Clinical utility of the Rorschach Inkblot Method: reframing the debate

Recent published exchanges have focused on the clinical utility and diagnostic efficiency of the Rorschach Inkblot Method (RIM), but key issues remain unresolved. In this article, 5 principles for evaluating RIM research are offered to help reframe the ongoing debate in this area. These are (a) recognize what the test can and cannot do; (b) choose appropriate outcome criteria to assess RIM effectiveness; (c) use multimethod, multicriterion matrices to place results in an appropriate context; (d) consider limitations in the outcome criteria themselves; and (e) use experimental--not just correlational--data to contrast the results obtained with projective and self-report tests. Coupled with Weiner's (2000a) guidelines for RIM interpretation, the principles outlined here can improve RIM research and practice, and help resolve some longstanding controversies in this area.     

Predicting suicide using the Rorschach Inkblot Test

Three hundred and seventy-five Rorschach protocols were scored blind and then divided into three groups: psychiatric controls, suicide attempts, and suicide effectors. Using the stepwise procedure of multiple discriminant analysis a trio of formulas, composed of six weighted variables each, and a constant, were constructed to apply to each of the three groups based on a test sample of 100 subjects in each group. Cross validation results on a new sample of 25 subjects in each group predicted classification with 52% overall accuracy at step six (chance .33). Internal reliability tests showed all values significant beyond .001. Discussion integrates the test data into the literature on suicide, and attends to the problem of overlap of predictability which occurs with most prediction scales.     

罗夏墨迹测验在西方的发展历史与研究现状

历史上罗夏墨迹测验（RIM）一直被视为投射测验而用精神分析的理论解释它,使其偏离了客观化的发展方向。综合罗夏系统则又回归到了实证的研究道路。综合系统仍视之为一个不完全结构化的、间接的测量方法,因此在人格研究中有独特的作用。关于RIM虽然仍有争议,但其科学研究价值已基本得到公认,目前要做的工作是发展它和完善它     

Adult attachment theory and Rorschach Inkblot Method: A systematic literature review

This critical appraisal and synthesis review explores the literature on the evidence of Rorschach Inkblot Method variables as measures of the attachment theory. We searched for publications making use of EBSCO Discovery Service (EDS) which included 41 databases of which Academic Search Premier, ScienceDirect, PsycARTICLES, and PsycINFO yielded the most results. Inclusion criteria were published studies concerning Rorschach and attachment theory where participants were older than 18 years. Non-academic literature and studies not published in English were excluded. We synthesised the evidence following the narrative approach of Petticrew and Roberts (2006 Petticrew, M., & Roberts, H. (Eds.). (2006). Systematic reviews in social sciences: A practical guide. Oxford, UK: Blackwell Publishing Ltd. https://doi.org/10.1002/9780470754887[Crossref] , [Google Scholar]). Findings suggest texture, oral responses, and Rorschach oral dependency strongly associated with attachment security, with other variables indicating weaker associations with attachment.     

The Susceptibility of the Rorschach Inkblot Test to Malingering of Combat-Related PTSD

The ability of subjects to alter their responses on the Rorschach and self-report measures to fake the symptoms of combat-related Posttraumatic Stress Disorder (PTSD) was investigated. Subjects were 40 White male undergraduates, randomly assigned to either a control or role-informed malingerer group, and 20 White Vietnam veterans with PTSD. Subjects were administered the Rorschach, MMPI-2 validity scales, and Mississippi Scale for Combat-Related PTSD. Results indicated that malingerers were able to achieve scores similar to the PTSD patients on the Mississippi Scale and some Rorschach variables. However, they evidenced significant differences on the MMPI-2 validity scales and several important Rorschach variables. Malingerers typically gave responses that were overly dramatic and less complicated, less emotionally restrained, and indicated an exaggerated sense of impaired reality testing as compared to PTSD patients. Behavioral differences were also noted between the groups. Findings are discussed in the context of the study's limitations and the practical detection of malingered PTSD in clinical settings.     

The development and evaluation of an online computer-assisted Rorschach Inkblot Test

An interactive computer program was developed in the BASIC language to present the performance and inquiry phases of the Rorschach Inkblot Test. As the subjects handled the traditional cards they entered their perceptions into the computer database, guided by instructions presented on the computer display. No assumptions were made about the percepts, but the Klopfer scoring questions were asked directly by the computer during the inquiry. The program scored the test as the subject answered the scoring questions on the keyboard. Thirty subjects were assessed using a test-retest design. One subgroup was tested first by a psychologist, and the other was tested first by the computer. The determinants of the psychologist and computer testing situations were found to be correlated and overall not significantly different except in location and time scores where the media differed.     

