A Comparison Between Comprehensive System and an Early Version of the Rorschach Performance Assessment System Administration With Outpatient Children and Adolescents

For many years, the effects of variability in the length of Rorschach records has been debated, and a new administration procedure aimed at reducing the proportion of short and long records has recently been introduced. Using an outpatient sample of children and adolescents, this study explored the impact of an early version of the Rorschach Performance Assessment System (R–PAS) administration, on the central tendencies of Rorschach variables. Specifically, the mean values of 51 variables in 142 Comprehensive System versus 99 R–PAS collected records were compared with each other. Results found comparable mean values across CS and R–PAS administration methods for the variables that guide interpretation with children and adolescents. Both methods produced a comparable number of long (> 27 responses) records. The only relevant difference that emerged is that the early R–PAS administration version yielded significantly fewer short (14–16 responses) records and lower variability in the number of responses.     

Appraisal of Suicidal Risk Among Adolescents and Young Adults Through the Rorschach Test

The aims of this study are to investigate suicidal behaviors among adolescents and young adults and to test an index composed using Rorschach test responses related to an increased risk of suicide. Using a cross-sectional design, 4 groups were studied (according to criteria of the Columbia Classification Algorithm of Suicide Assessment [Posner, Oquendo, Gould, Stanley, &; Davies, 2007 Rierdan, J. 1978. Suicide and transparency responses on the Rorschach: A replication. Journal of Consulting and Clinical Psychology, 46: 1162–1163.  [Google Scholar]]): A group with suicidal ideation (n = 30), a group with parasuicidal behavior (n = 30), a group with near-lethal suicide attempts (n = 26), and a control group (n = 30). Responses to the Rorschach test yielded 6 potential indicators of suicidal behavior (scored according to Exner's Comprehensive System and the Suicidal Index for Adolescents; Silberg &; Armstrong, 1992 Stengel, E. 1975. Suicide and attempted suicide , 2nd ed., New York, NY: Aronson.  [Google Scholar]). Rorschach scores including at least 4 of these 6 indicators selected 69% of the people who had committed serious suicide attempts. The Rorschach Suicidal Index reached an acceptable reliability and was related to other criteria of suicide risk, such as the Beck Depression Inventory (BDI; Beck, Ward, Mendelsohn, Mock, &; Erbaugh, 1961 Beck, A. T., Ward, C. H., Mendelsohn, M., Mock, J. and Erbaugh, J. 1961. An inventory for measuring depression. Archives of General Psychiatry, 4: 561–571. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar]) and Linehan Reasons for Living Inventory (RFL–I; Linehan, Goodstein, Nielsen, &; Chiles, 1983 Menninger, K. 1938. Man against himself, New York, NY: Harcourt. [Crossref] , [Google Scholar]). Moreover, the Rorschach Suicidal Index showed incremental validity over the BDI and the RFL–I to predict suicidal behavior. A path analysis additionally showed that low social support was an important mediator between the Rorschach Suicidal Index and the number of suicide attempts committed by participants.     

Interobserver agreement, intraobserver reliability, and the Rorschach Comprehensive System

Interrater agreement and reliability for the Rorschach have recently come under increasing scrutiny. This is the second report examining methods of Comprehensive System reliability using principles derived from observational methodology and applied behavioral analysis. This study examined a previous nonpatient sample of 20 protocols (N = 412 responses) and also examined a new clinical sample of 20 protocols (N = 374 responses) diagnosed with Research Diagnostic Criteria. Reliability was analyzed at multiple levels of Comprehensive System data, including response-level individual codes and coding decisions and ratios, percentages, and derivations from the Structural Summary. With a number of exceptions, most Comprehensive System codes, coding decisions, and summary scores yield acceptable, and in many instances excellent, levels of reliability. Limitations arising from the nature of Rorschach data and Comprehensive System coding criteria are discussed.     

Societal Risk Perception Among Children, Adolescents, Adults, and Elderly People

This study reported on mean risk magnitude judgments expressed by French participants aged 8 to 75 years, on a set of 91 hazardous activities, substances, and technologies. It then systematically analyzed the effects of the age factor on the judgments. Between elderly people and young and mature adults, few notable differences were detected. The most important result was that a considerable proportion of the children were able to estimate the risk associated with most items of the present study, and that the linear association between children's ratings and adults' ratings was very high. This finding supports the view that the learning of the risk associated with various technologies, common in society, is a fast process, depending probably much more on exposure to media information and family discussions (socialization) than on exposure to everyday reality.     

