Assessment of annihilation anxiety from projective tests

This report details procedures to measure annihilation anxiety, a concept derived from Freud's 1926 formulation of traumatic anxiety. A 25-item pencil-and-paper inventory administered to patient and to nonpatient samples is described, along with a brief summary of earlier findings. The delineation of nine interrelated experiential components of annihilation anxiety provides the background for the construction of Rorschach and TAT measures of the concept. Findings comparing the pencil-and-paper inventory and the projective test measures are presented as well as examples of responses judged to reflect annihilation anxiety from Rorschach and TAT protocols.     

Comment on Holloway and McNally's (1987) "Effects of anxiety sensitivity on the response to hyperventilation."

W. Holloway and R. J. McNally (see record 1988-07600-001) found that normals with high scores on the Anxiety Sensitivity Index (ASI), an instrument developed to assess beliefs regarding the adverse consequences of anxiety, reported more anxiety and more frequent and intense somatic sensations following hyperventilation than did normals with low scores on the ASI. They concluded that this result provides support for the construct validity of the ASI and thus for the construct of anxiety sensitivity. Nevertheless, we argue that (a) the developers of the ASI have conflated beliefs regarding the adverse consequences of anxiety with fear of these consequences, (b) the accumulated evidence for the construct validity of the ASI is weak, and (c) Holloway and McNally's design and analyses do not permit them to exclude the more parsimonious explanation that trait anxiety accounts for their findings. Implications for research on anxiety sensitivity are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Failure of Rorschach-Comprehensive-System-based testimony to be admissible under the Daubert-Joiner-Kumho standard.

The Comprehensive System for the Rorschach (RCS) is currently the subject of intense scientific criticism. The normative data for many RCS scores are seriously in error and tend to make normal individuals appear maladjusted. Reliability is inadequate for many RCS scores, and validity for the great majority of RCS scores has not been adequately demonstrated. In addition, a substantial number of Rorschach Workshops studies, cited by B. Ritzler, R. Erard, and G. Pettigrew (2002) as supportive of the RCS, are unavailable for examination. Finally, B. Ritzler et al. misinterpret central issues of the relevant legal analysis, including crucial legal standards. The RCS clearly fails to meet the standards for admissibility set forth in the Daubert, Joiner, and Kumho decisions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Criterion-related validity of Rorschach analogues of dissociation.

The validity of Rorschach indicators of dissociation was evaluated using scores on the Dissociative Experiences Scale (DES) as the standard. Results indicated that participants with Rorschach indicators of dissociation scored significantly higher on the DES than did those without the indicators. Also, incremental changes from 0 to 1 and 1 to 2 Rorschach indicators were associated with increased dissociation as measured by the DES. Viewed from DES measurement of dissociation, Rorschach analogues of dissociation identified a distinctive group that is characterized by strong dissociative tendencies and did not tap the less intense dissociative phenomena common to general psychiatric populations and to nonclinical samples. The Rorschach indicators of dissociation were able to be scored reliably and remained stable at retest. As indirect measures, Rorschach indicators are less subject to distortions stemming from defensiveness or tendencies to manipulate. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A comparative meta-analysis of Rorschach and MMPI validity.

Two previous meta-analyses concluded that average validity coefficients for the Rorschach and the MMPI have similar magnitudes (L. Atkinson, 1986; K. C. H. Parker et al, see record 1989-14153-001), but methodological problems in both meta-analyses may have impeded acceptance of these results (H. N. Garb et al, see record 1998-11225-011). We conducted a new meta-analysis comparing criterion-related validity evidence for the Rorschach and the MMPI. The unweighted mean validity coefficients (r?s) were .30 for MMPI and .29 for Rorschach, and they were not reliably different (p = .76 under fixed-effects model, p = .89 under random-effects model). The MMPI had larger validity coefficients than the Rorschach for studies using psychiatric diagnoses and self-report measures as criterion variables, whereas the Rorschach had larger validity coefficients than the MMPI for studies using objective criterion variables. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The social psychology of Rorschach validity research.

