The selected response procedure: a variation on Appelbaum's altered atmosphere procedure for the Rorschach

This article introduces the Selected Response Procedure, which is a supplementary technique for expanding the scope of the Rorschach test. The procedure is conducted as follows: After the standard administration of the Rorschach test, patients are asked to look through all of the cards a second time and select one more response from any card of their choice. A rationale for this procedure is developed through a comparison to another supplementary Rorschach technique, the Altered Atmosphere Procedure. The importance of understanding the selected response within a theoretical framework, as well as the clinical context of each selected response, is highlighted by a clinical example using object relations theory. Finally, a number of didactic questions are offered as potential ways to query the possible meaning of selected responses.     

Piotrowski's enduring contributions to the Rorschach: a review of Perceptanalysis

Zygmunt A. Piotrowski (1904-1985), one of the early pioneers with the Rorschach technique, developed a method for Rorschach analysis described in the text, Perceptanalysis. Based on clinical, teaching, research, and supervisory experiences, the author selected three aspects of the text for review for their enduring contributions to clinical personality analysis. The three areas are: (a) the scientific and philosophical framework of the system; (b) the Human Movement response, M; and (c) the shading responses--light shading, c'R, and dark shading, c'R. The reader is also introduced to other works by Piotrowski, including scales for cerebral dysfunction and schizophrenia.     

The Observation of Child Behavior During Parent-Child Interaction: The Psychometric Properties of the Crowell Procedure

The observation of child behavior has to be made in ecologically valid contexts. Parent-child interaction was thought to be the most suitable context, since empirical evidence displayed strong associations with children’s behavioral outcomes, psychopathology, social relationships and well-being. Using clinical data from 137 caregiver-child dyads, the main goal of the current study was to test the psychometric properties of an adapted version of the Crowell Procedure among preschoolers. Despite the interest that the Crowell Procedure has aroused, its psychometric properties remain relatively under-documented. This research aimed to study (1) the association between parental and child behavior, (2) the discriminant properties of the Crowell Procedure between preschoolers with a clinical level of externalizing behavior and non-clinical children and (3) the correlation between the Crowell Procedure and a behavioral checklist. The results support the consistency of both tasks and scales, the discriminant properties, external validity and fidelity of the coding system. The Crowell Procedure can therefore be used as an observational paradigm to assess both child and parent behavior in clinical and research contexts. The discriminant analyses revealed that the procedure was effective at differentiating children displaying a clinical level of externalizing behavior from normally developing ones.     

Alice in Rorschachland

Misconceptions and misuse of the Rorschach technique are parodied in this Alice in Wonderland story. Alice falls down a rabbit Whole and journeys through the Rorschach Plates until she is tried at an Inquiry on Card X. The story can be interpreted as critical of Rorschach practitioners who: search only for pathology, not health; ignore the free associative instructions to the client of test procedures; and restructure reality along Rorschach dimensions of personality and terminology.     

Significance of Rorschach Response Modified by Responses to Other Projective Tests

Suggestions are offered for distinguishing those instances in which a disturbed Rorschach may indicate a need for psychotherapy from those in which psychotherapy is not indicated. Two contrasting cases are presented. The difference lies not so much in the quality of the Rorschach per se as in the quality of supporting and supplementary test results. The Kinetic Family Drawing, the Lowenfeld Mosaic, the level and balance of verbal and performance IQ scores, and the nature of visual and perceptual problems are used.     

One last response to the Rorschach test: a second chance to reveal oneself

This paper explores a technical procedure, that of asking for one more response after the patient has given response(s) to Card X of the Rorschach. This "one last response" in the context of "ending" is discussed. Endings have many meanings but the ending of the Rorschach can be more than just a relief to the weary patient and/or tester who may have been experiencing the disquieting inner workings of the patient's unconscious. The ending of the Rorschach with the additional "one last response" can be the source of valuable clinical questions and inferences applicable to treatment.     

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.     

Some old and new directions in Rorschach testing

The perennial dispute between clinicians and researchers as to the validity of the Rorschach is discussed. It is suggested both groups are correct in that the Rorschach provides both poor psychometric data as seen by the researcher and rich idiographic data as seen by the clinician. The freedom of the Rorschach response process is viewed as largely responsible for both these situations. Some possible new directions for Rorschach usage and research are discussed which may improve on the quality of the idiographic information provided by the Rorschach test.     

