Constructional apraxia is an impairment in synthetic activities or abilities such as building, assembling and drawing and it is a major reason for functional disability and for neuropsychological or neurological patients inability to return to work. In this theoretical review a survey of the development of cognitive neuropsychological models of constructional apraxia will be discussed as these relate specifically to drawing abilities. Persons with schizophrenia, somatoform disorders, eating disorders, anosagnosia and right hemisphere disease conditions often present with impairments in the representations or drawings of the body. A plausible cognitive neuropsychological model of constructional apraxia was developed by extracting useful features of previous models and integrating common elements. It is hypothesized that given the relation of the integrity of body-specific representations in the drawings of these neuropsychiatric groups a better understanding of the association between constructional apraxia and free-drawing will provide insights into future clinical and applied neuroscience research.
| Published in | American Journal of Psychiatry and Neuroscience (Volume 2, Issue 5) |
| DOI | 10.11648/j.ajpn.20140205.11 |
| Page(s) | 60-75 |
| 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), 2024. Published by Science Publishing Group |
Constructional Apraxia, Free-Drawing, Unilateral Cortical Stroke Lesions, Functional MRI
| [1] | P. Turchin, “Long-term population cycles in human societies,” Ann. N.Y. Acad. Sci., vol. 1162, pp. 1-17, 2009. |
| [2] | F. Goodenough, Measurement of Intelligence by Drawings. New York: World Books 1926. |
| [3] | C.H. Swenson, “Empirical evaluations of human figure drawings,” Psychol. Bull.,vol. 54, pp. 431-466, 1957. |
| [4] | C.H. Swenson, “Empirical evaluations of human figure drawings 1957-1966,” Psychol. Bull., vol. 70, pp. 20-44, 1968. |
| [5] | S. Kahill, “Human figure drawings in adults: An update of the empirical evidence 1967-1982,” Can. Psychol., vol. 25, pp. 269-292, 1984. |
| [6] | E. Dyck, “Flashback: Psychiatric experimentation with LSD in historical perspective,” Can. J. Psychiatry, vol. 50, pp. 381-388, 2005. |
| [7] | J. Schwoebel and H.B. Coslett, “Evidence for multiple distinct representations of the human body,” J. Cogn. Neurosci., vol. 17, pp. 543-553, 2005. |
| [8] | B. Kolb and I.Q. Whishaw, Fundamentals of Human Neuropsychology – Fourth Edition, New York: W.H. Freeman and Company, 1996. |
| [9] | J.A. Naglieri, Draw-A-Person: A Quantitative Scoring System, San Antonio, Texas: Psychological Corporation, 1998. |
| [10] | C.R. Reynolds and J.A. Hickman, DAP: IQ: Draw-A-Person Intellectual Ability Test for Children, Adolescents and Adults, Austin, Texas: ProEd, 2004. |
| [11] | A.B. Silverstein and G.D. Klee, “A psychopharmacological test of the body image hypothesis,” J. Nerv. Ment. Dis., vol. 127, pp. 323-329, 1958. |
| [12] | C. Savage, “Variations in ego feeling induced by d-lysergic acid diethylamide (LSD-25),” Psychoanalyt. Rev., vol. 42, pp. 1-16, 1955. |
| [13] | R.S. Liebert, H. Werner and S. Wapner, “Studies in the effect of lysergic acid diethylamide (LSD-25): Self- and object-size perception in schizophrenics and normal adults,” AMA Arch. Neurol. Psychiatry, vol. 79, pp. 580-584, 1958. |
| [14] | S. Priebe and F. Rohricht, “Specific body image pathology in acute schizophrenia,” Psychiatry Res., vol. 101, pp. 289-301, 2001. |
| [15] | A. Levine, H.A. Abramson, M.R. Kaufman and S. Markham, “Lysergic acid diethylamide (LSD-25): XVI. The effect on intellectual functioning as measured by the Wechsler-Bellevue Intelligence Scale,” J. Psychol., vol. 40, pp. 385-395, 1955. |
| [16] | D. Wechsler, The Wechsler-Bellevue Scale - Form II, New York: Psychological Corporation, 1946. |
