Psychodiagnosis of personality structure: psychotic personality organization.

Recent developments in Rorschach psychology, including nomothetic approaches focused on scores, ratios, and indices and idiographic approaches focused on content emerging from psychoanalytic theory, offer the Rorschach clinician a rich and potent interpretive methodology. This article examines the structural diagnosis of personality organization with a focus on psychotic personality structure. Rorschach approaches to the differential diagnosis of psychotic personality organization are presented. The Rorschach is viewed as indispensible in the differential diagnosis of personality organization, especially in the so-called "borderline" cases.     

On the Rorschach M response and monotheism

The Rorschach human movement (M) response has recently been debated (Exner, 1991a, Kramer, 1991a, 1991b) with additional wider implications for Rorschach psychology. The objective of this discourse is twofold: (a) to elaborate on the contributions of perceptanalysis (Piotrowski, 1957) to this debate and (b) to develop the thesis that diversity is desirable for the long-term advancement of the field of Rorschach psychology and personality assessment. These motifs are illustrated with an interpretation of a clinical case example and with rationale from the theoretical literature and implications for interpreting short Rorschach protocols. The conclusion is proffered that some degree of diversification is more beneficial than requiring the adoption of a single Rorschach approach (i.e., monotheism).     

On the Rorschach M Response and Monotheism

The Rorschach human movement (M) response has recently been debated (Exner, 1991a, Kramer, 1991a, 1991b) with additional wider implications for Rorschach psychology. The objective of this discourse is twofold: (a) to elaborate on the contributions of perceptanalysis (Piotrowski, 1957) to this debate and (b) to develop the thesis that diversity is desirable for the long-term advancement of the field of Rorschach psychology and personality assessment. These motifs are illustrated with an interpretation of a clinical case example and with rationale from the theoretical literature and implications for interpreting short Rorschach protocols. The conclusion is proffered that some degree of diversification is more beneficial than requiring the adoption of a single Rorschach approach (i.e., monotheism).     

Phenomenology, Bruno Klopfer, and individualized/collaborative assessment

This presentation celebrates commonalities of Bruno Klopfer's philosophical phenomenological approach to the Rorschach and my similarly grounded approach to individualized/collaborative psychological assessment. The article begins with an excerpt from such an assessment to ground what follows. It then addresses what phenomenology is and is not in relation to psychological assessment, and reviews Klopfer's phenomenological approach to the Rorschach. It presents the findings from an empirical phenomenological research study relevant to collaborative assessment. Finally, the article reviews some common inquiries and observations about individualized/colloaborative assessment and closes with some shifts in American psychology that are consonant with this approach to psychological assessment.     

Contributions of cognitive science to the Rorschach Technique: cognitive and neuropsychological correlates of the response process

This article presents an understanding of the Rorschach Technique in terms of emergent models from cognitive science. We propose a linkage between cognitive psychology and neuropsychology in understanding the operations that underlie the Rorschach response process. Contemporary information processing models are described. The Rorschach Technique is conceived of as a complex process involving all areas of the cerebral hemispheres, encompassing various aspects of visual attention and perception, object recognition, associative memory, language production, and executive functioning. Exner's model of the response process is delineated, including both Association and Inquiry phases, in terms of requisite underlying neuropsychological abilities and anatomical substrates. The question of the Rorschach Technique's status, utility, and potential as a neuropsychological assessment, tool is discussed. Understanding the Rorschach in terms of contemporary cognitive psychological and neuropsychological models heightens appreciation of the technique's complexity and provides a heuristic and conceptual foundation for empirical research.     

Psychological tests don't think: an appreciation of Schafer's Psychoanalytic Interpretation in Rorschach Testing

Roy Schafer 's Psychoanalytic Interpretation in Rorschach Testing has, for nearly 40 years, represented a hallmark of psychodynamically informed psychological assessment. In this article, Schafer's contribution is reviewed in light of recent contributions to the Rorschach literature. Following a summary of the main sections of the work, Schafer's approach to the Rorschach is critically re-examined from the perspective of modem assessment practice. Differences between the epistemological bases of psychoanalytic and empirical methods of Rorschach interpretation are highlighted, and the prospects for an integration of these two approaches are considered. It is concluded that Schafer's contribution remains as fresh today as when written 40 years ago.     