Rorschach teaching in APA-approved clinical graduate programs: ten years later

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 survey represents a 10-year update of a study conducted in 1974 and reported in 1976. The questionnaire asked for the degree of emphasis placed on the Rorschach in the curriculum; the Rorschach teaching experience of the Rorschach instructor; the instructor's evaluation of the technique as a clinical tool, a teaching aid, and a research instrument, and a list of the instructional material used to teach the Rorschach. Based on a 93% return of questionnaires, the major results show that 88% of the programs place major emphasis on the Rorschach in at least one assessment course (compared to 86% in 1974); in contrast to the results of the 1974 survey, there were no differences between the ratings of highly experienced and moderately experienced instructors; as in 1974, instructors as a group highly rated the Rorschach as a clinical tool and teaching aid, but gave it generally low ratings as a research instrument; and the results clearly indicate that the Exner Comprehensive System is widely used as an instructional method.     

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.     

Methodological issues in cross-cultural and multicultural rorschach research

Hermann Rorschach researched the utility of his inkblot experiment to understand psychopathology and cultural differences. Contemporary research with the Rorschach has evaluated its utility as a test, although it may more properly represent a clinical method with somewhat different evaluation criteria. Recent controversy regarding the adequacy of the Rorschach as a test and the adequacy of its normative data has at times distorted and oversimplified important methodological issues inherent in the study of cultural difference. Cultural processes remain a central and inadequately examined variable in Rorschach research; an important emergent area of inquiry is the Rorschach's clinical utility as a cross-cultural assessment instrument. We review multicultural and cross-cultural methodological issues intrinsic to contemporary Rorschach research here. Consideration of cultural issues enlarges and enriches the Rorschach clinical utility debate and suggests underexplored research strategies that can contribute to its resolution.     

Rorschach Comprehensive System data for a sample of 309 adult nonpatients from Portugal

Three hundred and nine nonpatient adults, evenly distributed according to sex, age, educational level, and residence, took part in the Rorschach test study carried out in Portugal. The sample was drawn from selected regions of the country and was balanced for population density in urban and rural areas. Test administration was controlled through the services of psychologists familiar with the Rorschach Comprehensive System (CS; Exner, 1993). Results indicate that, in Portugal (Pires, 2000), level of education is the variable that seems to have the largest effect on Rorschach responding.     

Derived relational responding: a comparison of match-to-sample and the relational completion procedure

Previous research suggests that the Relational Completion Procedure may be an effective alternative procedure for studying derived relational responding. However, the parameters that make it effective, relative to traditional match-to-sample, remain to be determined. The present experiment compared the Relational Completion Procedure and match-to-sample protocols for training and testing Same and Opposite derived stimulus relations. Trials to criterion and overall pass rate (i.e., yield) in both procedures were compared across three variables: presence versus absence of a confirmatory response requirement, three versus five comparison stimuli, and top-to-bottom versus left-to-right presentation format. Findings demonstrated a facilitative effect of the confirmatory response requirement in both procedures. Training trials to criterion were nominally but not significantly lower during the nonarbitrary training phase in the Relational Completion Procedure compared to match-to-sample, and the overall yield on the arbitrary relational test was greater in the former procedure compared to the latter. The present findings support the further development of the Relational Completion Procedure as an efficient alternative procedure for establishing Same and Opposite relations with adult humans, and with potential applicability to other types of derived relations.     

Personality dimensions in two types of learning-disabled children: a Rorschach study

Children referred for psychoeducational assessment of learning disabilities (LDs) commonly receive the Rorschach test. yet little is known about the impact of LD on Rorschach response patterns. This study investigated Rorschach response patterns in two groups of 9- to 12-year-old children (n = 41) classified by their respective intellectual abilities. Another group of 9- to 12-year-olds (n = 143) served as a nonclinical comparison group. Rorschach variables indicative of personality dimensions failed to discriminate between the two LD groups. Compared to the nonclinical group, the LD group exhibited several Rorschach characteristics--including problems in perceptual accuracy, inefficient visual scanning and problem-solving strategies, and avoidance of affect-laden stimuli--having implications for successful socioemotional adaptation. Suggestions for further research are discussed.     

