Performance on the Bender Visual-Motor Gestalt test has been repeatedly shown to be sensitive to the effects of brain lesions. However, brain damaged and control populations typically overlap greatly in their error scores. A new Bender scoring system is presented with differential weighting for errors of greater or lesser severity, which permits a profile analysis of different types of error as well. Preliminary data from a validation study are included. There are several scoring systems for the Bender Visual-Motor Gestalt Test (Bender, 1938) including those developed by Hain (1964), Koppitz (1964) and Pascal and Suttell (1951) as well as that which was developed by Bender (1938). Each of these systems has been an attempt to objectify the differences in performance often seen between groups of people with different diagnoses. Developmental differences also have been shown on the Bender (Koppitz, 1964). Several studies have demonstrated that, based upon total error scores on the Bender, there are significant differences in performance between brain-damaged and other non brain-damaged groups (Hain, 1964; Kramer and Fenwick, 1966; Tymchuk, 1974). The rationale for the use of the Bender for individual classification derives from the fact that people with known brain lesions demonstrate disordered performances on tests such as the Bender including the Benton Visual Retention Test (Benton, 1963), the Graham-Kendall Memory for Designs Test (1960) and the Halstead-Wepman Aphasia Screening Test (1949). Scores on the Bender, however, cannot be used to classify subjects on an individual basis into the brain-damaged or non brain-damaged groups because of the great overlap in error scores (Cronbach, 1970). Despite this difficulty in individual classification, the Bender is a useful tool for research purposes in showing change in performance after training and has been used to predict learning disabilities (Silver, 1973) so that an objective method for scoring is needed. The author has developed a scoring system which goes beyond the other systems in that the errors are defined more finely with different weights given depending on the extent of the error. This system also has categories for the different types of errors which allows for a profile analysis of errors. The categories of errors include rotations, integration, distortion, size, perseveration and others (including collisions, incoordination, erasures, nonerasures or doubled or blackened lines). Each of the other scoring systems for the Bender include some or all of these types of errors, but do not offer scores for the individual types. As an example of the fineness of the error categories, for figure A, Rotation errors of the entire figure of 45, 90 and 180 degrees are given scores of 1, 2, or 3 respectively. For Integration errors when there is one-eighth inch or more overlap or separation for Figure A, this is scored 1 while super-imposition of the figures or where one figure is missing is scored 2. Various degrees of distortions are also scored 1, 2, or 3. This system also considers time scores for the individual errors as well as a total time score although in the present study time scores were unavailable. This system is an extension of several others including the Koppitz (1964) and is not meant to replace those systems. The purpose of the system is to be used where delineation of finer error categories may seem appropriate.
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