Psychological Tests Don't Think: An Appreciation of Schafer's Psychoanalytic Interpretation In Rorschach Testing

Roy Schafer 's Psychoanalytic Interpretation in Rorschach Testing has, for nearly 40 years, represented a hallmark of psychodynamically informed psychological assessment. In this article, Schafer's contribution is reviewed in light of recent contributions to the Rorschach literature. Following a summary of the main sections of the work, Schafer's approach to the Rorschach is critically re-examined from the perspective of modem assessment practice. Differences between the epistemological bases of psychoanalytic and empirical methods of Rorschach interpretation are highlighted, and the prospects for an integration of these two approaches are considered. It is concluded that Schafer's contribution remains as fresh today as when written 40 years ago.     

Current Perspectives on Psychoanalytic Rorschach Assessment

In this article, I present as clear and as updated an account as possible of several of the essential features that comprise a psychoanalytic approach to the Rorschach. Specific attention is accorded the assessment frame, the language of assessment, sources of assessment information, and differing approaches to the interpretation of Rorschach data. The article comes out of a Rorschach tradition begun by Rapaport, extended by Schafer and Mayman, and presently being updated by Leichtman and Smith.     

Current perspectives on psychoanalytic Rorschach assessment

In this article, I present as clear and as updated an account as possible of several of the essential features that comprise a psychoanalytic approach to the Rorschach. Specific attention is accorded the assessment frame, the language of assessment, sources of assessment information, and differing approaches to the interpretation of Rorschach data. The article comes out of a Rorschach tradition begun by Rapaport, extended by Schafer and Mayman, and presently being updated by Leichtman and Smith.     

Construct validation of scales derived from the Rorschach method: a review of issues and introduction to the Rorschach rating scale

I suggest the main goal of Rorschach validation should be a refined understanding of what each score means. Toward this end, I review general issues in construct validity, hurdles unique to the Rorschach, and general limitations with validation criteria. I then recommend two approaches for improving criteria so they can begin approximating the gold standards that are necessary for a refined understanding of what scores actually measure. The first is a method for improving expert clinical judgment, and the second is a method for aggregating data across diverse judges. Finally, the Rorschach Rating Scale (RRS) is presented as a criterion tool to be used with either of these approaches to validation. The RRS is a fairly comprehensive summary of the constructs thought to be measured by various Rorschach scoring systems. The utility of the RRS for research and training are discussed, as are other practical, theoretical, and psychometric issues in its application.     

Construct Validation of Scales Derived From the Rorschach Method: A Review of issues and Introduction to the Rorschach Rating Scale

I suggest the main goal of Rorschach validation should be a refined understanding of what each score means. Toward this end, I review general issues in construct validity, hurdles unique to the Rorschach, and general limitations with validation criteria. I then recommend two approaches for improving criteria so they can begin approximating the gold standards that are necessary for a refined understanding of what scores actually measure. The first is a method for improving expert clinical judgment, and the second is a method for aggregating data across diverse judges. Finally, the Rorschach Rating Scale (RRS) is presented as a criterion tool to be used with either of these approaches to validation. The RRS is a fairly comprehensive summary of the constructs thought to be measured by various Rorschach scoring systems. The utility of the RRS for research and training are discussed, as are other practical, theoretical, and psychometric issues in its application.     

Changes in Rorschach Teaching

To investigate recent changes in Rorschach instruction, a double postcard questionnaire was distributed to all APA-approved doctoral programs in clinical psychology asking for information about the number and type of Rorschach courses. The data were compared with 1961 and 1966 surveys. A trend toward fewer Rorschach courses per university and a decrease in courses specifically on the Rorschach is evident. Changing views toward projective techniques may be a contributing factor, but the addition of areas such as behavior modification and community psychology into the training programs is also compressing the more traditional courses.     

