Constructional apraxia is a neuropsychological and neurological impairment in activities such as building, assembling, and drawing. In this study data is presented on the performance of left and right hemisphere single focal stroke lesion participants on drawing tasks of houses, trees, and persons. Forty-one participants completed a comprehensive neuropsychological battery including the house-tree-person drawing task. The drawings were then rated as exhibiting signs of neurological impairment or non-impairment by three evaluators without knowledge of the medical condition of the patient. There was 72% agreement between the three evaluators of the 123 drawings. Both an analysis of variance and case series analysis was used to examine the data. Patterns of concordance with a previously outlined detailed neuropsychological model of constructional apraxia were found and the implications of the results are analyzed in the context of the current neuropsychological literature.
| Published in | American Journal of Psychiatry and Neuroscience (Volume 3, Issue 6) |
| DOI | 10.11648/j.ajpn.20150306.15 |
| Page(s) | 125-141 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2015. Published by Science Publishing Group |
Constructional Apraxia, Free-Drawing, House-Tree-Person Drawing Task, Drawing-from-Memory, Unilateral Cortical Lesions, Stroke, Visual Imagery, Lexicosemantics
| [1] | J. Clottes, Return to the Chauvet Cave: Excavating the Birthplace of Art, London: Thames and Hudson, 2003. |
| [2] | A. Chatterjee, The Aesthetic Brain: How We Evolved to Desire Beauty and Enjoy Art, New York: Oxford University Press, 2013. |
| [3] | M. Crotty, The Foundations of Social Research: Meaning and Perspective in the Research Process, Washington, DC: Sage, 1998. |
| [4] | M. F. Schwartz and G. S. Dell, “Case series investigations in cognitive neuropsychology,” Cogn. Neuropsychology, vol. 27, pp. 477-94, 2010. |
| [5] | R. K. Yin, Case Study Research: Design and Methods – Second Edition, London: Sage, 1994. |
| [6] | F. Goodenough, Measurement of Intelligence by Drawings, New York: World Books, 1926. |
| [7] | S. Kahill, “Human figure drawings in adults: An update of the empirical evidence 1967-1982,” Can. Psychol., vol. 25, pp. 269-92, 1984. |
| [8] | C. H. Swenson, “Empirical evaluation of human figure drawings,” Psychol. Bull. vol. 54, pp. 431-66, 1957. |
| [9] | C. H. Swenson, “Empirical evaluation of human figure drawings 1957-1966,” Psychol. Bull. vol. 70, pp. 20-44, 1968. |
| [10] | J. A. Naglieri, Draw-A-Person: A Quantitative Scoring System. San Antonio, TX: Psychological Corporation, 1998. |
| [11] | C. R. Reynolds and J. A. Hickman, J. A. DAP: IQ: Draw-A-Person Intellectual Ability Test for Children, Adolescents and Adults, Austin, TX: ProEd, 2004. |
| [12] | American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders: Fifth Edition, Arlington, VA: American Psychiatric Association, 2013. |
| [13] | K. M. Heilman and E. Valenstein, Clinical Neuropsychology – Fifth Edition. New York: Oxford University Press, 2012. |
| [14] | D. S. Tulsky, D. H. Saklofske and G. J. Chelune et al. (Eds.) Clinical Interpretation of the WAIS-III and the WMS-III, New York: Academic Press, 2003. |
| [15] | D. Ogdon, Psychological Signs, Symptoms and Syndromes. Los Angeles: Western Psychological Services, 2001. |
| [16] | D. Ogdon, Psychodiagnostics and Personality Assessment: A Handbook – Third Edition. Los Angeles: Western Psychological Services, 2004. |
| [17] | R.W. Belter and C. Piotrowski, “Current status of doctoral-level training in psychological testing,” J. Clin. Psychol. vol. 57, pp. 717-726, 2001. |
| [18] | L. Bender, Instructions for the Use of the Visual Motor Gestalt Test, New York: American Orthopsychiatric Association, 1946. |
