Rorschach Correlates of Traumatic Neurosis of War

Only two cases out of a total population of 1500 military men evacuated from a war zone with psychiatric diagnoses were found to be suffering from traumatic neurosis. The Rorschach protocols of these two cases are presented and discussed within Kardiner's theoretical framework. Despite diverse social, educational, and occupational backgrounds these two Ss produced markedly similar protocols illustrating how in traumatic neurosis projective stimuli may serve as releasors for the abreactive repetition of the trauma as seen in highly charged responses which are affect-laden, violent, phobic and sometimes psychotic-like in nature.     

Rorschach Anatomy Response Correlates in Rehabilitation Failure Subjects

Studies have linked rehabilitation failure to personality factors and psychological test findings, including the Rorschach Anatomy Response. Objective psychological tests were administered to 112 PMRS patients who met the criterion of over 30% anatomy on the Rorschach. Test scores and demographic variables were statistically analyzed in an intercorrelational design using medical success—failure judgements as criterion. Outcomes were judged 100% failure and the group resembled somatization and hysterical reactions, with positive comparisons to passive-dependency and delayed recovery from disease. Inspection of the intercorrelations suggested two patterns: an open psychopathology configuration and a control-defensive personality organization. Discussion focused upon the value of anatomy percentage as a failure predictor, the type of personality involved, and the need for more specific research.     

Correlates of Regimen Adherence in Cystic Fibrosis

The present investigation studied psychological and familial factors associated with self-care adherence in a sample of 50 children (ages 9 to 17 years) with cystic fibrosis (CF). Children and their parents were recruited through an outpatient pediatric pulmonary medicine clinic at a metropolitan children's hospital. Participants were interviewed and administered measures of family behavior and child psychological variables. Regimen adherence was measured using a telephone interview approach across three occasions per participant. Hierarchical multiple regression with age, perceived family behaviors, health locus of control, and self-competency as predictors, accounted for 53.8% of the variance in regimen adherence. Findings suggest that higher self-esteem and younger age are related to higher rates of regimen adherence among children with CF.     

The Rorschach in the Context of Performance-Based Personality Assessment

Twenty-eight normal and 28 learning disabled children were given the Bender-Gestalt Test under instructional sets of low (standard) attention or high attention. Results failed to support the hypothesis that high attention instructions would lead to differential recall performance of the diagnostic groups. Normal children produced better designs during recall than learning disabled children regardless of instructional set. The evidence suggests that standard Bender instructions should not be altered in an attempt to elicit recall performance differences.     

Rorschach object relations of adolescents who committed homicide.

We investigated the object relations of adolescents who committed homicide. A clinical sample of 55 adolescents who committed homicide did not differ from a comparison group of nonviolent delinquents on Rorschach measures of object differentiation, mutuality of autonomy, and aggressive content. However, the subgroup of adolescents who committed homicides in the context of another crime (e.g., robbery or burglary) did manifest significantly lower object relations (poorer object differentiation and more victim responses) than the subgroup of adolescents whose homicides were committed in the context of an interpersonal conflict or dispute with the victim. These findings support the need for differentiated classification of violent individuals as urged by Megargee (1970) over 20 years ago.     

Rorschach Assessment of Purging and Nonpurging Bulimics

Research in bulimia has flourished in recent years, and yet minimal attention has been devoted to explorations of the bulimic's basic personality organization. We utilized the Rorschach to differentiate between purging and nonpurging bulimics and controls. There were 15 subjects in each group. The Comprehensive System (Exner, 1986) was used for the scoring of the protocols. Statistically significant differences were not found between the two bulimia groups, but interesting trends were detected in the areas of depression, anger, and self-preoccupation. Results appear to be constrained by the low rate of purging behavior. Comparisons between the combined bulimia groups and the controls resulted in solidly characterizing the bulimics as displaying perceptual inaccuracies, disordered thinking, a vulnerability to interpersonal problems, a damaged self-image, and a pessimistic outlook. The strengths of the study were its use of the Diagnostic and Statistical Manual of Mental Disorders (3rd ed., rev. [DSM-III-R]; American Psychiatric Association, 1987) nonpatient bulimic subtypes and a control group that was comparable in terms of demographics. Future Rorschach studies with bulimics displaying higher frequencies of binging and purging behaviors are suggested.     