An analysis of the research extant in the literature on the validity of the Rorschach, revealed that there was a relationship between where the research was done (academic, nonacademic settings) and type of validity study (construct, criterion, i.e., theoretical or practical validity). Ramifications of these findings with regard to formulation and interpretation of studies on the Rorschach were discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Let's Call the Whole Thing Off: A Response to Dawes (2001).

There has been a recent controversy regarding the validity of the Rorschach test. This comment is in response to criticism levied by R. M. Dawes (2001; see record 2001-18200-013) on the incremental validity of the Ego Impairment Index (EII), a Rorschach-derived measure of cognition, perception, and reasoning. The Dawes articles (1999 and 2001) serve as an example of the recent practice of placing extraordinary challenges on the Rorschach test. Dawes's arguments are examined and parallel examples are provided that demonstrate the bias used to judge the validity of the EII, the Rorschach, and psychological assessment. Still, in the face of criticism, the results (see Dawes, 2001) support the incremental validity of the EII. Thus, the conclusion presented in this Comment is that it is time for us to "call the whole thing off" and end the Rorschach controversy that has occupied so much recent attention and generated so few new ideas. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Construct validation of the Rorschach Reality-Fantasy Scale in alexithymia.

The study applies Winnicott's conceptualization of potential space to the alexithymia construct by using a new Rorschach index, the Reality-Fantasy Scale (RFS). The scale uses variables derived from the Rorschach Comprehensive System (Exner, 2000, 2001) to detect different types of psychopathological manifestations conceptualized as forms of collapse of potential space. Following previous research, the present study further evaluates the construct validity of the RFS in a sample of 92 patients with inflammatory bowel disease, categorized on the basis of the Toronto Alexithymia Scale (TAS-20) as alexithymic, indeterminate alexithymia, and nonalexithymic groups. As hypothesized, the RFS significantly correlated with the TAS-20, discriminated among the 3 groups, and showed incremental validity in detecting alexithymia over isolated Rorschach markers. The study supports the exploration of psychoanalytic ideas by empirical, statistically based methods. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Characteristics and treatment of high-anger drivers.

A client analogue of angry drivers reported more frequent and intense anger, aggressive and risky behavior, and accidents (generally, minor accidents, close calls, etc.) than low-anger drivers. Groups did not differ on major accidents or moving violations. High-anger drivers reported more trait anger and anxiety; anger suppression; and outward, less controlled forms of anger expression. Compared with an untreated control, relaxation and cognitive-relaxation interventions lowered driving anger; although the relaxation intervention was superior on some measures of driving anger, cognitive-relaxation was superior on risky behavior. Interventions did not influence trait anger, anxiety, or general anger expression. Findings support state-trait anger theory, construct validity of the trait driving anger measure, and feasibility of driving anger reduction. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Two methods for studying the incremental validity of a Rorschach variable.

The MMPI can be scored by a clerk. Also, both the number and form level of Rorschach responses can be easily assessed. Other Rorschach variables should be examined for their incremental validity beyond number of responses and form level, or from these variables plus simple MMPI variables. This study applied multiple regression analyses to 2 data sets with reasonable criteria of pathology that were predicted by W. Perry and D. J. Viglione's (see record 1991-26233-001) Ego Impairment Index considered alone. The index had only slight incremental validity over and above the number of responses and form quality, and even less when the average MMPI elevation and L. R. Goldberg's (see record 2011-19214-001) formula for predicting psychosis versus neurosis were entered before these Rorschach variables. Another way of assessing incremental validity is through the use of unit weights, that is, adding standardized variables weighted equally rather than optimally. The unit-weighted incremental validity analysis resulted in the same conclusions. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

MMPI, Rorschach, and WAIS: A meta-analytic comparison of reliability, stability, and validity.

