Rorschach Comprehensive System data for a sample of 249 adult nonpatients from Italy

This project provides information on how Italian adult nonpatients perform on the Rorschach test administered and scored following Rorschach Comprehensive System (CS) guidelines (Exner, 1995). Lis, Zennaro, Calvo, and Salcuni (2001) reported previously initial data for 101 of the nonpatients who were administered this instrument between July 1998 and February 2001 by graduate and postgraduate students in a 2-year research course at the Psychotherapy School of the University of Padua. The current study extends that previous work and includes information on an additional 148 participants gathered between April 2001 and March 2004, for a total of 249 individuals. Exclusion criteria are described and interrater reliability statistics at the response level for scoring segments are reported using both percent of agreement and iota. Comprehensive System findings are presented.     

Rorschach Comprehensive System data for a sample of 116 preadolescent and 117 adolescent nonpatients from Italy

This project provides information on how preadolescent and adolescent nonpatients perform on the Rorschach test, administered and scored following Exner's guidelines (2003). Lis, Salcuni, Parolin, and Superchi (2001) reported previously initial data for 51 adolescent nonpatients living in Italy who were administered this instrument by graduate and postgraduate students in a 2-year research course at the Psychotherapy School of the University of Padua, between July 1998 and February 2001. The current study is an extension of that work and includes information on additional adolescent nonpatients and preadolescent nonpatients, gathered between April 2001 and December 2006. The study thus includes information on 233 participants, 116 preadolescents (aged 12-14) and 117 adolescents (aged 15-18). Individuals were excluded if they had a major medical illness in the past 6 months, any psychiatric hospitalization, psychological treatment within the past 2 years, any felony conviction, or psychological testing within the past year. Interrater reliability statistics at the response level for scoring segments are reported both with percentage of agreement and iota. Rorschach Comprehensive System (CS) findings are presented.     

Rorschach Comprehensive System data for a sample of 100 adult nonpatients from the Belgian French-speaking community

This article presents normative data for the Rorschach Comprehensive System (CS) on 100 adult nonpatients from the Belgian French-speaking community. We compare our Belgian sample to a French one (Sultan et al., 2004), data of Exner's (Exner & Erdberg, 2005) and a Californian sample (Shaffer, Erdberg, & Haroian, 1999). Each sample's specific characteristics are explored, as well as findings provided by sample-specific comparisons. Exner's data, ultimate normative reference for the CS, differ significantly from the three other samples for many variables. Cultural factors, examiner's level of experience, as well as participants' selection and recruitment, presumably flow into calculated differences between the four samples. Our findings indicate the necessity for constituting normative data for different communities, as well as the indispensability of examiners' familiarity with the CS, in order to provide reliable clinical information.     

A new nonpatient sample for the rorschach comprehensive system: a progress report

Some concern about recently published nonpatient data, plus the fact that some records in the published sample of 600 nonpatients (Exner, 2001) were collected more than 20 years ago, prompted the initiation of a project to develop a new nonpatient sample. In this article, findings are presented for the first 175 participants tested in the new project. It is noted that the data from the new project are quite similar to those for the sample of 600. Results suggest that the similarities between the data sets supports the notion that the published sample is probably representative and provides a reasonable basis from which to identify response rates and the proportions of nonpatients expected to fall in, or outside of, established parameters for various ratios and other structural indexes.     

Rorschach Comprehensive System data for two samples of nonpatient children from Italy: 75 aged 5-7 years and 148 aged 8-11 years

This project provides information on how nonpatient children perform on the Rorschach test, administered and scored following Exner's guidelines (1995). Lis, Parolin, Zennaro, and Mazzeschi (2001) previously reported initial data for 70 nonpatient children living in Italy who were administered this instrument by graduate and postgraduate students in a 2-year research course at the Psychotherapy School of the University of Padua between July 1998 and February 2001. The current study is an extension of that work and includes information on an additional 153 participants gathered between November 2002 and December 2006. The total number of participants includes 223 individuals, 75 5-7-year-old children in the first level of elementary school, and 148 8-11-year-old children in the second level of elementary school. Exclusion criteria are described, and interrater reliability statistics at the response level for scoring segments are reported using percent agreement and iota. Rorschach Comprehensive System (CS) findings are presented.     

Rorschach Comprehensive System data for a sample of 75 Danish 9-year-old children: a pilot study

This article provides a normative study documenting how 75 Danish nonpatient 9-year-old children respond to the Rorschach test. The children were selected randomly from nine different parts of Denmark and tested with the Rorschach by 10 different psychologists. All examiners were familiar with the Comprehensive System (CS; Exner, 2003), and before the data collection they participated in a 3-day workshop performed by the research group that focused on administration, inquiry, and scoring issues. Among the results are an average R of 23.6 and an average Lambda of 2.01 (median = 1.18). Slightly more than 60% of the sample had an Avoidant style (63%); 41% had a CDI of 4 or 5; and 33% were positive on the HVI. In terms of perception and thinking, average values were .44 for X+%, .27 for X-%, and 9.4 for the WSum6.     

