Comments on "the Rorschach M response: a return to its roots"

These comments address three interrelated issues posed in Kramer's article concerning Rorschach's definition of the M response and the criteria for M that is applied in the Comprehensive System, the possibility that M may be overscored by the criteria for the Comprehensive System, and the issue of whether the Rorschach is amenable to quantification and empirical scrutiny. Kramer has oversimplified and misconstrued statements by Rorschach, Beck, and Bohm; in reality, the criterion for the scoring of M responses in the Comprehensive System differs very little, if at all, from that suggested by Rorschach. The accumulated history of the test seems to confirm that it is amenable to quantification and empirical scrutiny.     

John Exner and the book that started it all: a review of The Rorschach Systems

This article is a review and a reassessment of Exner's (1969) The Rorschach Systems. The book reviews the history of the development of the Rorschach, primarily in the United States, including a detailed analysis of the progressive development of systems devised by Klopfer, Beck, Piotrowski, Hertz, Rapaport, and Schafer. The final versions of each system are compared with each other, and with Rorschach's own system. The development of the book is linked to Exner' s personal relationship with Klopfer, Beck, and Hertz. The book is described as the basic forerunner of Exner's Comprehensive System.     

Response frequency problems in the rorschach: clinical and research implications with suggestions for the future

This article focuses on clinical and research problems associated with response frequency (R) being a variable in the Rorschach. Despite the fact that variations in R directly contribute to 50% of the explainable variance among Rorschach raw scores, there is a dearth of empirical evidence to document what R actually measures. Furthermore, in the practical use of the Rorschach's structural data, R is considered to be a nuisance variable that is controlled and not deemed interpretively significant. Given this information, two research agendas are proposed. The first is to more thoroughly determine whether R measures anything of substantial clinical importance. The second is to evaluate systematically the relative merits of making R a constant rather than a variable through use of an R-controlled method of Rorschach administration. This strategy would resolve many of the psychometric problems related to R. Introducing greater structure and clearer expectations to the task may also sharpen the Rorschach's ability to assess and predict important aspects of personality. However, significant disadvantages would also result from this change in administration. Both sides of the issue are discussed in some detail.     

Perceptual robustness of the nonrelationship between psychopathology and popular responses on the Hand Test and the Rorschach

A Hand Test Popular response is developed using 106 normal subjects and Rorschach's traditional "one-in-three" criterion. Six popular responses were derived. Neither the newly established Hand Test Popular response nor the Rorschach Popular discriminated psychosis from nonpsychosis, but as expected, Rorschach chi + % and Rorschach WSum6 were significant, and the Hand Test Bizarre (BIZ) score approached significance. Both the Rorschach Popular and the newly developed Hand Test Popular await further elucidation.     

Some structural considerations in the relationship between M and empathy

After reviewing some of the difficulty around defining empathy, this paper draws attention to three underemphasized structural factors in the empathic tie between self and other. The following distinctions are drawn: (a) empathy vs. fusion with the object: (b) empathy vs. a narcissistic attachment to the object: and (c) empathy vs. an intuitive but fragmented orientation to part-objects. The relationship between Rorschach's M and empathy is reexamined in light of these considerations, and it is concluded that the experience of kinaesthesia on the Rorschach reflects some, but not all, of the components of empathy.     

Scoring accuracy using the comprehensive system for the Rorschach.

The Comprehensive System (CS; Exner, 1974, 1978) for scoring Rorschach responses is the most widely taught and most widely accepted system in use today. The complexity and labor- intensive nature of the CS makes the issue of scoring accuracy a central concern. Twenty-one graduate psychology students and 12 professionals scored 20 Rorschach responses drawn from normal and clinical protocols. In general. accuracy scores for both students and professionals were below acceptable levels. Accuracy scores were clearly better for the code categories of Location, DQ, Pairs, Popular, and Z than for Determinants, FQ, Content, and Special Scores. Responses from clinical protocols were subject to more error. The results suggest that high levels of scoring errors may exist in the field use of the CS. Training standards may need to be devised to insure scoring competence.     

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.     

