Rorschach Assessment of Psychotic Phenomena


Book Description

Cover -- Half Title -- Title Page -- Copyright Page -- Dedication -- Contents -- List of figures -- List of tables -- Acknowledgments -- Foreword -- Introduction -- PART I: Understanding and assessing psychotic phenomena -- 1 Psychotic phenomena: Toward a conceptual understanding of reality testing and disordered thinking -- 2 Assessing disordered thinking and psychotic phenomena -- PART II: Rorschach assessment of psychotic phenomena -- 3 Hermann Rorschach's experiment -- 4 Contributions of Rapaport and Holt -- 5 The Thought Disorder Index -- 6 The Comprehensive System and Rorschach Performance Assessment System -- 7 Alternative Rorschach approaches for assessing disordered thinking -- 8 Integrated model of Rorschach signs of disordered thinking -- PART III: Dimensions of disordered thinking -- 9 Disorganization: Problems in focusing, filtering, and language usage -- 10 Illogicality: Problems in reasoning and logic -- 11 Impoverishment in thinking and language -- 12 Awareness of perceptual and reasoning errors -- PART IV: Differential diagnosis of psychotic phenomena on the Rorschach -- 13 Primary psychoses and the Rorschach -- 14 Secondary psychotic phenomena and the Rorschach -- 15 Malingered psychosis and disordered thinking -- 16 Rorschach indications of psychotic phenomena in children and adolescents -- Final Thoughts: Empirical, conceptual, and practical considerations -- Index




Assessing Psychosis


Book Description

Assessing Psychosis: A Clinician’s Guide offers both a practical guide and rich clinical resource for a broad audience of mental-health practitioners seeking to sharpen their understanding of diagnostic issues, clinical concepts, and assessment methods that aid in detecting the presence of psychotic phenomena. Practicing psychiatrists, psychologists, social workers, and psychiatric nurses will find this a valuable resource for clinical practice, training, and teaching purposes.




Rorschach Assessment of Senior Adults


Book Description

This guide is a much-needed reference for clinicians on how to use the Rorschach Inkblot Test with senior adults, an essential tool for assessing personality functioning to better identify psychological interventions. The book integrates historical developments, current research, conceptual considerations, and therapeutic and diagnostic applications. Chapters review basic guidelines for the understanding and interpretation of Rorschach variables, including protocol validity; interpretation of structural variables, thematic imagery, and cross-cultural normative data; sequence analysis; and more. The authors then provide 10 case illustrations of how the Rorschach indices of cognitive functioning, emotional experience, interpersonal relatedness, and self-perception can facilitate differential diagnosis and treatment planning in clinical work with older people. These case illustrations are rooted in previously non-existent Rorschach reference data based on an international sample of more than 250 senior adults and a second sample of more than 200 patients with Alzheimer’s disease. Clinicians will come away with a solid empirical basis for distinguishing between normal-range personality functioning and manifestations of psychological disorder in the elderly and for providing beneficial interventions to senior adult patients.




Disordered Thinking and the Rorschach


Book Description

In Disordered Thinking and the Rorschach, James Kleiger provides a thoroughly up-to-date text that covers the entire range of clinical and diagnostic issues associated with the phenomenon of disordered thinking as revealed on the Rorschach. Kleiger guides the reader through the history of psychiatric and psychoanalytic conceptualizations of the nature and significance of different kinds of disordered thinking and their relevance to understanding personality structure and differential diagnosis. He then moves on to thorough reviews of the respective contributions of David Rapaport, Robert Holt, Philip Holzman, and John Exner in conceptualizing and scoring disordered thinking on the Rorschach. These synopses are followed by an equally fascinating examination of less well known research conceptualizations, which, taken together, help clarify the basic interpretive conundrums besetting the major systems. Finally, having brought the reader to a full understanding of systematic exploration to date, Kleiger enters into a detailed analysis of the phenomenological and psychodynamic aspects of disordered thinking per se. Even experienced clinicians will find themselves challenged to reconceptualize such familiar categories as confabulatory or combinative thinking in a manner that leads not only to new diagnostic precision, but also to a richer understanding of the varieties of thought disturbances with their equally variable therapeutic and prognostic implications. With Disordered Thinking and the Rorschach, Kleiger has succeeded in summarizing a wealth of experience pertaining to the rigorous empirical detection and classification of disordered thinking. Equally impressive, he has taken full advantage of the Rorschach as an assessment instrument able to capture the richness of personality and thus capable of providing a unique clinical window into those crucially important differences in the quality of thought that patients may evince.




Using the Rorschach Performance Assessment System? (R-PAS?)


Book Description

From codevelopers of the Rorschach Performance Assessment System (R-PAS), this essential casebook illustrates the utility of R-PAS for addressing a wide range of common referral questions with adults, children, and adolescents. Compelling case examples from respected experts cover clinical issues (such as assessing psychosis, personality disorders, and suicidality); forensic issues (such as insanity and violence risk assessments, child custody proceedings, and domestic violence); and use in neuropsychological, educational, and other settings. Each tightly edited chapter details R-PAS administration, coding, and interpretation. Designed to replace the widely used Comprehensive System developed by John Exner, R-PAS has a stronger empirical foundation, is accurately normed for international use, is easier to learn and use, and reduces ambiguities in administration and coding, among other improvements. Visit www.r-pas.org for more information or to purchase the R-PAS manual.