| [19] | H. A. Murray, Thematic Apperception Test – Manual. Cambridge, MA: Harvard University Press, 1943. |
| [20] | W. J. Camara, J. S. Nathan and A. E. Puente, “Psychological test usage: Implications in professional psychology,” Prof. Psychol-Res. Pr. vol. 31, pp. 141-54, 2000. |
| [21] | S. J. Lally, “Should human figure drawings be admitted in court?” J. Pers. Assess. vol. 76, pp. 135-9, 2001. |
| [22] | L. Bender, “The drawing of a man in chronic encephalitis in children,” J. Nerv. Ment. Dis. vol. 41, pp. 277-86, 1940. |
| [23] | S. Jordan, “Projective drawings in a cerebellar disorder due to chicken pox encephalitis,” J. Proj. Tech. Pers. Assess. vol. 34, pp. 256-58, 1970. |
| [24] | R. Koida, R. and K. Fujihara, “A study on HTP organic signs,” Jpn. J. Psychol. vol. 63, pp. 277-80, 1992. |
| [25] | B. C. Meyer, F. Brown and A. Levine, “Observations on the House-Tree-Person drawing test before and after surgery,” Psychosomatic Medicine. vol. 17, pp. 428-454, 1955. |
| [26] | H. Michal-Smith, “The identification of pathological cerebral function through the H-T-P technique,” J. Clin. Psychol. vol. 9, pp. 293-95, 1953. |
| [27] | M. Rezikoff, and D. Tomblen, “The use of human figure drawings in the diagnosis of organic pathology,” J. Consult. Psychol. vol. 20, pp. 467-470, 1956. |
| [28] | M. Riklan, T. Zahn and L. Diller, “Human figure drawings before and after chemosurgery of the basal ganglia in Parkinsonism,” J. Nerv. Ment. Dis. vol. 135, pp. 500-506, 1962. |
| [29] | S. McCrea, “A neuropsychological model of free-drawing from memory in constructional apraxia: A theoretical review,” Am. J. Psychiat. Neurosci. vol. 2, pp. 60-75, 2014. doi: 10.116481/j.ajpn.20140205.11. |
| [30] | S. McCrea and D. Chomiak, “Drawing-from-memory in constructional apraxia: Effects of focal cortical lesions on performance,” J. Psychol. Psychother. Res. 2: 2-17, 2015. doi: http://dx.doi.org/10.12974/2313-1047.2015.02.01.1. |
| [31] | Canadian Institute of Health Research, Natural Sciences and Engineering Research Council of Canada, and Social Sciences and Humanities Research Council of Canada, Tri-Council Policy Statement: Ethical Conduct for Research Involving Humans, December 2010. |
| [32] | Declaration of Helsinki, Ethical Principles for Medical Research Involving Human Subjects - Seventh Revision. World Medical Association, Authors, 2013. |
| [33] | C. M. Braun, I. Montour-Proulx, S. Daigneault, et al. “Prevalence, and intellectual outcome of unilateral focal cortical brain damage as a function of age, sex and aetiology,” Behav. Neurol. vol. 13, pp. 105-116, 2001. |
| [34] | J. Roquer, A. R. Campello and M. Gomis, “Sex differences in first-ever acute stroke,” Stroke, vol. 34, pp. 1581-85, 2003. |
| [35] | M. D. Lezak, Neuropsychological Assessment – Fourth Edition. New York: Oxford University Press, 2004. |
| [36] | C. Hardyck and L.F. Petronovich, Left-handedness. Psychol. Bull. vol. 84, pp. 385-404, 1977. |
| [37] | NCS Pearson, Test of Premorbid Functioning: Advanced Clinical Solutions for Use with WAIS-IV and WMS-IV. San Antonio, TX: Pearson Education, 2009. |
| [38] | S. Roncato, G. Sartori, J. Masterson and R. Rumiati, “Constructional apraxia: An information processing approach,” Cogn. Neuropsychol. vol. 4, pp. 113-29, 1987. |
| [39] | G. Vallar, “The methodological foundations of neuropsychology,” in Handbook of Clinical and Experimental Neuropsychology, G. Denes and L. Pizzamiglio, Eds. East Sussex, UK: Psychology Press. 1999, pp. 95-131. |
| [40] | H. Damasio, and A. R. Damasio, Lesion Analysis in Neuropsychology, New York: Oxford University Press, 1989. |
| [41] | R. Rosenthal and K. L. Fode, “Psychology of the scientist: V. Three experiments in experimenter bias,” Psychol. Rep. vol. 12, pp. 491-511, 1963. |
| [42] | G. Gainotti, “Constructional apraxia,” in Handbook of Clinical Neurology – Volume 1, J. A. Frederiks Ed. Amsterdam: Elsevier, 1985, pp. 491-506. |
