Data and issues to Consider in Reconciling Self-Report and the Rorschach

Archer and Krishnamurthy (1993a, 1993b) systematically reviewed the Minnesota Multiphasic Personality Inventory (MMPI)-Rorschach research and found that there is minimal if any association between the two tests. In response to this review, data are reported demonstrating a positive association between various Rorschach variables and objective criteria. Data gleaned from published and yet unpublished sources suggest that the Rorschach is related to various self-report, other-report, and behavioral criteria, with children and adults, for psychosis and other constructs. Data are also presented suggesting that part of the disagreement between the two tests may be due to different types of response bias and positive self-presentations on the two tests. Research findings pertinent to differential validity as a function of the number of Rorschach responses protocol are also explored. I conclude with research recommendations regarding test-specific understandings of response bias and Rorschach protocol complexity as a moderator variable.     

Construct validation of scales derived from the Rorschach method: a review of issues and introduction to the Rorschach rating scale

I suggest the main goal of Rorschach validation should be a refined understanding of what each score means. Toward this end, I review general issues in construct validity, hurdles unique to the Rorschach, and general limitations with validation criteria. I then recommend two approaches for improving criteria so they can begin approximating the gold standards that are necessary for a refined understanding of what scores actually measure. The first is a method for improving expert clinical judgment, and the second is a method for aggregating data across diverse judges. Finally, the Rorschach Rating Scale (RRS) is presented as a criterion tool to be used with either of these approaches to validation. The RRS is a fairly comprehensive summary of the constructs thought to be measured by various Rorschach scoring systems. The utility of the RRS for research and training are discussed, as are other practical, theoretical, and psychometric issues in its application.     

Construct Validation of Scales Derived From the Rorschach Method: A Review of issues and Introduction to the Rorschach Rating Scale

I suggest the main goal of Rorschach validation should be a refined understanding of what each score means. Toward this end, I review general issues in construct validity, hurdles unique to the Rorschach, and general limitations with validation criteria. I then recommend two approaches for improving criteria so they can begin approximating the gold standards that are necessary for a refined understanding of what scores actually measure. The first is a method for improving expert clinical judgment, and the second is a method for aggregating data across diverse judges. Finally, the Rorschach Rating Scale (RRS) is presented as a criterion tool to be used with either of these approaches to validation. The RRS is a fairly comprehensive summary of the constructs thought to be measured by various Rorschach scoring systems. The utility of the RRS for research and training are discussed, as are other practical, theoretical, and psychometric issues in its application.     

Convergence of self-report scales and Rorschach indexes of psychological distress: the moderating role of self-disclosure

In this study, we addressed the weak associations found in research between self-report measures and the Rorschach test (Exner, 1978, 1991), from the perspective of Bornstein's (2002) "process dissociation framework." Specifically, in the study, we focused on the associations between self-report measures of psychological distress and their corresponding Rorschach indexes while inspecting the moderating role of self-disclosure. A total of 59, nonpatient Israeli adults participated in a 2-session study. In the first session, they completed self-report scales measuring self-disclosure and psychological distress (suicidality, depression, and loneliness). In the second session, the Rorschach test was administered and coded. The participants were divided into high and low self-disclosure groups. A convergence between self-report and Rorschach measures of psychological distress was found only among high self-disclosers. In the discussion, we address the theoretical and clinical implications of these findings.     

Methodological issues in interviewing and using self-report questionnaires with people with mental retardation

In this article the authors review methodological issues that arise when interviews and self-report questionnaires are used with people with mental retardation and offer suggestions for overcoming some of the difficulties described. Examples are drawn from studies that use qualitative methodology, quantitative studies assessing different question types, and studies reporting on the development of instruments measuring psychiatric symptoms, self-concept, and quality of life. Specific problems that arise with respect to item content (e.g., quantitative judgments, generalizations), question phrasing (e.g., modifiers), response format (e.g., acquiescence, multiple-choice questions), and psychometric properties (factor structure and validity) are discussed. It is argued that because many self-report questionnaires include questions that have been found to be problematic in this population, more attention needs to be paid to establishing the validity of such measures and to clearly defining the population for which the instrument is designed.     

Changes in defensiveness and in affective distress following inpatient treatment of eating disorders: Rorschach comprehensive system and self-report measures

Conceptualizing eating disorders (EDs) as forming a coping mechanism against facing psychic pain, in this study, we examined the contribution of weight stabilization and ED behaviors to psychological outcomes of affective distress, defensiveness, and contact with inner/external reality among 2 subgroups of adolescent inpatients with (a) "restricting type" anorexia (AN-R) and (b) bingeing/purging type EDs (B/P). We administered Rorschach Comprehensive System (CS; Exner, 2003) and self-report measures at acute admission and on discharge. Data indicated that in both subgroups, stabilization of weight and disordered eating behaviors was accompanied by reduced explicit (self-reported) affective distress, yet by elevated implicit affective distress (D, SumShd). Subgroups' different Rorschach change trends indicated different dynamic processes in defensive style and contact with inner/external reality.     

Perception and the Rorschach

In this study we investigated the reliability and validity of the Rorschach Schizophrenia Index (SCZI) from Exner's (1978, 1993) Comprehensive System for a sample of 413 child psychiatric inpatients by examining relationships with the Personality Inventory for Children-Revised (PIC-R) and chart diagnoses. Interscorer reliability and internal consistency were acceptable. Multivariate analyses of variance results revealed significantly different PIC-R profiles for those with and without elevated SCZI scores, with significant differences emerging on the PIC-R Psychosis (PSY) scale and 2 cognitive triad scales (Intellectual Screening and Development), which have been reported to be more frequently elevated in PIC-R profiles of children with psychotic disorders. Significant differences were found across SCZI groups for the PSY scale, Reality Distortion scale, reality testing critical items and chart diagnoses of psychotic disorder. Implications for clinical interpretation of the SCZI with children and issues for further research with this population are discussed.     

Alcoholism and the Rorschach

This study attempts to cross validate 20 hypotheses reported over the past three decades professing to differentiate alcoholics from non-alcoholics using the Rorschach. Comparison groups (N = 25 each) were matched for age, sex, race, income and education, and diagnosis. Each S received the Rorschach and a test to rule out “organicity”. Rorschach scoring was consensually validated and Chi squares were performed for all twenty hypotheses. Through the careful selection and matching of control and experimental groups, only two significant differences were found, both in the direction opposite to that predicted. Non-alcoholics gave 4 or more water responses significantly more often than alcoholics (p < .05) and significantly more “high CF with C” scores (p < .05).     

Application of the consensus Rorschach to couples

The consensus method of administering the Rorschach is described and the literature reviewed. The consensus method is viewed as an adaptation of the Rorschach as a form of behavioral assessment, especially as regards couple interaction. Materials on two couples are presented as illustrations.     

Key questions to consider in stalking cases

Stalkers can inflict severe injury upon and have been known to kill their victims. Based on the detailed responses of 1,565 stalking victims, a set of key questions was produced with the aim of increasing the opportunities of police officers to identify potentially dangerous stalkers. Despite marked methodological differences and the inclusion of a large number of variables, regression analyses for significant correlates for physical assault per se and for severe violence largely reflected the results of earlier works. For severe violence (n=136), the most important correlate was a high level of victim fear, suggesting that victims are adept at assessing their own risk of stalker violence. The set of 11 questions performed well on preliminary tests and is presented here.