The Rorschach Inkblot Method (RIM) Is Not a Test: Implications for Theory and Practice

Previous work with the Geriatric Hopelessness Scale (GHS; Fry, 1984, 1986) suggests that it may be a useful measure of pessimism for a variety of domains among elderly persons. One hundred seven community-residing aged persons were individually administered the GHS and a variety of personality and cognitive functioning measures in an effort to further refine and validate the GHS. Results suggest very modest internal consistency and a poorly defined factor structure for the GHS, in contrast to earlier findings. Although the GHS failed to differentiate elderly persons by age, it was nonetheless related to self-esteem, depression, self-rated health, internality, morale, and life satisfaction. Taken together, these data indicate that the research and clinical utility of the GHS with community-residing aged persons may be more limited than previously believed.     

罗夏墨迹测验中“装好”与诈病反应的研究与进展

传统观念认为罗夏测验具有投射测验的性质,因此受测者无法在其测验中故意“装好”和诈病。但相关研究发现,受测者的“装好”反应对于罗夏测验结果没有产生实质性的影响,不能改变罗夏测验的基本数据特征和结构汇总性量表;而诈病反应的研究结论不尽相同,受测者有可能造成罗夏测验变量得分的改变,伪装成相应精神病理症状。如果联合使用MMPI和罗夏测验,则可以精确地评估受测者的伪装反应。目前已有的研究存在被试取样单一、研究数量偏少、无法确定临界值等问题。罗夏测验“装好”和诈病反应研究还处于初步阶段,需要继续深入研究并建立专门的“装好”和诈病量表。     

The Holtzman Inkblot Technique is not the Rorschach: a reply to Lockwood, Roll, and Mathews

A previous article by Lockwood, Roll, and Matthews (1981) reported dramatic differences between the Movement scores obtained by 6-year-old children on the Holtzman Inkblot Technique (HIT) and previously reported normative data for this variable. The Lockwood et al. data were rescored by experienced HIT scorers; their findings-and other possible reasons for the high HIT Movement scores reported by Lockwood et al.-are described and discussed. Finally, the practice of using the HIT in the manner of the Rorschach is criticized.     

Current Perspectives on Psychoanalytic Rorschach Assessment

In this article, I present as clear and as updated an account as possible of several of the essential features that comprise a psychoanalytic approach to the Rorschach. Specific attention is accorded the assessment frame, the language of assessment, sources of assessment information, and differing approaches to the interpretation of Rorschach data. The article comes out of a Rorschach tradition begun by Rapaport, extended by Schafer and Mayman, and presently being updated by Leichtman and Smith.     

Current perspectives on psychoanalytic Rorschach assessment

In this article, I present as clear and as updated an account as possible of several of the essential features that comprise a psychoanalytic approach to the Rorschach. Specific attention is accorded the assessment frame, the language of assessment, sources of assessment information, and differing approaches to the interpretation of Rorschach data. The article comes out of a Rorschach tradition begun by Rapaport, extended by Schafer and Mayman, and presently being updated by Leichtman and Smith.     

A Critique of Current Methods of Rorschach Scoring

Construct validity of the Concern For Appropriateness scale (CFA; Lennox &; Wolfe, 1984), a measure of the tendency to adopt protective self-presentation styles, is examined using a multitrait-multimethod approach. Self-ratings on the CFA and ratings by suitemates constitute the two methods, and concern for appropriateness, interpersonal trust, and boredom susceptibility are assessed with each. Multitrait-multimethod analysis shows that the CFA scale exhibits convergent validity against peer ratings and discriminant validity against boredom susceptibility, the only other variable demonstrating convergence. Results indicate that the CFA exhibits construct validity and might therefore prove useful as an operationalization for self-presentation tendencies.     

Current perspectives on Rorschach performance among older adults

Review of empirical studies of Rorschach performance by older adults (age 65+) indicates that previous research findings of declining cognitive flexibility and impoverishment of personality may be artifacts of design methodologies that have failed to adequately account for biosocial-psychological differences between age groups and within the older age group itself. When findings are assessed in terms of variables reflective of age cohort as well as residential status, diagnosis, health status, and test-taking attitude, important data become available. Suggestions concerning test interpretation are offered in lieu of the current lack of age matched base rates for Rorschach scoring variables.