Assessment of substance abusers on the MCMI-III and the Rorschach

We examined 60 substance abusers (SA) on the Millon Clinical Multiaxial Inventory-III (MCMI-III; Millon, 1994) and on eight Rorschach variables from the Comprehensive System (CS; Exner, 2003). On the MCMI-III, SA scored above the cutoff for clinical significance (M > or = BR 70) on Drug Dependence (94.77), Antisocial (82.95), Depressive (74.33), Self-Defeating (71.48), and Alcohol Dependence (70.70). On seven of the CS variables (M+,o,u, XA%, X-%, WSum6Lv2%, M-%, SumT%, and Pure H%) the scores of the SAs suggested significant more psychopathology compared to the scores of 60 university students, whereas the SA's scores on six of these variables (M+,o,u, XA%, X-%, WSum6Lv2%, SumT%, and Pure H%) suggested significantly less psychopathology compared to the scores of 36 schizophrenics. The effect sizes for the significant differences were in the small, medium and large range (d= 0.31 to d= 1.87).     

Assessment of Alexithymia With the Rorschach Comprehensive System: The Rorschach Alexithymia Scale (RAS)

The Bene-Anthony Family Relations Test was administered to twenty normal, twenty-seven school disordered, and ten institutionalized emotionally disturbed preadolescent boys. Significant differences were obtained between and within groups. The more disturbed children tended to report more positive perceptions of family relationships, particularly their relationships with their oldest siblings. However, institutionalized children tended to perceive themselves more negatively than normal or school disordered children in the context of family relationships. Normal children, but not institutionalized children, tended to perceive their relationships with their oldest siblings as significantly more negative than their relationships to their parents. The data were interpreted as reflecting sibling rivalry and the operation of psychodynamic defenses.     

Prediction of differences in Rorschach protocols from the Personality Assessment System

The Personality Assessment System (PAS) is derived from certain subtest scores on any Wechsler test by rather simple calculations. It purports to measure, among other personality attributes, developmental changes in the Internalized-Externalized (I-E) dimension of personality, which is akin to the Introversion-Extroversion construct reflected by some Rorschach measures. PAS scores from a tightly defined sample of normal adults were contrasted with Experience Balance (EB) and Body-image (B) scores derived from Rorschach protocols by "blind" scorers. Significant relations were found between EB ratios produced via the Exner and Klopfer scoring systems and the primitive (early childhood) I-E scores from the PAS. The B scores produced by the Body Image scoring system were related to the basic (adolescent) I-E PAS scores. Although significant, the PAS-Rorschach correlations were relatively poor, in part because it was difficult to define the center of the internalization-externalization continuum in terms of the Rorschach protocols. It is, nevertheless, provocative that traditional scorings of the Rorschach responses of adults assess differences not only in this personality trait, but also in its development, as determined from scaled scores on Wechsler subtests.     

Rorschach Assessment of Psychological Functioning in Sexually Abused Girls

We measured psychological functioning in a group of 79 Black females between the ages of 5 and 16 and a comparison group of nonabused girls using the Rorschach. In addition to Exner's (1985) Comprehensive System, the Elizur (1949) Rorschach Content Test Scale (RCT), the Mutuality of Autonomy Scale (MOA; Urist, 1977, Urist & Shill, 1982), and the Barrier and Penetration Scales (Fisher & Cleveland, 1968) were used. Sexually abused girls were found to show more disturbed thinking, to experience a higher level of stress relative to their adaptive abilities, to describe human relationships more negatively, and to show more preoccupation with sexuality than the comparison group. The distress experienced by the victimized children was more related to internal mediating variables then to abuse characteristics. Sexually abused girls who are cognitively and emotionally active also experienced high levels of distress compared to abused girls who are psychologically constricted.     

Conceptual and Empirical Perspectives on the Rorschach Assessment of Psychopathology

Conceptual and empirical perspectives on the Rorschach assessment of psychopathology are described and placed in a complementary perspective that stresses the value of conceptual formulations and the necessity of empirical data. Empiricism without concepts fails to explain adequately why Rorschach assessment yields useful information; conceptualization without empirical support fails to document adequately the psychometric soundness of Rorschach inferences. Used in tandem, explanatory concepts and supportive data enhance the scientific Stature and professional utility of Rorschach assessment.     