The interpretive process in Rorschach testing

In this article, two complimentary and interwoven approaches to Rorschach interpretation are described. The first, a more structural approach, emphasizes test responses, the response process, and test rationales. Theorists with this emphasis focus primarily on the structural features of a test record?the scores and their interrelations. Interpretations drawn from the structural features of a record themselves tend to have a structural emphasis. A second approach, referred to as experiential, is more subjective and phenomenological. Based on the examiner's empathy, this approach is applied to other aspects of a Rorschach protocol such as content of responses and the testee's more spontaneous and off-handed comments. Each of these interpretive approaches must be given its due and integrated with interpretations drawn from the other.     

The Psychology of Courage: Modern Research on an Ancient Virtue

While drawing on a limited field of articles and chapters on courage, the editors of The Psychology of Courage: modern research on an ancient virtue have postulated a viable history of the evolution of courage in psychology and chosen a select set of articles which advocate the influence of some of the more modern approaches to psychological thought, while relying only slightly on the historical and alternative views of courage. An alternative view and application of courage presented here examines the impact of courage as a component of a dynamic system. This dynamic systems approach allows for courage to have an interactional impact on the individual regardless of cultural identity or label.     

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.     

Challenges Since Wikipedia: The Availability of Rorschach Information Online and Internet Users’ Reactions to Online Media Coverage of the Rorschach–Wikipedia Debate

We conducted 2 studies to assess the availability of Rorschach information online and Internet users’ attitudes since the inkblots were published on Wikipedia. In the first study, the authors conducted 2 Google searches for Web sites containing Rorschach-related information. The top 88 results were classified by level of threat to test security; 19% posed a direct threat. The authors also found Web sites authored by psychologists that divulged sensitive Rorschach information. In the second study, 588 comments to online news stories covering the Rorschach–Wikipedia debate were coded as expressing favorable or unfavorable opinions regarding the field of psychology, psychologists, and the Rorschach. Eight percent of comments described unfavorable opinions toward psychology, 15% contained unfavorable opinions toward psychologists, and 35% portrayed unfavorable opinions of the Rorschach. Common themes and popular misconceptions of the Rorschach contained in these comments are described. Implications and recommendations for practice are discussed. Limitations, including the second study's narrow sample and self-selection bias, are also detailed.     

Challenges since Wikipedia: the availability of Rorschach information online and internet users' reactions to online media coverage of the Rorschach-Wikipedia debate

We conducted 2 studies to assess the availability of Rorschach information online and Internet users' attitudes since the inkblots were published on Wikipedia. In the first study, the authors conducted 2 Google searches for Web sites containing Rorschach-related information. The top 88 results were classified by level of threat to test security; 19% posed a direct threat. The authors also found Web sites authored by psychologists that divulged sensitive Rorschach information. In the second study, 588 comments to online news stories covering the Rorschach-Wikipedia debate were coded as expressing favorable or unfavorable opinions regarding the field of psychology, psychologists, and the Rorschach. Eight percent of comments described unfavorable opinions toward psychology, 15% contained unfavorable opinions toward psychologists, and 35% portrayed unfavorable opinions of the Rorschach. Common themes and popular misconceptions of the Rorschach contained in these comments are described. Implications and recommendations for practice are discussed. Limitations, including the second study's narrow sample and self-selection bias, are also detailed.     

The future of Rorschach in personality assessment

This article considers the Rorschach and its prospects for the next century in the context of two broad issues in psychology, as well as some test specific challenges confronting those interested in the Rorschach and its applications. The broad issues are the matters of personality as a topic of study in psychology, and the relation of findings about personality to treatment planning. The specific issues concern the definition of the Rorschach, research about the test stimuli, and the expansion of information concerning the interpretive usefulness of some structural variables that are poorly conceptualized or for which interpretation may be overly generalized. Some recommendations concerning collaborative research efforts are also offered.     

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.     

Rorschach Comprehensive System data for a sample of 150 adult nonpatients from Israel

This study is composed of 150 adult nonpatients, all from Israel, who were administered the Rorschach. Inclusion/exclusion criteria are described. Senior graduate students from the clinical psychology program at Bar-Ilan University administered the Rorschach and were provided with extensive supervision and ongoing quality control. Interrater reliability statistics at the response level are presented along with scores for the Rorschach Comprehensive System (CS; Exner, 2005).