Scoring the Rorschach: a constructive critique of Exner's Comprehensive Rorschach System

John Exner's rationale for scoring the Rorschach and his decision to score "blend" responses by assigning equal weights are critically reviewed. The resultant exclusion of new responses made during the Inquiry of the Free Association responses is viewed as a major deficiency in the Comprehensive Rorschach System. A change to Klopfer's "Main-Additional" scoring method is recommended as a corrective.     

Introduction to the JPA special supplement on International Reference Samples for the Rorschach Comprehensive System

This Introduction provides an overview to the JPA Special Supplement on International Reference Samples for the Rorschach Comprehensive System (CS; Exner, 2001). It contains a history of this project and a table including all of the lead authors, their country and the type and size of their sample. Suggestions for conducting this type of research are offered, including information on normative vs. nonpatient samples, inclusion/exclusion criteria, the use of collateral instruments, and concerns relative to representativeness. Reliability and coding concerns are addressed, and information on the Popular response in Japan are reviewed. Finally, trends within and across the data are highlighted.     

Assessment of Alexithymia With the Rorschach Comprehensive System: The Rorschach Alexithymia Scale (RAS)

The Bene-Anthony Family Relations Test was administered to twenty normal, twenty-seven school disordered, and ten institutionalized emotionally disturbed preadolescent boys. Significant differences were obtained between and within groups. The more disturbed children tended to report more positive perceptions of family relationships, particularly their relationships with their oldest siblings. However, institutionalized children tended to perceive themselves more negatively than normal or school disordered children in the context of family relationships. Normal children, but not institutionalized children, tended to perceive their relationships with their oldest siblings as significantly more negative than their relationships to their parents. The data were interpreted as reflecting sibling rivalry and the operation of psychodynamic defenses.     

The Effects of Psychological Trauma on Children and Adolescents

In this review the authors examine the cognitive, affective, behavioral, and somatic-physiological effects documented in the literature as sequelae of overwhelming life events in children and adolescents. Findings from the literature are compared with the current formulations of Post-traumatic Stress Disorder (PTSD) in the Diagnostic and Statistical Manual of Mental Disorders, third edition, revised (DSM-III-R, American Psychiatric Association, 1987) as this diagnostic category applies to children. Responses likely to be observed in children and adolescents who have been exposed to traumatic events are discussed. Suggestions for future research and counseling practice are presented     

Analytic Group Psychotherapy with Children,Adolescents and Adults by S. R. Slavson

Abstract

A model of inpatient group psychotherapy that focuses on two frequently observed patient subgroups reflecting contrasting attitudes toward authority is presented. The counterdependent subgroup overly values autonomy, opposes unit restrictions, and rejects treatment. The dependent subgroup tends to accept the unit’s treatment and structure but is overly passive. In this model these attitudes are addressed in order to help patients adapt to the unit and to facilitate discharge. The author describes a three–stage group designed to help patients achieve these goals.     

Exploring possible ethnic differences and bias in the Rorschach Comprehensive System

In this study I conducted a series of analyses to explore potential ethnic bias in Rorschach Comprehensive System variables using a consecutive series of 432 patients evaluated in 1 setting. The simple association between 188 scores and ethnicity revealed no significant findings after matching on several salient demographic variables. Next, 17 analyses of convergent validity found no evidence for differential validity and no evidence for slope bias. For 13 analyses, there was also no evidence for intercept bias. However, with 4 variables predicting psychotic disorders, regression lines favored minorities and worked against European Americans. These findings are the opposite of what should be seen if the Rorschach was biased against minorities and most likely emerged for statistical reasons related to unmeasured confounds. Finally, principal components analyses revealed no evidence of ethnic bias in the Rorschach's internal structure. Although these findings need to be replicated, the available data support using the Comprehensive System across ethnic groups.     