| [17] | M.E. Jarvik, H.A. Abramson and M.W. Hirsch, “Lysergic acid diethylamide (LSD-25): VI. Effect upon recall and recognition of various stimuli,” J. Psychol., vol. 39, pp. 443-454, 1955. |
| [18] | T. Passie, J.H. Halpern, D.O. Stichtenoth et al. “The pharmacology of lysergic acid diethylamide: A review,” CNS Neurosci. Ther., vol. 14, pp. 295-314, 2008. |
| [19] | The Economist. “LSD acid test: Research into hallucinogens begins to shake off decades of taboo,” June 23, 2011. http://www.economist.com/node/18864332 |
| [20] | S.H. Snyder and M. Reivich, “Regional localization of LSD in monkey brain,” Nature, vol. 209, pp. 1093-1095, 1966. |
| [21] | D. De Ridder, K. Van Laere, P. Dupont, T. Menovsky and P. Van de Heyning, “Visualizing out-of-body experience in the brain,” New Eng. J. Med., vol. 357, pp. 1829-1833, 2007. |
| [22] | D. Wechsler, The Wechsler Adult Intelligence Scale, New York: Psychological Corporation, 1955. |
| [23] | K.A. Welsh, N. Butters, R.C. Mohs et al., “The consortium to establish a registry for Alzheimer’s disease (CERAD). Part V: A normative study of the neuropsychological battery,” Neurology, vol. 44, pp. 609-614, 1994. |
| [24] | K.H. Goldstein KH and M. Scheerer M. “Tests of abstract and concrete behavior,” in Contributions to Medical Psychology, vol. II, A. Weidner, Ed. New York: Ronald Press, 1953. |
| [25] | M.D. Lezak, D.B. Howieson and D.W. Loring, Neuropsychological Assessment – Fourth edition, New York: Oxford University Press, 2004. |
| [26] | D.F. Benson and M.I. Barton, “Disturbances in constructional ability,” Cortex, vol. 6, pp. 19-46, 1970. |
| [27] | S. Roncato, G. Sartori, J. Masterson and R. Rumiati, “Constructional apraxia: An information processing approach,” Cogn. Neuropsychol., vol. 4, pp. 113-129, 1987. |
| [28] | A.L. Benton, “The visual retention test: A constructional praxis task,” Confin. Neurol., vol. 22, pp. 141-155, 1962. |
| [29] | E. De Renzi and L.A. Vignolo, “ The token test: A sensitive test to detect receptive disturbances in aphasics,” Brain, vol. 85, pp. 665-678, 1962. |
| [30] | E.K. Warrington and A.M. Taylor, “Contribution of the right parietal lobe to object recognition,” Cortex, vol. 9, pp. 152-164, 1973. |
| [31] | D. Tranel, D. Rudrauf, E.P.M. Vianna and H. Damasio, “Does the clock drawing test have focal neuroanatomical correlates?,” Neuropsychology, vol. 22, pp. 553-562, 2008. |
| [32] | E.K. Warrington, M. James and M. Kinsbourne, “Drawing disability in relation to laterality of lesion,” Brain, vol. 89, pp. 53-82, 1966. |
| [33] | J.C. Raven, “Progressive Matrices: A Perceptual Test of Intelligence - Individual Form,” Oxford: Oxford University Press, 1938. |
| [34] | L.D. Costa and H.G. Vaughn, “Performance of participants with lateralized cerebral lesions. 1: Verbal and perceptual tests,” J. Nerv. Ment. Dis., vol. 134, pp. 162-168, 1962. |
| [35] | D. Wechsler, Wechsler Adult Intelligence Scale – Fourth Edition, San Antonio, Texas: Psychological Corporation, 2008. |
| [36] | J. Glascher, D. Rudrauf, R. Colom et al., “Distributed neural system for general intelligence revealed by lesion mapping,” P. Natl. Acad. Sci. USA, vol. 107, pp. 4705-4709, 2010. |
| [37] | K. Hugdahl and R. Westerhausen, The Two Halves of the Brain: Information Processing in the Cerebral Hemispheres, Cambridge, Massachusetts: MIT Press, 2010. |
| [38] | A.R. Luria, “Higher Cortical Functions in Man, (Originally published by Moscow University Press, 1962), Translated by Basil Haigh, New York: Basic Books, 1966. |
| [39] | J. Gottlieb and L.H. Snyder “Spatial and non-spatial functions of the parietal cortex,” Curr. Opin. Neurobiol., vol. 20, pp. 731-740, 2010. |
| [40] | A. Pascual-Leone and R. Hamilton, “The metamodal organization of the brain,” Prog. Brain Res., vol. 134, pp. 427-445, 2001. |
| [41] | A.D. Milner and M.A. Goodale, The Visual Brain in Action: Second Edition. New York: Oxford University Press, 2006. |
