The Effect of Inquiry on the Exner Comprehensive System

The effect of inquiry on the Comprehensive System was tested by scoring 130 protocols of patients and normals with and without inquiry. The absence of inquiry significantly reduced the means for Developmental Quality-vague (DQv), Form Quality-unusual (FQu), the sum of color responses (SumC), the sum of shading responses (Sum Shading), and the weighted thought disorder measure (W Sum6 SP SC), but significantly increased pure form (F). The effect for W Sum6 SP SC was strongest for schizophrenic protocols. Liberalized scoring rules were established in an attempt to restore the interpretive validity of the scoring categories distorted by the lack of inquiry. The new rules significantly improved the accuracy of color and shading categories, but did not improve the special scores measure of thought disorder.     

Intelligence and the Rorschach Whole Response

Previous research on the relation between intelligence and Rorschach W responses has produced inconclusive results. The problem was re-examined with methodological improvements. Ss were 58 latency and pre-adolescent boys. Rorschach W responses were coded to Friedman's developmental scoring system, and response frequencies in these categories were correlated with WISC IQ and subtest scaled scores. IQ scores were significantly related to one of two types of developmentally advanced W responses as predicted (r = .33), and no meaningful pattern of correlations was found between the developmentally more primitive types of W responses and IQ.     

Sex-Typed Responses in the Rorschach Protocols of Children With Gender Identity Disorder

A coding system was developed to measure sex-typed responses in the Rorschach protocols of children with gender identity disorder (n = 79). Their responses were compared to that of sibling (n = 25), psychiatric (n = 26), and normal (n = 28) controls. Results show that children with gender identity disorder gave significantly more cross-sex responses than same-sex responses, whereas the psychiatric and normal controls gave significantly more same-sex responses than cross-sex responses. The siblings did not differ in the number of same-sex and cross-sex responses. Results are discussed with regard to various assessment issues in the study of children with gender identity disorder.     

Sex-typed responses in the Rorschach protocols of children with gender identity disorder.

A coding system was developed to measure sex-typed responses in the Rorschach protocols of children with gender identity disorder (n = 79). Their responses were compared to that of sibling (n = 25), psychiatric (n = 26), and normal (n = 28) controls. Results show that children with gender identity disorder gave significantly more cross-sex responses than same-sex responses, whereas the psychiatric and normal controls gave significantly more same-sex responses than cross-sex responses. The siblings did not differ in the number of same-sex and cross-sex responses. Results are discussed with regard to various assessment issues in the study of children with gender identity disorder.     

Some Developmental Aspects of Primary Process Manifestations in the Rorschach

A group of 27 male subjects were administered the Rorschach at ages 14 and 24. The protocols were scored for the main categories of the Holt Primary Process scoring system. A comparison of the two age groups indicates that at age 24 there is a decrease in the percentage of primary process responses and an increase in “adaptive regression.” Individual differences for all the primary process scoring categories remained highly consistent for the 10-year period spanned by the data. Adaptive regression was found to be significantly correlated with IQ, field independence (RFT), and Rorschach ratings of intellectualization at both ages. The results were viewed as suggesting that primary process manifestations on the Rorschach seem to be mediated by stable aspects of an individual's cognitive abilities and cognitive style.     

A Rorschach investigation of narcissism and hysteria in antisocial personality

We investigated Rorschach responses associated with narcissism and hysteria in a group of antisocial personality disordered offenders. The Rorschach protocols of 42 subjects who met the criteria from the Diagnostic and Statistical Manual of Mental Disorders (3rd ed., rev. [DSM-III-R]; American Psychiatric Association, 1987) for antisocial personality disorder were analyzed using Exner's (1986) criteria for pairs, reflections, and personal responses, and Gacono's (1988) criteria for the impressionistic response. Severe, or primary psychopaths (n = 21), scoring greater than or equal to 30 on the Hare (1980) Psychopathy Checklist (PCL), were compared to moderate, or secondary pscyhopaths (n = 21), scoring less than 30 on the PCL. The mean number of pair and impressionistic responses did not significantly differ for the two antisocial groups. The highly psychopathic group, however, did exhibit a significantly greater mean number of reflection and personal responses. We discuss pair and reflection responses and their relationship to narcissism in psychopathic disturbance. We recommend interpreting the personal response within the context of the psychopathic character and view personal responses as expressions of narcissism and omnipotence in highly psychopathic subjects. We also hypothesize that the impressionistic responses are indicative of primitive dissociative processes and hysteria in psychopathic subjects, and that their presence provides construct validity for the work of Guze (1976) and others who suggested an underlying histrionic dimension to psychopathy.     

