Rey–Osterrieth Complex Figure
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The Rey–Osterrieth complex figure (ROCF) is a
neuropsychological assessment Neuropsychological assessment was traditionally carried out to assess the extent of impairment to a particular skill and to attempt to determine the area of the brain which may have been damaged following brain injury or neurological illness. Wit ...
in which examinees are asked to reproduce a complicated line drawing, first by copying it freehand (recognition), and then drawing from memory (recall). Many different cognitive abilities are needed for a correct performance, and the test therefore permits the evaluation of different functions, such as visuospatial abilities,
memory Memory is the faculty of the mind by which data or information is encoded, stored, and retrieved when needed. It is the retention of information over time for the purpose of influencing future action. If past events could not be remembered ...
, attention, planning,
working memory Working memory is a cognitive system with a limited capacity that can hold information temporarily. It is important for reasoning and the guidance of decision-making and behavior. Working memory is often used synonymously with short-term memory, ...
and (
executive functions In cognitive science and neuropsychology, executive functions (collectively referred to as executive function and cognitive control) are a set of cognitive processes that are necessary for the cognitive control of behavior: selecting and suc ...
). First proposed by Swiss psychologist André Rey in 1941 and further standardized by Paul-Alexandre Osterrieth in 1944, it is frequently used to further explain any secondary effect of
brain injury An injury is any physiological damage to living tissue caused by immediate physical stress. An injury can occur intentionally or unintentionally and may be caused by blunt trauma, penetrating trauma, burning, toxic exposure, asphyxiation, or o ...
in
neurological Neurology (from el, νεῦρον (neûron), "string, nerve" and the suffix -logia, "study of") is the branch of medicine dealing with the diagnosis and treatment of all categories of conditions and disease involving the brain, the spinal c ...
patients, to test for the presence of
dementia Dementia is a disorder which manifests as a set of related symptoms, which usually surfaces when the brain is damaged by injury or disease. The symptoms involve progressive impairments in memory, thinking, and behavior, which negatively affe ...
, or to study the degree of cognitive development in children.


Conditions

Three ''conditions'' are most commonly used in the ROCF. * Copy: In the Copy condition, the examinee is given a piece of paper and a pencil, and the stimulus figure is placed in front of them. They reproduce the figure to the best of their ability. The test is not timed, but the length of time needed to copy the figure is observed. Some administrators use a series of colored pencils, in order to preserve a record of the order in which design elements were reproduced. However, because of concerns that the use of color changes the nature of the test and makes it easier for the subject to remember the figure, the current test manual suggests that this should not be done. Instead, the evaluator should take notes on the process the examinee uses. Once the copy is complete, the stimulus figure and the examinee's copy are removed from view. * Immediate recall: After a short delay, the examinee is asked to reproduce the figure from memory. * Delayed recall: After a longer delay (20–30 minutes), the examinee may again be asked to draw the figure from memory. Examinees are not told beforehand that they will be asked to draw the figure from memory; the Immediate and Delayed Recall conditions are therefore tests of incidental memory. Each copy is scored for the accurate reproduction and placement of 18 specific design elements. Additionally, the test administrator can note their qualitative observations regarding the examinee's approach to the task and the effectiveness of any apparent strategy use.Meyers, JE, & Meyers, KR. Rey complex figure test and recognition trial: Professional manual. PAR, Inc.


History


André Rey

During the 1940s, psychologists throughout the world were facing difficulty in eliciting the specific deficits exhibited by individuals (both adults and children) who had experienced traumatic brain injury. In 1941, the Swiss psychologist André Rey was working at the
University of Geneva The University of Geneva (French: ''Université de Genève'') is a public research university located in Geneva, Switzerland. It was founded in 1559 by John Calvin as a theological seminary. It remained focused on theology until the 17th centur ...
and recognized the necessity of differentiating between "''primary effects, which are a direct result of the insult to the head, and the secondary effects, which develop out of subjective reactions determined by the loss of awareness from the physical impairments''". One of the many forms of assessment that Rey detailed in his 1941 report was a complex figure composed of many different shapes, line segments, and other elements.


Paul-Alexandre Osterrieth

In 1944, , who had worked as a research assistant under André Rey at the University of Geneva, utilized the figure Rey had developed in his work with young children. Osterrieth proposed to subcategorize the figure into 18 elements and score them based on their presence, completeness, and correct placement. This 18-point scoring system is still commonly used today in evaluating an examinee's performance on the ROCF test. Unlike Rey, Osterrieth was primarily interested in the measure as an assessment of whether or not children had developed the concept of a holistic or
gestalt Gestalt may refer to: Psychology * Gestalt psychology, a school of psychology * Gestalt therapy, a form of psychotherapy * Bender Visual-Motor Gestalt Test, an assessment of development disorders * Gestalt Practice, a practice of self-exploration ...
principle by various ages, as manifested by the way they approached the figure drawing. Based on his experimentation, Osterrieth recognized several important trends. Specifically, he noticed that the principle of ''gestalt'' seems to stabilize around the age of nine years in children. He also noted several different approaches that the children used in constructing the figure, each of which appeared to be roughly correlated with a particular age group: :*Primitive forms that show "distorted integration" and "confabulations" in their drawings. :*Awareness of specific concepts while still remaining unaware of the overall figure. :*Complete awareness of the overall figure. Additionally, Osterrieth noticed that strategy was a good predictor of the child's performance on all three of the various tasks.


Edith Meyer Taylor

In 1959 American (German immigrant) child psychologist Edith Meyer Taylor, who had been a student of
Arnold Gesell Arnold Lucius Gesell (21 June 1880 – 29 May 1961) was an American psychologist, pediatrician and professor at Yale University known for his research and contributions to the fields of child hygiene and child development.Harris, B. (2011). Arn ...
and
Jean Piaget Jean William Fritz Piaget (, , ; 9 August 1896 – 16 September 1980) was a Swiss psychologist known for his work on child development. Piaget's theory of cognitive development and epistemological view are together called "genetic epistemolo ...
, gave more elaborate descriptions on the 18-point scoring system initially proposed by Osterrieth. She had also briefly worked with Rey in Geneva and credited him with inspiring her to pursue this particular aspect of psychology.


Laughlin B. Taylor

In 1969, Laughlin B. Taylor developed a second complex figure that is comparable to Rey's and can be therefore used to eliminate the memory effect in a second evaluation.


References

{{DEFAULTSORT:Rey-Osterrieth complex figure Cognitive tests Neuropsychological tests Dysgraphia