| [42] | M.A. Peterson and G. Rhodes, Perception of Faces, Objects, and Scenes: Analytic and Holistic Processes, New York: Oxford University Press, 2003. |
| [43] | L.C. Robertson, Space, Objects, Minds and Brains, New York: Psychology Press, 2004. |
| [44] | P. van Sommers, “A system for drawing and drawing-related neuropsychology,” Cogn. Neuropsychol. Vol. 6, pp. 117-164, 1989. |
| [45] | M. Casagrande, “Laterality and sleep,” in The Two Halves of the Brain: Information Processing in the Cerebral Hemispheres, K. Hugdahl and R. Westerhausen, Eds., Cambridge, Massachusetts: MIT Press, 2010, pp. 313-345. |
| [46] | S.M. Kossyln, J.D. Holtzman, M.J. Farah and M.S. Gazzaniga, “A computational analysis of mental image generation: Evidence from functional dissociations in split-brain participants,” J. Exp. Psychol. Gen., vol. 114, pp. 311-341, 1985. |
| [47] | M.C. Corballis and J. Sergent, “Imagery in a commissurotomised patient,” Neuropsychologia, vol. 26, pp. 13-26, 1988. |
| [48] | D. Marr, Vision, New York: Freeman, 1982. |
| [49] | P.A. Osterreith, “Le test de copie d’une figure complexe,” Arch. Psychologie, vol. 30, pp. 206-356, 1944. |
| [50] | M.J. Farah, “The neurological basis of mental imagery: A componential analysis,” Cognition, vol. 18, pp. 245-272, 1984. |
| [51] | F. Guerin, B. Ska and S. Bellevue, “Cognitive processing of drawing abilities,” Brain Cogn. vol. 40, pp. 464-478, 1999. |
| [52] | J.L. Signoret and P. North, Les Apraxies Gestuelles, Paris: Masson, 1979. |
| [53] | C. Semenza, G. Denes, V. D’Urso, O. Romano and T. Montorsi, “Analytic and global strategies in copying designs by unilaterally brain-damaged participants,” Cortex, vol. 14, pp. 404-410, 1978. |
| [54] | L. Trojano and D. Grossi, “A critical review of mental imagery defects,” Brain Cogn. ,vol. 24, pp. 213-243, 1994. |
| [55] | M.J. Farah, “Is visual imagery really visual? Overlooked evidence from Neuropsychology,” Psychol. Rev., vol. 9., pp. 307-317, 1988. |
| [56] | M.J. Farah, “The neuropsychology of mental imagery,” in Handbook of Neuropsychology – Volume 2, F. Boller and J. Grafman, Eds. Amsterdam: Elsevier, 1989, pp. 395-414. |
| [57] | M.J. Farah, “The neurological basis of mental imagery,” in Visual Cognition, S. Pinker Ed. Cambridge, Massachusetts: MIT Press, 1985, pp. 245-271. |
| [58] | D.N. Levine, “Prosopagnosia and visual object agnosia: A behavioral study,” Brain Lang. vol. 5, pp. 341-365, 1978. |
| [59] | M.J. Farah, Visual Agnosia – Second Edition. Cambridge, Massachusetts: MIT Press, 2004. |
| [60] | E. Bisiach and C. Luzzatti, “Unilateral neglect of representational space,” Cortex, vol. 14, pp. 129-133, 1978. |
| [61] | P.W. Halligan, J.C. Marshall and D.T. Wade, “Visuospatial neglect: Underlying factors and test sensitivity,” Lancet, vol. 2, pp. 908-911, 1989. |
| [62] | K.A. Ericsson and H.A. Simon, Protocol Analysis: Verbal Reports as Data, Cambridge, Massachusetts, MIT Press, 1984. |
| [63] | M. Critchley, The Parietal Lobes, New York: Hafner, 1953. |
| [64] | G. Gainotti, M.C. Silveri, G. Villa and C. Caltagirone, “Drawing objects from memory in aphasia,” Brain, vol. 106, pp. 613-622, 1983. |
| [65] | G. Goldenberg and C. Artner, “Visual imagery and knowledge about the visual appearance of objects in participants with posterior cerebral artery lesions,” Brain Cogn., vol. 15, pp. 160-186, 1991. |
| [66] | D. Dupuy and O. Godefroy, “Disorders of visuoconstructive ability,” in The Behavioral and Cognitive Neurology of Stroke, O. Godefroy and J. Bogousslavsky, Eds. Cambridge, Massachusetts: Cambridge University Press, 2007, pp. 254-268. |
| [67] | G. Gainotti, “Constructional apraxia,” in Handbook of Clinical Neurology – Volume 1, J.A.M. Frederiks, Ed. Amsterdam: Elsevier, 1985; pp. 491-506. |
