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PubMed2003

Evaluation of bizarre-idiosyncratic thinking scale as a measure of thought disorder in children and adolescents with severe psychiatric disorders.

To investigate the prevalence of thought disorder and the possible appropriateness of the Bizarre-Idiosyncratic Thinking Scale for children and adolescents with severe psychiatric disorders, 96 child and adolescent inpatients and day hospital patients, ages 6 to 18 years, at a state psychiatric hospital were rated by review of retrospective records using Marengo and Harrow's 1986 Evaluation of Bizarre-Idiosyncratic Thinking Scale for the presence of thought disorder in the Thematic Apperception Test and Rorschach Inkblot Test responses. Although the Evaluation of Bizarre-Idiosyncratic Thinking Scale had not been previously used with children and adolescents, the analysis suggested possible indications of thought disorder in several diagnostic groups. No significant differences were found on the Rorschach between patients with Schizophrenia and Psychosis, Not Otherwise Specified and those with Attention Deficit Hyperactivity Disorder, Major Depression, and Conduct Disorder. On the basis of the Thinking Scale ratings, the Thematic Apperception Test responses showed significantly higher ratings of thought disorder for patients with Schizophrenia and Psychosis, Not Otherwise Specified. There was no general relation between thought disorder and age or IQ, but schizophrenic patients, aged 13 and older, had more thought disorder than schizophrenic patients who were younger than 13.

Adolescent↗
PubMed1983

Psychological aspects of migraine in childhood.

Experimental data indicate that certain unconscious emotions cause modifications of the brain stem neurotransmitters, inducing neurohumoral and vascular changes which underlie the migraine attack in biologically predisposed subjects. The present study investigates, with patient interviews, psychodiagnostic tests (Rorschach, Blacky pictures, Thematic Apperception test, drawings, Wechsler) and parental interviews in 20 pediatric migraine subjects. In 85% of the cases, a condition of repressed anger preceding the attack is seen. In 40% of the subjects, events such as a death in the family, separations, angry quarrels among parents, and scholastic problems, are seen just before onset of the disease. In conclusion, migraine may be considered a psychosomatic disorder, with the phenomenon of pain as a somatic extrinsication of psychological distress.

Adolescent↗
PubMed1999

Use of the TAT in the assessment of DSM-IV cluster B personality disorders.

The Social Cognition and Object Relations Scale (SCORS), developed by Western, Lohr, Silk, Kerber, and Goodrich (1985), is a diagnostic instrument used to assess an array of psychological functioning by using clinical narratives such as the Thematic Apperception Test (TAT; Murray, 1943) stories. This study investigated the utility of the SCORS to differentiate between Diagnostic and Statistical Manual of Mental Disorders (4th ed. [DSM-IV]; American Psychiatric Association, 1994) antisocial personality disorder (ANPD), borderline personality disorder (BPD), narcissistic personality disorder (NPD), and Cluster C personality disorder (CPD). A sample of 58 patients was separated into four groups: ANPD (n = 9), BPD (n = 21; 18 with a primary BPD diagnosis and 3 with prominent borderline traits who met 4 of the 5 DSM-IV criteria necessary for a BPD diagnosis), NPD (n = 16; 8 with a primary NPD diagnosis and 8 with prominent narcissistic traits who met 4 of the 5 DSM-IV criteria necessary for a NPD diagnosis), and CPD (n = 12). These groups were then compared on the 8 SCORS variables by using 5 TAT cards (1, 2, 3BM, 4, and 13MF). Spearman-Brown correction for 2-way mixed effects model of reliability for the 8 SCORS variables ranged from .70 to .95. The results of categorical and dimensional analyses indicate that (a) SCORS variables can be used to differentiate ANPD, BPD, and NPD; (b) the BPD group scored significantly lower (greater maladjustment) than did the CPD group on certain variables; (c) the BPD group scored significantly lower (greater maladjustment) than did the NPD group on all 8 SCORS variables; (d) the ANPD group scored significantly lower than did the NPD group on certain variables; (e) certain variables were found to be empirically related to the total number of DSM-IV ANPD, BPD, and NPD criteria; and (f) certain variables were found to be empirically related to Minnesota Multiphasic Personality Inventory-2 (MMPI-2; Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989) Personality disorder scales. The results of this study are discussed in terms of clinical utility, conceptual, and theoretical implications.

Adult↗
PubMed1975

[Uniqueness of certain structural personality prerequisites in schizophrenia].

