Most studies on the drawings by the psychotic patients have focused on their pathologic graphic patterns. But there are few studies exploring the changes in the art expression through the clinical gourse. This is a preliminary study to evaluate objectively the correlation between the graphic characteristics and the course of the psychotic illness, and to find its clinical application. The study was performed retrospectively by using serial free drawings of 13 schizophrenics and 9 patients with mood disorders who were hospitalized in the closed neuropsychiatric wards, Seoul National University Hospital during the period between March, 1990 and February, 1992. Two independent raters assessed the clinical course of each patient involved in this group with the Brief Psychiatric Rating Scale(BPRS). For the assessment of the art expression，two independent raters used the list of the graphic characteristics which we made through literature review. In addition, we assessed the quality of schizophrenic drawing as a whole. There were no significant correlation between the art expression and the clinical course in our study group. There were 3 schizophrenics having significant correlation between both of them, but there were no significant differences in graphic characteristics and psychopathologies between these patients and others. In spite of the clinical improvement, the art expression was assessed as worse in one schizophrenic and two manic patients
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