A Comparison Between Comprehensive System and an Early Version of the Rorschach Performance Assessment System Administration With Outpatient Children and Adolescents

For many years, the effects of variability in the length of Rorschach records has been debated, and a new administration procedure aimed at reducing the proportion of short and long records has recently been introduced. Using an outpatient sample of children and adolescents, this study explored the impact of an early version of the Rorschach Performance Assessment System (R–PAS) administration, on the central tendencies of Rorschach variables. Specifically, the mean values of 51 variables in 142 Comprehensive System versus 99 R–PAS collected records were compared with each other. Results found comparable mean values across CS and R–PAS administration methods for the variables that guide interpretation with children and adolescents. Both methods produced a comparable number of long (> 27 responses) records. The only relevant difference that emerged is that the early R–PAS administration version yielded significantly fewer short (14–16 responses) records and lower variability in the number of responses.     

The problem of R in the Rorschach: the value of varying responses

A subject's freedom to give different numbers of responses to each inkblot has always been part of the Rorschach tradition. However, frequency of response (R) as a variable rather than a constant requires special attention when using the Rorschach psychometrically and when making clinical evaluations based in part or entirely on normative scores. In this article, I discuss the Rorschach tradition; the distinctiveness of the procedure; and the complexity of the technical, methodological, and theoretical problems. issues related to the integration of the empirical and conceptual approaches are discussed.     

An Outcome Study: Changes in Rorschach Variables of Adolescents in Residential Treatment

Admission Rorschach variables were compared to 2-year reevaluation responses of adolescents (n = 50) in residential treatment using Weiner and Exner's (1991) 27 structural variables. Fifty adolescents who had previously failed to improve in outpatient treatment and multiple hospitalizations were subsequently placed in residential treatment. Following 2 years of residential treatment, they showed positive personality changes as indicated by a reduction in Rorschach indices of impaired functioning. Positive treatment changes in interpersonal awareness were discussed utilizing a social identification index formulated for this population. Results indicate the utility of the Rorschach test-retest method of assessing treatment outcome.     

Aging and terminal changes in Rorschach responses among the Japanese elderly

The Rorschach Inkblot Test was used to examine how personality changes among the elderly and whether significant changes precede death. Six measurements were conducted over 10 years. The original subjects were 236 healthy Japanese elderly with an average age of 76.4 years; 52 subjects survived throughout the 10-year study. Age-related changes were reflected in the number of responses; responses regarding rejection, shading, and popular; poor form level (F-%); and content range. The changes in these variables suggest that productive and creative thinking, cooperativeness, and concerns for and interests in society lessen with advancing age. Over the 4 to 6 years preceding death, the popular responses and content range declined, and the decline accelerated before death. Tests within 2 years of death showed less animal movement response (FM), and higher form (F%), F-%, and human content (H%) compared to the survivors. These results suggest that productivity, vital energy, and ego strength become reduced prior to death, whereas interest in and sensitivity to others is maintained to the end.     

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.     

From Persecution to Depression: A Case of Chronic Depression—Associating the Rorschach,the TAT,and Winnicott

In this article, I discuss a case study of a patient with depression, paranoid ideation, and other psychiatric difficulties who presented in a state of acute crisis. I review the Swiss Lausanne model of Rorschach and Thematic Apperception Test (TAT) interpretation, focusing on a psychoanalytic understanding of special contents and verbalizations. I then present a review of Comprehensive System (Exner, 2003) Structural Summary variables based on a modified Rorschach administration, while qualifying the meanings of these variables in light of the modified procedure. I conclude with a review of Winnicott's (1969) ideas on the paranoid potential, tie it to the main points of the case, and offer a 5-year follow-up of the patient's treatment. The case offers an approach to personality assessment that is informed by an international theory built on psychology and philosophy, and offers support for the use of an alternative theory-based, psychoanalytic method of data analysis.     

Rorschach Comprehensive System data for a sample of 190 Japanese nonpatient children at five ages

This study is a part of our series of studies of nonpatient, Japanese children. In total, 346 children were administered the Rorschach. Thirty-two children had fewer than 10 responses, 112 children had more than 10 but fewer than 14 responses, and 12 children were maladjusted or mentally retarded, for a total of 156. In this study, we analyzed the remaining 190 children not excluded by the above criteria in the following age groups: 5 years (n = 24), 8 years (n = 43), 9 years (n = 42), 12 years (n = 42), and 14 years (n = 39). Japanese children showed few responses generally, with an average of 18 ~ 20 responses. In addition to having fewer responses, other features of Japanese children are high Lambda, low EA, very high X-%, and low X+%. The fact that the Rorschach test depends on verbal expression may be one factor in all these features, and we should consider this study in view of these Japanese cultural factors. Interrater reliability findings and Rorschach Comprehensive System (CS; Exner, 1995; Matsumoto, 2003; Matsumoto et al., 2002) data are presented.     

