The validity of the Rorschach for assessing cognitive and affective changes

Exner's (1985) Rorschach norms of children 5 to 16 years old were used to test predictions based on developmental theory, previous cognitive studies, and Achenbach and Edelbrock's (1981) norms on behavior problems in children. In the cognitive realm, the Rorschach scores reflected the predicted increase in complexity, integration, and precision of thinking; richness of ideas; conformity to socially acceptable ways of thinking; and the concomitant decrease in unrealistic, egocentric ideas. In the affective realm, the Rorschach scores reflected the predicted decrease in uncontrolled expression of affect, increase in controlled expression of affect, and increase in inwardness. However, the Rorschach scores failed to reflect the predicted decrease in anxiety and increase in depression. Finally, there was no evidence of increased accuracy of perception.     

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.     

The relationship between the Rorschach whole response and level of cognitive functioning

Investigated the relationship between children's level of cognitive development and their production of whole responses (W) on the Rorschach, Both quantitative and qualitative variations in W were examined, and level of cognitive functioning was assessed by Piagetian techniques. The findings indicate that there is a significant and positive relationship between children's stage of cognitive development within the Piagetian framework and the number and complexity of whole responses they produce on the Rorschach. The strength of this relationship appears to be significantly influenced by the stimulus complexity of the inkblots, and the findings suggest that production of highly articulated W on the more complex broken blots requires the abstracting and synthesizing abilities associated with formal operational thought.     

Interactional aspects of cognitive organization

Further propositions are formulated towards a comprehensive structural developmental theory of cognitive change, begun in Langer (1969a, 1969b). Here, the analytic focus is upon: (a) The organization of the subject's assimilatory operations and accomodatory figurations; (b) the intrinsic coordinations between the theoretical and empirical cognitions constructed, respectively, by these two kinds of functional structures; and (c) the cognitive developmental changes produced by intrinsic coordinations. Derivative empirical hypotheses are considered in light of findings summarized here and elsewhere.     

The functional and developmental organization of cognitive developmental sequences

This study examines the organization and development of 5 domains of reasoning (categorical, quantitative, spatial, causal, and propositional) and the construct validity of a test designed to measure development from early adolescence to early adulthood. The theory underlying the test is first summarized and the conceptual design of the test is then illustrated. Each domain was addressed by tasks tapping abilities known to be acquired in this age period. The test was administered to 629 adolescents ranging in age from 12 to 18 years. Confirmatory factor analysis validated the 5 domains of reasoning and revealed a common factor underlying all domains. The Rasch model was used to scale the items and specify the reliability of the test across the whole sample and within different groups of participants (female, male, students of gymnasium, and students of lyceum). This model showed that the test is highly reliable and invariant across groups. Cluster analysis and the saltus model were applied to uncover successive developmental stage‐like levels of difficulty and showed the presence of five such levels. The procedural and representational characteristics of these levels were also specified and their implications for developmental and cognitive theory were discussed.     

Perception and the Rorschach

In this study we investigated the reliability and validity of the Rorschach Schizophrenia Index (SCZI) from Exner's (1978, 1993) Comprehensive System for a sample of 413 child psychiatric inpatients by examining relationships with the Personality Inventory for Children-Revised (PIC-R) and chart diagnoses. Interscorer reliability and internal consistency were acceptable. Multivariate analyses of variance results revealed significantly different PIC-R profiles for those with and without elevated SCZI scores, with significant differences emerging on the PIC-R Psychosis (PSY) scale and 2 cognitive triad scales (Intellectual Screening and Development), which have been reported to be more frequently elevated in PIC-R profiles of children with psychotic disorders. Significant differences were found across SCZI groups for the PSY scale, Reality Distortion scale, reality testing critical items and chart diagnoses of psychotic disorder. Implications for clinical interpretation of the SCZI with children and issues for further research with this population are discussed.     

Alcoholism and the Rorschach

This study attempts to cross validate 20 hypotheses reported over the past three decades professing to differentiate alcoholics from non-alcoholics using the Rorschach. Comparison groups (N = 25 each) were matched for age, sex, race, income and education, and diagnosis. Each S received the Rorschach and a test to rule out “organicity”. Rorschach scoring was consensually validated and Chi squares were performed for all twenty hypotheses. Through the careful selection and matching of control and experimental groups, only two significant differences were found, both in the direction opposite to that predicted. Non-alcoholics gave 4 or more water responses significantly more often than alcoholics (p < .05) and significantly more “high CF with C” scores (p < .05).     

Effects of material rewards on inkblot perception and organization

To explore further the potential relationship between material rewards and developmental regression, this research examined the effects of material rewards on perceptual organization as measured by Holtzman inkblot responses. Forty introductory psychology students (20 males and 20 females) were assigned to either a reward or nonreward group initially matched on sex and IQ. Reward subjects had lower scores on form definiteness, form appropriateness, integration, human, movement, color, and shading; faster response time; and higher scores on location and on pathognomic verbalization. Although reward/nonreward differences reached significance only for form definiteness, form appropriateness, shading, and response time, the differences on all 10 Holtzman Inkblot Technique variables that are sensitive to developmental change were in the predicted direction of a lower level of functioning under reward.