Evaluation of ego strength based on certain Rorschach variables.

Despite the importance of the assessment of ego strength for appropriate assignment of clients for psychotherapy and/or rehabilitation, existing techniques have not fulfilled expectations. A method for assessing ego strength through the Rorschach Test independent of clinical criterion is proposed. In addition to certain variables of Klopfer's RPRS (M+, FM+, FC+ plus CF+), sharply preceived space responses are included. They constitute a highly intercorrelated global measure of ego strength and are also highly correlated to a relatively independent Rorschach variable of global ego efficiency, i.e. integrated whole responses. In accordance with prediction, non-controlled color responses as well as accuracy of form perception did not correlate in a non-clinical sample with either measure of ego strength.     

On the validity of hypotheses derived from the Rorschach: V. The relationship between form level and ego strength.

Although Rorschach interpreted from level as a perceptual and conceptual aspect of intelligence, Beck and the more current meaning assigned to form level relates these functions to ego strength. F+%, therefore, has come to be regarded as a measure of ego strength. The research examining the validity of this assumption was reviewed and Beck's hypothesis was seen to be supported. The research supports the clinical use of F+% as a measure of ego strength, but further research might help clarify what actual psychological processes are involved in the creation of responses of good form.     

An external construct validity study of Rorschach personality variables

This study examined (a) hypothesized relationships between Rorschach variables and self-report test measures relating to nominally similar aspects of personality functioning and (b) interrelationships among Rorschach variables. Sixty-two undergraduates were administered the Rorschach, Barron Ego Strength Scale, Kaplan Self-Derogation Scale, Eagly Self-Esteem Scale, Multiple Affective Adjective Checklist (MAACL), Marlowe-Crowne Social Desirability Scale, and the Rotter Locus of Control Scale. Only a few of the predictions received confirmation: inanimate movement (m) correlated, as expected, with MAACL anxiety and hostility, the egocentricity index (3r + 2)/R (R = total responses) correlated significantly with self-esteem, and human movement with minus form level (M-) correlated (inversely) with ego strength. Among the unpredicted findings were some that appear inconsistent with standard Rorschach interpretation. Rorschach variables human movement (M), and experience actual (EA), generally interpreted as reflecting coping resources, related significantly with self-report measures of poor coping and of dysphoric affect. In general, the Rorschach appears better at identifying weaknesses in the ego rather than strengths.     

An External Construct Validity Study of Rorschach Personality Variables

This study examined (a) hypothesized relationships between Rorschach variables and self-report test measures relating to nominally similar aspects of personality functioning and (b) interrelationships among Rorschach variables. Sixty-two undergraduates were administered the Rorschach, Barron Ego Strength Scale, Kaplan Self-Derogation Scale, Eagly Self-Esteem Scale, Multiple Affective Adjective Checklist (MAACL), Marlowe-Crowne Social Desirability Scale, and the Rotter Locus of Control Scale. Only a few of the predictions received confirmation: inanimate movement (m) correlated, as expected, with MAACL anxiety and hostility, the egocentricity index (3r + 2)/R (R = total responses) correlated significantly with self-esteem, and human movement with minus form level (M -) correlated (inversely) with ego strength. Among the unpredicted findings were some that appear inconsistent with standard Rorschach interpretation. Rorschach variables human movement (M), and experience actual (EA), generally interpreted as reflecting coping resources, related significantly with self-report measures of poor coping and of dysphoric affect. In general, the Rorschach appears better at identifying weaknesses in the ego rather than strengths.     

Prediction of adolescent and adult delinquency from childhood Rorschach ratings

Relatively few studies have predicted adolescent or adult delinquency from childhood Rorschach data. Incremental validity of Rorschach measures over other known consistent and more easily obtained predictors has typically not been investigated. We addressed Rorschach data's incremental validity over mother's reports of externalizing behavior and mother-child relations for predicting officially registered adolescent and adult delinquency in a longitudinal study of 122 Swedish men. The Rorschach measures we used were aggregates of blind, prospectively performed, global expert ratings based on a holistic evaluation of protocols. An aggregate of Rorschach-based ratings of ego strength significantly improved the prediction of delinquency in adolescence and adulthood over and above earlier identified best predictors (mother's ratings of mother-child relations and externalizing problem behavior).     

