Rorschachs of Women Who Commit Homicide

For a majority of the women who kill, the victim is a family member; the most frequent is a spouse, and the woman is very frequently a battered woman. Clinical reports on battered women suggest a set of psychological symptoms that develops out of spousal abuse (i.e., pervasive anxiety, hyperalertness, impaired memory and concentration, a narrowed focus on signs of danger, constricted affect, development of chronic psychophysiological illnesses, and pervasive feelings of hopelessness and helplessness). Psychological tests have not been systematically used to assess or document these psychological symptoms. The present study employed the Rorschach to assess the psychological functioning of 28 battered women who killed their battering spouses. The Rorschach records displayed cognitive constriction, a lack of internal resources for problem solving, an ambitensive and passive problem-solving style, intense and poorly modulated affect, poor scanning of the stimulus field, and unconventional reality testing. The Rorschach protocols of this group showed strong similarities to those of veterans with posttraumatic stress disorder. Common psychological effects of the experience of inescapable violence are suggested.     

Brief Rorschach Records With Children and Adolescents

In order to determine the frequency with which children and adolescents give brief Rorschach ( R < 14) records and to test the hypothesis that brief records represent a resistance to testing, the psychological evaluations of 439 admissions to an inpatient unit were reviewed. Of the records reviewed, 16.6% were found to contain less than 14 responses. When the complete test protocols of those subjects who provided brief records were compared with those of a matched group, it was found that the group with brief records failed to complete the other parts of the evaluation significantly more often than did those subjects who did not give brief records. There was no significant difference between the two groups on IQ scores or on self-report scores of depression, anxiety, and social desirability. Results are interpreted as supporting Exner's (1988) hypothesis that brief records represent a form of resistance to being tested.     

Object Relations in Borderlines,Depressives, and Normals: An Examination of Human Responses on the Rorschach

Recently, researchers and clinicians have become increasingly interested in diagnostic distinctions between borderline and mood disorders. Object relations theory provides a useful framework for the comparison of these two overlapping diagnostic categories. In our study, a measure of object relations as represented on the Rorschach, developed by Blatt, Brenneis, Schimeck, and Glick (1976), was applied to data produced by borderline and depressive inpatients and by normal comparison subjects. Portions of the Blatt measure that tap the subject's experience of human action and interaction distinguish among the three diagnostic groups. Specifically, borderlines tend to understand human action as more highly motivated and human interaction as more malevolent in nature than do either depressives or normals. The data indicate that borderlines experience the object-relational world in a way that is fundamentally different from the way normals and depressives perceive it. implications are discussed for theories of borderline object relations.     

Rorschach Egocentricity Index and Self-Concept in Children and Adolescents

In a sample of 65 child and adolescent psychiatric inpatients, the hypothesized relation between the Egocentricity Index from the Rorschach and standard self-report measures of self-concept was not supported. Although the sample as a group had a markedly tow mean Egocentricity Index, self-reported self-concept was at a normative level. The validity of the Egocentricity Index and self-report measures of self-concept is discussed, and guidelines for their interpretation are presented.     

Object Relations Theory Revisited:

Object relations theory has been used effectively by private social work practitioners in both diagnosis and treatment applications. This article presents an overview of the important concepts in object relations theory and developmental theory, with an emphasis on synthesizing such concepts for direct use in clinical practice.     

Differences Between Adolescents Who Seek Counseling and Those Who Do Not

It was hypothesized that students who seek counseling for occupational and educational planning would differ from those who do not seek counseling in terms of socioeconomic background, certain personality variables, vocational development, and relations with parents. A battery of tests and a questionnaire were given to 245 male students from McDowell County, West Virginia. Of this group, 93 had received counseling (designated as group C) and 152 had not received counseling (designated as group NC). Group C showed a higher socioeconomic background, more n Achievement, and more certainty in vocational planning. The two groups did not differ significantly in occupational aspiration, perception of occupational prestige, self-esteem, fear of failure, relations with parents, and certainty in educational planning.     

Sexual Orientation in Adolescents Who Commit Suicide

It has been suggested that there is a strong relationship between suicidal behavior and homosexuality in adolescence. It has been further suggested that it is due to the stigmatization and feelings of isolation that are experienced by many gay adolescents. Much of the literature that has given support to these hypotheses has been conducted on uncontrolled nonrepresentative samples and its generalizability is open to question. An opportunity to examine the relationship in an unselected sample arose in a case control, psychological autopsy study of 120 of 170 consecutive suicides under age 20 and 147 community age, sex, and ethnic matched controls living in the Greater New York City area. Homosexuality was defined as having had homosexual experiences or having declared a homosexual orientation. Three teenagers and no controls met these criteria. The difference was not significant. The circumstances of death were examined and are described. In no instance did suicide directly follow an episode of stigmatization. All three suicides had evidence of significant psychiatric disorder before death. In spite of opportunities for biased reporting, it is concluded that this study finds no evidence that suicide is a common characteristic of gay youth, or that when suicide does occur among gay teenagers, that it is a direct consequence of stigmatization or lack of support.     

