Figural fluency: Differential impairment in patients with left versus right frontal lobe lesions
Abstract
Based on an experimental study, Jones-Gotman and Milner demonstrated that patients with right frontal lobe lesions were impaired on design fluency. We sought a clinical adaptation and developed a psychometrically sound technique for design fluency. The present study explores the validity of the Ruff Figural Fluency Test (RFFT) in discriminating patients with either right frontal or nonright frontal lobe lesions. In the first of two studies, six subjects with circumscribed focal lesions were given the RFFT and the Jones-Gotman and Milner figural fluency task. In the second study, we identified a larger sample of 30 patients with focal lesions in the right frontal, left frontal, right posterior, or left posterior cortex. The results from both studies support the validity of the RFFT as a measure which is sensitive to right anterior dysfunction.
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Using a modified version of the 5-Point Test, Ruff et al. (1994) found the task to be sensitive to frontal lobe injuries and perhaps more sensitive to right than left lobe involvement.
“Using a modified version of this same task, Ruff, Allen, Farrow, Nieman, and Wylie (1994) also found the task to be sensitive to frontal lobe injuries and perhaps is more sensitive to right than left lobe involvement.”
From Impairment in Occupational Functioning and Adult ADHD: The Predictive Utility of Executive Function (EF) Ratings Versus EF Tests (2010) · cites this paper as Ruff et al., 1994
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Savas, M., Vinkers, C. H., Rosmalen, J. G. M., Hartman, C. A., Wester, V. L., van den Akker, E. L. T., Iyer, A. M., McEwen, B. S., & van Rossum, E. F. C. (2020) · Neuroendocrinology · doi:10.1159/000501617 · Cited by 55 · see citing works
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- Authors
- Ruff, R. M., Allen, C. C., Farrow, C. E., Niemann, H., & Wylie, T.
- Affiliations
- University of California San Diego (US)
- Corresponding author
- Ruff, R. M.
- Venue
- Archives of Clinical Neuropsychology
- Publisher
- Oxford University Press (OUP)
- Published
- 1994-01-01
- Volume
- 9
- Issue
- 1
- Pages
- 41-55
- ISSN
- 0887-6177 (ISSN-L)
- 1873-5843
- OpenAlex
- W2095588412
- Cited by
- 140
- References
- 0
- Citations by year
- 2026: 1 · 2025: 2 · 2023: 2 · 2022: 3 · 2021: 4 · 2020: 2 · 2019: 10 · 2018: 8 · 2017: 9 · 2016: 9 · 2015: 3 · 2014: 8 · 2013: 4 · 2012: 9
- FWCI
- 4.65
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Clinical Neuropsychology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Historical and Modern Theater Studies
- Social Sciences › Psychology › Applied Psychology › Psychological Testing and Assessment
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Keywords
- figural fluency, non-verbal fluency, Ruff Figural Fluency Test, hemispheric lateralization, neuropsychological assessment validity, focal brain lesions
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