| [68] | R. Arena and G. Gainotti, “Constructional apraxia and visuoperceptive disabilities in relation to laterality of cerebral lesions,” Cortex, vol. 14, pp. 463-473, 1978. |
| [69] | G. Gainotti, “A quantitative study of the ‘closing-in’ behavior symptom in children and in brain damaged participants,” Neuropsychologia, vol. 10, pp. 429-436, 1972. |
| [70] | K. Heilman and E. Valenstein, Eds. Clinical Neuropsychology – Fourth Edition. New York: Oxford University Press, 2003. |
| [71] | H. Nielsen, “Is constructional apraxia primarily an interhemispheric disconnection syndrome?,” Scand. J. Psychol., vol. 16, pp. 113-124, 1975. |
| [72] | A. Kirk and A. Kertesz, “Hemispheric contributions to drawing,” Neuropsychologia, vol. 27, pp. 881-886, 1989. . |
| [73] | L . Trojano and M. Conson, “ Visuospatial and visuoconstructive deficits,” in Handbook of Clinical Neurology – Volume 88: Neuropsychology and Behavioral Neurology, G. Goldenberg and B.L. Miller, Eds. Amsterdam, Elsevier, 2008; pp. 373-391. |
| [74] | A.R. Luria and L.S. Tsvetkova, “The programming of constructive ability in local brain injury,” Neuropsychologia, vol. 2, pp. 95-108, 1964. |
| [75] | J. Dérouesné, X. Seron and J.L. Signoret, “La rééducation de participants with lésion frontale,” Revue Neurol. (France), vol. 131, pp. 677-689, 1975. |
| [76] | B. Pillon, “Troubles visuoconstructifs et méthods de compensation: Résultats de 85 participants atteints de lésions cérebrales,” Neuropsychologia, vol. 19, pp. 375-383, 1981. |
| [77] | M.F. Folstein, S.E. Folstein and P.R. McHugh, “Mini-mental state: A practical method for grading the cognitive state of patients for the clinician,” J. Psychiat. Res. Vol. 12, pp. 189-198, 1975. . |
| [78] | G. Villa, G. Gainotti and C. De Bonis, “Constructive disabilities in focal brain-damaged participants: Influence of hemispheric side, locus of lesion and co-existent mental deterioration,” Neuropsychologia, vol. 25, pp. 497-510, 1986. |
| [79] | L. Trojano, N.A. Fragassi, L. Chiacchio et al. “Relationships between constructional and visuospatial abilities in normal participants and in focal brain-damaged participants,” J. Clin. Exp. Neuropsychol., vol. 26, pp. 1103-1112, 2004. |
| [80] | E. De Renzi, Disorders of Space Exploration and Cognition, New York: Wiley and Sons, 1982. |
| [81] | F.W. Black and B.A. Bernard, “Constructional apraxia as a function of lesion locus and size in participants with focal brain damage,” Cortex, vol. 20, pp. 111-120, 1984. |
| [82] | R.S. Marshall, R.M. Lazar, J.R. Binder et al. “Intrahemispheric localization of drawing dysfunction,” Neuropsychologia, vol. 32, pp. 493-501, 1994. |
| [83] | D. Grossi, La Riabilitazione dei Disturbi della Cognizione Spaziale, Milano: Masson, 1991. |
| [84] | L. Trojano and D. Grossi, “Pure constructional apraxia – A cognitive analysis of a single case,” Behav. Neurol., vol. 11, pp. 43-49, 1998. |
| [85] | F. Tam, N.W. Churchill, S.C. Strother and S.J. Graham, “A new tablet for writing and drawing during functional MRI,” Hum. Brain Mapp., vol. 32, pp. 240-248, 2011. |
| [86] | L.A. Hayduk, Structural Equation Modeling with LISREL: Essentials and Advances. Baltimore, Maryland: John Hopkins University Press, 1987. |
| [87] | M.S. Gazzaniga, J.E. Bogen and R.W. Sperry, “Observations on visual perception after disconnexion of the cerebral hemispheres in man,” Brain, vol. 88, pp. 221-236, 1965. |
| [88] | J.E. LeDoux, D.H. Wilson and M.S. Gazzaniga, “Manipulospatial aspects of cerebral lateralization: Clues to the origin of lateralization,” Neuropsychologia, vol. 15, pp. 743-750, 1977. |
| [89] | A. Kirk and A. Kertesz, “Subcortical contributions to drawing,". Brain Cogn. vol. 21, pp. 51-70, 1993. |
| [90] | A. Kertesz, The Western Aphasia Battery, New York: Grune and Stratton, 1982. |
| [91] | B. Laeng, “Constructional apraxia after left or right unilateral stroke,” Neuropsychologia, vol. 44, pp. 1595-1606, 2006. |
