Bruno Klopfer: a Rorschach pioneer

Bruno Klopfer is perhaps best known for his pioneering work on the Rorschach Inkblot Test. His efforts in developing and popularizing projective techniques were to have a profound impact on the development of psychological personality testing. In fact, prior to the introduction of Exner's comprehensive Rorschach scoring system, the Klopfer scoring system was the most popular among practicing clinicians (Exner & Exner, 1972, p. 13). Professionals in clinical psychology and psychiatry are certainly very indebted to Bruno Klopfer.     

Psychoanalytic interpretation of the Rorschach: do we have better hieroglyphics?

Schafer (1954) advanced the "Psychoanalytic Interpretation in Rorschach Testing" and asserted that thoughtful interpretation involved more than translating hieroglyphics or scores. In this book, he presented his thesis by describing four defensive styles (repression, denial, projective, and obsessive-compulsive) at various levels of severity of psychopathology. To investigate whether the Structural Summary data from Exner's (1986) Comprehensive System, with its improved reliability and validity and additional scores, allow one to make similar distinctions among the types of defense and severity of disturbance, we rescored the Schafer records. The results of this conservative test of Exner's system suggest that (a) the Comprehensive System reliably distinguishes the repressive style from the other styles, and (b) scores alone may provide adequate measures of severity of disturbance even with form quality excluded. We concluded that Rorschach scores must be understood as complex products of multiple psychological operations and may correspond to different subjective experiences in various contexts.     

How do I score thee? Let me count the ways. Or some different methods of categorizing Rorschach responses

The controversy over the merit of Exner's (1986) Comprehensive System (CS) has unfortunately led to a confusion of the CS with all methods of scoring responses to inkblots. Six other widely used Rorschach scoring methods and representative examples of the research they have generated are described. Objective tests of personality ask participants to acknowledge explicit motives, whereas projective tests sample implicit needs participants may not recognize. Projective methods provide unique means of studying personality dynamics. The CS, whatever its merits and limitations, is but 1 of a number of systems of categorizing Rorschach responses.     

Effects of alternate modes of administration on Rorschach performance of deaf adults

This study examined two modes of administering the Rorschach Inkblot Technique to determine which was more appropriate for a college-educated, deaf population. Twenty-four prelingually deaf adults took the Rorschach in sign language and in written English, using a counterbalanced test-retest design, and their sign and written scores were compared to each other and to 1986 norms for Exner's Comprehensive System. Seventeen variables measuring such areas as perceptual accuracy, perceptual complexity, and self-focus were found to vary more than one standard deviation from Exner's norms. Differences between sign and written conditions on several affective variables were found. Written administration can be used by examiners who are informed about deafness and aware of variables that may be underreported by written inquiry.     

Predicting Institutional Adjustment With the Lifestyle Criminality Screening Form and the Antisocial Features and Aggression Scales of the PAI

This article sheds light on the theoretical foundations of projective testing. Drawing on the psychoanalytic perspective, especially Winnicott's works, it elucidates the nature of projection and transitional relatedness, with particular reference to the Rorschach. This conceptualization of the Rorschach task is compared with Exner's more cognitive-behavioral orientation, which holds that the Rorschach is not a projective test. I suggest that Exner's Comprehensive System could become more truly comprehensive if it were integrated with a more complex understanding of the response process, allowing more importance to the role of stimuli from the inner world to counterbalance its focus on the processing of external stimulation. Clinical and research implications are discussed.     

John Exner and the book that started it all: a review of The Rorschach Systems

This article is a review and a reassessment of Exner's (1969) The Rorschach Systems. The book reviews the history of the development of the Rorschach, primarily in the United States, including a detailed analysis of the progressive development of systems devised by Klopfer, Beck, Piotrowski, Hertz, Rapaport, and Schafer. The final versions of each system are compared with each other, and with Rorschach's own system. The development of the book is linked to Exner' s personal relationship with Klopfer, Beck, and Hertz. The book is described as the basic forerunner of Exner's Comprehensive System.     

The rorschach search for the borderline Holy Grail: an examination of personality structure, personality style, and situation

Much of the research on the use of the Rorschach to diagnose borderline disturbance has sought to discover a specific borderline pattern or Rorschach configuration. Given our increased understanding of borderline functioning representing a level of personality organization (or personality structure), this single pattern approach is excessively simplistic. It fails to consider the complex interaction between personality structure, personality style, and situational variables. An approach to the Rorschach assessment of borderline functioning is presented using a clinical example. The patient was tested at the onset of psychotherapy and then some 4 years into treatment. Results from the two testings were compared using Weiner and Exner's (1991) Rorschach variable clusters for assessing change in psychotherapy.     