Personality in panic disorder with agoraphobia: a Rorschach study.

In this study, we tested several hypotheses derived from self psychology (Diamond, 1987) regarding personality features of patients suffering from panic disorder and agoraphobia (PDA). PDA patients are thought to suffer from a deficit in negative affect-regulating capacity, surrounded by defenses such as avoidance, repression, denial, and reaction formation against dependency needs. These defenses are thought to lead to a greatly impoverished affective life. The Rorschach Comprehensive System was used to assess the personality features of avoidance, restricted affective life, and reaction formation against dependency needs. We found evidence for the presence of a highly avoidant information-processing style (86% of protocols had lambda [L] greater than .99) and a constricted affective life (low weighted sum color [WSumC] and low affective ratio [Afr]). Our results were consistent with the hypothesis of reaction formation against dependency needs (low food content [Fd]). Findings are discussed in light of studies that found a high incidence of avoidant personality disorder in PDA patients.     

Personality in Panic Disorder With Agoraphobia: A Rorschach Study

In this study, we tested several hypotheses derived from self psychology (Diamond, 1987) regarding personality features of patients suffering from panic disorder and agoraphobia (PDA). PDA patients are thought to suffer from a deficit in negative affect-regulating capacity, surrounded by defenses such as avoidance, repression, denial, and reaction formation against dependency needs. These defenses are thought to lead to a greatly impoverished affective life. The Rorschach Comprehensive System was used to assess the personality features of avoidance, restricted affective life, and reaction formation against dependency needs. We found evidence for the presence of a highly avoidant information-processing style (86% of protocols had lambda [L] > .99) and a constricted affective life (low weighted sum color [WSumC] and low affective ratio [Afr]). Our results were consistent with the hypothesis of reaction formation against dependency needs (low food content [Fd]). Findings are discussed in light of studies that found a high incidence of avoidant personality disorder in PDA patients.     

Accuracy,Verisimilitude, and Scoring Rules

Suppose that beliefs come in degrees. How should we then measure the accuracy of these degrees of belief? Scoring rules are usually thought to be the mathematical tool appropriate for this job. But there are many scoring rules, which lead to different ordinal accuracy rankings. Recently, Fallis and Lewis [2016] have given an argument that, if sound, rules out many popular scoring rules, including the Brier score, as genuine measures of accuracy. I respond to this argument, in part by noting that the argument fails to account for verisimilitude—that certain false hypotheses might be closer to the truth than other false hypotheses are. Oddie [forthcoming], however, has argued that no member of a very wide class of scoring rules (the so-called proper scores) can appropriately handle verisimilitude. I explain how to respond to Oddie's argument, and I recommend a class of weighted scoring rules that, I argue, genuinely measure accuracy while escaping the arguments of Fallis and Lewis as well as Oddie.     

A Rorschach Investigation of Narcissism and Hysteria in Antisocial Personality

We investigated Rorschach responses associated with narcissism and hysteria in a group of antisocial personality disordered offenders. The Rorschach protocols of 42 subjects who met the criteria from the Diagnostic and Statistical Manual of Mental Disorders (3rd ed., rev. [DSM-III-R]; American Psychiatric Association, 1987) for antisocial personality disorder were analyzed using Exner's (1986) criteria for pairs, reflections, and personal responses, and Gacono's (1988) criteria for the impressionistic response. Severe, or primary psychopaths (n = 21), scoring ≥30 on the Hare (1980) Psychopathy Checklist (PCL), were compared to moderate, or secondary pscyhopaths (n = 21), scoring <30 on the PCL. The mean number of pair and impressionistic responses did not significantly differ for the two antisocial groups. The highly psychopathic group, however, did exhibit a significantly greater mean number of reflection and personal responses. We discuss pair and reflection responses and their relationship to narcissism in psychopathic disturbance. We recommend interpreting the personal response within the context of the psychopathic character and view personal responses as expressions of narcissism and omnipotence in highly psychopathic subjects. We also hypothesize that the impressionistic responses are indicative of primitive dissociative processes and hysteria in psychopathic subjects, and that their presence provides construct validity for the work of Guze (1976) and others who suggested an underlying histrionic dimension to psychopathy.     