Assessing Psychosis


Book Description

This second edition of Assessing Psychosis: A Clinician’s Guide offers both a practical guide and rich clinical resource for a broad audience of mental health practitioners seeking to sharpen their understanding of diagnostic issues, clinical concepts, and assessment methods that aid in detecting the presence of psychotic phenomena. Case vignettes deepen clinical understanding, and all chapters include a summary of practical clinical guidelines. This new edition includes two new chapters and updated diagnostic criteria considering the new DSM-5-TR. Practicing psychiatrists, psychologists, social workers, psychiatric nurses and students will find this a valuable resource for clinical practice, training, and teaching purposes.




Psychoanalytic Assessment Applications for Different Settings


Book Description

In this edited book, expert assessors illustrate through case examples how they apply psychoanalytic theory to different clinical settings. These settings include private practice, neuropsychological, medical, forensic, personnel, custody, school, and psychiatric-residential. Psychoanalytic Assessment Applications for Different Settings allows the reader to track the assessor’s work from start to finish. Each chapter presents a description of the clinical setting in which the assessment occurred; a detailed review of the referral and patient history; test selection and test findings with supporting data drawn from self-report, and cognitive and personality performance-based measures; psychiatric and psychodynamic diagnoses; implications and recommendations; discussion of the feedback process; and assessor-self reflections on the case. Throughout the book, psychodynamic concepts are used to help understand the test data. The authors are experts in the psychodynamic assessment of clients in private practice, educational, medical, neuropsychological, and forensic settings. The findings are derived from methods particular to each setting, with supporting data highlighted and woven throughout the interpretive process. Students, educators, practitioners, and the professionals who collaborate with assessors will benefit from this book’s offerings.




Personality Assessment Paradigms and Methods


Book Description

This book is an update of Paradigms of Personality Assessment by Jerry Wiggins (2003, Guilford), a landmark volume in the personality assessment literature. The first half of Wiggins (2003) described five major paradigms: psychodynamic (as exemplified by the Rorschach and TAT), narrative (interview data), interpersonal (circumplex instruments), multivariate (five-factor instruments), and empirical (MMPI). In the second half of the book, expert representatives of each paradigm interpreted test data from the same patient, Madeline. In this follow-up, personality experts describe innovations in each of the major paradigms articulated by Wiggins since the time of his book, including the advancement of therapeutic assessment, validation of the Rorschach Performance Assessment System, development of a multimethod battery for integrated interpersonal assessment, publication of the Restructured Form of the MMPI-2, and integration of multivariate Five-Factor Model instruments with personality disorder diagnosis. These innovations are highlighted in a reassessment of Madeline 17 years later. This book, which provides a rich demonstration of trans-paradigmatic multimethod assessment by leading scholars in the personality assessment field in the context of one of the most interesting and thorough case studies in the history of clinical assessment, will be a useful resource for students, researchers, and practicing clinicians.




What's Wrong With The Rorschach


Book Description

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.




Detecting Malingering and Deception


Book Description

Detecting Malingering and Deception: Forensic Distortion Analysis (FDA-5), Third Edition maintains the tradition of the prior two editions, following the Forensic Distortion Analysis (FDA) model. Fully updated since the last edition nearly 20 years ago, the book continues to serve as a comprehensive volume on deception and distortion in forensic, clinical and several specialized contexts. As with the previous editions, the book presents a model of deception intended to be utilized and applied by the qualified evaluator. The proposed model covers targets of the faker, response styles shown, and methods to detect the deception. The goal is to summarize the historical and latest information on distortion detection, to present guidelines for detecting deception that include variable accuracy rates based on different detection techniques, and to stimulate further research of effective methods of deception detection. Recommendations and guidelines for the practicing clinician are offered throughout the book, including real-world cases to inform and enlighten, particularly in unique cases or those in which the certain outcomes are unexpected. Key Features: Outlines the role of the forensic professional in applying and integrating methods assessment in deception and distortion Provides base-rates for deception-related behavior and events, especially useful in report writing or courtroom testimony as an expert witness Presents the latest advances in methodology and technology to assist in the search for ground truth in applied settings and situations Applies forensic distortion analysis to evaluate the deception-related findings and statements of other professionals involved in a particular case New coverage includes sections on deception analysis for collectivities, including media groups, contemporary politics, cross-national corporations, conflict, and terrorism Detecting Malingering and Deception incorporates the latest research, providing practical application to utilize information and evaluative methods as they pertain to deception-related settings and situations. Sample reports and extensive graphs, tables, charts, and histograms are provided, and every chapter has been updated with new studies and investigations. The Third Edition boasts several new chapters and updated working appendices of coverage to expand the exploration of deception addressing advances in the field, and our current understanding of the phenomenon.