The Rorschach Ego Impairment Index in Heterogeneous Psychiatric Patients

There is a need for test measures of ego functioning that identify treatment needs and predict treatment response. Perry and Viglione's Rorschach Ego Impairment Index (EII; Perry & Viglione, 1991) is a composite measure assessing reality testing, thought process, defensive regulation, and object relations. It has been shown to correlate with Minnesota Multiphasic Personality Inventory (MMPI; Hathaway & McKinley, 1943) scales and subscales and other measures of psychosis in a schizophrenic sample and to predict antidepressant treatment outcome in a depressed sample. This investigation examined the EII as a measure of ego impairment in a sample of 85 heterogeneous psychiatric inpatients and outpatients. In this sample, the EII did discriminate between inpatients and outpatients; it did not discriminate between psychotic and nonpsychotic patients, though there was a trend in this direction and one of the EII's object relations variables (Good H) did so. The EII did not generally show significant relations with MMPI indices of ego impairment (Es or Scale 8), though there were some significant patterns of relation with Scale 8 subscales. The study provides some, though not unequivocal, support for the EII as measure of ego impairment and for its utility compared to other measures and adds credence to earlier suggestions of the importance of object relations measures to ego functioning assessment.     

Differentiating ego functions of borderline and narcissistic personalities

This study investigated differences in ego functions of borderline and narcissistic personality disorders through examining responses to Rorschach structural and content variables. Reality testing, thought process, affective regulation, impulse control, and the defenses of splitting and grandiosity were examined from Rorschach protocols of 50 borderlines and 26 narcissists. The borderlines produced greater distortion in reality testing, p less than .05; the narcissists produced more insidious thought process disturbance, p less than .05; and higher functioning groups demonstrated greater control of impulses, p less than .05. Borderlines in this sample demonstrated more affective constriction than the narcissists and used more splitting, p less than .05; narcissists used more grandiosity, p less than .05. Implications of this study are (a) ego functions mature inconsistently, (b) affective responsivity influences ego disorganization, and (c) level of functioning and IQ are related to the production of Rorschach variables.     

Differentiating Ego Functions of Borderline and Narcissistic Personalities

This study investigated differences in ego functions of borderline and narcissistic personality disorders through examining responses to Rorschach structural and content variables. Reality testing, thought process, affective regulation, impulse control, and the defenses of splitting and grandiosity were examined from Rorschach protocols of 50 borderlines and 26 narcissists. The borderlines produced greater distortion in reality testing, p < .05; the narcissists produced more insidious thought process disturbance, p < .05; and higher functioning groups demonstrated greater control of impulses, p < .05. Borderlines in this sample demonstrated more affective constriction than the narcissists and used more splitting, p < .05; narcissists used more grandiosity, p < .05. Implications of this study are (a) ego functions mature inconsistently, (b) affective responsivity influences ego disorganization, and (c) level of functioning and IQ are related to the production of Rorschach variables.     

P. A. News & Notes

A case study of a Vietnam combat veteran with episodic rage attacks is discussed with emphasis on Rorschach formal scoring and content analysis. Rorschach data suggest a near neurotic level of ego organization with massive repression in the form of dissociated violent outbursts. Vietnam combat trauma appears to be a precipitant. Developmental differences between preoedipal splitting and higher level dissociation are discussed. Dissociative states are posited to represent a developmental level of ego organization midway between borderline and neurotic levels and are not easily encompassed by either borderline or neurotic classifications.     

Regression in the Service of the Ego: A Case Study

A study was made of a 41 year old woman who was given psychological tests at the beginning of a five-year period of psychoanalytically oriented psychotherapy. From extensive material gathered from her therapist it was clear that: (a) Her pathology did not extend beyond the neurotic range; (b) she was a highly creative individual. Thus, it was of interest to note that her Rorschach contained many responses involving blatant primary process thinking. While such responses would be taken ordinarily as indicating a thinking disorder and consequently severe pathology, in this case they were seen as reflecting “regression in the service of the ego.” This led to a discussion of how this adaptive regression can be differentiated from pathological regression in psycho-diagnostic testing and to a consideration of some theoretical issues relating to primary process thinking.     

An empirical study of seriously disturbed suicidal patients

Aspects of unconscious processes in a group of seriously disturbed psychiatric patients are examined in an effort to predict near-lethal suicide attempts and explore psychoanalytic formulations of suicide. The Rorschach Inkblot Test, the most widely used projective measure in suicide research (Bongar 1991), was chosen for its potential to shed light on specific unconscious processes. Psychic states commonly associated with suicide were measured by psychoanalytic Rorschach analog scales and then subjected to a progression of statistical analyses in order to predict future occurrence and lethality of suicide attempts. On the basis of a priori hypotheses, the authors developed a suicide index comprising four psychoanalytic Rorschach signs that predicted, with considerable accuracy, which patients would later make near-lethal suicide attempts. The best predictors were unconscious processes indicative of penetrating affective overstimulation, disturbance in the capacity to maintain adequate ego boundaries, and depressive affective states characterized by a morbid preoccupation with death and inner decay. These findings provide empirical support for several well-known formulations of the unconscious motivations for suicide.     