A New Experimental Approach to the Relationship Between Color-Shading and Suicide Attempts

A new experimental approach was devised to increase responses to color and shading, thereby facilitating study of the previously demonstrated relationship between Rorschach Test color-shading responses and suicide attempts. The present study demonstrates that of 17 matched pairs of hospitalized psychiatric patients, those who had attempted suicide give significantly more shading responses to chromatic cards than those who had no history of suicide attempts. These results suggest that the technique may be useful in further studies of affect.     

Sexually abused girls and their Rorschach responses

Exner's scoring (1990) was used on the responses by 46 sexually abused girls (6 to 14 years old) and 46 nonsexually abused girls (6 to 14 years old). Subjects were matched for age, race, family income, and family constellation. Sexually abused children exhibited significantly more unusual content, e.g., sex and blood, in their protocols as well as more frequent coping deficits.     

An empirical study of object relations and defensive operations in antisocial personality disorder

This study assessed the object relations, defensive operations, and level of psychopathy and narcissism in a group of antisocial personality disordered offenders. The Rorschach protocols of 33 subjects who met the Diagnostic and Statistical Manual of Mental Disorders (3rd ed., rev. [DSM-III-R], American Psychiatric Association, 1987) criteria for antisocial personality disorder were analyzed utilizing Kwawer's (1980) criteria for borderline object relations categories (borderline phenomena), the Lerner and Lerner (1980) Defense Scale, and a number of experimental criteria including Cooper and Arnow's (1986) defense criteria. Level of narcissism was assessed utilizing Exner's (1973) Self-Focus Sentence Completion Test. Hare's Psychopathy Checklist was used as an independent variable to determine a subject's level of psychopathy. Those subjects scoring 30 or more on the psychopathy checklist were compared to subjects scoring less than 30. The level of narcissism or proportion of defenses did not differ significantly between the severe psychopaths (greater than or equal to 30) and the moderate psychopaths (less than 30). The severe psychopaths produced a significantly greater number of borderline object relations. I conclude that antisocial individuals tend to be highly egocentric, and that narcissism is one component of psychopathy. Severe psychopaths, as a group, tend to be more borderline in their functioning than those exhibiting moderate levels of psychopathic disturbance. I also conclude that individuals who are incarcerated for felony offenses and also meet the DSM-III-R criteria for antisocial personality disorder exhibit degrees of borderline personality organization.     

Correlates of Rorschach Reality Adherence in the Assessment of Murderers who Plead Insanity

Reality adherence measured by Mayman's system of Rorschach form level scoring was applied to the protocols of 43 individuals all of whom were pleading insanity to a charge of murder. Reality adherence level correlated significantly with judgment of legal sanity, contributed importantly to a factor analysis dimension of reality functioning, and was extensively related to measures of primary process thought and impulse. Reality adherence further was related to intellectual functioning and areas of past history. These results suggest that Mayman's reality adherence measure has substantial validity and is importantly related to other personality variables.     

Comorbidity and Internet-Delivered Transdiagnostic Cognitive Behavioural Therapy for Anxiety Disorders

Internet-delivered transdiagnostic anxiety interventions aim to reduce symptoms across several anxiety disorders using one treatment protocol. However, it is unclear whether comorbidity affects outcomes of such treatment. This study re-examined data from a recent randomised controlled trial (N = 129) that evaluated the efficacy of an Internet-delivered transdiagnostic cognitive behavioural therapy (iCBT) intervention for participants with principal diagnoses of generalised anxiety disorder (GAD), social phobia (SP) panic disorder and agoraphobia (PDA), of whom 72% met criteria for a comorbid anxiety disorder or depression. Participants were divided into two groups based on whether or not they had a comorbid disorder before treatment. Participants with comorbid conditions reported higher symptom levels at pre-treatment, post-treatment, and follow-up across a range of measures. Both groups showed significant reductions in symptoms over treatment; however, participants with comorbid disorders showed greater reductions in measures of GAD, PDA, SP, depression, and neuroticism. In addition, treatment significantly reduced the number of comorbid diagnoses at follow-up. These results indicate transdiagnostic iCBT protocols have the potential to reduce comorbidity.     