Simple Procedures to Estimate Chance Agreement and Kappa for the Interrater Reliability of Response Segments Using the Rorschach Comprehensive System

When determining interrater reliability for scoring the Rorschach Comprehensive System (Exner, 1993), researchers often report coding agreement for response segments (i.e., Location, Developmental Quality, Determinants, etc.). Currently, however, it is difficult to calculate kappa coefficients for these segments because it is tedious to generate the chance agreement rates required for kappa computations. This study facilitated kappa calculations for response segments by developing and validating formulas to estimate chance agreement. Formulas were developed for 11 segments using 400 samples, cross-validated on 100 samples, and applied to the data from 5 reliability studies. On cross-validation, the validity of the prediction formulas ranged from .93 to 1.0 (M = .98). In the 5 reliability studies, the average difference between estimated and actual chance agreement rates was .00048 and the average difference between estimated and actual kappa values was .00011 (maximum = .0052). Thus, the regression formulas quite accurately predicted chance agreement rates and kappa coefficients for response segments.     

Temporal Discounting of Hypothetical Monetary Rewards by Adolescents,Adults, and Older Adults

The Psychological Record - The present experiment examined temporal discounting across 3 different age bands: adolescents, adults, and older adults (mean ages 14, 46, and 73 years, respectively). A...     

Definitions of Idioms in Preadolescents, Adolescents, and Adults

The purpose of this study was to expand the current literature on word definitions by focusing on definitions of idioms provided by several age groups. Preadolescents, young adolescents, older adolescents, and adults wrote definitions for 10 frequently used idioms and also rated their familiarity with the idiomatic expressions. Participants’ definitions were scored based on the degree to which their definitions reflected use of critical elements (determined by a standard dictionary of idioms), use of examples or related/associated concepts, and errors. Significant age differences were found in both idiom familiarity and idiom definition tasks: both idiom familiarity and definitional skill improved with age. In addition, we found a positive correlation between idiom familiarity and idiom definition. Results are discussed with respect to age-related changes in definitional response types and understanding of figurative language.     

The Prevention of Rehospitalization of Adolescents and Young Adults

This paper presents a family-oriented therapy approach for the prevention of rehospitalization of adolescents and young adults with diverse diagnoses. The dilemma of the family is presented in terms of the incongruities evident in the organizational hierarchy of these families. The main premise is that if the hierarchy is corrected so that the parents are jointly in charge of the youth and the extended kin cooperate, rehospitalization can be prevented. A therapeutic strategy is presented with the emphasis on overcoming the family's attempt to avoid a hierarchy in which the parents are in charge of the family.     

Psychological Treatments for Symptoms of Posttraumatic Stress Disorder in Children,Adolescents, and Young Adults: A Meta-Analysis

Meta-analyses of the treatment of posttraumatic stress disorder (PTSD) in childhood and adolescence are restricted to specific trauma, selected interventions, and methodologically rigorous studies. This large meta-analysis quantifies the effects of psychological treatments for PTSD symptoms in children and adolescents. An extensive literature search yielded a total of 13,040 articles; 135 studies with 150 treatment conditions (N = 9562 participants) met the inclusion criteria (psychological interventions with children and/or adolescents with PTSD symptoms that report quantitative measures of symptom change). The mean effect sizes (ESs) for PTSD symptoms ranged from large to small, depending on the control condition. Cognitive behavioral therapy (CBT) yielded the highest ESs. Age and caretaker involvement were identified as moderators. CBT, especially when conducted in individual treatment with the inclusion of parents, is a highly effective treatment for trauma symptoms. Psychological treatments need to be modified to address younger patients’ specific needs.     

Superiority of form% over Lambda for research on the Rorschach Comprehensive System

Lambda is an important variable in the Rorschach Comprehensive System. However, because of the way it is calculated it has properties that can produce problems for parametric statistical analyses. We illustrate these difficulties and encourage the use of Form% (i.e., pure form responses/total responses) instead of Lambda in research. Form% is easy to calculate, and it is conceptually and mathematically comparable to Lambda. Because it is much more normally distributed, Form% is suitable to use in parametric analyses (e.g., t tests, analyses of variance, correlations, factor analyses, multiple regressions).     

A psychoanalytic view of the Rorschach Comprehensive System "special scores"

We analyzed the contemporary empirical and theoretical literature concerning the two predominant approaches for scoring formal thought disorder on the Rorschach, the Comprehensive System special scores, and the methodology of Rapaport, Gill, and Schafer (1946/1968). The psychoanalytic research related to selected special scores is reviewed, and some linkages to psychoanalytic developmental theory and psychopathology are made. Recommendations are presented to bridge the gap between these two important avenues of Rorschach research, with an emphasis on empirical rigor and intrapsychic contextual meaning.