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Howard N Garb

Publications and source records attributed to Howard N Garb.

7 recordsLinked to original sources

Roots of the Rorschach controversy.

The controversy surrounding the Rorschach is updated, and an analysis of its dynamics is offered. Results on normative data and validity are reviewed, followed by a summary of, and rebuttal to, arguments made by Rorschach advocates. We argue that the current controversy can be traced, at least in part, to two unwarranted beliefs. First is the belief that informal impressions and popularity provide dependable evidence for evaluating validity. Second is the belief that Rorschach scores with low individual validity are likely to yield much higher levels of validity if they are interpreted in combination with each other, or with other sources of information, by experts. After presenting historical background information, we show how several arguments made recently in defense of the test reflect these two beliefs, even though they are contradicted by research findings. We conclude that a variety of other divisive conflicts in clinical psychology are related to the inappropriate weight placed on informal and unsystematic impressions relative to systematic research.

Humans↗

Incremental validity and the assessment of psychopathology in adults.

Results from studies on incremental validity are described for (a) interviews, (b) personality inventories, (c) projective techniques, and (d) brief self-rated and clinician-rated measures. In some of the studies (clinical judgment studies), psychologists were given increasing amounts of information. In other studies (statistical prediction studies), increasing amounts of assessment information were entered into a statistical prediction rule. Although relatively little research has been conducted on incremental validity, results that have been obtained tend to favor the use of interviews, personality inventories (e.g., the Minnesota Multiphasic Personality Inventory--2; J. N. Butcher, W. G. Dahlstrom, J. R., Graham, A. Tellegen, & B. Kaemmer, 1989), and brief self-rated measures (e.g., the Anxiety Sensitivity Index, S. Reiss, R. A. Peterson, D. M. Gursky, & R. M. McNally, 1986). Results are generally less encouraging for projective techniques.

Adult↗

The diagnosis of neurological disorders in older adults.

Are neurological disorders overdiagnosed in older adults? Previous reports suggest that age bias may lead to diagnostic inaccuracies for older adult clients. In the present study, the average test scores for community-dwelling 38-year-old and 74-year-old individuals were presented as the results for a 38-year-old client and a 74-year-old client, respectively. Neuropsychologists did not make diagnoses of neurological disorder or dementiafor either of the clients. The results from this study indicate that age bias is not as serious a problem among neuropsychologists as many psychologists once believed.

Adult↗

Clinical assessment.

Are clinical psychologists' assessment practices cost-effective? Are they scientifically sound? Are they fair and unbiased? Financial pressures from managed care interests, recent developments in the law, and multicultural issues are forcing the profession to confront these hard questions regarding accountability. Our review discusses the important changes that have begun to alter the field of personality assessment and describes recent research on clinical judgment and its implications for the future. We conclude that clinical psychology can adapt to future conditions by developing assessment strategies that are economical, scientifically sound, and culturally sensitive.

Cultural Diversity↗