Thought suppression enhances memory bias for threat material

The current study examined the impact of thought suppression on indices of anxiety, including memory indices (implicit and explicit memory biases) and physiological indices (heart rate). The participants, 81 undergraduates scoring in the top quartile of a self-report measure of trait anxiety, were randomly assigned to one of three experimental groups: thought suppression (TS), thought concentration (TC), and thought wandering (TW). The TC and TW groups were included to control for the effects of effortful processing and exposure to stimuli, respectively. One block of threat words and one block of neutral words were presented under conditions of cognitive load, and participants' physiological responses and memory biases were measured. The thought suppression group exhibited an enhanced overall memory bias for threat words, driven by an elevated explicit memory bias, relative to the other two groups, a result that has implications for ironic processes theory and may inform information-processing models of anxiety.     

Frontal lobe functioning in adolescents with attention deficit hyperactivity disorder

A prominent hypothesis regarding the etiology of attention deficit hyperactivity disorder (ADHD) is that its presence and magnitude reflect frontal lobe dysfunction. Past tests of this hypothesis have been inconsistent. The present study examined frontal lobe functioning in adolescents with ADHD. A sample of 10 ADHD adolescents and 10 controls between the ages of 12 and 17 served as participants for the study. The control group was matched on age (within six months) and gender. This study aided in clarifying past contradictory studies by using clearly defined criteria to determine ADHD, a representative age range of participants, carefully selected tests, and a control task. The two measures that were administered to assess frontal lobe functioning were the Wisconsin Card Sorting Test and the Stroop Color and Word Test. The Purdue Pegboard was used as a control measure that did not assess frontal lobe functioning. The findings indicate that the ADHD group performed significantly worse on the following: color score, color/word score, and interference score of the Stroop Color and Word Test; percent of perseverative responses, percent of perseverative errors, and number of completed categories of the Wisconsin Card Sorting Test. No differences were found on the Purdue Pegboard task.     

Personality,expectations, and response strategies in multiple‐choice question examinations in university students: a test of Gray's hypotheses

The relation between personality and type of error made in multiple‐choice examinations when correction for guessing is applied was investigated across two studies. Our general hypothesis was that disinhibited subjects (those scoring high on the Sensitivity to Reward (SR) scale and/or low on the Sensitivity to Punishment (SP) scale) would make more incorrect responses and fewer omission errors (blanks) than inhibited subjects (those with high SP and/or low SR scores). The meta‐analyses of 19 examinations in study 1 confirmed our hypotheses for SP, SR, and extraversion. Regression analyses on effect sizes revealed that SP differences were obtained in examinations with low marks, whereas SR differences were obtained in examinations with more responses and fewer questions. Study 2 showed that a low‐mark expectation increased omissions in high‐SP subjects, whereas a high‐mark expectation increased incorrect responses in high‐SR subjects. These results suggest two different mechanisms mediating inhibition/disinhibition: one associated with aversive motivation, and the other with appetitive motivation. Copyright © 2003 John Wiley & Sons, Ltd.     

A Rorschach Comparison Between Best and Least Adjusted Girls in a Training School

Abstract

Editorial Note: The following article uses the traditional Rorschach scoring including Binder's shading categories. It affords a valuable opportunity to compare the efficiency of the different scoring systems. To enhance this opportunity the interpretations of the two cases following this article utilize every nuance in the refined scoring system and combine that procedure with the most careful response-by-response analysis, adding significant symbolic meanings of the content to the formal nuances of the scoring system. It may be emphasized that this procedure should not be confused with an unbridled misuse of Rorschach records for analytical interpretations without knowledge of or reference to the Rorschach method of personality diagnosis.     

Working memory involvement in dual-task performance: Evidence from the backward compatibility effect

In three experiments, the authors supported the hypothesis that parallel response activation seen in dual-task performance results from holding Task 2 rules in working memory (WM) while performing Task 1. To this end, the authors used the backward compatibility effect (BCE; quicker primary responses when the Task 2 response is compatible with codes of Task 1) as a marker for parallel response activation and manipulated WM load. Increasing the number of primary task rules from two to four did not modulate BCE, replicating Hommel and Eglau (2002), but a higher load condition, involving six primary task rules, reduced the BCE to nonsignificant levels. Experiment 3 further showed that WM is loaded by rules associating abstract stimulus categories to responses, and not by rules tt associate individual stimuli to responses (S-R rules).