Developments in the Rorschach Technique Fields of Application;


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The Rorschach Technique


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Clinical Diagnosis of Mental Disorders


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For centuries the "treatment" of mentally disturbed individuals was quite simple. They were accused of collusion with evil spirits, hunted, and persecuted. The last "witch" was killed as late as 1782 in Switzerland. Mentally disturbed people did not fare much better even when the witchhunting days were gone. John Christian Reil gave the following description of mental pa tients at the crossroads of the fifteenth and sixteenth centuries: We incarcerate these miserable creatures as if they were criminals in abandoned jails, near to the lairs of owls in barren canyons beyond the city gates, or in damp dungeons of prisons, where never a pitying look of a humanitarian penetrates; and we let them, in chains, rot in their own excrement. Their fetters have eaten off the flesh of their bones, and their emaciated pale faces look expectantly toward the graves which will end their misery and cover up our shamefulness. (1803) The great reforms introduced by Philippe Pinel at Bicetre in 1793 augured the beginning of a new approach. Pinel ascribed the "sick role," and called for compas sion and help. One does not need to know much about those he wants to hurt, but one must know a lot in order to help. Pinel's reform was followed by a rapid develop ment in research of causes, symptoms, and remedies of mental disorders. There are two main prerequisites for planning a treatment strategy.




What's Wrong With The Rorschach


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Since its creation more than eighty years ago, the famous Rorschach inkblot test has become an icon of clinical psychology and popular culture. Administered over one million times world-wide each year, the Rorschach is used to assess personality and mental illness across a wide range of circumstances: child custody disputes, educational placement decisions, employment and termination proceedings, parole determinations, and even investigations of child abuse allegations. The test's enormous power shapes the lives of hundreds of thousands of people -- often without their knowledge. In the 1970s, this notoriously subjective test was supposedly systematized and improved. But is the Rorschach more than a modern variant on tea leaf reading? What's Wrong With the Rorschach? challenges the validity and utility of the Rorschach and explains why psychologists continue to judge people by their reactions to ink blots, in spite of a half century of largely negative scientific evidence. What's Wrong With the Rorschach? offers a provocative critique of one of the most widely applied and influential - and still intensely controversial - psychological tests in the world today. Surveying more than fifty years of clinical and scholarly research, the authors provide compelling scientific evidence that the Rorschach has relatively little value for diagnosing mental illness, assessing personality, predicting behavior, or uncovering sexual abuse or other trauma. In this highly engaging, novelistic account of the Rorschach's origins and history, the authors detail the wealth of scientific evidence that the test is of questionable utility for real-world decision making. What's Wrong With the Rorschach? presents a powerfully reasoned case against using the test in the courtroom or consulting room - and reveals the strong psychological, economic, and political forces that continue to support the Rorschach despite the research that has exposed its shortcomings and dangers. James M. Wood (El Paso, TX) is Associate Professor, Department of Psychology, at the University of Texas at El Paso. M. Teresa Nezworski (Dallas, TX) is Associate Professor, Department of Psychology, University of Texas at Dallas. Scott O. Lilienfeld (Atlanta, GA) is an Associate Professor of Psychology at Emory University in Atlanta. Howard N. Garb (Pittsburgh, PA) is on the faculty at the University of Pittsburgh and the author of Studying the Clinician: Judgement Research and Psychological Assessment.







The Rorschach


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Martin Leichtman's The Rorschach is a work of stunning originality that takes as its point of departure a circumstance that has long confounded Rorschach examiners. Attempts to use the Rorschach with young children yield results that are inconsistent if not comical. What, after all, does one make of a protocol when the child treats a card like a frisbee or confidently detects "piadigats" and "red foombas"? A far more consequential problem facing examiners of adults and children alike concerns the very nature of the Rorschach test. Despite voluminous literature establishing the personality correlates of particular Rorschach scores, neither Hermann Rorschach nor his intellectual descendants have provided an adequate explanation of precisely what the subject is being asked to do. Is the Rorschach a test of imagination? Of perception? Of projection? In point of fact, Leichtman argues, the two problems are intimately related. To appreciate the stages through which children gradually master the Rorschach in its standard form is to discover the nature of the test itself. Integrating his developmental analysis with an illuminating discussion of the extensive literature on test administration, scoring, and interpretation, Leichtman arrives at a new understanding of the Rorschach as a test of representation and creativity. This finding, in turn, leads to an intriguing reconceptualization of all projective tests that clarifies their relationships to more objective measures of ability.







Psychoanalytic Perspectives on the Rorschach


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Few books illuminate a domain of clinical inquiry as superbly as Psychoanalytic Perspectives on the Rorschach. Paul Lerner has written a comprehensive text that offers a richly detailed, multidimensional vision of the Rorschach as the ideal medium for operationalizing, testing, and in some instances transforming contemporary clinical theory. For psychoanalytic therapists, the book provides a fascinating overview of how the coevolution of psychoanalytic theory and Rorschach technique has created new possibilities for conceptual integration. Lerner explores recent advances in our ability to operationalize such clinical concepts as splitting, dissociation, and false-self organization. He then reviews how these advances have been applied to research into psychic organization across different diagnostic categories, including anorexia and bulimia, aggressive and psychopathic personality, and schizotypal disorders. Finally, Lerner shows how the resulting data offer a unique vantage point from which to clarify such critical topics as developmental object relations and the structure of primitive experience. Rorschach scholars will appreciate Lerner's informed discussions of theorists as diverse as Rapaport and Schachtel, Exner and Mayman, Schafer and Leichtman. Rorschach students, for their part, will find the book an unusually lucid introduction to test administration, scoring, interpretation, and report writing. Even here, however, Lerner's breadth and originality are apparent, for his exposition of these testing fundamentals incorporates fresh discussions of the nature of the Rorschach test, the impact of the patient-examiner relationship, and the value of the test in treatment planning. Timely, definitive, and uniquely integrative, Psychoanalytic Perspectives on the Rorschach will be valued by students, clinicians, and researchers well into the next century.