Addressing Issues in the Development and Use of the Composite International Reference Values as Rorschach Norms for Adults

This article describes 3 studies evaluating normative reference data for the Rorschach Comprehensive System (CS; Exner, 2003, 2007), with a particular focus on the viability of the Composite International Reference Values (CIRVs) that were compiled from 21 adult studies by Meyer, Erdberg, and Shaffer (2007). Study 1 documented how the CIRV norms are virtually identical when organized into 3 groups differentiated by the quality of their data collection effort, including an optimal group of 4 samples that relied on multiple experienced examiners and provided ongoing quality control over administration and coding. Analyses also showed that relative to the group of more optimal samples, the group of less optimal samples did not produce more variability in summary scores within or across samples or lower interrater reliability for coding. Study 2 used the existing CS reference norms to generate T scores for the CIRV means and documented how the CS norms make other samples of healthy nonpatients look psychologically impaired in multiple domains. Study 3 documented with examples from 4 different countries how 2 sets of within-country local norms produced notably different results on some variables, which compromises the ability of local norms to be used instead of the CIRVs. Taken together, the 3 studies provide support for the use of CIRVs in clinical practice as norms that are generalizable across samples, settings, languages, and cultures and that account for the natural variability that is present when clinicians and researchers contend with the ambiguity contained in the standard CS reference materials concerning the proper ways to administer and code. We conclude by urging CS users to rely on the CIRVs when making clinical inferences and to adopt alternative methods of ensuring they are following cohesively standardized administration and coding guidelines.     

Measuring Psychological Development With the Rorschach

The aim of this study was to develop and to provide an initial validation of a Rorschach index measuring developmental progress and growth. The Developmental Index (DI) was created in a 3-step, sequential strategy with adult and child data in which we (a) selected potential DI variables from quantitative research literature and from data available to us, (b) identified an optimal group of DI variables and created the DI equation using an independent nonpatient sample, and (c) provided an initial cross-validation of the DI using an independent clinical sample. Age and age rank categorization groups from normative data associated with the Wechsler intelligence scales (Wechsler, 2003, 2008) and contrasts between adults and children served as criteria for development. These samples include a large amount of data from a diverse international subject pool using the Comprehensive System of the Rorschach. Interim validity checks were undertaken to ensure the analytic strategy was sound. The DI includes 12 variables with individual weights determined by regression analysis. The initial independent cross-validation of the DI with a clinical sample revealed that it discriminated well between children and adults. Thus, initial support for this scale as a measure of psychological development across cultures and geography was established, but future research is needed. Clinical implications and specific research needs are presented.     

Rorschach Comprehensive System data for a sample of 343 adults from Finland

This article combines Rorschach Comprehensive System (CS; Exner, 1990, 1993) data from four projects conducted in Finland between 1990 and 1995. The projects studied a stratified random sample of Finnish nonpatients, a cohort of twins, a group of elderly men, and a random sample collected to investigate sleep difficulties. The 343 records from these four studies provide a representative survey of Rorschach responding throughout the Finnish population.     

Rorschach Comprehensive System data for a sample of 141 adult nonpatients from Denmark

A sample (n = 141) of Danish nonpatients 25-50 years of age, never hospitalized with a psychiatric diagnosis and currently employed, was demographically representative of two geographical areas of Copenhagen with different social strain. The sample, as well as 45 persons not currently employed, was tested with the Rorschach (Exner, 1995), MMPI-2 (Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989), Word Association Test (Ivanouw, 1999b), WAIS Comprehension subtest (Hess, 1974), and SCL-90-R (Olsen, Mortenson, & Bech, 2006). Half of the persons contacted volunteered for the study. There was no difference in rate of volunteering between a standard no-feedback condition and a feedback condition; the latter, however, tended to attract more psychologically resourceful persons. The employed persons tended to appear healthier than the not employed. Response style of the subjects, quality of the Rorschach protocols, reliability of scoring, and the effect of the data being grouped on geographical area and examiner were examined. Form level, color, texture, cooperative movement, and EA were lower than in the Comprehensive System (CS; n = 450) sample, but higher than in nine international nonpatient Rorschach studies. Unique for the Danish sample was a low number of animal movement answers. The Rorschach data showed women to be healthier than men. Differences in Rorschach variables based on educational level were small.     

One more datum on Rorschach form quality

The central purpose of this work is to examine to what extent Form Quality (FQ) scoring of Rorschach responses, using Exner's (2003) Table A, is the reason for lower FQ to often be found in normative data outside the United States. The Rorschach protocols of 180 Portuguese boys and girls between 6 and 10 years of age were codified with respect to Form Quality in accordance with Exner's table of objects classified as ordinary, unusual, and minus, based on frequencies seen among U.S. adults and on an analogous Portuguese table (Table P) constructed from the protocols of 400 nonpatient children. Mean differences between the various FQ variables of the 2 tables were found to be insignificant. However, use of Janson's (2003) iota coefficient to evaluate agreement between the 2 approaches to scoring on the same protocols revealed that the more striking differences occurred in the FQu variable when agreement was assessed on the basis of each individual response. In view of these results, the authors recognize the possibility of Rorschach normative data to be universally applied, but still consider the possible advantage of each country or culture to build its own FQ table that will permit preservation of its particularities.     

