Visual motif: Hitchcock's use of visual motifs, such as ladders and staircases, creates a sense of Vertigo in the audience. These visual motifs serve as a symbol of Scottie's emotional state, emphasizing his feelings of disorientation and uncertainty. Example: - Visual motifs: The use of visual motifs such as ladders, staircases, and mirrors creates a sense of Vertigo, symbolizing Scottie's emotional state.