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.     

Clinical assessment of object relations using the TAT

Despite its widespread use, the Thematic Apperception Test (TAT) has rarely been used systematically as a clinical instrument. This article describes a multidimensional measure devised for the clinical assessment of object relations using the TAT. Four scales assessing different dimensions of object relations, which have been validated in several studies, are described: Complexity of Representations of People, Affect-Tone of Relationship Paradigms, Capacity for Emotional Investment in Relationships and Moral Standards, and Understanding of Social Causality. Use of the scales is illustrated by applying them to TAT responses of a borderline patient and a normal subject.     

Bulimia and object relations: MMPI and Rorschach variables

Rorschach and Minnesota Multiphasic Personality Inventory (MMPI) responses from persons vomiting to manage body weight and fat phobia were compared to those from a matched control group to determine the levels of personality structure. These responses were also contrasted with those of representative groups from normal and personality disordered populations. Findings were that the bulimic group's test protocols differed significantly from those of the control group, displaying evidence of serious cognitive slippage and dramatic, emotional and erratic personality structures arrested at the differentiation subphase of ego development. The clinical importance of timely developmental diagnosis and interventions designed to promote object constancy was discussed in light of these findings.     

Convergent and discriminant validity of selected masculinity and femininity scales

Using Campbell and Fiske's (1959) multitrait-multimethod matrix technique and Jackson's (1975) multimethod factor analysis, convergent and discriminant validity were investigated for masculinity and femininity scales from the Adjective Check List, Bem Sex Role Inventory, and PRF ANDRO Scale as compared with measures of dominance and nurturance. Results indicated very good convergent and discriminant validity for the masculinity and femininity scales from the Adjective Check List and Bem Inventory, but not for the PRF ANDRO Scale. Implications of these results for research on sex roles and psychological androgyny are discussed.     

Convergent validity of the MCMI-III personality disorder scales and the MMPI-2 scales

The MCMI-III personality disorder scales (Millon, 1994) were empirically validated in a sample of prisoners, psychiatric inpatients, and outpatients (N = 477). The scale intercorrelations were congruent with those obtained by Millon, Davis, and Millon (1997). We conclude that our Flemish/Dutch version shows no significant differences with the original version of the MCMI-III as far as intercorrelations are concerned. Convergent validity of the MCMI-III personality disorder scales was evaluated by the correlational data between the MCMI-III personality disorder scales and the MMPI-2 clinical (Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989) and personality disorder (Somwaru & Ben-Porath, 1995) scales. Improved convergence was obtained compared with previous versions of the MCMI-I. Only the compulsive MCMI-III personality disorder scale remains problematic. The scale even showed negative correlations with some of the related clinical scales and with the corresponding personality disorder scales of the MMPI-2.     

Convergent validity of alternative MMPI-2 personality disorder scales

The Morey, Waugh, and Blashfield (1985) MMPI (Hathaway et al., 1989) personality disorder scales provided a significant contribution to personality disorder research and assessment. However, the subsequent revisions to the MMPI and the multiple revisions to the diagnostic criteria sets that have since occurred may have justified comparable revisions to these scales. Somwaru and Ben-Porath (1995) selected a substantially different set of items from the MMPI-2 (Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989) to assess Diagnostic and Statistical Manual of Mental Disorders (4th ed.; American Psychiatric Association, 1994) personality disorder diagnostic criteria. In our study, we compared the convergent validity of these alternative MMPI-2 personality disorder scales with respect to 3 self-report measures of personality disorder symptomatology in a sample of 82 psychiatric outpatients. The results suggested that Somwaru and Ben-Porath's scales are as valid as the original Morey et al. scales and might be even more valid for the assessment of borderline, antisocial, and schizoid personality disorder symptomatology.     

