false negatives (Experiment 1), false positives (Experiment 2), and trends that were inconsistent with the continuous records (Experiment 3). Collectively, the results show the following: (i) 10‐s PIR and 10‐s MTS produced few false negatives and few false positives (i.e., both were sensitive) to changes in duration events; (ii) 10‐s PIR produced very few false negatives, but an unexpected high percentage of false positives for frequency events; and (iii) each interval size of PIR and MTS produced a high percentage of changes in trending for duration events and frequency events. We briefly discuss the potential limitations and clinical implications of these findings. Copyright © 2012 John Wiley & Sons, Ltd.     

Prediction of Job Retention Using a Brief Projective Test Battery: a Preliminary Report

The use of objectively validated projective tests in personnel decisions has been limited in recent years because of the perception that such tests are highly subjective, difficult to administer, and difficult to score in a reliable manner. The present paper demonstrates the use of a brief (½ hour) projective test battery consisting of the Bender–Gestalt, House–Tree–Person, and a free drawing test which can be administered in a personnel office and scored blindly using an objective scoring system. The study showed that such a battery could predict six month retention rates in a sample of recently hired corrections officers at statistically significant rates (2 = 6.25, p < 0.05) despite the fact that the individuals had already been thoroughly prescreened using the company's comprehensive normal procedures. The possible uses and advantages of a language-free projective battery are discussed along with future research directions.     

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.     

Asymmetries Between Positives and Negatives

How people react to negatives (what they dislike) is not always symmetric to how they react to positives (what they like). We propose a theoretical framework that links three potentially general types of positive–negative asymmetries: asymmetry in prediction errors (people err more when predicting others' attitudes about positives than about negatives), asymmetry in consensus (people agree more among themselves about negatives than about positives), and asymmetry in base rates (there are more negatives than positives). Our theory further explores a moderator for these asymmetries – importance of the stimulus to the self: greater importance engenders greater positive–negative asymmetries. We provide empirical evidence for our theory and discuss the boundaries and implications of our propositions and findings.     

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.     

Bender Gestalt signs as indicants of conceptual impulsivity.

Sixty children were individually administered the Matching Familiar Figures Test and the Bender Gestalt Test. The mean age of the subjects was 10 years, 11 months. A significant relationship was found between errors on the Bender Gestalt test and impulsivity. More specifically, increased or decreased loops (figure four or six), change in angulation, loops for circles and circles for dots or dots for circles were all significantly related to children's impulsivity.     

The application of the standard of care doctrine to psychological testing

Malpractice issues surrounding clinical psychologists' misuse of diagnostic testing are examined. Common forms of misuse are contrasted with appropriate standards of use for six frequently administered tests: The WAIS-R, WISC-R, Rorschach, TAT, Bender Gestalt, and MMPI. It is argued that not only negligent and unethical conduct but also intentional malfeasance may be construed when a qualified specialist applies unstandardized procedures which lack scientific authenticity. Suggestions are provided to both psychologists and attorneys to reduce the misuse of psychological tests in clinical and forensic evaluations.     

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'.     

Alternative-based thresholding with application to presurgical fMRI

Functional magnetic reasonance imaging (fMRI) plays an important role in pre-surgical planning for patients with resectable brain lesions such as tumors. With appropriately designed tasks, the results of fMRI studies can guide resection, thereby preserving vital brain tissue. The mass univariate approach to fMRI data analysis consists of performing a statistical test in each voxel, which is used to classify voxels as either active or inactive—that is, related, or not, to the task of interest. In cognitive neuroscience, the focus is on controlling the rate of false positives while accounting for the severe multiple testing problem of searching the brain for activations. However, stringent control of false positives is accompanied by a risk of false negatives, which can be detrimental, particularly in clinical settings where false negatives may lead to surgical resection of vital brain tissue. Consequently, for clinical applications, we argue for a testing procedure with a stronger focus on preventing false negatives. We present a thresholding procedure that incorporates information on false positives and false negatives. We combine two measures of significance for each voxel: a classical p-value, which reflects evidence against the null hypothesis of no activation, and an alternative p-value, which reflects evidence against activation of a prespecified size. This results in a layered statistical map for the brain. One layer marks voxels exhibiting strong evidence against the traditional null hypothesis, while a second layer marks voxels where activation cannot be confidently excluded. The third layer marks voxels where the presence of activation can be rejected.     

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.     

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.     

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.     

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.     

Early identification of educationally high potential and high risk children

Early identification of educationally high potential and high risk children was investigated by following the same children (N=49) from kindergarten entrance through grade five of a regular school program. Kindergarten predictive measures were the Bender Gestalt and teachers' evaluations; follow-up measures were yearly standard achievement test results. Analyses revealed consistently high and significant relationships between teachers' ratings and subsequent school achievement. Teachers were surprisingly accurate in early identification of both high risk and high potential children. The Bender was more accurate for identification of high potential than high risk children. Findings support the use of these measures for initial screening of children entering formal school programs. Specification of dimensions of teachers' evaluations may provide clues to understanding the complexities of school readiness.     

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.     

Gestalt psychology: the forgotten paradigm in abnormal psychology

Gestalt views of psychopathology are almost completely ignored in mainstream psychology and psychiatry. However, a review of available evidence indicates a remarkable consistency between these views and current data from experimental psychopathology and cognitive neuroscience. This consistency is especially pronounced in the area of schizophrenia. In addition, there is a convergence of cognitive and neurobiological evidence regarding the validity of early Gestalt views of both normal brain-behavior relationships and disordered ones, as in schizophrenia. This article reviews some contributions of Gestalt psychology regarding schizophrenia and examines these views in light of more recent findings from cognitive psychology, cognitive neuroscience, and experimental psychopathology. We conclude that Gestalt theory is a viable theoretical framework from which to understand schizophrenia. Specifically, it appears that a breakdown of Gestalt organizational processes may characterize both the cognitive and the brain processes in schizophrenia.