CORRECTIONS FOR THE "ON THE INTERNAL STRUCTURE OF THE MMPI" PAPER

Five validity studies of scales in the Study of Imagery are reported. Multistage Bonferroni procedures are used to evaluate significance of results. Scales of superego strength and id derivatives both correlate positively with neuroticism as measured by the Eysenck Personality Inventory. The scale of ego strength correlates positively with a measure indicating aspects of behavioral self-control. The scale measuring sense of identity correlates positively with measures of adaptive ego strength and of behavioral self-control, and negatively with a measure of behavioral conflict and one measure of toughmindedness.     

Cross-Cultural Validation of the Rorschach Developmental Index

The Developmental Index (DI) has recently been introduced as a composite Rorschach measure of psychological development and maturation, which can be used both with the Comprehensive System (Exner, 2003), and with the recently developed Rorschach Performance Assessment System (Meyer, Viglione, Mihura, Erard, & Erdberg, 2011). As the DI is new, and its validity has not yet been investigated with independent non-U.S. samples, we tested the correlation between DI and age using 3 relatively large samples, 2 of which were from outside the United States (total N = 902). Other Rorschach variables presumably associated with maturation, such as complexity and productivity, were also investigated. As expected, the DI significantly correlated with age, with small variations across the 3 samples. Importantly, the correlation between DI and age remained statistically significant also after controlling for productivity (i.e., the number of responses) and complexity.     

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。     

Prejudice as Self‐Control Failure1

Research has suggested that whereas stereotypical attitudes may be automatically activated, the response to these stereotypes can be controlled. Anything that interferes with self‐control may result in more biased behavior. The ego strength model hypothesizes that after exerting self‐control, subsequent self‐control performance will suffer. Hence, depletion of ego strength may lead to increased prejudice. In 2 studies, depletion was found only to affect individuals who normally try to control their prejudicial responses. Participants who do not normally try to control their use of stereotypes were equally prejudiced, regardless of their level of ego strength. The results have implications for prejudice and stereotyping, as well as models of self‐control.     

A new test of an old hypothesis: a quantification of sequence in the Rorschach

Rorschach interpretation often assumes that successive responses are not independent of one another but rather that they are part of a series of interconnected events. In this study, methods that have been used to analyze event sequence data were applied to Rorschach protocols. Results from a nonclinical group of 102 university students showed that location scores on successive responses were repeated more frequently than was predicted by chance. There was also a tendency for subjects to make transitions from larger to smaller or more detailed areas of the inkblot on successive responses. In addition, we found that subjects tended to make transitions from more adequate to less adequate use of form, and that the unusual and minus form categories tended to be repeated. A modest association between transition frequencies and individual differences in anxiety, but not between transition frequencies and depression or overall symptomatology, was demonstrated.     

Inferential Errors in Taxometric Analyses of Ordered Three-Class Constructs

Hermann Rorschach's theory of perception is first presented, and then a method is described which was aimed at testing the theory's implications. Group Rorschach contents were selected, and two types of scoring procedures were worked out. In one case, a simple percentage of total responses was used, and in a second case a weighting was made according to whether or not the S was reporting an interpretation or a perception of the inkblot. Three all-male samples were studied, attending two different high schools. Both social class and racial differences were represented in the samples. Where one or the other of the two Rorschach scoring methods resulted in a significant correlation with independent measures of personality within the samples, it was the measure taking into consideration Rorschach's theory which reflected the over-all advantage.     

Rorschach measures of aggressive drive derivatives: a college student sample

This study investigated measures of aggressive drive derivatives on the Rorschach and Personality Assessment Inventory with 70 college students. As predicted, (a) self-reported physical aggression potential was related to Rorschach measures of identification with the aggressor and aggressive impulses, (b) suicidal ideation with impulsivity was related to a Rorschach measure of aggressive impulses turned toward the self, and (c) the borderline features scale was related to a Rorschach pathological object relations measure. Hierarchical regression analyses showed that a Rorschach measure of emotional impulsivity added unique variance to these Rorschach aggression variables in predicting self-reported physical aggression potential, suicidal ideation with impulsivity, and borderline features. Finally, caution is advised in applying our findings when there is motivation to suppress aggressive responses     

Ego strength and confidence thresholds in two methods of paired-associate learning.

Two experiments contrasted the effects of high and low wgo strength (as measured by Cattell's Sixteen Personality Factor Questionaire) on confidence thresholds (FG scores) under the anticipation and recall methods. High ego strength resulted in larger FG scores under the anticipation method- weakly so in Experiment I but significantly so in Experiment II, where subjects were selected from greater extremes of ego strength. This inferiority extended to trails to criterion and a measure of the associative-learning stage as well. Tasks for extending the generality of the obtained relationship of ego strength and confidence thresholds in paired-associate learning are suggested.     

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.