| [43] | D. Wechsler, Wechsler Adult Intelligence Scale – Fourth Edition, San Antonio, TX: Psychological Corporation, 2008. |
| [44] | D. Wechsler, Wechsler Memory Scale – Fourth Edition: Technical and Interpretive Manual, San Antonio, TX: Psychological Corporation, 2009. |
| [45] | NCS Pearson. Advanced Clinical Solutions for WAIS-IV and WMS-IV: Administration and Scoring Manual. San Antonio, TX: Psychological Corporation, 2009. |
| [46] | S. McCrea and T. Robinson, “Visual puzzles, figure weights and cancellation: Some preliminary hypotheses on the functional and neural substrates of these three new WAIS-IV subtests,” ISRN Neurology. vol. 2011, Article ID 123173, 19 pages, 2011. doi: 10.5402/2011/123173. |
| [47] | R. A. McCarthy and E. K. Warrington, Cognitive Neuropsychology: A Clinical Introduction. San Diego, CA: Academic Press, 1990. |
| [48] | E. W. Russell, “A reference method for constructing neuropsychological test batteries,” J. Clin. Exp. Neuropsychol. vol. 9, pp. 376-392, 1987. |
| [49] | L. C. Robertson, R. T. Knight, R. Rafal and A. P. Shimamura, “Cognitive neuropsychology is more than single-case studies,” J. Exp. Psychol. Learn. vol. 19: pp. 710-17, 1993. |
| [50] | Philips Healthcare. [Philips iSite Enterprise]. Andover, MA. K. |
| [51] | H. J. Kretschmann and W. Weinrich, Eds. Cranial Neuroimaging and Clinical Neuroanatomy: Atlas of MR Imaging and Computed Tomography – Third Edition. New York: Thieme, 2001. |
| [52] | F. I. Craik and R. S. Lockhart, “Levels of processing: A framework for memory research,” J. Verb. Learn. Verb. Beh. vol. 11, pp. 671-684, 1972. |
| [53] | D. E. Nee, J. Jonides and M. J. Berman, “Neural mechanisms of proactive interference resolution,” NeuroImage. vol. 38, pp. 740-51, 2007. |
| [54] | D. Farias, C. Davis and G. Harrington, “Drawing: Its contribution to naming in aphasia,” Brain Lang. vol. 97, pp. 53-63, 2006. |
| [55] | N. A. DeFilipis and E. McCampbell, The Booklet Category Test: Second Edition – Professional Manual, Odessa, FL: Psychological Assessment Resources, Inc, 1997. |
| [56] | E. K. Warrington and M. James, The Visual Object and Space Perception Battery. London, UK: Pearson Assessment, 1991. |
| [57] | E. K. Warrington and M. James, “A new test of object decision: 2D silhouettes featuring a minimal view,” Cortex, vol. 27, pp. 370-383, 1991. |
| [58] | R. K. Heaton, G. J. Chelune, J. L. Talley, G. G. Kay and G. Curtiss, Wisconsin Card Sorting Test Manual: Revised and Expanded. Odessa, FL: Psychological Assessment Resources, Inc. 1993. |
| [59] | D. T. Stuss, B. Levine, M. P. Alexander et al. Wisconsin Card Sorting Test performance in participants with focal frontal and posterior brain damage: Effects of lesion location and test structure on separable cognitive processes. Neuropsychologia, vol. 38, pp. 388-402, 2000. |
| [60] | C. G. Matthews and K. Klove, Instructional Manual for the Adult Neuropsychological Test Battery, Madison, WI: University of Wisconsin Medical School, 1964. |
| [61] | C. Randolph, Repeatable Battery for the Assessment of Neuropsychological Status. San Antonio, TX: Psychological Corporation, 1998. |
| [62] | D. Schretlen, Brief Test of Attention: Professional Manual. Odessa, FL: Psychological Assessment Resources, Inc, 1997. |
| [63] | M. R. Trenerry, B. Crosson, J. Deboe and W. R. Leber, Visual Search and Attention Test: Professional Manual. Odessa, FL: Psychological Assessment Resources, Inc, 1990. |
| [64] | R. M. Ruff, Ruff Figural Fluency Test: Professional Manual. Odessa, FL: Psychological Assessment Resources, Inc, 1996. |
| [65] | M. A. Peterson and G. Rhodes Eds. Perception of Faces, Objects and Scenes: Analytic and Holistic Processes. New York: Oxford University Press, 2003. |