| [92] | S.M. Kosslyn, C.F. Chabris, C.J. Marsolek and O. Koenig, “Categorical versus coordinate spatial relations: Computational analyses and computer simulations,” J. Exp. Psychol. Hum. Percept. Perform., vol. 19, pp. 562-577, 1992. |
| [93] | G. Jager and A. Postma, “On the hemispheric specialization for categorical and coordinate spatial relations: a review of the current evidence,” Neuropsychologia, vol. 41, pp. 504-515, 2003. |
| [94] | M. Makuuchi, T. Kaminaga and M. Sugishita, “Both parietal lobes are involved in drawing: A functional MRI study and implications for constructional apraxia,” Cogn. Brain. Res., vol. 16, pp. 338-347, 2003. |
| [95] | D. Farias, C. Davis and G. Harrington, “Drawing: Its contribution to naming in aphasia,” Brain Lang., vol. 97, pp. 53-63, 2006. |
| [96] | A. Martin, J.V. Haxby, F.M. Lalonde et al. “Discrete cortical regions associated with knowledge of color and knowledge of action,” Science, vol. 270, pp. 102-105, 1995. |
| [97] | R.A Poldrack, A.D. Wagner, M.W. Prull et al., “Functional specialization for semantic and phonological processing in the left inferior prefrontal cortex,” NeuroImage, vol. 10, pp. 15-35, 1999. |
| [98] | S. Ferber, R. Mraz, N. Baker and S.J. Graham, “Shared and differential neural substrates of copying and drawings: A functional magnetic resonance imaging study,” NeuroReport, vol. 18, pp. 1089-1093, 2007. |
| [99] | G.S. Harrington, D. Farias, C.H. Davis and M.H. Buonocore, “Comparison of the neural basis for imagined writing and drawing,” Hum. Brain Mapp., vol. 28, pp. 450-459, 2007. |
| [100] | J. Decety, “Do imagined and executed actions share the same neural substrate?,” Brain Res. Cogn. Brain Res., vol. 3, pp. 87-93,1996. |
| [101] | C. Stippich, H. Ochmann and K. Sartor, “Somatotopic mapping of the human primary sensorimotor cortex during motor imagery and motor execution by functional magnetic resonance imaging,” Neurosci. Lett., vol. 331, pp. 50-54, 2002. |
| [102] | C.J. Moore and C.J. Price, “Three distinct ventral occipitotemporal regions for reading and object naming,” NeuroImage, vol. 10, pp. 181-192, 1999. |
| [103] | K. Usui, A. Ikeda, M. Takayama et al. “Conversion of semantic information into phonological representation: A function of left posterior basal temporal area,” Brain, vol. 126, pp. 632-641, 2003. |
| [104] | K. Grill-Spector and R. Malach, “fMR-adaptation: a tool for studying the functional properties of human cortical neurons,” Acta Psychol. (Amsterdam), vol. 107, pp. 293-321, 2001. |
| [105] | S.M. Kossyln, G. Ganis and W.L. Thompson, “Neural foundations of imagery,” Nat. Rev. Neurosci. vol. 2, pp. 635-642, 2001. |
| [106] | M.P. Deiber, V. Ibanez, M. Honda et al. “Cerebral processes related to visuomotor imagery and generation of simple finger movements studied with positron emission tomography,” NeuroImage, vol. 7, pp. 73-85, 1998. |
| [107] | S. Exner, Untersuchungen uber die Localisation der Functionen in der Grosshirnrinde des Menschen, Wien: W. Braumuller, 1881. |
| [108] | M. Longcamp, J.L. Anton, M. Roth and J.L. Velay, “Visual presentation of single letters activates a premotor area involved in writing,” NeuroImage, vol. 19, pp. 1492-1500, 2003. |
| [109] | K. Ogawa and T. Inui, “The role of the posterior parietal cortex in drawing by copying,” Neuropsychologia, vol. 47, pp. 1013-1022, 2009. |
| [110] | M.S. Graziano and C.G. Gross, “Spatial maps for the control of movement,” Curr. Opin. Neurobiol., vol. 8, pp. 195-201, 1998. |
| [111] | L. Trojano, D. Grossi and T. Flash, “Cognitive neuroscience of drawing: Contributions of neuropsychological, experimental and neurofunctional studies,” Cortex, vol. 45, pp. 269-277, 2009. |
APA Style
Simon McCrea. (2014). A Neuropsychological Model of Free-Drawing from Memory in Constructional Apraxia: A Theoretical Review. American Journal of Psychiatry and Neuroscience, 2(5), 60-75. https://doi.org/10.11648/j.ajpn.20140205.11