Exploring possible ethnic differences and bias in the Rorschach Comprehensive System

In this study I conducted a series of analyses to explore potential ethnic bias in Rorschach Comprehensive System variables using a consecutive series of 432 patients evaluated in 1 setting. The simple association between 188 scores and ethnicity revealed no significant findings after matching on several salient demographic variables. Next, 17 analyses of convergent validity found no evidence for differential validity and no evidence for slope bias. For 13 analyses, there was also no evidence for intercept bias. However, with 4 variables predicting psychotic disorders, regression lines favored minorities and worked against European Americans. These findings are the opposite of what should be seen if the Rorschach was biased against minorities and most likely emerged for statistical reasons related to unmeasured confounds. Finally, principal components analyses revealed no evidence of ethnic bias in the Rorschach's internal structure. Although these findings need to be replicated, the available data support using the Comprehensive System across ethnic groups.     

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.     

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.     

R in Rorschach research: a ghost revisited

As interest in Rorschach research has increased, an old issue-whether differences in R require that other scores be normalized in relation to R when Rorschach data are analyzed-has been resurrected. Most who advocate normalizing or partialing for R cite Cronbach (1949) or Fiske and Baughman (1953) as the basis for their argument. Although Cronbach offered several useful suggestions regarding this problem, the data base to which he referred and that used by Fiske and Baughman allowed for a much greater variation in R than occurs when Rorschach's standard instructions are applied. Intercorrelations between R and most parametric Rorschach variables are not significant among groups of nonpatients, schizophrenics, and depressives. Thus, although the issue of R can be critical when some variables are included in a data matrix, most analyses can proceed without partialing or normalization. When nonparametric variables are included in an analysis, partialing or normalizing is inappropriate because the resulting distributions will be distorted.     

A simple method for evaluation of Rorschach Imagery Reactivity.

A general scoring system, previously developed for the analysis of pictorial associations within the paradigm of Visual Imagery Sequences, was applied in the evaluation of visual associations to memory images of Rorschach inkblots (Imagery condition) in a comparison with standard Rorschach responses (Conventional condition). The participants, 80 consecutively selected psychiatric outpatients, were divided into Clinical Reactor and Nonreactor groups, according to how productive they were of psychodynamically revealing material during insight-oriented therapy using imagery. For this simple scoring method (which does not include the customary Rorschach scores), conclusions concerning Imagery Reactivity in the Rorschach agreed with those of previous studies using a scoring system more unique to the Rorschach. The inferences drawn from statistical analysis by groups and conditions also contribute additional refinements to the understanding of the subtle interplay between defensiveness and sensitivity to imagery in determining the patterns of scorable components within the response complex. This general scoring method correctly identified 95.6% of Imagery Reactors and 100% of Imagery Nonreactors, an improvement over the 87% efficiency of the previously described, Rorschach-based method for assessing Imagery Reactivity in the Rorschach.     

Rorschach movement and color responses and MMPI social extraversion and thinking introversion personality types

Results of an analysis of MMPI profiles and Rorschach protocols scored by the Exner method for 100 psychiatric patients provided partial support for Rorschach's hypotheses that perceptions of color (FC, CF, and C) and movement (M) tap separate personality dimensions. First, the proportion of M responses on a protocol correlated significantly (p < .01) to thinking introversion as defined in terms of a subject's MMPI profile similarity to a prototypic MMPI profile with peak PtSc elevations. Second, the proportion of FC responses correlated negatively (p < .01) to social extraversion defined in terms of MMPI profile similarity to a prototypic MMPI profile with peak PdMa elevations. Hence, use of FC signified a socially reserved, controlled behavior. The findings regarding CF and C were inconclusive. Third, color and movement responses did not correlate significantly with somatization defined in terms of similarity to a prototypic MMPI profile with peak Hs, D, Hy elevations. Finally, the nonsignificant correlations of FC with M and with MMPI thinking introversion plus the nonsignificant correlation of M with color responses and MMPI social extroversion further supported the hypotheses that movement and color responses tap essentially unique personality dimensions.     

A Rorschach Comparison Between Best and Least Adjusted Girls in a Training School

Abstract

Editorial Note: The following article uses the traditional Rorschach scoring including Binder's shading categories. It affords a valuable opportunity to compare the efficiency of the different scoring systems. To enhance this opportunity the interpretations of the two cases following this article utilize every nuance in the refined scoring system and combine that procedure with the most careful response-by-response analysis, adding significant symbolic meanings of the content to the formal nuances of the scoring system. It may be emphasized that this procedure should not be confused with an unbridled misuse of Rorschach records for analytical interpretations without knowledge of or reference to the Rorschach method of personality diagnosis.     