The authors mark the following peculiarities of the fixated set in schizophrenia: inertness (in a continuous course); a lability (in acute manifestations of psychoses and in a recurrent course); a variability (in cases of child and adolescent schizophrenia). In terminal cases and in cases of apathic-aboulic syndrome the excitibility level is considerably lowered. The results of a study with the aid of TAT (Murray's Thematic Apperception Test and Rorschach's tests) also depend upon the age of the patients, the form and type of development and the stage of the disease.

Humans↗
PubMed1991

Alexithymic characteristics and metabolic control in diabetic and healthy adults.

Diabetes has long been identified as a disease with possible psychological components. Alexithymia--an inability to express emotions verbally, operational thinking, and a lack of fantasy life--is found in a high proportion of psychosomatic patients. We therefore tested the hypothesis that diabetics would be more alexithymic than controls. In addition, the lack of awareness of affect was hypothesized to have negative consequences for the management of diabetes, as reflected in metabolic glucose control (HbA1). The number of emotion words produced in six imaginative (Thematic Apperception Test) stories was used as the measure of alexithymia, with few words reflecting alexithymic characteristics. Diabetics were found to be significantly more alexithymic than controls. Further, fewer emotion words (alexithymia) was associated with poorer metabolic control. These data suggest that alexithymic characteristics may interfere with a diabetic's ability to manage their illness, and support previous research showing that the suppression of emotions can lead to a difficulty in regulating glucose levels.

Adolescent↗
PubMed2001

Assessment of implicit motives with a research version of the TAT: picture profiles, gender differences, and relations to other personality measures.

Four hundred twenty-eight participants wrote imaginative stories in response to 6 picture cues of a research version of the Thematic Apperception Test (TAT; Morgan & Murray, 1935). Story protocols were coded for n (need) Power, n Achievement, and n Affiliation using Winter's (1991) integrated scoring system that provided detailed information about the motive profiles of individual picture cues. In general, picture cues differed strongly from each other with regard to how many scorable instances of power, achievement, or affiliation imagery they elicited. The n Affiliation, but not n Power, n Achievement, or activity inhibition--a measure of impulse control--was found to be higher in (a) women than in men and (b) individuals tested in a group than in individuals tested individually. TAT motive measures showed no significant overlap with questionnaire measures of motivational orientation (German Personality Research Form; Stumpf, Angleitner, Wieck, Jackson, & Beloch-Till, 1985) or traits (German NEO-Five-Factor Inventory; Borkenau & Ostendorf, 1993).

Achievement↗
PubMed1989

Effects of aggressive and nonaggressive rock songs on projective and structured tests.

The differences between hostility scores on projective and objective tests as a function of listening to aggressive or nonaggressive rock music were studied. While taking the Thematic Apperception Test (Cards 1, 3BM, 4, 9BM, and 10) and the Buss-Durkee (1957) Hostility Scale, subjects (N = 90) randomly assigned to one of three groups listened to a rock song with (a) nonaggressive music and nonaggressive lyrics, (b) aggressive music and nonaggressive lyrics, or (c) aggressive music and aggressive lyrics. TAT stories were scored for aggressive content according to Hafner and Kaplan's (1960) hostility rating scale. Hostility scores did not differ between groups. The findings are congruent with other investigators' reports that subjects do not pay attention to rock lyrics. Previous findings that music affects the emotional quality of TAT stories and hostility scores on the Buss-Durkee scale were not supported.

Adolescent↗
PubMed2000

Interest and limitations of projective techniques in the assessment of personality disorders.

Assessing personality disorders (PD) remains a difficult task because of persistent problems linked to concurrent validity of existing instruments, which are all structured interviews or self-report inventories. It has been advocated that indirect methods, projective techniques in particular, can strengthen PD assessment methods. The thematic apperception test (TAT) may be a significant adjuvant method of PD assessment.

Humans↗
PubMed1975

Student suicide: death as a life style.

This is a study of the psychology of college students who are seriously suicidal. Fifty college students who had made suicide attempts were studied in detail over a 5-year period. Short term therapy was administered in most cases and long term therapy in some. Psychological tests (Wechsler Adult Intelligence Scale, Rorschach, Thematic Apperception Test, Sentence Completion, Figure Drawing, and Word Association) were performed and used as an independent check on the data derived from the interviews. The study indicates the ways in which death has become a way of life for these students--an integral, ongoing part of their adaptation. It traces the origin of this adaptation in a family relationship that the students perceived as requiring their emotional extinction. These students are tied to their parents in a kind of death knot and have become overly suicidal when live--coming to college, graduating, becoming seriously involved with another person--threatens to unravel this knot.

Adaptation, Psychological↗