We estimated the average reliability, stability, and validity of the Minnesota Multiphasic Personality Inventory (MMPI), Rorschach Inkblot Test, and Wechsler Adult Intelligence Scale (WAIS) from articles published in the Journal of Personality Assessment and the Journal of Clinical Psychology between 1970 and 1981. Following standard psychometric theory, reliability values exceeded stability values, which exceeded validity values. Validity studies based on theory, prior research, or both showed greater effects than did studies lacking a theoretical or empirical rationale. In general, the reliability and stability of all three tests were acceptable and approximately equivalent. The convergent-validity estimates for the Rorschach and MMPI were not significantly different, but both these estimates were lower than the estimate for the WAIS. It appears that both the MMPI and Rorschach can be considered to have adequate psychometric properties if used for the purpose for which they were designed and validated. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A validity study of two projective object representations measures.

Two projective measures of object representations, the Concept of the Object on the Rorschach (H. Rorchach, 1942) and the Social Cognition and Object Relations Scales (D. Westen, 1993) were compared with each other, with measures of intelligence (Wechsler Adult Intelligence Scale—Revised; D. Wechsler, 1981), and measures of pathology (Millon Clinical Multiaxial Inventory [T. Millon, 1983], Minnesota Multiphasic Personality Inventory [S. R. Hathaway & J. McKinley, 1983] Axis 11 diagnoses). Analyses focused on the construct validity of object representations and the implications of structural and affective aspects of object representations for psychopathology. Results support the construct validity of object representations and an affective, but not a cognitive–structural, linkage between object representations and pathology. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Test anxiety and Rorschach performance.

"This study was designed to test the validity of certain Rorschach anxiety indices which have been shown to reflect the effects of exposure to a stressful situation, and to examine the generality of certain hypotheses derived from a theoretical framework… . The results provide encouraging evidence as to the validity of certain anxiety indicators and support the theoretical assumptions from which most of them were derived." (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Rorschach and TAT indices of homosexuality in overt homosexuals, neurotics, and normal males.

Rorschach and TAT protocols of 20 male overt homosexuals, 20 male neurotics, and 20 normal male students were compared in order to determine whether proposed homosexual signs were discriminative. The homosexual group gave a significantly greater mean number of the Rorschach and TAT signs than did either nonhomosexual group. "Within the homosexual group, correlation between the number of Rorschach signs and number of TAT signs produced by each S proved significant, serving as a check on the validity of both schemes and indicating the consistency of these 2 diverse measures of homosexuality." (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The hard science of Rorschach research: What do we know and where do we go?

As the final article in the Special Series on "The Utility of the Rorschach for Clinical Assessment," the authors provide an overview of this instrument's current status. They begin with a thorough review of global and focused meta-analyses, including an expanded analysis of K. C. H. Parker et al's (see record 1989-14153-001) data set, and conclude that Rorschach, MMPI, and IQ scales each produce roughly similar effect size magnitudes, although all tests have greater validity for some purposes than for others. Because this evidentiary foundation justifies addressing other issues, the authors build on contributions to the Special Series to identify 11 salient theoretical and empirical gaps in the Rorschach knowledge base and make recommendations for addressing these challenges to further the evolution of the Rorschach and document its strengths and inherent limitations. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The clinical utility of the Rorschach: Unfulfilled promises and an uncertain future.

The empirical evidence on the Rorschach is reviewed using three definitions of clinical utility: (a) the nature of professional attitudes and extent of clinical usage, (b) the extent of evidence for reliability, validity, diagnostic efficiency, and incremental validity, and (c) the extent of evidence that Rorschach data improve clinical decision-making and/or treatment outcome. Surveys demonstrate that the Rorschach is extensively used; however, these data are insufficient to demonstrate clinical utility as they do not address the rational, scientific, and ethical requirements of professional standards for psychological measures. After reviewing conceptual issues in Rorschach research (especially those in the Comprehensive System) the authors conclude that there is little scientific evidence to support the clinical utility of the Rorschach. Given the absence of data evaluating how the Rorschach is used in routine practice and whether its use is consistent with the manner in which it is used in research, there is currently no scientific basis for justifying the use of Rorschach scales in psychological assessments. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Rorschach developmental level and intelligence factors.