Rorschach object relations and fantasy themes incorrectly scored as determinants

Determinants are perceptual features of inkblots, but movement, reflections, pairs, and subdivisions of shading, scored as determinants, actually represent associative elaborations. Such misclassification of determinants obfuscates the response process and makes it difficult to evaluate the validity of inferences. To the extent that these scores are useful, they can be improved upon by fully developed content analysis. Movement, reflections, and pairs can best be understood as manifestations of object relations content themes, as scored in systems developed by Blatt, Krohn & Mayman, and Urist. Determinant scores for reflections and pairs should be eliminated. Shading should not be subdivided into texture, vista, and diffuse shading, since these are content themes without clear psychological significance or clear empirical support.     

Potential space and the Rorschach: an application of object relations theory

This article examines the concept of potential space, developed by Winnicott (1971), and its relevance for Rorschach assessment. I propose that the response process can be viewed as occurring in the potential space between reality and fantasy and that various forms of psychopathology can be conceptualized as forms of the collapse of potential space. I suggest that this model can be of utility in interpreting the Rorschach protocols of a variety of difficult-to-diagnose patients. Examples from the Rorschach of a patient diagnosed with a dissociative disorder are presented to illustrate these points.     

Human responses in assessing object relations subscales of the Psychoanalytic Rorschach Profile

The Rorschach test is often used to assess object relations. This research examined whether human responses are necessary for a valid assessment.     

The assessment of the social cognition and object relations scale on TAT and interview data

This study examines the reliability and convergent validity of 2 versions of the Social Cognition and Object Relations Scale (SCORS), one for use with Thematic Apperception Test narratives (SCORS-TAT; Westen, 1990) and one for use with clinical interview data (SCORS-CDI; Westen, Barends, Leigh, Mendel, & Silbert, 1990 ). Four SCORS dimensions were evaluated. Data were collected in a psychiatric sample (N = 74). Results show that although interrater reliability was good for all dimensions, internal consistency was low, especially for the affective dimensions. Structural equation modeling, in which a model with 2 factors (i.e., SCORS-TAT and SCORS-CDI) and 4 dimensions each was tested, indicated low convergence between corresponding dimensions of SCORS-TAT and SCORS-CDI. Correlational analyses suggested that this was due to a strong method factor. Regression analyses, however, revealed that the presence of a personality disorder operated as a moderator for convergence between corresponding cognitive-structural dimensions.     

Hostility of asocial youth as measured by the TAT and Rorschach.

23 boys and 13 girls, aged 13 to 17 yr., from two homes for delinquents were given the Thematic Apperception Test. Girls were also given the Rorschach. The 1960 Hafner and Kaplan TAT and Rorschach hostility indices were related to the 1977 Luukkonen indices (aggression-inward, aggression-outward, fantasy-aggression, oral, anal and phallic content), to the Pruitt and Spilka empathy index, and to the Neiger reality index. The TAT hostility index for boys was significantly higher than that for girls; boys expressed more physical and girls more verbal hostility in TAT stories. On the Rorschach, aggression outward and inward correlated significantly with Rorschach hostility, phallic and oral themes.     

Internal consistency of the object relations and social cognition scales for the Thematic Apperception Test.

We examined 8 data sets to determine whether it is possible to attain acceptable levels of internal consistency (coefficient alpha) reliability for the 4 Object Relations and Social Cognition scales (ORSC; Westen, Lohr, Silk, Kerber, & Goodrich, 1989) for the Thematic Apperception Test (TAT; Murray, 1943) when cards are considered as items in a scale. Number of cards used in the data sets ranged from 4 to 10, and the Spearman-Brown prophecy formula was applied to estimate the number of cards that would be required to attain alpha levels of different magnitudes. The two more structural subscales (Complexity of Representations and Understanding of Social Causality) have somewhat higher consistencies than the two more affective ones (Affect Tone and Capacity for Emotional Investment and Moral Standards). The results suggest that the use of 10 to 12 cards provides internal consistencies of alpha > or = .70 across each of the 4 ORSC scales.     

