Cohort differences in Hand Test performance: a time lagged analysis

In order to examine the impact of cultural differences (cohort and/or time of measurement) on the intrapsychic processes of older adults, two samples (1976, n = 102; 1986, n = 88) of older persons were compared with regard to their Hand Test (HT; Bricklin, Piotrowski, & Wagner, 1962; Wagner, 1983) performance. Relative to those studies investigating cultural effects in personality at the socioadaptational level (Neugarten, 1977), no research to date has examined this issue utilizing projective methods of assessment. Time-lagged analyses of HT scores of these two samples of elderly adults suggested that there appear to be clear age-related variance in HT performance for both content and derived HT variables. Age-related within-sample variability for most HT scores supported this interpretation. These findings are in contrast to those utilizing more standardized, nomothetic measures of personality functioning that suggest stability of personality in adulthood.     

Cohort Differences in Hand Test Performance: A Time Lagged Analysis

In order to examine the impact of cultural differences (cohort and/or time of measurement) on the intrapsychic processes of older adults, two samples (1976, n = 102; 1986, n = 88) of older persons were compared with regard to their Hand Test (HT; Bricklin, Piotrowski, & Wagner, 1962; Wagner, 1983) performance. Relative to those studies investigating cultural effects in personality at the socioadaptational level (Neugarten, 1977), no research to date has examined this issue utilizing projective methods of assessment. Time-lagged analyses of HT scores of these two samples of elderly adults suggested that there appear to be clear age-related variance in HT performance for both content and derived HT variables. Age-related within-sample variability for most HT scores supported this interpretation. These findings are in contrast to those utilizing more standardized, nomothetic measures of personality functioning that suggest stability of personality in adulthood.     

Construct validity of the Holtzman Inkblot Anxiety and Hostility scores

The group version of the Holtzman Inkblot Technique (HIT), the IPAT Anxiety Scale Questionnaire (ASQ), the Manifest Hostility Scale (MHS), and the Hand Test (HT) were administered to 72 college subjects in an attempt to clarify the nature of the HIT Anxiety (Ax) and Hostility (Hs) scores. The Ax score was found to correlate significantly with the ASQ total score which represents both overt and covert anxiety. The Hs score was found to correlate significantly with the MHS, which is sensitive to moderate levels of verbal hostility, but not with the HT Acting Out Ratio (AOR), which is strictly a measure of overt aggressiveness. The HIT Ax and Hs scores were concluded to relate most closely with measures that encompass a wide spectrum of the variable in question.     

Performances on Rey Auditory Verbal Learning Test and Rey Complex Figure Test in a healthy, elderly Danish sample--reference data and validity issues

This study presents Danish data for Rey Auditory Verbal Learning Test (RAVLT) and Rey Complex Figure Test (RCFT) from 100 subjects aged 60-87 years. Education and estimated verbal intelligence (DART score) had a significant impact on the RAVLT trial 1-5 score but not on other RAVLT measures. The RCFT copy score was significantly related to age and the DART score. On RCFT recall a highly significant difference was found between persons who could make a faultless copy and persons with incomplete copy performance. Thus, this study presents separate data for RCFT recall scores according to the subjects' copying performance (in separate tables for age and education groups). For all measures on both RAVLT and RCFT wide distributions of scores were found and the impact of this broad score range on the tests' discriminative validity is discussed. RAVLT performances for elderly were similar to previous published meta-norms, but the included sample of elderly Danes performed better on RCFT (copy and recall) than elderly from the United States.     

