Early detection of cognitive impairment can prevent or delay the progress of cognitive dysfunction. In the field of neurology, the Clock Drawing Test (CDT) is one of the most popular instruments for detecting cognitive impairment. This paper presents the development of the ClockReader system, a computerized Clock Drawing Test. The main function of the system is to automate error handling in handwriting recognition. Since the ClockReader is a screening tool for dementia, it is not desirable to ask the users to fix their input errors in the drawing of either numbers or characters. Therefore, we propose a simple machine learning technique, context-bounded refinement filter algorithm. With trial experiments, we prove that this simple algorithm improves the recognizer accuracy of handwriting in clock drawings up to 88%.

Reasoning by the usage of mental images has been the subject of much debate in Cognitive Science, especially among the schools of depictive and descriptive imagistic representations. Whether or not reasoning with mental images involves a mechanism or a process different from language based reasoning is an important question. This paper proposes that any theory which aims for a cohesive whole needs to be constrained by neurophysiological data and such data can be obtained by the Clock Drawing Test. The Clock Drawing Test (CDT) is a screening tool for cognitive impairment and can be used as a tool to test resilience of certain factors of visual spatial representations. Thus, it can help to form an empirical case for which factors are prone to debility and which factors are not during the onset and progress of cognitive impairment from a mental representation point of view. This paper presents 50 CDT tests done on patients with cognitive impairment and analyses the results which support the case for a depictive rather than a descriptive theory for imagistic representations. Lastly, this paper proposes that there is some evidence for a more dynamic and distributed nature of representation in the observations which question the above dichotomy and can be partly explained by certain aspects of the connectionist school of thought.