Rorschach Assessment of Primitive Defenses: A Review

The Lerner & Lerner Scale for assessing primitive defenses is reviewed, According to its conceptual roots, initial studies assessed the scale's efficacy in distinguishing groups of borderline patients from groups of other diagnostic entities. Later studies extended the use of the scale to assess various clinical groups assumed to have a borderline personality structure. Results from several studies indicate a high level of reliability as judged by degree of interrater agreement. In a host of studies, the scale was found to be valid in distinguishing borderline patients from other types of patients, eating disordered patients from normal controls, and gender disturbed children from normal controls. Another Rorschach scale for assessing primitive defenses was also reviewed and compared.     

An Inter-Rater Reliability Study for the Rorschach Performance Assessment System

Summary: Presented definitions for the construct of ambiguity tolerance. The measun: of ambiguity tolerance (MAT-50) had high internal reliability (r = .88) and high test-retest reliability (r = .86) over a 10-to-12 week period. A content analysis of the measure and a subjective imalysis by 20 graduate students indicated adequate content validity. A multivariate comparison with two other ambiguity measures, two rigidity measures, and a short dogmatism measure provided strong evidence for criteria-related validity. Finally, four independent empirical studies showed good construct validity.     

The Assessment of State and Trait Anxiety with the Rorschach Test

The literature on the assessment of anxiety with the Rorschach Test was reviewed in terms of Spielberger's conception of anxiety as a relatively stable personality disposition (A-Trait), and as a transitory emotional state (A-State). On the basis of the research evidence, it was concluded that: (1) Shading variables are the best Rorschach measures of A-State; (2) Movement appears to be the most promising Rorschach variable for measuring A-Trait; (3) Longer reaction times and a reduction in the total number of responses seem to reflect defensive reactions of caution and guardedness that accompany high levels of A-State; (4) Elizur's RCT anxiety scale appears to be more closely related to A-Trait than A-State, but may be a confounded measure of both.     

External Correlates of the Personality Assessment Inventory Higher Order Structures

This brief report explores the external correlates of 2 higher order structures of the Personality Assessment Inventory (PAI; Morey, 1991, 2007); Hoelzle and Meyer's (2009a, 2009b) PAI Components and Hopwood and Moser's (2011) Internalizing and Externalizing Dimensions. Scores from these higher order structures were correlated with life-event data including education, marital status, employment, suicide attempts, psychiatric hospitalizations, trauma, medical problems, hallucinations, paranoid ideation, drug abuse, alcohol abuse, and arrest. Although some differences were noted, the results showed that both Hoelzle and Meyer's Components and Hopwood and Moser's Dimensions were meaningfully correlated with a wide range of life outcomes in a conceptually consistent manner. Overall, these findings provide support for the utility of these higher order variables.     

Assessment of Rorschach dependency measures in female inpatients diagnosed with borderline personality disorder

The psychometric properties and predictive validity of the Dependency Index (DI; Hilsenroth & Bornstein, 2002) and the Rorschach Oral Dependency Scale (ROD; Masling, Rabie, & Blondheim, 1967) were examined to determine if these implicit measures of dependency predict observable attachment-seeking behavior in 66 female inpatients diagnosed with borderline personality disorder. Results indicate that both scales produce excellent reliability estimates. The DI and ROD yield adequate base rates, and the distributions of scores approximate normal distributions. The DI was predictive of nursing staff observation of positive attachment/treatment compliance (r = .28, p = .02) but not excessive isolation. By contrast, the ROD predicted positive attachment/treatment compliance (r = .38, p = .002) and excessive isolation (r = -.35, p = .004). Texture responses predicted excessive isolation (r = -.25, p = .05). Discriminant validity was supported when neither dependency measure predicted hostile interactions or self-destructive behaviors. Hierarchical regression analyses revealed that the ROD demonstrated incremental validity over the DI and select Comprehensive System (Exner, 1993) variables associated with dependency.