Skip to main content

Clock Drawing

  • Reference work entry
  • First Online:
Encyclopedia of Clinical Neuropsychology
  • 35 Accesses

Description

Clock drawing test (CDT) is a widely used and popular neuropsychological test. Rubin et al. (2005) reported that the CDT appears in the top 40 tests most commonly used by neuropsychologists. The CDT is often considered to be a visuoconstructional test. Modern versions of the CDT usually contain at least two parts – clock drawing to command and clock drawing to copy. In the command condition, patients are presented with a blank sheet of paper and are asked to “draw the face of a clock showing the numbers and the two hands set for ten after eleven”. In the copy condition, a pre-drawn model of a clock with numbers and hands set for 10 after 11 is presented, and the patient is asked to copy the model. Clock drawing with hands set for 10 after 11 is an innovation introduced by Edith Kaplan (1988, 1990). As described below, other versions of the CDT ask the patient to set the hands for other times. Also, some versions of the CDT include a clock subtest in which patients are...

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 899.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 1,099.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References and Readings

  • Benton, A., & Tranel, D. (1993). Visuoperceptual, visuospatial, and visuoconstructional disorders. In K. M. Heilman & E. Valenstien (Eds.), Clinical neuropsychology (3rd ed.). New York: Oxford University Press.

    Google Scholar 

  • Borod, J. C., Goodglass, H., & Kaplan, E. (1980). Normative data on the Boston diagnostic aphasia examination, parietal lobe battery, and the Boston naming test. Journal of Clinical Neuropsychology, 2, 209–216.

    Article  Google Scholar 

  • Cahn-Weiner, D. A., Williams, K., Grace, J., Tremont, G., Westervelt, H., & Stern, R. A. (2003). Discrimination of dementia with lewy bodies from Alzheimer disease and Parkinson disease using the clock drawing test. Cognitive and Behavioral Neurology, 16, 85–92.

    Article  PubMed  Google Scholar 

  • Cohen, J., Penney, D. L., Davis, R., Libon, D. J., Ajilore, O., Kumar, A., & Lamar, M. (2014). Differentiating ‘thinking’ versus ‘drawing’ in depression across the lifespan. Journal of the International Neuropsychological Society, 20, 1–9.

    Article  Google Scholar 

  • Cosentino, S., Jefferson, A. J., Chute, D. L., Kaplan, E., & Libon, D. L. (2004). Clock drawing errors in dementia: Neuropsychological and neuroanatomic considerations. Cognitive and Behavioral Neurology, 17, 74–83.

    Article  PubMed  Google Scholar 

  • Davis, R., Libon, D. J., Au, R., Pitman, D., & Penney, D. L. (2014). THink: Inferring cognitive status from subtle behaviors. Proceedings of the Conference of Artificial Intelligence, July, 2898–2905.

    Google Scholar 

  • Freedman, M., Leach, L., Kaplan, E., Shulman, K. I., & Delis, D. C. (1994). Clock drawing: A neuropsychological analysis. New York: Oxford University Press.

    Google Scholar 

  • Goodglass, H., & Kaplan, E. (1972). Assessment of aphasia and related disorders (1st ed.). Philadelphia: Lea and Febiger.

    Google Scholar 

  • Goodglass, H., & Kaplan, E. (1983). Assessment of aphasia and related disorders (2nd ed.). Philadelphia: Lea and Febiger.

    Google Scholar 

  • Goodglass, H., Kaplan, E., & Baresi, B. (2001). Assessment of aphasia and related disorders (3rd ed.). Philadelphia: Lippincott, Williams.

    Google Scholar 

  • Head, H. (1926). Aphasia and kindred disorders of speech. New York: Macmillan.

    Google Scholar 

  • Kaplan, E. (1988). A process approach to neuropsychological assessment. In T. Boll & B. K. Bryant (Eds.), Clinical neuropsychology and brain function: Research, measurement, and practice. Washington, DC: American Psychological Association.

    Google Scholar 

  • Kaplan, E. (1990). The process approach to neuropsychological assessment of psychiatric patients. Journal of Neuropsychiatry and Clinical Neurosciences, 2, 72–87.

