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This book offers clinicians a long-awaited comprehensive paradigm for assessing object relations functioning in disturbed younger and older adolescents. It gives a clear sense of how object relations functioning is manifest in different disorders, and illuminates how scores on object relations measures are converted into a therapeutically relevant diagnostic matrix and formulation. Outlining the process of object relations assessment, Kelly presents vividly detailed cases of a range of disorders including anorexia nervosa, borderline states, depressive disorders, and trauma. The cases portray the vicissitudes of object relations functioning and disruption that result in a unique structural developmental composite for a given adolescent. A major concern is demonstrating the utility and validity of two object representation measures--The Mutuality of Autonomy Scale (MOA) and The Social Cognition Object Relations Scale (SCORS)--that are the main ones employed in the assessment of adolescents. MOA and SCORS scores facilitate a multidimensional understanding of the nuances of an adolescent's object relations functioning, and provide clinicians with organized, theory-based data leading to clear, specific treatment directions and guidelines and appropriate therapeutic programming. The book addresses the following questions: * Is individual psychotherapy indicated--will this adolescent benefit from an insight-oriented approach? * What are the likely directions that transference parameters will take in the treatment? * What types of countertransference reactions are likely to be anticipated in a given patient? * Is medication likely to be helpful in making this adolescent more accessible for treatment? Focusing only on adolescents, covering both the TAT and the Rorschach, and utilizing object relations theory as its major interpretive foundation, the book offers practitioners an alternative to general references based on a more actuarial, nomothetic, and atheoretical interpretive approach. It reflects one school of contemporary thought in projective assessment--one that advocates a more phenomenological, theory-based approach to test application and interpretation.
Essentials of Rorschach Assessment provides an invaluable resource for clinicians, offering the only step-by-step guidance toward all aspects of the Rorschach Comprehensive System and Rorschach Performance Assessment System (R-PAS). Beginning with an overview of the tests' history and development, the discussion delves into each test separately before placing the two side by side for direct comparison of administration, coding, and interpretation. The same case study is used for both tests, providing a start-to-finish example of how the Comprehensive System and R-PAS differ, and practical resources including checklists, charts, and sample forms help ease implementation, use, and transition. Thorough explanations break down the jargon and technical language to give clinicians a clearer understanding of both tests without sacrificing precision or depth of information, providing a quick and easy reference for Rorschach personality assessment.
This book serves as an up-to-date Rorschach primer and elaborates on the various applications of Rorschach assessment for adolescents with respect to differential diagnosis, forensic consultation, and therapeutic assessment. It opens with three chapters that provide readers with a basic overview and introduction to the topics integrated throughout the text. The first reviews the development and foundations of the Rorschach Inkblot Method; the second discusses key issues in the assessment of adolescents, with particular attention to differentiating patterns of psychopathology from normal developmental variations; and the third presents general considerations in using performance-based assessment instruments in the assessment of personality functioning in adolescence. Later chapters explore the current status of the Rorschach Inkblot Method with respect to theoretical formulations, research findings, and practice guidelines. The final chapter draws on information in the preceding chapters to present a model for Rorschach assessment of adolescents. This model is designed to facilitate accurate and useful formulations of personality functioning that contribute substantially to advancing responsible adolescent development.