Rorschach Protocols From Children and Adolescents Diagnosed With Posttraumatic Stress Disorder

Rorschach protocols from 35 children and adolescents with posttraumatic stress disorder (PTSD) and 35 with oppositional defiant disorder (ODD) were compared. Both groups revealed significant differences from the normative tables on the same 12 variables: SCZI, DEPI, CDI, X+%, EgoC, Afr, T, EA, P, WSumC, RawSumSS, and WgtSumSS. However, as predicted, 4 of those variables, the Schizophrenic Index (SCZI) and 3 of the criterion tests that comprise it (X+%, RawSumSS, and WgtSumSS) were significantly different between the PTSD and ODD groups, with the PTSD group responding with more extreme scores. These findings contradict Exner's (1993) statement that only people with schizophrenia can be "defined or conceptualized as having both the problems of disordered thinking and inaccurate perception" (p. 356). Children and adolescents with PTSD also display these problems when trauma interrupts the child's naive belief that the world has predictable rules, the people in it are trustworthy and fair, and punishment and pain are consequences of bad behavior. When young victims cannot comprehend or make sense of what has happened to them, life becomes irrational, illogical, and confusing. Exner's SCZI does what it was designed to do: identify individuals with disordered thinking and inaccurate perception. Therefore, SCZI should be renamed the Perception and Thinking Index (PATI) to reflect its function rather than a diagnostic category.     

Object Relations Theory and Marital Interaction

SUMMARY

A model of marital communication based on object relations theory is presented, and its utility in integrating and organizing findings from psychological research on marital interaction is described. The model includes context and process components. The context model describes stages of development and lines of development in marriage that jointly influence the sorts of situations that come to the couple's attention. The process model describes a path that leads from situations to each partner's representation of the situation, and then to the acts of communication that form the partners' interaction. The influence of internal object representations on the process of communication is depicted. A feedback loop in the model implies both the possibility of change and also the potential limits on change at several levels of the marital system. Possible paths of unconscious communication are described that reflect the more dynamic aspects of object relations theory. Principal findings from psychological research on marital interaction, marital therapy, and. social cognition are reviewed, and shown to be consistent with the model. Ways that constructs from object relations theory may clarify questions in behavioral models of marital interaction are discussed. The difference between proving the validity of a model and showing its Consistency with the known facts is noted     

Object Relations Psychoanalysis as Political Theory

This article examines the political contents of object relations psychoanalysis, a theory that perceives dependence as the natural state of all humans. Unlike the views advanced by the classical state-of-nature models of Locke, Hobbes, and Rousseau, object relations perceives humans in their original state as already grouped and driven by an urge to associate. Company (rather than privacy, property, or political participation) stands out as the basic right, and all the other rights follow on it as instruments for fulfilling it. The primacy of care lends itself to the justification of distributive measures meant to bolster family cohesion and individual confidence at the expense of the open market. The theory is therefore compatible with the premises of the social-democratic welfare state.     

拜昂客体关系理论的精神病学思想

拜昂是20世纪后半期最具影响力的精神分析客体关系思想家和实践者之一.在精神病理学方面,他以一种温和的方式在咨询室中引起了一场分析师理解患者的革命.拜昂认为,精神病是先天倾向与后天环境相互作用的结果;人格既包括精神病部分也包括非精神病部分;在治疗中,分析师应该保持一种无记无欲的态度,以达到精神分析的目标.     

Object Relations and the Development of Values

Values acquisition as a part of the therapeutic interaction that occurs between client and therapist is a clear and focused representation of what naturally occurs between people who influence one another. As the relationship develops in therapy, and the client begins to trust the therapist, he or she also becomes inclined to emulate that therapist in greater or lesser degrees. From an object relations point of view, a developmental process unfolds between these two people, which reflects the means by which a person realizes his or her value system. The discussion begins with the etiology of identification, because according to this viewpoint, the process described above begins, and is supported by, the dynamics of identification. Referring specifically to the ideas of Heinz Kohut, the authors describe the mechanisms of idealization as the intrapsychic process most basic to the final formation of values.     

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 Rierdan, J. 1978. Suicide and transparency responses on the Rorschach: A replication. Journal of Consulting and Clinical Psychology, 46: 1162–1163.  [Google Scholar]]): 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 Stengel, E. 1975. Suicide and attempted suicide , 2nd ed., New York, NY: Aronson.  [Google Scholar]). 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 Beck, A. T., Ward, C. H., Mendelsohn, M., Mock, J. and Erbaugh, J. 1961. An inventory for measuring depression. Archives of General Psychiatry, 4: 561–571. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar]) and Linehan Reasons for Living Inventory (RFL–I; Linehan, Goodstein, Nielsen, &; Chiles, 1983 Menninger, K. 1938. Man against himself, New York, NY: Harcourt. [Crossref] , [Google Scholar]). 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.     

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.