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Sources of poor performance on the Rey-Osterrieth Complex Figure Test among children with learning difficulties: a
M W Kirkwood1, M D Weiler, J H Bernstein
1Department of Psychiatry, Children's Hospital, Boston, MA, USA. kirkwood.michael@tchden.org
Abstract:
A dynamic assessment approach was used to examine the source of poor performance on the Rey-Osterrieth Complex Figure Test (ROCF) among 202 school-age children referred for learning difficulties. The ROCF was administered in the standard format and then in a structured format that highlighted the design's organizational framework. Manipulating encoding in this way improved recall to at least age-level for the majority of children. Those children who did not benefit from the structured format had relatively poor visual organizational skills. For most children with learning problems, poor ROCF performance stems from metacognitive difficulties; for a minority, the source appears to be more perceptual. A dynamic assessment procedure can enhance the diagnostic utility of the ROCF for children.