| [66] | B. Stemmer, “Neuropragmatics: Disorders and Neural Systems,” in Handbook of the Neuroscience of Language, B. Stemmer and H.A. Whitaker, Eds. New York: Academic Press, 2008, pp. 175-187. |
| [67] | L. Pisella, N. Alahyane, A. Blangero et al. “Right-hemisphere dominance for visual remapping in humans,” Philos. T. Roy. Soc. B. vol. 366, pp. 572-85, 2011. |
| [68] | S. McCrea, L. Buxbaum, and B. Coslett, “Illusory conjunctions in simultanagnosia: Coarse coding of visual feature location?” Neuropsychologia, vol. 44, pp. 1724-36, 2006. |
| [69] | R. Cabeza and A. Kingstone, Eds. The Handbook of Functional Neuroimaging – Second Edition, Cambridge, MA: MIT Press, 2006. |
| [70] | D. C. Delis, E. Kaplan and J. E. Kramer, Delis-Kaplan Executive Functions System. San Antonio, TX: Psychological Corporation, 2001. |
| [71] | A. Kertesz, The Western Aphasia Battery – Revised. San Antonio, TX: Psychological Corporation, 2006. |
| [72] | D. P. Roeltgen, “Agraphia.” in Clinical Neuropsychology – Fourth Edition, K. Heilman and E. Valenstein, Eds. New York: Oxford University Press, 2003, pp. 126-145. |
| [73] | J. G. Beaumont, P. Kenealy and M. Rogers et al. Eds. The Blackwell Dictionary of Neuropsychology. Oxford, UK: Blackwell Publishers, 1999. |
| [74] | H. B. Coslett and E. M. Saffran, “Optic aphasia and the right hemisphere: A replication and extension,” Brain Lang. vol. 43, pp. 148-161, 1992. |
| [75] | R. Reitan and D. Wolfson, The Halstead-Reitan Neuropsychological Test Battery: Theory and Interpretation, Tucson, AZ: Neuropsychology Press, 1993. |
| [76] | R. Vocat, F. Staub, T. Stroppini and P. Vuilleumier, “Anosagnosia for hemiplegia: A clinical-anatomical prospective study,” Brain, vol. 133, pp. 3578-97, 2010. |
| [77] | A. L. Benton, K. Hamsher and A. B. Sivan, Multilingual Aphasia Examination – Third Edition, Odessa, FL: Psychological Assessment Resources, Inc, 1994. |
| [78] | G. Denes and L. Pizzamiglio, Handbook of Clinical and Experimental Neuropsychology. East Sussex, UK: Psychology Press, 1999. |
| [79] | L. F. D’Elia, P. Satz, C. Lyons-Uchiyama and T. White, Color Trails Test. Odessa, FL: Psychological Assessment Resources, Inc., 1996. |
| [80] | D. Wechsler, Wechsler Adult Intelligence Scale – Third Edition. San Antonio, TX: Psychological Corporation, 1997. |
| [81] | D. Wechsler, Wechsler Memory Scale – Third Edition. San Antonio, TX: Psychological Corporation, 1997. |
| [82] | A. G. Canavan, R. E. Passingham, C. D. Marsden et al. “Sequencing ability in Parkinsonian participants with frontal lobe lesions and participants who have undergone unilateral temporal lobectomies,” Neuropsychologia, vol. 27, pp. 787-98, 1989. |
| [83] | C. E. Curtis and M. D’Esposito, “Functional neuroimaging of working memory,” in Handbook of Functional Neuroimaging – Second Edition, R. Cabeza and A. Kingstone Eds. Cambridge, MA: MIT Press, 2006, pp. 269-306. |
| [84] | C. A. Marzi, “Neuropsychology of attention” in Handbook of Clinical and Experimental Neuropsychology. G. Denes and L. Pizzamiglio, Eds. East Sussex, UK: Psychology Press, 1999, pp. 509-524. |
| [85] | W. C. Culbertson and E. A. Zillmer, Tower of London – Drexel University: Second Edition. Toronto, ON: Multi-Health Systems, Inc, 2005. |
| [86] | S. McCrea, “A functional magnetic resonance imaging study of the body schema using full human line-drawing figures in an on-line verbal naming and localization task of single body part words,” Behav. Brain Res. vol. 180, pp. 235-240, 2007. |
| [87] | G. Denes, J. Y. Cappelletti, T. Zilli, F. Dalla Porta and A. Gallana, “A category-specific deficit of spatial representation: The case of autotopagnosia,” Neuropsychologia, vol. 38, pp. 345-350, 2000. |
| [88] | G. S. Wilkinson and G. J. Robertson, WRAT-4: Wide Range Achievement Test – Professional Manual, Lutz, FL: Psychological Assessment Resources, Inc., 2008. |