Bruno Klopfer: a Rorschach pioneer

Bruno Klopfer is perhaps best known for his pioneering work on the Rorschach Inkblot Test. His efforts in developing and popularizing projective techniques were to have a profound impact on the development of psychological personality testing. In fact, prior to the introduction of Exner's comprehensive Rorschach scoring system, the Klopfer scoring system was the most popular among practicing clinicians (Exner & Exner, 1972, p. 13). Professionals in clinical psychology and psychiatry are certainly very indebted to Bruno Klopfer.     

Bruno Klopfer: A Rorschach Pioneer

Bruno Klopfer is perhaps best known for his pioneering work on the Rorschach Inkblot Test. His efforts in developing and popularizing projective techniques were to have a profound impact on the development of psychological personality testing. In fact, prior to the introduction of Exner's comprehensive Rorschach scoring system, the Klopfer scoring system was the most popular among practicing clinicians (Exner & Exner, 1972, p. 13). Professionals in clinical psychology and psychiatry are certainly very indebted to Bruno Klopfer.     

Rorschach correlates of self-reported attachment dimensions: dynamic manifestations of hyperactivating and deactivating strategies

We examined associations between self-reported attachment anxiety and avoidance and responses to the Rorschach test. Seventy-two, nonpatient Israeli adults participated in a 2-session study. In the first session, they completed a self-report scale tapping the dimensions of attachment anxiety and attachment avoidance. In the second session, they completed the Rorschach test. The Rorschach was administered and coded according to Exner's (2001) Comprehensive System scoring. We found that self-reports of attachment anxiety were associated with Rorschach scores thought to indicate difficulties in regulating and controlling emotions and self-perceptions of being relatively helpless and unworthy. Self-reports of attachment avoidance were associated with Rorschach scores thought to reflect lack of acknowledgment of need states and maintenance of a grandiose self. We discuss the findings in terms of implicit psychodynamic processes inherent in attachment-system functioning.     

Rorschach assessment of borderline children

Projective testing may provide the clinician with a valuable context in which childhood borderline conditions may be investigated. The purpose of this study was to determine if Rorschach scores could be useful in diagnosing borderline disorders. Rorschach scores from a group of 13 borderline children and 10 conduct disorder children were compared using a step-down discriminate analysis. The results indicated that children in these two groups could be correctly classified beyond chance levels using Rorschach scores. Three variable, content analysis, human movement, and animal movement were the strongest contributors in separating the two groups. The Rorschach measure of form quality (i.e., adequacy of perception) was notable in that it failed to produce any independent discriminatory power in this analysis. As in the case of adult borderline testing using the Rorschach, novel scoring procedures, used in conjunction with standard scoring procedures may lead to further clarification of childhood borderline disorders.     

Toward a Synthetic Approach to the Rorschach: The Case of a Psychotic Child

Much Rorschach research on case material focuses on the utility of a single scoring system, set of variables, or scale in isolation from other systems, scales, or perspectives. This approach fails to acknowledge the complexity of the Rorschach and to reflect the manner in which sophisticated clinicians select and synthesize various perspectives during the clinical inference and decision-making process. A case of a psychotic child is presented to illustrate the utility of a synthetic approach to the Rorschach. The strengths and weaknesses of various Rorschach perspectives in addressing specific diagnostic issues is explored through the case material.     

Selected Rorschach variables of psychopathic juvenile offenders

Despite the widely accepted utility of assessing psychopathic personality features in forensic and clinical settings, the Hare Psychopathy Checklist-Revised (PCL-R; Hare, 1991) stands virtually alone in its ability to do so with adequate reliability and validity. Recent studies have demonstrated the effectiveness of the Rorschach Inkblot Method in assessing psychopathy in adult samples, but almost no studies are currently available investigating the Rorschach's ability to assess the condition in younger samples of precisely defined psychopathic groups. In this study, 66 male juvenile offenders, ages 14 to 17, were placed into 3 groups according to level of psychopathy as measured by the youth version of the PCL-R (PCL:YV; Forth, 1995). Nine Rorschach variables conceptually related to various psychopathic features were investigated. Two of the variables (Reflections and Texture Responses) demonstrated statistically significant differences across groups (p < .05). Two additional variables (Vista and White Space) were produced in patterns consistent with existing research, although only to a weak degree. The remaining variables (Egocentricity Index, Form Dimension, Pure Human Content, Inanimate Movement, and Diffuse Shading) did not differ across groups in the predicted directions. Overall, these results offer some support for the validity of the Rorschach as a method of detecting certain psychopathic personality features, including pathological narcissism and interpersonal detachment, in adolescent male offenders.