Revisiting the Rorschach of Sirhan Sirhan.

The published Rorschach (Kaiser, 1970) of Sirhan Sirhan, the man who assassinated presidential aspirant Robert F. Kennedy in 1968, was studied. Psychostructural and psychodynamic analyses were conducted using reliable and valid methodology that was unavailable at the time of examination. In contrast to the defense experts at trial who diagnosed paranoid schizophrenia, the data suggest a depressed and suicidal individual organized at a borderline level of personality. Character pathology is hysterical, paranoid, and dependent. When the Rorschach findings are compared to the development history of Sirhan and the behavior around the time of the assassination, the data are somewhat consistent with the theme of psychic trauma, are very consistent with the theme of recurrent loss and pathological mourning, and validate a characterological distrust and hatred of, yet hysterical dependence on, the object world. Rorschach indices of predatory violence (Meloy, 1988a) in relation to the planned and purposeful assassination are also discussed.     

Causality-Interpretation and Obsessive versus Hysterical Functioning

Relationships were predicted between the relative salience of the theme of voluntary control (VC) and the relative predominance of obsessive versus hysterical personality traits, and between the relative salience of VC and the relative predominance of obsessive versus hysterical neurotic symptoms. A coding system for VC was applied to TAT stories written by 89 males and 96 females solicited from undergraduate populations. 20 males and 20 females who scored high on VC and 20 males and 20 females who scored low on VC were given further instruments pertaining to obsessive/hysterical personality traits and neurotic symptoms. As predicted, high VC Ss were significantly more obsessive (or less hysterical) in their personality traits than low VC Ss. Predicted relationships between VC and obsessive/hysterical neurotic symptoms were not significant.     

Speak, memory, or goodbye, Columbus

This article describes the vicissitudes in the career of a psychologist who entered graduate school almost immediately after the end of World War II at a time when the standards and definitions of appropriate training in clinical psychology were still being determined. Looking back at the developments in this career, a pattern of interests, unseen at the time, can now be detected. From investigating the influence of the subject-examiner relationship in the testing situation to the experimental study of psychoanalytic propositions, first using the Rorschach test and later by means of subliminal stimulation procedures, one central theme was the uncovering of disguises and hidden motives. A second major theme, much more explicit than the first, was the primacy of data over speculation.     

A conceptual model and case study for the psychological assessment of hysterical pseudo-seizures with the Rorschach

Conceptual models are being increasingly utilized to guide psychological assessment of complex clinical problems. In this article, I present a conceptual model to direct the assessment of personality processes involved in producing hysterical pseudo-seizures. Pathological personality processes present in hysterical reactions are outlined. Rorschach parameters that have been validated and that are therefore considered good indicators of the relevant personality processes are presented. A case study of a patient with both documented genuine and hysterical pseudo-seizures demonstrates use of the model. I offer a treatment plan that is related to the psychological structure of the patient. Use of this model may improve psychological consultation in medical settings.     

The Relationship between Defense Preference and Response to Free Association

Psychoanalytic theories suggest that individuals with obsessive defenses, with hysterical defenses, and borderline psychotic individuals respond differently to free association. An experimental analogue of the psychoanalytic session was used to test these ideas. The subjects were 68 male college students, chosen on the basis of the Rorschach and MMPI. Contrary to predictions, obsessive subjects generally associated more freely and showed more involvement in the sessions than hysterical subjects. As expected, hysterical subjects were more silent and blocked and made fewer self-observations than obsessive subjects. Borderline subjects were judged to have less control over drive than the two defensive types.     

Rorschach Anatomy Response Correlates in Rehabilitation Failure Subjects

Studies have linked rehabilitation failure to personality factors and psychological test findings, including the Rorschach Anatomy Response. Objective psychological tests were administered to 112 PMRS patients who met the criterion of over 30% anatomy on the Rorschach. Test scores and demographic variables were statistically analyzed in an intercorrelational design using medical success—failure judgements as criterion. Outcomes were judged 100% failure and the group resembled somatization and hysterical reactions, with positive comparisons to passive-dependency and delayed recovery from disease. Inspection of the intercorrelations suggested two patterns: an open psychopathology configuration and a control-defensive personality organization. Discussion focused upon the value of anatomy percentage as a failure predictor, the type of personality involved, and the need for more specific research.     

