The Draw-A-Man Test (Goodenough, 1926) has been widely used as a measure of intellectual maturation in children, to elicit personality type and unconscious material, and as part of neuropsychologic test batteries. The test has also been used to identify the presence of unilateral spatial neglect (USN) in adult patients post-stroke.
The Draw-A-Man test was published by Goodenough in 1926.
There are no actual items in the Draw-A-Man Test. Patients are given a blank piece of paper (8.5 x11) entitled “Draw an Entire Man” and pencil, and are asked to draw an entire man from memory.
Chen-Sea (2000) developed a new scoring method for the Draw-A-Man Test specifically for examining the presence of USN. Rather than use the original quantitative 10-point scoring method that was not able to distinguish patients with personal neglect from healthy controls, this new method scores drawings that show only homogenous unilateral body parts as having USN and those with homogenous bilateral body parts as normal. This scoring system was found to have a high inter-rater reliability. Agreement between two raters was 95.45% for the participants without brain insult and 100% for the participants with stroke, demonstrating the ability for this scoring method to discriminate patients with personal neglect from those without personal neglect.
It takes less than 5 minutes to complete the Draw-A-Man Test.
The examiner must be able to distinguish homogenous unilateral body parts (indicates presence of USN) from homogenous bilateral body parts (indicates normal functioning), as drawn by the patient.
A pencil and a blank piece of paper (8.5 x11) entitled “Draw an Entire Man”.
Quantitative 10-point scoring method of the Draw-A-Man Test.
Using a blank piece of paper and a pencil, the seated patient must draw an entire man. The picture is scored by giving one point for the presence of each of the following body parts: head, trunk, right arm, left arm, right hand, left hand, right leg, left leg, right foot, and left foot. The total score of this version of the test is 10 (see Figure 1). This method has not been found to be able to distinguish patients with personal neglect from healthy controls (Chen-Sea, 1995b).
Figure 1. Perfect score of 10 points.
(Source: Chen-Sea, 2000)
Can be used with:
Patients with stroke.
Patients must be able to hold a pencil to complete the test.
Should not be used with:
Patients who have had a left stroke and patients who are left handed.
Need to rule out the presence of apraxia, given that this may impact the validity of testing results.