Attempted to provide a more complete exploration of the relationship between Rorschach developmental level scores and intelligence than has appeared to date in the literature. Factor scores for both the WAIS and Rorschach measures were used in comparing test protocols obtained from 86 16–68 yr old psychiatric inpatients. Results reaffirm a relationship between intellectual level and developmental level. Further, the relationship was found to be of a general nature. It did not rely specifically on verbal, perceptual, or memory factors. Results also indicate that the relationship held for females as well as males. (25 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Suicide and the representation of transparency and cross-sections on the Rorschach.

Compared Rorschach protocols of all inpatients since 1960 known to have committed suicide either during or subsequent to hospitalization (N = 12) with the Rorschach protocols of 12 closely matched controls. Ss in the suicide group did not differ significantly from the control group on the usual Rorschach variables, but they did have a significantly greater number of Rorschach responses that contained representations of transparencies and cross-sections. Results suggest that the presence of transparency and cross-sectional representations is a reliable indicator of suicidal intent. (41 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Congruence between culturally competent treatment and cultural needs of older Latinos.

This study investigated a new 2-factor construct, termed cultural congruence, which is related to cultural competence in the delivery of mental health services to ethnic minority clients. Cultural congruence was defined as the distance between the cultural competence characteristics of the health care organization and the clients’ perception of those elements according to their cultural needs. The measure evidenced both reliability and validity in predicting criterion-related indicators. Older Hispanic/Latino clients (N = 272) receiving mental health services either through integrated primary care or referral to specialized mental health care were assessed for depression and anxiety symptomatology and health status at baseline, 3-, and 6-month follow-up treatment. Results indicated that cultural congruence predicted treatment outcomes (reduction of symptomatology) independent of treatment and evidenced moderator effects with respect to depression, suicidality, anxiety, and physical health criteria. Cultural congruence was more effective under the condition of the enhanced specialty referral model than under the integrated primary care model. Results are discussed in terms of how the new construct of cultural congruence extends knowledge of culturally competent mental health practice among the older Hispanic/Latino population. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

MMPI-A and Rorschach indices related to depression and conduct disorder: an evaluation of the incremental validity hypothesis

This investigation extends the earlier research by Archer and Gordon (1988) by examining the extent to which combining indices from the newly released MMPI-A and the revised Rorschach Comprehensive System furnishes incremental validity in terms of improved diagnostic prediction. The predictive accuracy of selected MMPI-A and Rorschach variables conceptually related to diagnoses of depression and conduct disorder were compared in a clinical sample of 152 adolescents. Results of multivariate analyses of variance revealed some significant differences between diagnostic groups on several MMPI-A scales, and 1 significant difference on the Rorschach involving the Vista variable. Stepwise discriminant function analyses resulted in 2 MMPI-A scales and 2 Rorschach variables that collectively accounted for a small proportion of variance in the diagnosis of depression, and 3 MMPI-A scales that accounted for a significant component of variance in the conduct disorder diagnosis. Classification accuracy results indicated that the hit rate for depression diagnosis did not improve using an optimal linear combination of the 4 variables over the rates produced by the single use of either the MMPI-A Depression content scale (A-DEP) or Scale 2. For the conduct disorder diagnosis, the optimal linear combination of MMPI-A Conduct Problems (A-CON), Cynicism (A-CYN), and Immaturity (IMM) scales served as the best predictor, and no Rorschach variables contributed significantly to classification accuracy. Our results replicated the findings of Archer and Gordon (1988) in indicating that the combined use of MMPI-A and Rorschach variables does not appear to produce incremental increases in accuracy of diagnostic classification.