Exploring the hand test with medically ill children and adolescents

Pediatric psychologists use the tools of assessment to evaluate the psychological functioning of youth with chronic and acute medical illnesses. This study is an exploration of the use of a performance-based measure, the Hand Test (HT; Wagner, 1983), with pediatric medical patients. A sample of medical inpatients (n = 27) and psychiatric outpatients (n = 24) were administered the HT, a self-report measure, and a parent-report behavior rating scale. Results indicate that the psychiatric group scored higher than the medical group on HT Aggression, Withdrawal, and Pathological scores. The Aggression (d = 0.90) and Pathological (d = 0.80) variables were particularly robust in differentiating between groups, but the Crippled variable did not differ between groups. Hierarchical logistic regression demonstrated the incremental validity of the HT over behavior ratings alone in the classification of clinical groups. Analyses indicated that the HT can add important information in the differentiation of medically ill children from those with psychological disturbance.     

Der Foto-Hand-Test

Projective psychological techniques might be useful for measuring forensically relevant constructs in the context of a multimodal assessment strategy but are often considered to be deficient concerning reliability and validity. The Photo Hand Test (FHT), a German version of the Hand Test, is a diagnostic tool aimed at measuring aggressive dispositions. It uses photographs of hand gestures which test persons are required to interpret. The answers are coded and an acting-out score is computed from diverse categories.A study on the reliability and validity of the FHT protocols from 98 offenders and a comparison group of 55 non-offenders was carried out. Internal consistency coefficients of the FHT scores were low and unsatisfactory. Offenders had higher acting-out scores than non-offenders, they did not give more aggression-prone interpretations but more interpretations coded as aggression-inhibiting. Correlations of the FHT scores with self-report scales from the Antisocial Personality Questionnaire did not show the expected patterns; however, they did suggest effects of a hostility bias: persons who interpreted many hand gestures as aggression-prone did not describe themselves as highly aggressive or impulsive but were more distrustful and paranoid. This indicates a projection mechanism different from the one postulated by the FHT authors.The results suggest that FHT measures should be interpreted with caution in forensic evaluations.     

An exploratory investigation of the personality correlates of aging using the Hand Test.

The Hand Test was administered to 27 older adults of both sexes (Mage = 66.56) to investigate possible changes in personality concomitant with normal aging. To control partially for such factors as cultural influences and intelligence differences a matched-pair design was used in which the test protocols of the older adults were matched with those of their children of the same sex (Mage = 36.44). Though the Hand Test has not been independently validated on older adults, results were consistent with past findings using projective techniques inasmuch as depletion and constriction of personality were noted. Criticisms of research on the clinical assessment of the elderly were discussed.     

A Comparison of Three Rorschach Diagnostic Systems and Use of the Hand Test for Detecting Multiple Personality Disorder in Outpatients

Eleven individuals diagnosed with multiple personality disorder (MPD) on the basis of clinical observation by experienced therapists plus elevated scores on the Dissociative Experiences Scale (DES; Bernstein & Putnam. 1986) were administered the Rorschach Inkblo; Test and the Hand Test. Results from the sample (n = 11) and a matched control group (N = 22) were analyzed and discussed in accordance with previous Rorschach diagnostic systems. The Wagner Signs diagnosed 91% (n = 10) of the MPD cases in this outpatient sample, with no false positives. The Labott Signs were found to have no utility, and the Barach Signs, when they occurred, seemed to be diagnostic of MPD but yielded a high rate of false negatives. Hand Test results were analyzed and found to be possibly diagnostic of MPD. Tentative criteria were proposed for its use as an additional tool for diagnosing MPD.     

Age and sex differences on the hand test

Investigated age and sex differences on the Hand Test across the life span, while statistically partialing-out the effects of educational level and verbal ability. Subjects were 150 individuals (75 males, 75 females) ranging in age from 20 to 86 years, assigned to one of three age groups on the basis of their chronological age. Participants were administered the Hand Test and the WAIS vocabulary subtest; in addition, years of formal education completed for each subject was obtained. Results indicated that even after statistically adjusting for the effects of education and verbal ability, a number of significant Age. Sex, Age and Sex, as well as Age x Sex interactions were obtained on the Hand Test. It was suggested that, as previous criticisms of projective research with the aged are met, a residue of important personality trends persists.     