The Rorschach M response: a return to its roots

The Exner (1986) system of scoring of the Rorschach results in a human movement response (M), which is far afield from Rorschach's original intent. This divergence can easily lead to faulty interpretations of a record as there is no need for kinesthetic reactions on behalf of the subject in Exner's system. The need to return to a traditional view of the M is demonstrated through a focus on theory and the literature that illustrates Rorschach's intent. The alteration of the M results in a scoring system which, due to its differences, must come up with a separate interpretative system and not consider itself part of the Rorschach system that Rorschach envisioned.     

Constructivism and the projective assessment of meaning in Rorschach administration

Constructivist perspectives on the Rorschach are outlined. I discuss ways in which constructivism complements and adds to existing Rorschach methodologies. It is suggested hat the constructivist emphasis on personally and socially constructed meanings is very consistent with many of the ways the Rorschach has been used and resonates with recent emphases on the Rorschach as a representational task. Furthermore, constructivist perspectives on Rorschach also provide an opportunity to supplement Exner's (1993, 1995) efforts to standardize and norm the Rorschach in a way that maintains the instrument's historic and admirable attention to relational elements of assessment and psychotherapy. I present a variety of meaning-based techniques for conducting Rorschach assessment, incorporating both the constructivist and social constructionist perspective.     

One more datum on Rorschach form quality

The central purpose of this work is to examine to what extent Form Quality (FQ) scoring of Rorschach responses, using Exner's (2003) Table A, is the reason for lower FQ to often be found in normative data outside the United States. The Rorschach protocols of 180 Portuguese boys and girls between 6 and 10 years of age were codified with respect to Form Quality in accordance with Exner's table of objects classified as ordinary, unusual, and minus, based on frequencies seen among U.S. adults and on an analogous Portuguese table (Table P) constructed from the protocols of 400 nonpatient children. Mean differences between the various FQ variables of the 2 tables were found to be insignificant. However, use of Janson's (2003) iota coefficient to evaluate agreement between the 2 approaches to scoring on the same protocols revealed that the more striking differences occurred in the FQu variable when agreement was assessed on the basis of each individual response. In view of these results, the authors recognize the possibility of Rorschach normative data to be universally applied, but still consider the possible advantage of each country or culture to build its own FQ table that will permit preservation of its particularities.     

The Rorschach: projective technique or psychometric test?

Various approaches to the Rorschach Technique are described in terms of the idiographic-nomothetic axis and the perceptual-content axis. It is suggested that it is most productive to view the Rorschach as a projective tool, with perceptual scoring a secondary factor. Current efforts at objectification of the Rorschach are not seen as useful as efforts to enhance its projective qualities. Some possible ways are discussed in which the projective value of the instrument can be maximized.     

Understanding multiple personality with the Comprehensive Rorschach system

Exner's Comprehensive Rorschach system is utilized in studying a unique sample of patients--three multiple personalities. Each patient and a number of secondary personalities are tested. Several interpretative and technical aspects of Exner's system are clarified. All of the main personalities are ambient, extending Exner's conclusions regarding the implications of this style. The secondary personalities have personality structures which are remarkably different from those of the main personalities. Differences from previous studies are attributed to unique administrative features of the Comprehensive system.     

Rorschach Aggressive Content (AgC) variable: a study of criterion validity

This study adds to the existing literature on the clinical utility of the Aggressive Content (AgC) variable proposed by Gacono and Meloy (1994). Criterion validity is evaluated by examining the relation between AgC and behavior. Rorschach and clinical chart material taken from psychological assessments were examined for 94 patients in Exner's (1993) psychiatric reference groups. An Aggression Chart Rating Scale (ACRS) was created to score the level of aggressiveness of each patient's diagnostic report. Analyses revealed good interrater reliability (intraclass correlation coefficient = .73) for ACRS scores and Aggressive Movement (AG; kappa = .73) and excellent reliability for AgC (kappa =.88) and Morbid Content (MOR: kappa = .79). Pearson's correlation revealed significant relations between AgC and both AG and MOR. All 3 Rorschach variables were significantly related to scores on the ACRS. A stepwise regression analysis utilizing these 3 variables resulted in AgC being the only nonredundant predictor of scores on the ACRS. This suggests that AgC was more strongly related to more aggressive ACRS scores than either AG or MOR. The continued support for the clinical utility of AgC as well as recommendations for the addition of the AgC variable to Exner's (1993) Comprehensive System's list of Special Scores are discussed.     