| [89] | H. Shim, R. S. Hurley, E. Rogalski et al. “Anatomic, clinical and neuropsychological correlates of spelling errors in primary progressive aphasia,” Neuropsychologia, vol. 50, pp. 1929-35, 2012. |
| [90] | M. P. Kirschen et al. “Load- and practice-dependent increases in cerebro-cerebellar activation in verbal working memory: An fMRI study,” NeuroImage, vol. 24, pp. 462-472, 2005. |
| [91] | L. De Witte, R. Brouns, D. Kavadias, S. Engelborghs, P. P. De Deyn and P. Marien, “Cognitive, affective and behavioral disturbances following vascular thalamic lesions: A review,” Cortex, vol. 47, pp. 273-319, 2011. |
| [92] | L. De Witte, J. Verhoeven, S. Engelborghs, P. P. De Deyn, and P. Marien, “Crossed aphasia and visuo-spatial neglect following right thalamic stroke: A case study and review of the literature,” Behav. Neurol. vol. 19, pp. 177-194, 2008. |
| [93] | K. Yamada, Y. Nagakane, K. Yoshikawa et al. “Somatotopic organization of thalamocortical projection fibers as assessed by MR tractography,” Radiology, vol. 242, pp. 840-845, 2007. |
| [94] | J. Schwoebel and H. B Coslett, “Evidence of multiple distinct representations of the human body,” J. Cogn. Neurosci. vol. 17, pp. 543-553, 2005. |
| [95] | H. O. Karnath and B. Baier, “Right insula for our sense of limb ownership and self-awareness of actions,” Brain Struct. Funct. vol. 214, pp. 411-17, 2010. |
| [96] | A. D. Smith, “On the use of drawing tasks in neuropsychological assessment,” Neuropsychology, vol. 23, pp. 231-39, 2009. |
| [97] | M. J. Riddoch, “Loss of visual imagery: A generation deficit,” Cogn. Neuropsychol. vol. 7, pp. 249-273, 1990. |
| [98] | D. Grossi, A. Orsini, A. Modafferi and M. Liotti, “Visuoimaginal constructional apraxia: On a case of selective deficit in imagery,” Brain Cogn. vol. 5, pp. 255-267, 1986. |
| [99] | L. Trojano and D. Grossi, “A critical review of mental imagery deficits?” Brain Cogn. vol. 24, pp. 213-243, 1994. |
| [100] | J. R. Booth, D. D. Burman, J. R. Meyer et al. “Functional anatomy of intra- and cross-modal lexical tasks,” NeuroImage, vol. 16, pp. 7-22, 2002. |
| [101] | J. R. Booth, D. D. Burman, J. R. Meyer et al., “Relation between brain activation and lexical performance,” Hum. Brain Mapp. vol. 19, pp. 155-169, 2003. |
| [102] | L. Cohen, A. Jobert, D. Le Bihan and S. Dehaene, “Distinct unimodal and multimodal regions for word processing in the left temporal cortex,” NeuroImage, vol. 23, pp. 1256-1270, 2004. |
| [103] | S. L. Thompson-Schill, I. P. Kan and R. T. Oliver, “Functional neuroimaging of semantic memory” in Handbook of Functional Neuroimaging – Second Edition, R. Cabeza and A. Kingstone Eds. Cambridge, MA: MIT Press, 2006, pp. 149-190. |
| [104] | S. Epelbaum, P. Pinel, R. Gaillard et al. “Pure alexia as a disconnection syndrome: New diffusion imaging evidence for an old concept.” Cortex, vol. 44, pp. 962-974, 2008. |
| [105] | B. L. Miller, J. Cummings, F. Mishkin et al. “Emergence of artistic talent in frontotemporal dementia,” Neurology, vol. 51, pp. 978-982, 1998. |
| [106] | M. F. Schwartz, D. Y. Kimberg, G. M. Walker et al. “Neuroanatomical dissociation for taxonomic and thematic knowledge in the human brain,” Proc. Natl. Acad. Sci. USA. vol. 108, pp. 8520-24, 2011. |
| [107] | E. Mandonnet, A. Nouet, P. Gatignol, L. Capelle, and H. Duffau, “Does the left inferior longitudinal fasciculus play a role in language? A brain stimulation study,” Brain, vol. 130, pp. 623-29, 2007. |
| [108] | M. Catani and D. H. ffytche, “The rises and falls of disconnection syndromes,” Brain, vol. 128, 2224-2239, 2005. |
| [109] | M. Chechlacz, A. Novick, P. Rotshtein, W-L. Bickerington, G.W. Humphreys and N. Demeyere, “The neural substrates of drawing: A voxel-based morphometry analysis of constructional, hierarchical and spatial representation deficits,” J. Cogn. Neurosci. vol. 26, pp. 2701-15, 2014. |