Field independence, lateralization and defensive style

This study investigated the relationship between field independence and defense clustering as measured by the Defense Mechanisms Inventory and lateral eye movements. Subjects had previously been classified either as hysterical or obsessive style by the Rorschach and WAIS Comprehension subtest. Previous findings indicate that these subjects have a preferred direction of lateral eye movement in a questioning format (hysterical style = left; obsessive style = right). This study found no relationship between field independence and defense clustering and lateral eye movements. To the extent that eye gaze indexes hemispheric activation, we conclude that neither field independence nor defense clustering was related to hemispheric lateralization.     

Rorschach and pain characteristics of patients with low back pain and "conversion V" MMPI profiles

Two studies examined the relationship between Rorschach determinants, MMPI scale scores, and pain reports in order to clarify the meaning of the MPI "conversion V" pattern among patients with low back pain. Study I showed that patients without demonstrable organic disease of the back produce Rorschach response summaries marked by lower F+%, lower Sum C, and higher F% than patients with demonstrable organic disease. Study 2 showed that only the increase in F% was associated with significant elevations of the MMPI Hs and Hy scales. The results suggest that elevated MMPI "conversion V" profiles are indicative of psychological disturbance among patients with low back pain. It is unlikely, however, that the disturbance is hysterical. Instead, the psychopathology is probably marked by tension and constraint rather than the over-reactivity of hysteria. The implications of these findings for diagnosis are discussed.     

Comparisons of the Shamans and Pseudoshamans of the Apaches of the Mescalero Indian Reservation: A Rorschach Study

Psychoanalytical oriented interviews and quantitative Rorschach findings were used to investigate personality structure of the Mescalero Indian Reservation Apache. From 250 Rorschachs, 72 protocols were divided into three groups: (1) a control group of 52 Apaches, 50 years and over; (2) 12 shamans, defined as native medicine men arrogating to themselves supernatural powers and accorded shamanistic status by their culture mates; and (3) 7 pseudoshamans, claiming to possess power but not believed by societal co-members or accorded the position of shaman but denying power-possession. The shamans possessed more hysterical features than the pseudoshamans, were mentally able to approach ambiguous material similarly to the control group, showed a high degree of reality testing potential, keener awareness of peculiarities, more theoretical interest, and the capacity to regress in the ego's service. The pseudoshamans possessed neither the prominent shaman characteristics nor hysterical features; they appeared to be impoverished personalities floating between the shaman and Apache norm groups.     

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.     

Constructivism and the projective assessment of meaning in Rorschach administration

Constructivist perspectives on the Rorschach are outlined. I discuss ways in which constructivism complements and adds to existing Rorschach methodologies. It is suggested hat the constructivist emphasis on personally and socially constructed meanings is very consistent with many of the ways the Rorschach has been used and resonates with recent emphases on the Rorschach as a representational task. Furthermore, constructivist perspectives on Rorschach also provide an opportunity to supplement Exner's (1993, 1995) efforts to standardize and norm the Rorschach in a way that maintains the instrument's historic and admirable attention to relational elements of assessment and psychotherapy. I present a variety of meaning-based techniques for conducting Rorschach assessment, incorporating both the constructivist and social constructionist perspective.     

Some Developmental Aspects of Primary Process Manifestations in the Rorschach

A group of 27 male subjects were administered the Rorschach at ages 14 and 24. The protocols were scored for the main categories of the Holt Primary Process scoring system. A comparison of the two age groups indicates that at age 24 there is a decrease in the percentage of primary process responses and an increase in “adaptive regression.” Individual differences for all the primary process scoring categories remained highly consistent for the 10-year period spanned by the data. Adaptive regression was found to be significantly correlated with IQ, field independence (RFT), and Rorschach ratings of intellectualization at both ages. The results were viewed as suggesting that primary process manifestations on the Rorschach seem to be mediated by stable aspects of an individual's cognitive abilities and cognitive style.     

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.     