Use of a text of psychomotor ability in an expanded role

To examine the use of a test of psychomotor ability of disabled persons, a group of 118 persons with permanent impairment of one hand were given the disability rating together with the O'Connor Finger Dexterity Test. Scores showed a substantial correlation of .69 between these two instruments. Scores on the Finger Dexterity Test were strongly correlated to the activities of daily living subscale of the Hand Disability Rating Scale (.88), while rating of disability was not. Age appeared unrelated to either test or disability scores.     

Hand test AGG and AOS variables: relation with teacher rating of aggressiveness

The purpose of this study was to determine the extent to which the Hand Test (Wagner, 1983) variables Aggression (AGG) and the Acting Out Score (AOS) were able to differentiate a group of children who were identified as aggressive and referred for psychological assessment by their teachers from a nonreferred, control group. Hand Test scores of 37 children who had consecutive referrals for psychological assessment because of aggressiveness were compared to the Hand Test scores of 37 children, matched on age and sex, from a nonreferred group. Through the use of an analysis of variance, AOS and AGG were found to significantly differentiate between the two groups. Spearman (rho) correlations between AGG and AOS scores with aggressive-referred status were rho = .45, p = .0001, and rho = .32, p = .006, respectively. Also, diagnostic efficiency statistics demonstrated moderate to high overall correct classification rates for AOS > or = 0 and AGG > or = 2 in identifying children in the aggressive-referred group. The results of this study provide support for the validity of the AGG and AOS scores in the assessment of aggressive behavior in children and demonstrate the utility of the Hand Test to identify aggressive tendencies in children.     

Assessment of combat-related stress and physical symptoms of Gulf War veterans: criterion validity of selected hand test variables

We examined the utility of selected Hand Test (Wagner, 1983) variables in relation to posttraumatic stress and physical symptoms in Gulf War (GW) veterans. In this study, we sought to replicate and expand on prior empirical findings that have demonstrated efficacy of the Hand Test in the assessment of posttraumatic stress disorder (PTSD; Walter, Hilsenroth, Arsenault, Sloan, & Harvill, 1998). Based on this previous research, Hand Test variables were selected a priori and examined across three groups of veterans: (a) a control group of participants who were in a reserve unit not deployed to the GW theater of operations, (b) a subclinical group of deployed GW veterans who reported 1 to 5 Diagnostic and Statistical Manual of Mental Disorders (4th ed. [DSM-IV]; American Psychiatric Association, 1994) criteria for PTSD, and (c) a group of deployed GW veterans who met DSM-IV criteria for PTSD. Analyses demonstrated significant differences across the three groups and significant relationships among selected Hand Test variables with the number of DSM-IV symptoms of PTSD reported in the interviews as well as with the number of physical problems reported by these veterans. We discuss these findings in relation to the assessment and treatment of posttraumatic stress symptomatology.     

Differences in Hand Test responses of healthy females across the life-span.

The Hand Test was administered to 175 females ranging from 17 to 72 years. Subjects were all "community-living," within normal range of hearing and vision, in good health, and had a modal education level of high school graduate. Results were consistent with previous findings using projective techniques with the elderly, in that a depletion and constriction of personality appears to be concomitant with the normal aging process.     

Validating Hand Test Acting Out Ratios For Overt and Experimentally Induced Aggression

The Hand Test Acting Out Ratio (AOR) was studied with respect to written measures of hostility toward self, task, and experimenter, and was used to test for aggression caused by experimentally induced stress. Wiggin's MMPI Hostility Scale was also compared with the Hand Test AOR. It was found that while the written measure reflected the effects of the experimentally induced stress, the AOR did not; nor did the AOR scores correlate significantly with the content-derived hostility scale. It was concluded that if one wants to find if individuals are angered by frustrating situations, simply asking them is a more effective and accurate method.     

A theoretical explanation of the dissociative reaction and a confirmatory case presentation.

