The Rorschach test in clinical diagnosis: a critical review, with a backward look at Garfield (1947).

@article{Wood2000TheRT,
  title={The Rorschach test in clinical diagnosis: a critical review, with a backward look at Garfield (1947).},
  author={James M Wood and Scott O. Lilienfeld and Howard N. Garb and M. Teresa Nezworski},
  journal={Journal of clinical psychology},
  year={2000},
  volume={56 3},
  pages={
          395-430; discussion 431-4
        }
}
The present article comments on a classic study by Garfield (1947) then reviews research on the Rorschach and psychiatric diagnoses. Despite a few positive findings, the Rorschach has demonstrated little validity as a diagnostic tool. Deviant verbalizations and bad form on the Rorschach, and indices based on these variables, are related to Schizophrenia and perhaps to Bipolar Disorder and Schizotypal Personality Disorder. Patients with Borderline Personality Disorder also seem to give an above… 
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109 Citations

The Rorschach and Psychopathy: Toward a More Accurate Understanding of the Research Findings

Tackling theoretical and methodological issues that can aid the reader or reviewer in achieving a more accurate understanding of this body of research are discussed.

The Rorschach test and Gilles de la Tourette’s syndrome: A pilot case–control study

Depression and Vulnerability As Assessed by the Rorschach Method

The findings show that the Rorschach method was able to identify cognitive and aggressive disturbances that are present in individuals who are actively depressed but not in Individuals who have been depressed in the past or never been depressed.

Association of Rorschach and MMPI Psychosis Indicators and Schizophrenia Spectrum Diagnoses in a Russian Clinical Sample

  • J. Ritsher
  • Psychology, Medicine
    Journal of personality assessment
  • 2004
Investigation of the relationships among psychological test variables and schizophrenia spectrum diagnoses in a Russian sample of 180 psychiatric patients showed modest support for the SCZI and PTI but not the MMPI indicators, and psychologists should proceed with caution when using the Rorschach and M MPI to assess for psychosis among Russians.

Coming to Grips With Negative Evidence for the Comprehensive System for the Rorschach: A Comment on Gacono, Loving, and Bodholdt; Ganellen; and Bornstein

This comment article responds to 3 articles by Rorschach proponents in this issue of the Journal of Personality Assessment that suggest the scoring reliability of some CS scores is problematic and should not minimize negative evidence or engage in post hoc arguments to immunize the CS against falsification.

Psychodynamics in the Female Psychopath: A PCL-R/Rorschach Investigation

Abstract Female psychopathy has been conceived as a malignant form of hysteria organized at the borderline level of personality function. In this study, the PCL-R was used to assess psychopathy, and…

Development and preliminary validation of a brief behavioral measure of psychotic propensity

The Misperception of Psychopathology: Problems With the Norms of the Comprehensive System for the Rorschach

Overall, nonpatient adults tended to appear pathological when compared with the CS norms, and commonly held beliefs about the validity of CS variables are likely to be false and in need of revision.

Understanding and Using the Rorschach Inkblot Test to Assess Post-Traumatic Conditions

Partially, in response to recent and current military conflicts, many forensic and clinical researchers and practitioners have devoted increasing interest to post-traumatic stress disorder (PTSD) and…

Understanding and Using the Rorschach Inkblot Test to Assess Post-Traumatic Conditions

Partially, in response to recent and current military conflicts, many forensic and clinical researchers and practitioners have devoted increasing interest to post-traumatic stress disorder (PTSD) and…
...

References

SHOWING 1-10 OF 226 REFERENCES

The Rorschach and the DSM-III-R antisocial personality: a tribute to Robert Lindner.

The Rorschach's ability to differentiate antisocial groups based on level of psychopathy strongly supports the need to use psychopathy as an independent measure when one is studying APD.

The Rorschach Schizophrenia Index (SCZI): an examination of reliability, validity, and diagnostic efficiency.

The results of this study indicate that the SCZI is internally consistent and can be reliably scored and was used effectively in differentiating PD patients from patients with an Axis II disorder and from the participants in the nonclinical sample.

Rorschach correlates of the DSM-IV histrionic personality disorder.

This study found two Rorschach variables, FC + CF + C and T (Exner, 1993), to be significantly and meaningfully correlated with both the DSM-IV HPD total score (number of criteria) and the individual HPD criteria.

Assessment of Borderline Personality Disorder: A Review of MMPI and Rorschach Findings

No supportive evidence was found for the commonly held hypothesis that BPD subjects show more impairment on unstructured measures than on objective measures, and both MMPI and Rorschach findings suggest a general trend for borderline groups to produce relatively unique findings.

Rorschach Indicators of Multiple Personality Disorder

Analysis indicated that this Rorschach protocols system was deficient in correctly classifying these 32 protocols, and a new marker, the Splitting Response, emerged, which was more useful.

A Rorschach comparison of psychopathic and nonpsychopathic conduct disordered adolescents.

This study adds empirical support to the heterogeneity noted among CD adolescents (PCL-R), supports the utility of the Rorschach for detecting individual differences among CD subjects, and extends the empirical work of Gacono and Meloy (1994) to adolescent psychopathy.

The prevalence of thought disorder in personality-disordered outpatients.

  • D. Harris
  • Psychology
    Journal of personality assessment
  • 1993
The test pattern of individuals with BPD was confirmed by this study and successfully differentiated these patients from OPD outpatients.

Rorschach aggression variables: a study of reliability and validity.

The results of this study indicated that these 6 Rorschach aggression variables can be scored reliably and found to be empirically related to DSM-IV diagnostic criteria for ANPD and BPD and to a self-report measure of anger and antisocial practices.

A comparison of three Rorschach diagnostic systems and use of the Hand Test for detecting multiple personality disorder in outpatients.

The Wagner Signs diagnosed 91% of the MPD cases in this outpatient sample, with no false positives, and Tentative criteria were proposed for its use as an additional tool for diagnosing MPD.

Role of structure in disordered thinking in borderline and schizophrenic disorders.

  • W. Edell
  • Psychology
    Journal of personality assessment
  • 1987
Borderline syndrome patients, defined by DSM-III criteria for borderline personality disorder and/or schizotypal personality disorder, demonstrated significantly greater thought disorder on the Rorschach, than did nonpsychiatric controls and were indistinguishable from patients with schizophrenic disorder of relatively recent onset.
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