Depression and vulnerability as assessed by the Rorschach method

We examined clinically depressed (CD; n = 16), previously depressed (PD; n = 19) and never depressed (ND; n = 18) individuals on 13 theoretically selected Rorschach (Exner, 1993; Rorschach, 1942) variables and on the Beck Depression Inventory (BDI; Beck, Rush, Shaw, & Emery, 1979). The group assignment was made according to the criteria of Diagnostic and Statistical Manual of Mental Disorders (4th ed.; American Psychiatric Association, 1994). We tested 2 contradictory models for depressive vulnerability, Beck's (Clark & Beck, 1999) and Miranda and Persons's (1988; Persons & Miranda, 1992), in a planned comparison design with focused contrasts. The CDs significantly contrasted the combined group of NDs and the PDs in a pathological direction on 8 of the 13 Rorschach variables and on the BDI. However, the combined group of CDs and PDs also significantly contrasted the NDs in a pathological direction on 3 of these Rorschach variables and on the BDI. In addition, logistic regression analyses indicated that Rorschach indexes significantly improved the prediction of major depression above and beyond that achieved by the BDI. The findings show that the Rorschach method was able to identify (a) cognitive and aggressive disturbances that are present in individuals who are actively depressed but not in individuals who have been depressed in the past or never been depressed and (b) affective and coping disturbances that are present in depressed individuals and to some degree in PD individuals but not in individuals who have not experienced depression. We discuss the scanty evidence of psychological disturbances in PD individuals, as measured with the Rorschach, in relation to the mood-state dependent hypothesis of Miranda and Persons (1988; Persons & Miranda, 1992).     

The Last-Weiss Rorschach Ego-Strength Scale as a prognostic measure for psychiatric inpatients

This study tested the hypothesis that the Last-Weiss (Last & Weiss, 1976) Rorschach Ego-Strength Scale would predict outcome among a representative sample of first-lifetime psychiatric admissions. One hundred seventeen patients were assessed with structured symptom, psychiatric history, and social data interviews at hospital admission, and 2-year follow-up. Outcome measures included a multidimensional variable involving rehospitalization time, social and work functioning, and recent symptom level and symptom measures. Unexpectedly, the Last-Weiss Sum E variable correlated significantly with negative multidimensional outcome, a result that was strengthened when any possibly confounding effects of social class, IQ, and number of Rorschach responses were partialled out. It was found that Sum E's predictive value for poorer outcome was due to the space response (S+) component of the ego-strength variable. Possible explanations of the findings and implications for the previously validated Klopfer's Rorschach Prognostic Rating Scale are discussed.     

Differentiation of Satisfactory and Unsatisfactory Employees at Goodwill Industries with the Hand Test

This study examines the legitimacy of thinking that certain perceptual contents in the Rorschach are pathognomic indicators. Group Rorschach responses, sociometrics, and scores on a personality measure constituted the primary data. Five data collections are reported, sampling 562 pre- and post-pubescent Ss residing in different areas of the country and coming from different socio-economic levels. The findings indicate that most young people in the age range of 11 to 18 years give at least one so-called unhealthy response per ten to the Rorschach, and, where this relative frequency increases it is either of no consequence or probably a healthy sign. Both popular Ss and those who score high on personality test dimensions suggestive of adequate to good personal adjustment report notable amounts of content considered pathognomic in the general Rorschach literature.     

Severe Disturbance or Trauma-Induced Adaptive Reaction: A Rorschach Child Case Study

In interpreting children's Rorschachs, it is often difficult to discriminate between a severe disturbance and an adaptive reaction to a trauma. To explore this difficult differential diagnostic issue, a child was tested three times. It was suggested that complexity, references to the trauma, and evidence of psychological disturbance are associated with an attempt to master the trauma. Rorschach data were presented and were found to be consistent with these speculations. The author concluded that such "openness" to an environmental stress may allow an adaptive reaction and that understanding Rorschach data in context helps to reduce ambiguity and to recognize the test's limitations.     

Rorschach Comprehensive System data for a sample of 41 adult nonpatients from Israel

This study presents data concerning Rorschach protocols of 41 Jewish Israeli students. The sample includes 20 males and 21 females, ranging in age from 19 to 35, who were selected from a larger sample of 50 undergraduates by applying psychiatric exclusion criteria. The results concerning the main Rorschach Comprehensive System's (CS; Exner, 2003) measures of distress (D and Adj D scores, S-Constellation, and DEPI) revealed substantial elevation. These results are analyzed in relation to the constant threat of terror, which the participants are exposed to within the context of the ongoing political conflict in the Middle East. The analysis is supported by data concerning a new Rorschach index, the Reality-Fantasy scale (RFS; Tibon, Handelzalts, & Weinberger, 2005), which applies the CS to psychoanalytic conceptualization of transitional space.