| [110] | A. D. Milner and M. A. Goodale, The Visual Brain in Action: Second Edition. New York: Oxford University Press, 2006. |
APA Style
Simon M. McCrea. (2015). Free-Drawing from Memory in Constructional Apraxia: A Case Series. American Journal of Psychiatry and Neuroscience, 3(6), 125-141. https://doi.org/10.11648/j.ajpn.20150306.15
ACS Style
Simon M. McCrea. Free-Drawing from Memory in Constructional Apraxia: A Case Series. Am. J. Psychiatry Neurosci. 2015, 3(6), 125-141. doi: 10.11648/j.ajpn.20150306.15
AMA Style
Simon M. McCrea. Free-Drawing from Memory in Constructional Apraxia: A Case Series. Am J Psychiatry Neurosci. 2015;3(6):125-141. doi: 10.11648/j.ajpn.20150306.15
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Download@article{10.11648/j.ajpn.20150306.15,
author = {Simon M. McCrea},
title = {Free-Drawing from Memory in Constructional Apraxia: A Case Series},
journal = {American Journal of Psychiatry and Neuroscience},
volume = {3},
number = {6},
pages = {125-141},
doi = {10.11648/j.ajpn.20150306.15},
url = {https://doi.org/10.11648/j.ajpn.20150306.15},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajpn.20150306.15},
abstract = {Constructional apraxia is a neuropsychological and neurological impairment in activities such as building, assembling, and drawing. In this study data is presented on the performance of left and right hemisphere single focal stroke lesion participants on drawing tasks of houses, trees, and persons. Forty-one participants completed a comprehensive neuropsychological battery including the house-tree-person drawing task. The drawings were then rated as exhibiting signs of neurological impairment or non-impairment by three evaluators without knowledge of the medical condition of the patient. There was 72% agreement between the three evaluators of the 123 drawings. Both an analysis of variance and case series analysis was used to examine the data. Patterns of concordance with a previously outlined detailed neuropsychological model of constructional apraxia were found and the implications of the results are analyzed in the context of the current neuropsychological literature.},
year = {2015}
}
TY - JOUR T1 - Free-Drawing from Memory in Constructional Apraxia: A Case Series AU - Simon M. McCrea Y1 - 2015/12/22 PY - 2015 N1 - https://doi.org/10.11648/j.ajpn.20150306.15 DO - 10.11648/j.ajpn.20150306.15 T2 - American Journal of Psychiatry and Neuroscience JF - American Journal of Psychiatry and Neuroscience JO - American Journal of Psychiatry and Neuroscience SP - 125 EP - 141 PB - Science Publishing Group SN - 2330-426X UR - https://doi.org/10.11648/j.ajpn.20150306.15 AB - Constructional apraxia is a neuropsychological and neurological impairment in activities such as building, assembling, and drawing. In this study data is presented on the performance of left and right hemisphere single focal stroke lesion participants on drawing tasks of houses, trees, and persons. Forty-one participants completed a comprehensive neuropsychological battery including the house-tree-person drawing task. The drawings were then rated as exhibiting signs of neurological impairment or non-impairment by three evaluators without knowledge of the medical condition of the patient. There was 72% agreement between the three evaluators of the 123 drawings. Both an analysis of variance and case series analysis was used to examine the data. Patterns of concordance with a previously outlined detailed neuropsychological model of constructional apraxia were found and the implications of the results are analyzed in the context of the current neuropsychological literature. VL - 3 IS - 6 ER -
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