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.     

Rorschach records of Nazi war criminals: a reanalysis using current scoring and interpretation practices

The Nuremberg trials focused worldwide attention on 22 Nazi war criminals. Rorschach Inkblot tests were administered to these Nazi leaders in an attempt to understand the Nazi personality. Past studies which have described and interpreted these Rorschach records have made at least two types of errors in their analyses. One is that of overinterpretation and excessive inference. A second common error has been the failure to detect meaningful distinctions between protocols that represent significant differences in personality style. This latter error is shown in repeated attempts to group all Nazi protocols into one distinct "Nazi personality." This investigation attempted to quantify the analysis of these Nazi Rorschach records, specifically those Nazi leaders who were sentenced to life imprisonment or execution for their war crimes against humanity, by utilizing Exner's (1985a) standardized Comprehensive Scoring System as well as computerized objective interpretation software based on the Exner system (1986). This modern analysis of the Rorschach records demonstrates that the Nazi war criminals cannot be grouped together into one specific mental disorder that would adequately characterize these diverse individuals. The varying degrees of psychopathology of the Nazi leaders are illustrated by analyses of individual Rorschach protocols.     

The Rorschach Comprehensive System Egocentricity Index in psychiatric inpatients

This paper reports an exploratory study of potential correlates of Exner's Rorschach Egocentricity Index, a measure of self-focusing, in a sample of 70 psychiatric inpatients. We examined the relationship of the Index of the MMPI Ego Strength scale and to other MMPI and Exner Comprehensive System Rorschach variables, using Pearson Product-Moment correlations with partialling of the number of Rorschach responses. There were seven meaningful significant correlations between the Index and Rorschach variables: M, FM, X +%, F +%, Lambda, D, and A%. The Index-MMPI correlations were not significant. Sex differences and differences between these intercorrelations and some reported by Exner (1983) are discussed.     

Contributions of cognitive science to the Rorschach Technique: cognitive and neuropsychological correlates of the response process

This article presents an understanding of the Rorschach Technique in terms of emergent models from cognitive science. We propose a linkage between cognitive psychology and neuropsychology in understanding the operations that underlie the Rorschach response process. Contemporary information processing models are described. The Rorschach Technique is conceived of as a complex process involving all areas of the cerebral hemispheres, encompassing various aspects of visual attention and perception, object recognition, associative memory, language production, and executive functioning. Exner's model of the response process is delineated, including both Association and Inquiry phases, in terms of requisite underlying neuropsychological abilities and anatomical substrates. The question of the Rorschach Technique's status, utility, and potential as a neuropsychological assessment, tool is discussed. Understanding the Rorschach in terms of contemporary cognitive psychological and neuropsychological models heightens appreciation of the technique's complexity and provides a heuristic and conceptual foundation for empirical research.     

Rorschach correlates of self-reported attachment dimensions: dynamic manifestations of hyperactivating and deactivating strategies

We examined associations between self-reported attachment anxiety and avoidance and responses to the Rorschach test. Seventy-two, nonpatient Israeli adults participated in a 2-session study. In the first session, they completed a self-report scale tapping the dimensions of attachment anxiety and attachment avoidance. In the second session, they completed the Rorschach test. The Rorschach was administered and coded according to Exner's (2001) Comprehensive System scoring. We found that self-reports of attachment anxiety were associated with Rorschach scores thought to indicate difficulties in regulating and controlling emotions and self-perceptions of being relatively helpless and unworthy. Self-reports of attachment avoidance were associated with Rorschach scores thought to reflect lack of acknowledgment of need states and maintenance of a grandiose self. We discuss the findings in terms of implicit psychodynamic processes inherent in attachment-system functioning.     

Putting your eggs in the content analysis basket: a response to Aronow, Reznikoff, and Moreland

A response is made to the essay by Aronow, Reznikoff, and Moreland (this issue) on the superiority of the content analysis approach to the Rorschach. Their argument is seen as giving insufficient emphasis to the importance of information obtained from empirically based, quantified methods of Rorschach interpretation. Content analysis without score-based interpretation is not sufficiently reliable for clinical use. Also, the argument of Aronow and colleagues that the Rorschach is predominantly a projective technique is refuted. Rorschach interpretation that deemphasizes empirically based scores is as insufficient as interpretation that excludes content analysis.