Might the Rorschach be a projective test after all? Social projection of an undesired trait alters Rorschach Oral Dependency scores

The degree to which projection plays a role in Rorschach (Rorschach, 1921/1942) responding remains controversial, in part because extant data have yielded inconclusive results. In this investigation, I examined the impact of social projection on Rorschach Oral Dependency (ROD) scores using methods adapted from social cognition research. In Study 1, I prescreened 85 college students (40 women and 45 men) with the ROD scale and a widely used self-report measure of dependency, the Interpersonal Dependency Inventory (IDI; Hirschfeld et al., 1977). Results show that informing participants who scored low on the IDI that they were in fact highly dependent led to significant increases in ROD scores; I did not obtain parallel ROD increases for participants who scored high on the IDI or for participants who received low-dependent feedback. In Study 2, I examined a separate sample of 80 prescreened college students (40 women and 40 men) and showed that providing low self-report participants an opportunity to attribute dependency to a fictional target person prior to Rorschach responding attenuated the impact of high-dependent feedback on ROD scores. These results suggest that projection played a role in at least one domain of Rorschach responding. I discuss theoretical, clinical, and empirical implications of these results.     

The convergent validity of MMPI and Rorschach scales: an extension using profile scores to define response and character styles on both methods and a reexamination of simple Rorschach response frequency

Past research indicated the convergence of Rorschach and MMPI scales may be a function of (a) simple Rorschach response frequency (R) or (b) complex response-character styles on both methods. In this study, new criteria were developed for defining the second assumption using F and K from the MMPI and R and Lambda from the Rorschach. Although substantially different from the factor criteria used previously (KS = .45 and .30), the new criteria still produced the expected pattern of correlations among MMPI and Rorschach scales. Averaged across 17 constructs, the new criteria produced strong validity coefficients for patients with similar styles (M composite r = .50), though they were less effective for patients with discordant styles (M composite r = -.27). It was also demonstrated that R by itself does not moderate convergent validity. Rather, statistical modeling with two sets of 300 random samples (a) demonstrated the prior findings related to R were the result of sampling error and (b) supported the general hypothesis that Rorschach and MMPI scales correlate to the extent response-character styles correlate. Implications are considered.     

Appraisal of suicidal risk among adolescents and young adults through the Rorschach test

The aims of this study are to investigate suicidal behaviors among adolescents and young adults and to test an index composed using Rorschach test responses related to an increased risk of suicide. Using a cross-sectional design, 4 groups were studied (according to criteria of the Columbia Classification Algorithm of Suicide Assessment [Posner, Oquendo, Gould, Stanley, & Davies, 2007]): A group with suicidal ideation (n = 30), a group with parasuicidal behavior (n = 30), a group with near-lethal suicide attempts (n = 26), and a control group (n = 30). Responses to the Rorschach test yielded 6 potential indicators of suicidal behavior (scored according to Exner's Comprehensive System and the Suicidal Index for Adolescents; Silberg & Armstrong, 1992 ). Rorschach scores including at least 4 of these 6 indicators selected 69% of the people who had committed serious suicide attempts. The Rorschach Suicidal Index reached an acceptable reliability and was related to other criteria of suicide risk, such as the Beck Depression Inventory (BDI; Beck, Ward, Mendelsohn, Mock, & Erbaugh, 1961) and Linehan Reasons for Living Inventory (RFL-I; Linehan, Goodstein, Nielsen, & Chiles, 1983). Moreover, the Rorschach Suicidal Index showed incremental validity over the BDI and the RFL-I to predict suicidal behavior. A path analysis additionally showed that low social support was an important mediator between the Rorschach Suicidal Index and the number of suicide attempts committed by participants.     

The problems of R in clinical settings and in research: suggestions for the future

It has been suggested that we control for R in the interpretation of individual Rorschach records. A related, but distinctly different issue concerns controlling for or equating R in research. I suggest we should not control for R in interpreting individual records. There are also some research paradigms in which controlling for R does not seem advisable. In other types of research, I argued that some method of controlling for or equating R appears appropriate. The distributions of many Rorschach factors are markedly non-normal, and in some cases the shapes of the distribution for a particular factor may be different among different populations. In these instances, when attempting to control statistically for R, improper model specification may lead to erroneous findings. Finally, I argue for a theory-based, empirical approach to all future Rorschach research.     