Personality Dimensions in Two Types of Learning-Disabled Children: A Rorschach Study

Children referred for psychoeducational assessment of learning disabilities (LDs) commonly receive the Rorschach test. Yet little is known about the impact of LD on Rorschach response patterns. This study investigated Rorschach response patterns in two groups of 9- to 12-year-old children (n = 41) classified by their respective intellectual abilities. Another group of 9- to 12-year-olds (n = 143) served as a nonclinical comparison group. Rorschach variables indicative of personality dimensions failed to discriminate between the two LD groups. Compared to the nonclinical group, the LD group exhibited several Rorschach characteristics—including problems in perceptual accuracy, inefficient visual scanning and problem-soving strategies, and avoidance of affect-laden stimuli—having implications for successful socioemotional adaptation.     

Let's call the whole thing off: a response to Dawes (2001)

There has been a recent controversy regarding the validity of the Rorschach test. This comment is in response to criticism levied by R. M. Dawes (2001) on the incremental validity of the Ego Impairment Index (EII), a Rorschach-derived measure of cognition, perception, and reasoning. The Dawes articles (1999 and 2001) serve as an example of the recent practice of placing extraordinary challenges on the Rorschach test. Dawes's arguments are examined and parallel examples are provided that demonstrate the bias used to judge the validity of the EII, the Rorschach, and psychological assessment. Still, in the face of criticism, the results (see Dawes, 2001) support the incremental validity of the EII. Thus, the conclusion presented in this Comment is that it is time for us to "call the whole thing off" and end the Rorschach controversy that has occupied so much recent attention and generated so few new ideas.     

Putting your eggs in the content analysis basket: a response to Aronow, Reznikoff, and Moreland

A response is made to the essay by Aronow, Reznikoff, and Moreland (this issue) on the superiority of the content analysis approach to the Rorschach. Their argument is seen as giving insufficient emphasis to the importance of information obtained from empirically based, quantified methods of Rorschach interpretation. Content analysis without score-based interpretation is not sufficiently reliable for clinical use. Also, the argument of Aronow and colleagues that the Rorschach is predominantly a projective technique is refuted. Rorschach interpretation that deemphasizes empirically based scores is as insufficient as interpretation that excludes content analysis.     

Suicide and the Rorschach: A Rueful Postscript

A review of the Rorschach suicide literature written 10 years ago called for cross validation studies and the use of refined methodology in order to enhance the usefulness of the test as a device for the identification, prediction, and understanding of suicidal ideation and behavior. The present followup review was undertaken and it was concluded that careful and refined research methodology can somewhat enhance sensitivity of the Rorschach to suicidal activity. It was also concluded the replicative research has not supported previously promising Rorschach suicide indicators, suggesting that the Rorschach may be an inappropriate technique for assessing suicidal activity.     

An adjustment for protocol length in Rorschach scoring

A procedure is proposed by which the comparison of Rorschach protocols is facilitated through separation of the artifact of protocol length. This procedure may help empirical investigation of the Rorschach by standardization with respect to both group norms and profile elevation, similar to the method proposed by Skinner (1978) for use with the MMPI.     

On the integration of personality assessment methods: the Rorschach and MMPI

Despite being the most studied and used personality assessment tools, data from the Rorschach and MMPI generally disagree (Archer & Krishnamurthy, 1993a, 1993b). Independence is proposed to result from at least 3 factors: (a) the methods tap unique levels of personality, (b) personality has a complex organization, and (c) response styles generate considerable method variance that must be considered in nomothetic research. These ideas led to 5 hypotheses, each of which received support. Rorschach and MMPI response styles are uncorrelated, although response styles are quite consistent within a method family. MMPI-2 and Rorschach constructs of dysphoria, psychosis, or wariness are uncorrelated when response styles are ignored. However, robust convergent validity is evident when patients have similar response styles on each method (e.g., for dysphoria, M r = .59) and dysphoria is expressed in opposing ways on each method when response styles are discordant (i.e., M r = -.54). Data from the latter analyses were correlated with genuine clinical phenomena and implications were discussed for clinical practice and research.