Research on the clinical usefulness of the Rorschach: 2. The assessment of cerebral dysfunction

A review of research on the use of the Rorschach in the assessment of cerebral dysfunction indicated that the Rorschachs of patients with cerebral dysfunction do not manifest any characteristic response in terms of percentages, ratios, or any unique response to any one of the stimulus determinants of the blots (color, shading, the stimulus for movement). The patient with cerebral dysfunction does manifest a unique style of thinking; responses tend to be concrete, perseverative, and stereotypic. This finding is similar to that found with schizophrenics where research, summarized by Frank in 1990, also indicated no uniquely 'objective' response style but reflected a unique cognitive style. These two reviews taken together suggest that the better way to use Rorschach data in clinical work is as an opportunity to assess patients' thinking as opposed to the Rorschach being used as a psychometric device, yielding 'numbers.'     

The use of the Rorschach in brief clinical evaluation

An adaptation of the Rorschach is described that can be used as part of a brief clinical evaluation. Some case illustrations are provided to demonstrate the method.     

Association of Rorschach and MMPI psychosis indicators and schizophrenia spectrum diagnoses in a Russian clinical sample

In this study, I investigated the relationships among psychological test variables and schizophrenia spectrum diagnoses in a Russian sample of 180 psychiatric patients. Schizophrenia is understood somewhat differently in Russia than in the West. Analyses compared Rorschach (SCZI, PTI; Exner, 2001) and MMPI (Berezin, Mitroshinkov, & Sokolova, 1994) psychosis indicators (Sc, Sc3, Sc6, and BIZ) and 3 diagnostic systems: (a) Russian traditional, (b) the Russian-modified International Classification of Diseases (9th ed. [ICD-9]; Ministerstvo Zdravokhraneniya SSSR, 1982), and (c) the nonmodified ICD-10 (World Health Organization, 1992; comparable to the Diagnostic and Statistical Manual of Mental Disorders [4th ed.], American Psychiatric Association, 1994). Results showed modest support for the SCZI and PTI but not the MMPI indicators. While the field awaits further evidence, psychologists should proceed with caution when using the Rorschach and MMPI to assess for psychosis among Russians.     

The Response of African Americans to the Rorschach: A Review of the Research

Studies exploring the performance of African Americans on the Rorschach were reviewed. The review revealed the limited number of studies done in this area of study, as well as the fact that the research paradigm for all of this research has been limited to comparing the Rorschach performance of African Americans to that of Whites. However, no one has offered a rationale for such a research paradigm. Without a scientific reason to expect personality to be a function of race, another research design was recommended, one that explores the effect of a variety of aspects of living conditions on the development of the personality of African Americans.     

A survey of Rorschach teaching in APA-approved clinical graduate programs.

A questionnaire on teaching of the Rorschach technique was sent to all APA-approved graduate clinical psychology programs in the United States and Canada. The questionnaire asked for the degree of emphasis placed on the Rorschach in the primary assessment course, the Rorschach teaching experience of the respondent and the respondent's evaluation of the technique as a clinical tool, a teaching aid and a research instrument. The respondent in each case was the faculty member teaching the major diagnostic assessment course. There was a 100% return of the questionnaires. The major results show that (1) 81% of the programs place major emphasis on the Rorschach Technique in the assessment course; (2) only 24% of the programs offer the course for a full year; (3) respondents with more than 10 years teaching experience rated the Rorschach higher than respondents with less experience, and (4) respondents as a group rated the Rorschach highly as a clinical tool and teaching aid, but gave it generally low ratings as a research instrument.