From a head-injury protocol to a developmental study
The figure appeared in André Rey's monograph on the psychological examination of traumatic encephalopathy, written while he was at the University of Geneva. Rey wanted to separate the primary effects of a head injury from secondary effects arising from the patient's reactions to it.1,10 The same 1941 paper is also the source usually cited for the Rey Auditory Verbal Learning Test.9
Osterrieth, a research assistant to Rey in Geneva, divided the figure into 18 elements scored for presence, completeness and placement, and supplied initial norms for 230 children (ages 4–15) and 60 adults (16–60).2,3,5 His own interest was developmental — when children begin to treat the figure as a gestalt rather than a set of parts, which he placed around age nine — and he classified copies into seven "types" by approach.4,10
Note on page ranges: citing sources disagree for both primary papers — Rey (1941) appears as 286–340 and 215–285; Osterrieth (1944) as 206–356 and 286–356. The references below give both.1,2
The standardized protocol (Meyers & Meyers, 1995)
Procedures varied for decades. The most widely used standardized version today is the Rey Complex Figure Test and Recognition Trial (RCFT), with demographically corrected norms for ages 18–89 plus a children's supplement.6,7
Osterrieth's 18 units, 0–2 points each, 36 maximum
Not just how much was drawn — how it was drawn
What the published numbers say
A 2021 review lists the functions drawing performance can reflect: attention and concentration, fine-motor coordination, visuospatial perception, non-verbal memory, planning and organization, and spatial orientation.5 The RCFT manual reports that its trials discriminate mildly brain-injured from healthy examinees.7 Scores decline with age, so demographically adjusted norms are required.13
Solving the retest problem
Sources cited on this page
- [1]Rey, A. (1941). L'examen psychologique dans les cas d'encéphalopathie traumatique (Les problèmes). Archives de Psychologie, 28, 286–340. [Some sources give 215–285.]semanticscholar.org record
- [2]Osterrieth, P. A. (1944). Le test de copie d'une figure complexe: Contribution à l'étude de la perception et de la mémoire. Archives de Psychologie, 30, 206–356. [Also cited as 286–356.]as cited in Rivera et al. (2015)
- [3]Rivera, D., Perrin, P. B., Morlett-Paredes, A., et al. (2015). Rey–Osterrieth Complex Figure – copy and immediate recall: Normative data for the Latin American Spanish speaking adult population. NeuroRehabilitation, 37(4), 677–698.doi:10.3233/NRE-151285
- [4]Rey-Osterrieth Complex Figure copy scoring systems in a dementia clinic sample (2025). ResearchGate preprint; reports Troyer & Wishart (1997), The Clinical Neuropsychologist, 11(4), 381–390.researchgate.net
- [5]Zhang, X., Lv, L., Min, G., Wang, Q., Zhao, Y., & Li, Y. (2021). Overview of the complex figure test and its clinical application in neuropsychiatric disorders, including copying and recall. Frontiers in Neurology, 12, 680474.doi:10.3389/fneur.2021.680474
- [6]Meyers, J. E., & Meyers, K. R. (1995). Rey Complex Figure Test and Recognition Trial: Professional manual. Lutz, FL: Psychological Assessment Resources.parinc.com/products/RCFT
- [7]PAA. Rey Complex Figure Test and Recognition Trial — product description (ages, duration, factor structure).paa.com.au
- [8]Rey Complex Figure Test and Recognition Trial in clinical neuropsychological assessment (60 neurological patients; IR–DR r = .93). ResearchGate.researchgate.net
- [9]Test performance and classification statistics for the Rey Auditory Verbal Learning Test in selected clinical samples (2006). Archives of Clinical Neuropsychology, 21(7), 693.sciencedirect.com
- [10]Wikipedia contributors. Rey–Osterrieth complex figure (tertiary overview; accessed 29 Sept 2026).en.wikipedia.org
- [11]Stern, R. A., Singer, E. A., Duke, L. M., et al. (1994). The Boston Qualitative Scoring System for the Rey-Osterrieth Complex Figure: Description and interrater reliability. The Clinical Neuropsychologist, 8(3), 309–322.doi:10.1080/13854049408404137
- [12]ClinicalTrials.gov NCT03512301 — ROCF outcome definition: 18 design elements scored 0, .5, 1 or 2 by accuracy and placement.clinicaltrials.gov
- [13]Rey Figure Test with recognition trial: normative data (American University of Beirut ScholarWorks).scholarworks.aub.edu.lb
- [14]Taylor, L. B. (1969). Localization of cerebral lesions by psychological testing. Clinical Neurosurgery, 16, 269–287.cited in Yamashita & Yasugi (2008)
- [15]Hubley, A. M., & Tremblay, D. (2002). Comparability of total score performance on the Rey-Osterrieth Complex Figure and a modified Taylor Complex Figure. J Clin Exp Neuropsychol, 24(3), 370–382.doi:10.1076/jcen.24.3.370.984
- [16]Loring, D. W., & Meador, K. J. (2003). The Medical College of Georgia (MCG) Complex Figures: Four forms for follow-up. In J. A. Knight & E. Kaplan (Eds.), The handbook of Rey-Osterrieth Complex Figure usage (pp. 313–321). PAR.med.emory.edu (PDF)
- [17]Yasugi, M., & Yamashita, H. (2010). Medical College of Georgia Complex Figures in repeated memory testing. Perceptual and Motor Skills, 110(1), 181–184.doi:10.2466/PMS.110.1.181-184
- [18]Tombaugh, T. N., & Hubley, A. M. (1991). Four studies comparing the Rey-Osterrieth and Taylor complex figures. J Clin Exp Neuropsychol, 13(4), 587–599.doi:10.1080/01688639108401073
Related historical IQ tests
Nine simpler figures copied with the model in view.
Visual and verbal memory in one battery.
The comprehensive neuropsychology battery.
Visuospatial construction without a pencil.
Copy scores correlate with Trail Making in clinical samples.
A child's drawing scored against a checklist.