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On the synthesis of information from psychological tests.

This paper evaluated research concerning the synthesis or integration of information from Wechsler intelligence, Rorschach, and Thematic Apperception tests, Minnesota Multiphasic Personality Inventory, and Millon Clinical Multiaxial Inventory in the process of personality assessment. Five methodological issues were considered in evaluating the extent to which the results contributed to the statistical prediction of clinical status: the method of measuring the clinical criteria, the status of participants or the groups tested, whether results were estimated for specific diagnostic groups, whether there were estimates of incremental validity for different psychological tests, and if diagnostic group status was predicted on the basis of test scores as opposed to the report of differences on tests between diagnostic groups. Few studies met as many as four of these methodological criteria; several provided information relevant to the process of statistical prediction.

Humans↗

The impact of "managed care" on the practice of psychological testing: preliminary findings.

Although the impact of managed care constraints on assessment practices has received recent attention, a review of the literature found no data-based articles that address this issue. We report survey data on 137 members of the National Register of Health Service Providers in Psychology (Council for the National Register of Health Service Providers in Psychology, 1996) on current testing practices. The majority (72%) reported that their use of tests has changed in the last 5 years due to managed care directives. These clinicians are doing less testing overall and restrict their pool of assessment instruments. The Rorschach inkblot technique (Rorschach, 1942), the Thematic Apperception Test (Murray, 1943), and the Wechsler Intelligence scales (Matarazzo, 1972) were the instruments most noted for disuse. Apparently, practitioners are relying more on short, brief self-report measures that tap targeted symptoms or problem areas, and less on tests that demand considerable clinicians' time. Implications and limitations of the findings are discussed.

Cost Control↗

Psychological test usage with adolescent clients: survey update.

In 1991, Archer, Maruish, Imhof, and Piotrowski presented survey findings based on the responses of a national sample of psychologists who performed psychological assessment with adolescent clients. The current survey was designed to update their results by examining the test use practices reported by 346 psychologists who work with adolescents in a variety of clinical and academic settings. These respondents represented an adjusted survey return rate of 36% and predominantly consisted of doctoral prepared psychologists (95%) in private practice settings (51%). The survey respondents had a mean of 13.6 years of post-degree clinical experience, and spent an average of 45% of their clinical time working with adolescents. Survey results reveal a substantial similarity in test usage between the 1991 survey and the current investigation. For example, the Wechsler Intelligence Scales, Rorschach, Thematic Apperception Test (TAT), and Minnesota Multiphasic Personality Inventory (MMPI) remain among the widely used tests with adolescents. However, several changes were also noted including a reduction in the use of the Bender-Gestalt and increases in the use of parent and teacher rating instruments. The current findings are used to estimate the relative popularity of an extensive list of test instruments, compare current findings to 1991 survey results, and to examine several issues related to general effects of managed care procedures and policies on test usage with adolescents.

Adolescent↗

Assessment of object relatedness through a lexical content analysis of the TAT.

A variety of psychological tests and scoring systems have been developed to assess object representation, including schemata using Rorschach responses, the Thematic Apperception Test (TAT), Early Memories, and Loevinger's Sentence Completion Test for Ego Development. This article presents an alternative approach to assessing TAT responses for possible indices of self/other schemata. In this study, we explored a lexically based, quantitative approach for assessing object relations in a sample of hospitalized psychiatric patients for whom extensive clinical, psychological test, and behavioral data were available. To test the relationship between lexical choice and individuals' representational schemata, we subjected verbatim transcripts of TAT responses to a computerized content analysis and then correlated content profiles with independent assessments of object representation and interpersonal relations derived from other psychological test assessments and from behavioral and clinical observation. These included the Urist (1977) Mutuality of Autonomy score and Blatt, Brenneis, Schimek, and Glick's (1976) Developmental Analyses of the Concept of the Object, as well as ratings of clinical behavior as expressed in independently derived clinical case reports. The findings suggest that lexical choices in TAT narratives represent a highly reliable, valid means of assessing the quality of object relations, particularly unconscious or preconscious aspects of such representations.

Adolescent↗

Social processing deficits in agenesis of the corpus callosum: narratives from the Thematic Appreciation Test.

Clinical observations suggest that individuals with agenesis of the corpus callosum (ACC) and normal IQ may have deficits in social intelligence. This study analyzed responses by normally intelligent individuals with ACC to pictures from the Thematic Apperception Test. A rating system was developed to assess three elements of story-generation: story logic, social understanding, and common content. Six individuals with ACC (five complete and one partial; IQs > 85) were compared to eight controls matched for sex, age, and IQ. Based on independent rankings of story protocols by two raters, the five individuals with complete ACC were found to be significantly impaired on all three criteria. The one individual with partial ACC performed better than the majority of controls in all three domains. Results demonstrated that individuals with complete ACC are impaired in understanding socially complex scenes and generating appropriate narratives. Absence of the anterior corpus callosum appears to be important for this deficit.

Adolescent↗

The effects of antipsychotic medication on the linguistic ability of schizophrenics.

Twenty-two chronic schizophrenic patients were tested on medication, and then again in a drug-free period, and matched with a group of patients that remained on medication. The subjects' speech, in response to interview questions and Thematic Apperception Test cards, was then analyzed through a series of linguistic measures in an effort to assess the effects of neuroleptic medication on the communication ability of schizophrenics. Results indicated that the medicated patients were more verbally communicative and showed an increase in the complexity and coherence of their speech and a decrease in pathological utterances. The findings suggest that drug treatment can enhance such patients' capacity to utilize verbally oriented psychotherapy.

Adult↗