Bender Visual Motor Gestalt
Card A
Card 1
Card 2
Card 3
Card 4
Card 5
Card 6
Card 7
Card 8
Interpretive Factors
Sequence
Expected order: left to right, top to bottom Deviations such as
Shifts in expected progression (Cards A and 1 are left to right, card 2 is below card one, card 3 is next to card 1)
Normal methodical sequence Abnormal
Overly concerned with organization (e.g. measuring
distance between figures, possibly obsessive
Indecisiveness Excessive rigidity Covert feelings of inadequacy Compulsive doubting
Irregular lack of control, possibly bipolar or impulse control disorder
Low frustration tolerance High latent anxiety Indecisiveness Borderline ego control Impulsiveness
Left to right organization possibly rebellious
Position of first drawing
Normal is within upper third of page Egocentric within 3 inch square of center of paper Abnormal within one inch of edge of paper Shows orientation of individual to his/her world Center of the page, especially enlarged
Narcissism Egocentrism Passive oppositionalism
Use of space
Space between drawings
Excessive space
Immaturity Acting out
Constricted space
Passive Withdrawn Schizoid tendencies
Collision
Running together or overlapping figures
Broadest terms loss of control Poor anticipatory planning Difficulty with figure/ground relationships
Could be neurological (cortical dysfunction)
Impulsivity
Shift in position of the paper rotation of paper
Latent or passive oppositional tendencies
Closure difficulty difficulty joining parts
Difficulty maintaining relationships
Fearfulness in relationships Emotional disturbance
Crossing difficulty difficulty crossing lines in figures 6 and 7
Psychological blocking (preventing decisions) Indecisiveness Compulsive doubting Phobias
Curvature Difficulty obvious change in curves
Emotional disturbance Increased curves emotionality Decreases repression of emotions Can indicate depression
Change in angulations angle of part of figure 15% or more from card
Problems with emotional control Problems with impulse control Associated with organic brain damage, particularly when more severe
Perceptual rotation entire figure rotated while card and paper are in standard positions
Severe disturbance in ego functioning Often in people who are psychotic Sometimes oppositional Clockwise can indicate depression if mild Counterclockwise can indicate oppositional tendencies if mild
Retrogression substitute more primitive Gestalt form (dashes for dots)
Defense against trauma failure of ego
Some types of schizophrenia
Anxiety and poor defenses Always indicates severe pathology in adults
Simplification
Reduce involvement in an external task, reduce energy expended Often related to organic problems
Fragmentation
Unfinished or incomplete Problems in abstract thinking or synthesizing gestalts
Overlapping Difficulty
Overlap when not in stimulus card Failure to overlap Usually associated with brain damage
Elaboration or Doodling
Impulse control Intense anxiety
Preservation
Marked difficulty in ego control
Redrawing Total Figure
Absence of adequate anticipatory planning Temporal brain damage Also associated with obsessive behavior
Case 1
Card A
Card 1
Card 1 Enhanced
Card 2
Card 3
Card 4
Card 5
Card 6
Card 6 Enhanced
Card 7
Card 8
Case 2
Case 2 Enhanced