The percept first, last, and always: the importance of microfacts in Rorschach analysis of the human movement response.
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Biomedical subjects
Publications and source records attributed to C M DeCato.
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A standardized method for training in Rorschach scoring using the Perceptanalytic system showed high interscorer reliability in a classroom setting by 1984. To assess whether this model for training would continue to yield stronger interscorer agreement with continued use in vivo data from classroom training were gathered over a six-year follow-up period (1985-1991). For the subjects, 167 students in a graduate clinical psychology training program, results indicated the system produces high interscorer agreement at both Level I (relatively clear and simple responses) and Level II (very complex or pathological responses). Over-all percent of agreement for 54,329 combined coding and summarizing operations attained a M of 90% (SD = 6.0%). Sufficiently high interscorer reliability in Rorschach scoring can be attained in a classroom setting to support the use of the Perceptanalytic method for training doctoral students. Further research on training systems for the Rorschach as well as some speculative heuristic hypotheses about the nature of the learning process for Rorschach scoring are suggested.
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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).
Modification of Friedman's developmental level scoring (DL) for Rorschach area components by Exner within the Comprehensive System to derive a new code, Developmental Quality (DQ), raises the question of whether the two have the same meaning. Recent research indicated significant differences. Here Rorschach area components for 20 men addicted to alcohol gave an r of .32 which suggests the shared meaning between these methods is too low to support identical inferences.
The Bender-Gestalt test has been one of the most popular clinical instruments for the past four decades. Much controversy has surrounded the use of this test as a screening instrument for organicity (brain dysfunction). Marley's Differential Diagnostic Scoring System was recently developed to improve the validity of the test for detecting organicity. The original standardization of the system reported very high interrater reliability. To provide an independent assessment of interscorer reliability, three raters were trained in the system and separately rated 40 protocols. Kappa coefficients for the three raters ranged from .94 to .98. Substantial interscorer reliability was obtained, Mdn = 92.5% for specific scores with three scores attaining 100% agreement, although some values were lower. These results suggest that there is a strong empirical basis for the scoring system and encourage further refinement of the scoring system to reflect central nervous system dysfunction.
Little or no research has been done with Rorschach Scoring Systems to standardize instructional materials and methods which would yield high interscorer agreement by the conclusion of a time-limited course of study in a classroom setting. Clinical applications and research with the Rorschach would benefit from training methods which yield high interscorer reliability. Training materials based on the Perceptanalytic system were standardized on 250 graduate level psychology students over an 11-year span of time, using one class per year. The final training materials were replicated using three classes (n = 58) to test the stability of the system. Data analysis on interscorer agreement involved 20,042 comparisons of pairs of scores and summaries at two levels of difficulty: Intermediate and Advanced. Overall interscorer agreement was consistently high for all replications.
Research on the color-shading response on the Rorschach has been limited previously to its use as a predictor of suicide. The theoretical understanding of this response was addressed by some of the major Rorschach authors. Adult cystic fibrosis patients were administered a battery of psychological tests, including the Rorschach. While these patients face a premature death, none of these patients were suicidal. A higher than usual incidence of color-shading responses occurred. Rapaport's hypothesis that the color-shading response is an expression of a simultaneously conflicting emotion, or similar to "sweet sorrow," was suggested as a possible hypothesis.
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Over 12 years ago, a developmental level (DL) cognitive measure derived from the Rorschach was found to be a powerful predictor of alcohol-related outcomes following behaviorally oriented inpatient alcoholism treatment. These findings represent the strongest evidence of a relationship between cognitive functioning and treatment response. The current pilot study attempted to determine whether the large effects previously obtained with the DL measure could be replicated. The Rorschach was administered during the first week of treatment to 20 male alcoholic patients attending 1-month day hospital rehabilitation program. The Addiction Severity Index (ASI) was administered upon entry into treatment and a follow-up ASI was also administered 7 months after treatment entry. A higher DL was found to be significantly related to less recent drinking and intoxication at baseline as well as to lower alcohol-related problem levels in general. However, all of the relationships between DL and alcohol-related behaviors at follow-up were found to be either small or in a direction opposite to that hypothesized. Some of the reasons for the discrepancy between the findings of the current study and the earlier study are discussed.
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