A new U.S. adult nonpatient sample

A project to collect an American adult nonpatient sample for the Rorschach Comprehensive System (CS; Exner, 2001) took place between 1999 and 2005, and this article presents data for 450 participants in the project. Inclusion criteria, demographic information, and interrater agreement statistics are described. Findings for most of the CS variables are similar to earlier Rorschach Workshops samples, but some differences emerged and their implications for modifying interpretive guidelines are discussed.     

One More Datum on Rorschach Form Quality

The central purpose of this work is to examine to what extent Form Quality (FQ) scoring of Rorschach responses, using Exner's (2003) Table A, is the reason for lower FQ to often be found in normative data outside the United States. The Rorschach protocols of 180 Portuguese boys and girls between 6 and 10 years of age were codified with respect to Form Quality in accordance with Exner's table of objects classified as ordinary, unusual, and minus, based on frequencies seen among U.S. adults and on an analogous Portuguese table (Table P) constructed from the protocols of 400 nonpatient children. Mean differences between the various FQ variables of the 2 tables were found to be insignificant. However, use of Janson's (2003) iota coefficient to evaluate agreement between the 2 approaches to scoring on the same protocols revealed that the more striking differences occurred in the FQu variable when agreement was assessed on the basis of each individual response. In view of these results, the authors recognize the possibility of Rorschach normative data to be universally applied, but still consider the possible advantage of each country or culture to build its own FQ table that will permit preservation of its particularities.     

Rorschach Comprehensive System data for a sample of 283 adult nonpatients from the United States

This article presents an update on adult nonpatients living in central California previously described by Shaffer, Erdberg, and Haroian (1999). In this study an additional 160 nonpatients were administered the Rorschach for a total sample size of 283. Graduate students enrolled in a 2-year Rorschach research seminar administered the Rorschach (Exner, 1995), WAIS-R (Weschler, 1981), and MMPI-2 (Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989), and were provided with extensive supervision and ongoing quality control. All protocols were recoded by the first two authors and a psychologist with extensive Rorschach experience. Exclusion criteria are described. Interrater reliability statistics at the response level are presented along with scores for Rorschach Comprehensive System (CS), WAIS-R, and MMPI-2 variables.     

Rorschach Comprehensive System data for 100 nonpatient children from the United States in two age groups

Building on our previously published study (Hamel, Shaffer, & Erdberg, 2000), which provided data on 100 nonpatient children aged 6 to 12 from the United States, we here provide reference data for two more homogeneous age subgroups: 6 to 9 (N = 50) and 10 to 12 (N = 50). Inclusion criteria are described, and expanded interrater reliability statistics at the response level are presented along with scores for the Rorschach Comprehensive System (CS; Exner, 2001) at each age grouping. In addition to the children being administered the Rorschach, their parents were given the Conners' Parent Rating Scale-93 (CPRS-93; Conners, 1989), and these results are presented as well.     

SCL-90-R symptom patterns for adolescent psychiatric inpatients

We collected Symptom Check List-90-Revised (SCL-90-R) symptom pattern and severity data from a sample of 486 adolescent psychiatric inpatients. Preliminary comparison of these data with previously published data for adolescent nonpatients suggested no meaningful differences in overall symptom severity, although the data suggested higher Positive Symptom Distress Index (PSDI) scores for inpatients, less severe somatization and psychoticism symptoms for inpatient males compared to nonpatient males, and more severe depressive symptoms for inpatient females compared to nonpatient females. Future studies should be directed toward further analyses of such data and the development of representative and generalizable adolescent inpatient norms for the SCL-90-R.     

SCL--90--R Symptom Patterns for Adolescent Psychiatric Inpatients

We collected Symptom Check List-90-Revised (SCL-90-R) symptom pattern and severity data from a sample of 486 adolescent psychiatric inpatients. Preliminary comparison of these data with previously published data for adolescent nonpatients suggested no meaningful differences in overall symptom severity, although the data suggested higher Positive Symptom Distress index (PSDI) scores for inpatients, less severe somatization and psychoticism symptoms for inpatient males compared to nonpatient males, and more severe depressive symptoms for inpatient females compared to nonpatient females. Future studies should be directed toward farther analyses of such data and the development of representative and generalizable adolescent inpatient norms for the SCL-90-R.     

A study of nonpatient preadolescent Rorschach protocols

There is a paucity of peer-reviewed, nonpatient Rorschach studies in psychological journals, particularly for children. This study examined 100 preteenage children, using the Comprehensive System to code their Rorschach protocols. The participants were also evaluated with the Conners Parent Rating Scale-93 (Conners, 1989) and 5 exclusionary behavior criteria. The 100 participants demonstrated better than average behaviors. The results presented include all the ratios and indexes found in the nonpatient statistics for the Comprehensive System. We discuss interrater reliability issues and offer recommendations for further cross-validating research.