The Effect of Color on the Production of Responses to Rorschach Cards VIII,IX, and X in Age Groups of 11–12 and 15–16 Years

The effect of color on the production of responses to the Rorschach task has been considered by investigators from 2 different positions: (a) that color has little effect on the production of responses, and (b) that color increases the number of responses. Some previous results found by the current investigators have supported the first position for the last 3 fully colored Rorschach cards (VIII, IX, and X), in children from 5 to 12 years old. Other studies of ours, however, have confirmed the second position for these same cards with a group of young adults 17 to 23 years old. As there was no increase of responses up to age 12, for this study we hypothesized a developmental effect in adolescence such that there would be an increase in the production of responses to the colored Rorschach cards at the age of 15 to 16 years, and this is what the results indicate. From a pragmatic standpoint, these results imply a revision of interpretive meaning for the Color and Affective Ratio variables in children's protocols. Our results also indicate that color cannot be regarded as a means of expression of affect at age 11 to 12 like it will be from age 15 to 16 and on.     

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 Responses as an Index of Narcissism

A two-part study was conducted to investigate the uniqueness and interpretive meaning-fulness of Rorschach reflection responses. In Part I, 80 Rorschach protocols were collected from overt homosexuals, character disorders, depressed patients recently suicidal, and a control group of college students. Homosexuals and sociopaths gave significantly more reflection and C and CF responses than did either of the other two groups. In Part 2 of the investigation two groups of 40 subjects each were selected from a population of college students and industrial workers on the basis of their score on a sentence completion test, especially devised to focus on the self. The high narcissism group gave a significantly greater number of reflection responses, pair type responses, and C and CF responses than did the low narcissism group.     

A Rorschach investigation of mothers of behaviorally disturbed infants

This investigation focuses on one facet of the interactional family, parent-child, mother-infant matrix of behaviorally disturbed infants: the personality of mother as primary caregiver. Rorschach test behavior of mothers (N = 30) of behaviorally disturbed infants were compared with two normative samples. The Rorschach test was found to indicate certain atypical psychological patterns among these mothers. Differences emerged in intellectual sphere variables: number of responses (R), common detail responses (D), rare detail responses (Dd), number of accurate form percepts (F+), percentage of form percepts that are accurate (F+%), percentage of responses with animal content (A%), and popular percepts (P). Other response trends emerged in the affective sphere: percentage of pure form responses (F%) and in the interpersonal sphere: whole human content (H) and the ratio of the whole human content to human detail content (H:Hd), as well as to the test as a whole. Based on these results, hypotheses are generated for further investigation, particularly of traits in the areas of cognitive processing and the capacity for interpersonal relations.     

Rorschachbound: A 50-Year Memoir

Celebrating the 50th anniversary of the Journal of Personality Assessment evokes memories of years past when I participated in its birth. Therefore, in recording what I consider significant events in Rorschach's stormy history, I am placing them within an autobiographical framework. Originally introduced into America by David Levy in the early 1920s, the Rorschach attracted students from many disciplines who revolted against the "trait" psychology that pervaded the psychological scene at the time. For 30 years, we accepted Rorschach enthusiastically as a global method that could study the human personality as a whole and in depth. In the late 1960s, we were challenged because of repeated failures in validating research. Interest declined in its development and application. Since 1970, however, it has emerged with more strength and vigor on firmer theoretical foundations and sounder methodology. Although the method is one of the most frequently required, requested, needed, recommended, and used in many clinical settings, it is still challenged today, chiefly because of overemphasis on the nomothetic approaches in research and failure to consider interactions between personality dynamics, behavior, and situational and sociocultural variables. Those of us whose lives have long been entwined with the history of the Rorschach should step back from the contemporary canvas and contemplate the future of our method, t suggest that we develop alternative conceptual models and greater diversity of research methods and modes of thought. The Journal of Personality Assessment can enhance the future of the Rorschach by giving greater prominence to clinically oriented research, notably to the idiographic and interactional aspects of the method. In so doing, the journal can help the Rorschach reach its real goal of complete scientific validity.     

Response selection on the Rorschach Test

After discussion of some theoretical speculations concerning the nature of the Rorschach process, two experimental manipulations of the Rorschach task are presented. Three groups of normal (n = 6) and schizophrenic subjects (7 paranoid and 7 nonparanoid) participated. Their mean age was 30.7 yr. In the first experimental version of the Rorschach, simplified inkblots (sections of the standard cards) were used to verify the influence of stimulus complexity on response for the three groups. In the second, an experimental version of the Rorschach task was created to highlight the influence of the selection process among different associations to blots. To this end, a list including responses both of positive and negative form quality to each card, was provided each subject. Data are discussed, highlighting the minimal differences obtained by the experimental manipulations and relating these to theoretical speculations.