    Article  PubMed  Google Scholar 

  • Lamar, M., Olusola, A., Cohen, J., Charlton, R., GadElkarim, J., Leow, A., Libon, D., & Kumar, A. (2016). Merging digital technology, neuropsychological assessment and the human connectome to detect preclinical markers of neurodegeneration. Neuropsychologia, 85, 301–309.

    Article  PubMed  PubMed Central  Google Scholar 

  • Leach, L., Kaplan, E., Rewilak, D., Richards, B., & Proulx, G.-B. (2000). The kaplan baycrest neurocognitive assessment. San Antonio: The Psychological Corp.

    Google Scholar 

  • Lezak, M., Howison, D. B., & Loring, D. W. (2004). Neuropsychological assessment (4th ed.). New York: Oxford University Press.

    Google Scholar 

  • Libon, D. J., Swenson, R., Barnoski, E., & Sands, L. P. (1993). Clock drawing as an assessment tool for dementia. Archives of Clinical Neuropsychology, 8, 405–416.

    Article  PubMed  Google Scholar 

  • Libon, D. J., Malamut, B. L., Swenson, R., & Cloud, B. S. (1996). Further analyses of clock drawings among demented and non-demented subjects. Archives of Clinical Neuropsychology, 11, 193–211.

    Article  PubMed  Google Scholar 

  • Libon, D.J., Penney, D.L., Davis, R., Tabby, D.S., Eppig, J., Nieves, C., Wicas, G., Lamar, M., Price, C.C., Au, R., Swenson, R., and Garrett, K.D. (2014). On behalf of the Clock Sketch Consortium. Deficits in processing speed and decision making in relapsing-remitting multiple Sclerosis: The digit clock drawing test (dCDT). Journal of Multiple Sclerosis, 1, 113. https://doi.org/10.4172/jmso.1000113.

  • Marcopulos, B. A., McLean, A., & Giuliano, A. J. (1997). Cognitive impairment or inadequate norms: A study of healthy, rural, older adults with limited education. The Clinical Neuropsychologist, 11, 111–131.

    Article  Google Scholar 

  • Mayer-Gross, W. (1935). Some observations on apraxia. Proceeding of the Royal Society of Medicine, 28, 1203–1212.

    Google Scholar 

  • McFie, J., & Zangwill, O. L. (1960). Visuo-constructive disabilities associated with lesions of the left cerebral hemisphere. Brain, 83, 243–260.

    Article  Google Scholar 

  • Rouleau, I., Salmon, D. P., Butters, N., Kennedy, C., & McGuire, K. (1992). Quantitative and qualitative analyses of clock drawings in Alzheimer’s and Huntington’s disease. Brain and Cognition, 18, 70–87.

    Article  PubMed  Google Scholar 

  • Rouleau, I., Salmon, D. P., & Butters, N. (1996). Longitudinal analysis of clock drawing in Alzheimer’s disease patients. Brain and Cognition, 31, 17–34.

    Article  PubMed  Google Scholar 

  • Rubin, L. A., Barr, W. B., & Burton, L. A. (2005). Assessment practices of clinical neuropsychologists in the United States and Canada: A survey of INS, NAN, and APA division 40 members. Archives of Clinical Neuropsychology, 20, 33–65.

    Article  Google Scholar 

  • Tranel, D., Rudrauf, D., Vianna, E. P. M., & Damasio, H. (2008). Does the clock drawing test have focal neuroanatomical correlates? Neuropsychology, 22, 553–562.

    Article  PubMed  PubMed Central  Google Scholar 

  • Tuokko, H., Hadjustavropoulos, T., Miller, J. A., & Beattie, B. L. (1992). The clock test: A sensitive measure to differentiate normal elderly from those with Alzheimer disease. Journal of the American Geriatrics Society, 40, 579–584.

    Article  PubMed  Google Scholar 

  • Van der Horst, L. (1934). Constructional apraxia: Psychological views on the conception of space. Journal of Nervous and Mental Disease, 80, 645–650.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to David J. Libon .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this entry

Check for updates. Verify currency and authenticity via CrossMark

Cite this entry

Libon, D.J., Kaplan, E., Swenson, R., Penney, D.L. (2018). Clock Drawing. In: Kreutzer, J.S., DeLuca, J., Caplan, B. (eds) Encyclopedia of Clinical Neuropsychology. Springer, Cham. https://doi.org/10.1007/978-3-319-57111-9_1351

Download citation

Publish with us

Policies and ethics