ACS Style
Simon McCrea. A Neuropsychological Model of Free-Drawing from Memory in Constructional Apraxia: A Theoretical Review. Am. J. Psychiatry Neurosci. 2014, 2(5), 60-75. doi: 10.11648/j.ajpn.20140205.11
AMA Style
Simon McCrea. A Neuropsychological Model of Free-Drawing from Memory in Constructional Apraxia: A Theoretical Review. Am J Psychiatry Neurosci. 2014;2(5):60-75. doi: 10.11648/j.ajpn.20140205.11
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Download@article{10.11648/j.ajpn.20140205.11,
author = {Simon McCrea},
title = {A Neuropsychological Model of Free-Drawing from Memory in Constructional Apraxia: A Theoretical Review},
journal = {American Journal of Psychiatry and Neuroscience},
volume = {2},
number = {5},
pages = {60-75},
doi = {10.11648/j.ajpn.20140205.11},
url = {https://doi.org/10.11648/j.ajpn.20140205.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajpn.20140205.11},
abstract = {Constructional apraxia is an impairment in synthetic activities or abilities such as building, assembling and drawing and it is a major reason for functional disability and for neuropsychological or neurological patients inability to return to work. In this theoretical review a survey of the development of cognitive neuropsychological models of constructional apraxia will be discussed as these relate specifically to drawing abilities. Persons with schizophrenia, somatoform disorders, eating disorders, anosagnosia and right hemisphere disease conditions often present with impairments in the representations or drawings of the body. A plausible cognitive neuropsychological model of constructional apraxia was developed by extracting useful features of previous models and integrating common elements. It is hypothesized that given the relation of the integrity of body-specific representations in the drawings of these neuropsychiatric groups a better understanding of the association between constructional apraxia and free-drawing will provide insights into future clinical and applied neuroscience research.},
year = {2014}
}
TY - JOUR T1 - A Neuropsychological Model of Free-Drawing from Memory in Constructional Apraxia: A Theoretical Review AU - Simon McCrea Y1 - 2014/10/30 PY - 2014 N1 - https://doi.org/10.11648/j.ajpn.20140205.11 DO - 10.11648/j.ajpn.20140205.11 T2 - American Journal of Psychiatry and Neuroscience JF - American Journal of Psychiatry and Neuroscience JO - American Journal of Psychiatry and Neuroscience SP - 60 EP - 75 PB - Science Publishing Group SN - 2330-426X UR - https://doi.org/10.11648/j.ajpn.20140205.11 AB - Constructional apraxia is an impairment in synthetic activities or abilities such as building, assembling and drawing and it is a major reason for functional disability and for neuropsychological or neurological patients inability to return to work. In this theoretical review a survey of the development of cognitive neuropsychological models of constructional apraxia will be discussed as these relate specifically to drawing abilities. Persons with schizophrenia, somatoform disorders, eating disorders, anosagnosia and right hemisphere disease conditions often present with impairments in the representations or drawings of the body. A plausible cognitive neuropsychological model of constructional apraxia was developed by extracting useful features of previous models and integrating common elements. It is hypothesized that given the relation of the integrity of body-specific representations in the drawings of these neuropsychiatric groups a better understanding of the association between constructional apraxia and free-drawing will provide insights into future clinical and applied neuroscience research. VL - 2 IS - 5 ER -
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