Biomedical subjects

Joni L Mihura

Publications and source records attributed to Joni L Mihura.

5 recordsLinked to original sources

PubMed2005

The interclinician reliability of Rorschach interpretation in four data sets.

To examine agreement on Rorschach Comprehensive System (CS; Exner, 2004) interpretations, 55 patient protocols were interpreted by 3 to 8 clinicians across 4 data sets on a representative set of 29 characteristics. Substantial reliability was observed across data sets, although a problematic design produced lower results in one. Unexpectedly, a Q-sort task had slightly lower reliability than a simple rating task. As expected, scales that summarized judgments had higher agreement than judgments to individual interpretive statements, and some clinicians produced more generalizable inferences than others. Interpretations for all clinicians were more strongly associated with patients' psychometric true scores (aggregated judgment M range = .82 to .92) than with the judgments of other clinicians (range = .76 to .89). Compared to meta-analyses of interrater reliability in psychology and medicine, the findings indicate these clinicians could reliably interpret Rorschach CS data.

Adult↗

PubMed2003

Rorschach measures of aggressive drive derivatives: a college student sample.

This study investigated measures of aggressive drive derivatives on the Rorschach and Personality Assessment Inventory with 70 college students. As predicted, (a) self-reported physical aggression potential was related to Rorschach measures of identification with the aggressor and aggressive impulses, (b) suicidal ideation with impulsivity was related to a Rorschach measure of aggressive impulses turned toward the self, and (c) the borderline features scale was related to a Rorschach pathological object relations measure. Hierarchical regression analyses showed that a Rorschach measure of emotional impulsivity added unique variance to these Rorschach aggression variables in predicting self-reported physical aggression potential, suicidal ideation with impulsivity, and borderline features. Finally, caution is advised in applying our findings when there is motivation to suppress aggressive responses

Adolescent↗

PubMed2003

Correspondence among observer ratings of Rorschach, Big Five Model, and DSM-IV personality disorder constructs.

Observer ratings were collected using instruments designed to measure the Diagnostic and Statistical Manual of Mental Disorders (4th ed.; American Psychiatric Association, 1994) personality disorders (Personality Diagnostic Questionnaire-4+ [PDQ-4+]; Hyler, 1994), the Big Five model (B5M; Goldberg's [1999] International Personality Item Pool), and Rorschach-derived constructs. For the latter, we revised the Rorschach Rating Scale (Meyer, Bates, & Gacono, 1999) to lower its reading level and renamed it the Rorschach Construct Scale (RCS) to emphasize its reliance on rated constructs. The RCS consists of 6 factors. Joint factor analysis of RCS, PDQ-4+, and B5M items also resulted in 6 factors: Self-Centeredly Exploitative, Poor Ego Resiliency, Extraversion, Task Conscientiousness, Openness to Ideas, and Emotional and Expressive Constriction. The first 2 factors received high loadings from RCS, PDQ-4+, and B5M variables. The sixth factor received high loadings from just RCS variables.

Adult↗

PubMed2003

Validity and reliability of the general well-being schedule with northern plains American Indians diagnosed with type 2 diabetes mellitus.

The General Well-being Schedule is a brief indicator of subjective feelings of psychological well-being and distress. It is easy to administer, reliable, and valid, although its validity with American Indians has not been established. This study then assessed reliability, validity, and factor structure for a sample of 88 diabetic American Indians, who sought care for diabetes at an Indian Health Service hospital. Cronbach alpha was .89. A factor analysis indicated four dimensions. Adequate concurrent and divergent validity were noted in association with scores on the Beck Depression Inventory-Second Edition, the depression scale on the Symptom Checklist-90-Revised, and Family-Adaptation, Partnership, Growth, Affection, & Resolve. These results suggest that the General Well-being Schedule is a reliable and valid measure of general well-being for this population of American Indians.

Adult↗

PubMed2002

Rorschach training: doctoral students' experiences and preferences.

American Psychological Association graduate student affiliates (500) were sent surveys regarding their Rorschach training experiences and interests. From 254 valid surveys, 87% of students reported that they were offered an introductory course that included the Rorschach; only about one fourth of the students were offered an advanced course. Of the students (212) who had some Rorschach training, the majority (78%) indicated they would like to obtain more. Most students viewed the Rorschach as helpful for understanding a client's personality. More training is needed, however, in applying this understanding to treatment planning and client feedback. Students were more satisfied with their training when they (a) had more Rorschach experience (didactic, practical, and research familiarity), (b) were in a psychodynamic or eclectic versus cognitive-behavioral program, (c) were pursuing a clinical PsyD versus clinical PhD, and (d) perceived a more positive attitude toward the Rorschach in their training program. All of these variables (including training satisfaction) also were related to students' expected likelihood of using the Rorschach in their professional careers.

Adult↗