Human figure drawing research literature published since 1957 is reviewed. It is concluded that such research has improved substantially in quality and sophistication and has produced increased empirical support for the use of human figure drawings as a clinical tool. The evidence suggests that the validity of a particular aspect of drawings is directly related to the reliability of that aspect of the drawing. Global ratings are the most reliable and most valid, while individual signs are the least reliable and least valid. Since the presence of certain signs is related to the overall quality of the drawings, it is suggested that future research should control for the quality of the drawings.