Prognostic validity of the Rorschach

Fifty adult stutterers entering therapy at the UCLA Psychology Clinic were administered the Rorschach, with a Klopfer method inquiry, scoring, form level rating, and calculation of scores on the Rorschach Prognostic Rating Scale (RPRS). On the basis of independent clinician ratings of attitudinal or psychotherapeutic improvement, subjects were divided into groups of Improved Most (n = 21) and Improved Least (n = 29). Subjects were also divided into Continued (n = 43) and Dropped (n = 7). Logistic regression was employed to compare groups on the following Rorschach dimensions: Prognostic Score (RPRS); Human Movement; Animal Movement; Inanimate Movement; Shading; Color; Form Level. The Improved Most group was significantly higher in M, FM, Shading, and Productivity. The finding that M and FM discriminates between improvement groups corroborates results obtained in a previous study (Sheehan et al., 1954). The Rorschach movement variables, particularly M and FM, seem to be stable indicators of capacity for improvement in psychotherapy.     

Boyhood separation anxiety disorder: thought disorder and object relations psychopathology as manifested in Rorschach imagery

Rorschach scales were used to examine the quality of thought disturbance and object relations in boys meeting the Diagnostic and Statistical Manual of Mental Disorders, third edition (DSM-III; American Psychiatric Association, 1980) criteria for separation anxiety disorder (SAD). Nineteen urban, middle and low socioeconomic status (SES), SAD boys were compared to a group of 14 male control subjects. The hypotheses of the study were that SAD boys as compared to controls would: (a) have significantly more thought disordered responses as measured by a Rorschach Thought Disorder Scale (Blatt & Ritzler, 1974), and (b) evidence significantly less adaptive object relations scale scores as measured by the Mutuality of Autonomy Scale (Urist, 1977). Results confirmed both hypotheses. The SAD group had more thought disordered responses and more disrupted object relations scores than the controls. Ideas and images of these boys were found to generally be more unstable, boundary compromised, fluid, idiosyncratic, tangential, and psychotic-like than the controls. It was concluded that these boys possess a significant potential to have thinking abnormalities that will interfere with their independent functioning. Concerning their object relations scores, the SAD subjects were found to have significantly fewer benign, adaptive object interactional percepts, and a greater number of dependent and/or clinging interactional object representations (imagery) than the controls. This study supports the viewpoint that SAD boys are deeply psychologically troubled.     

An empirical approach to the study of defense mechanisms: I. Reliability and preliminary validity of the Rorschach Defense scales

Despite widespread use of the Rorschach for the study of defense mechanisms, few recent Rorschach scales have been developed for the study of defensive functioning. We critically review previous empirical research and describe the Rorschach Defense scales. These scales provide criteria for rating both lower level defense mechanisms, such as splitting and primitive idealization, as well as higher level defenses, such as intellectualization and isolation. The scales utilize a broad range of content including all Rorschach responses, associative content, and verbalization of the tester-patient relationship. Data on interrater reliability and preliminary validity are presented.     

Structural conflict and object relations conflict.

A hierarchical model of the mind is required for a more integrated understanding of psychic conflict. At a higher developmental level, the hierarchical model includes the tripartite model, and at a lower level it includes an object-relations model. Psychic conflicts may be classified into object relations conflicts and structural conflicts. The object-relations class of psychic conflict covers the phase of psychic development prior to id-ego-superego differentiation. The earlier psychoanalytic writings tended to ascribe all kinds of symptoms, conflicts, and disorders to structural conflicts. Logical and empirical evidence against the universality of structural conflicts in various disorders and symptoms, even psychoneurotic symptoms, has been summarized and discussed.     

Empirical and clinical assessments of children's object relations and object representations.

A series of investigations that assess children's object representations using the Rorschach Mutuality of Autonomy (MOA) Scale are reviewed. The scale is viewed as a summary measure of a child's repertoire of previous interpersonal interactions. It has been effective in delineating qualitative aspects of a number of child psychopathological syndromes, in documenting short-term object representational shifts in children undergoing surgery, and in foretelling key paradigms in child psychotherapy. This effectiveness provides empirical support for the hypothesized salience of object representations as an integral facet of personality and affirms Escalona's (1968) contention that capturing a child's phenomenological experience enhances our capacity to predict later outcome.