A theoretical explanation for the classical distinction between the conversion and dissociative hysterias was advanced based on previous research with cases of conversion hysteria and multiple personality. The principles were illustrated and extended using Rorschach and Hand Test data from a fugue state.     

Establishing a Placement Index for behaviorally disturbed children using the Hand Test.

Hand Test variables were evaluated to see if they would empirically discern varying levels of behavioral and social maladjustment in severely behaviorally handicapped children. Hand Test protocols of 6- to 18-year-old students (N = 100) were gathered. Twenty protocols from each of three levels of special education placement were obtained in addition to 40 protocols of students enrolled in regular educational classrooms. A stepwise discriminant analysis yielded both pathology (PATH) and aggression (AGG) as significant discriminators (p less than .05). Cutoff scores and a weighted equation consisting of nine variables was derived using proper placement in group setting as the criteria. The assignment of children to correct placement levels was 64% or 79%, depending on the stringency of criteria. These findings reinforce the utility of the Hand Test as a valuable tool in the psychologist's testing armament for assisting with placement decisions and support the strength of integrating multiple variables to aid with these decisions. Replication of this study for the purpose of cross-validation of the Placement Index is strongly encouraged.     

Internal consistency reliability of the tactual performance test trials

Internal consistency reliabilities were calculated for the Tactual Performance Test Preferred Hand (n=300), Nonpreferred H and (n=302), and Both Hands (n=314) trials, and Total Time. Reliabilities are reported for the total sample and three groups: normal, undiagnosed patients sent for assessment, and alcoholic persons. The reliability coefficients ranged from .59 to .90.     

Impact of comorbid depressive symptoms on neuropsychological performance in obsessive-compulsive disorder.

There is indirect evidence from previous research that several executive disturbances in obsessive-compulsive disorder (OCD) are mediated by comorbid depressive symptoms. For the present study, the authors investigated whether OCD patients with elevated Hamilton Rating Scale for Depression (HRSD) scores would exhibit deficits in tasks sensitive to the medial and dorsolateral frontal cortex as well as other executive tasks. The 36 OCD patients were split along the median according to their HRSD scores and compared with matched control subjects. Patients with high HRSD scores performed significantly worse than control subjects and patients with low HRSD scores on the Wisconsin Card Sorting Test, the Trail-Making Test (TMT, Part B), and the TMT difference score. Moreover, patients with high HRSD scores exhibited deficits on a (creative) verbal fluency task. It is suggested that comorbid depressive symptoms may have artificially inflated some executive deficit scores in previous studies.     

Identification and Ego Defensiveness in Thematic Apperception

A theoretical explanation for the classical distinction between the conversion and dissociative hysterias was advanced based on previous research with cases of conversion hysteria and multiple personality. The principles were illustrated and extended using Rorschach and Hand Test data from a fugue state.     

Specificity of the 21-Item Test in two elderly samples

ABSTRACT The purpose of this study was to measure the specificity of the 21-Item Test for detecting malingering in an elderly sample. The 21-Item Test was administered to 20 community-dwelling elderly individuals with means for age, education, and Short Portable Mental Status Questionnaire (SPMSQ) error scores of 76.25 years (SD?=?7.19), 14.30 years (SD?=?3.89), and 0.30 (SD?=?4.70). None of these healthy elderly participants were cognitively impaired. A second group of 53 nursing home residents had means for age, education, and SPMSQ error scores of 82.79 years (SD?=?8.56), 11.14 years (SD = 2.46), and 3.17 (SD?=?2.46). Approximately 60% of the nursing home participants had cognitive impairment based on the SPMSQ. The cut offs provided by Iverson (1998 , 21 Item Test Research Manual) for interpretation of the forced-choice component of the 21-Item Test were insensitive to age and relatively insensitive to cognitive deficits. Specificity was 100% since no elderly participant from either group scored in the range indicative of sub-optimal effort or biased responding.