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Few books illuminate a domain of clinical inquiry as superbly as Psychoanalytic Perspectives on the Rorschach. Paul Lerner has written a comprehensive text that offers a richly detailed, multidimensional vision of the Rorschach as the ideal medium for operationalizing, testing, and in some instances transforming contemporary clinical theory. For psychoanalytic therapists, the book provides a fascinating overview of how the coevolution of psychoanalytic theory and Rorschach technique has created new possibilities for conceptual integration. Lerner explores recent advances in our ability to operationalize such clinical concepts as splitting, dissociation, and false-self organization. He then reviews how these advances have been applied to research into psychic organization across different diagnostic categories, including anorexia and bulimia, aggressive and psychopathic personality, and schizotypal disorders. Finally, Lerner shows how the resulting data offer a unique vantage point from which to clarify such critical topics as developmental object relations and the structure of primitive experience. Rorschach scholars will appreciate Lerner's informed discussions of theorists as diverse as Rapaport and Schachtel, Exner and Mayman, Schafer and Leichtman. Rorschach students, for their part, will find the book an unusually lucid introduction to test administration, scoring, interpretation, and report writing. Even here, however, Lerner's breadth and originality are apparent, for his exposition of these testing fundamentals incorporates fresh discussions of the nature of the Rorschach test, the impact of the patient-examiner relationship, and the value of the test in treatment planning. Timely, definitive, and uniquely integrative, Psychoanalytic Perspectives on the Rorschach will be valued by students, clinicians, and researchers well into the next century.
This work has introduced generations of clinical psychologists to psychoanalysis as well as to methods of psychodynamic interpretation that has served them well in their entree to clinical practice.
For decades, The Rorschach Inkblot Method (RIM)--the most popular of the projective tests--has been routinely employed for personality assessment and treatment planning. But in recent years, it has not been free from controversy. Criticisms of its validity and empirical support are catalyzing new efforts to strengthen its foundations and document its broad utility. Among the most common--yet also most confusing and challenging--categories of clinical disorders is the personality disorders. However, minimal data have been available on the RIM evaluation of most of those found in DSM-IV. This welcomed book constitutes the first research-grounded, comprehensive guide to the use of the RIM in assessing personality disorders. The first section offers a theoretical overview of personality disorders and constructs a framework and compelling rationale for the legitimate role of the RIM in their assessment. The second, third, and fourth sections present Cluster A disorders--paranoid, schizoid, and schizotypal; Cluster B disorders--antisocial and psychopathic, borderline, histrionic, and narcissistic; and Cluster C disorders--avoidant, dependent, and obsessive-compulsive. The fifth section presents passive aggressive and depressive personality disorders, currently being proposed for DSM inclusion. Each chapter in these four sections includes an extensive description of the disorder, a review of empirical studies of the use of the RIM to assess it, an analysis of the Rorschach variables that may characterize patients diagnosed with it, and a depiction of a real case and discussion of the ways in which the RIM contributed to its formulation. The sixth and final section explores the relationship between psychoanalytic theory and the RIM. Rorschach Assessment of the Personality Disorders brings practical help for clinicians and clinicians-in-training, and suggests new paths for researchers seeking to advance our understanding of the complexities of these disorders.
With the integration of a modern object relations theory, a comprehensive psychodynamic developmental theory, and a clinically based psychology of the self into the mainstream of classical psychoanalytic theory, new models of personality development and psychopathology are emerging. These newer models, in turn, by broadening the conceptual basis for studying people by means of the Rorschach, have sparked a significant resurgence of interest in the test. This book examines the clinical and research uses of the Rorschach to the entire spectrum of primitive or developmentally earlier mental states, including narcissistic disturbances, eating disorders, victims of incest, and disturbances in gender identity. -- Publisher description.
In Disordered Thinking and the Rorschach, James Kleiger provides a thoroughly up-to-date text that covers the entire range of clinical and diagnostic issues associated with the phenomenon of disordered thinking as revealed on the Rorschach. Kleiger guides the reader through the history of psychiatric and psychoanalytic conceptualizations of the nature and significance of different kinds of disordered thinking and their relevance to understanding personality structure and differential diagnosis. He then moves on to thorough reviews of the respective contributions of David Rapaport, Robert Holt, Philip Holzman, and John Exner in conceptualizing and scoring disordered thinking on the Rorschach. These synopses are followed by an equally fascinating examination of less well known research conceptualizations, which, taken together, help clarify the basic interpretive conundrums besetting the major systems. Finally, having brought the reader to a full understanding of systematic exploration to date, Kleiger enters into a detailed analysis of the phenomenological and psychodynamic aspects of disordered thinking per se. Even experienced clinicians will find themselves challenged to reconceptualize such familiar categories as confabulatory or combinative thinking in a manner that leads not only to new diagnostic precision, but also to a richer understanding of the varieties of thought disturbances with their equally variable therapeutic and prognostic implications. With Disordered Thinking and the Rorschach, Kleiger has succeeded in summarizing a wealth of experience pertaining to the rigorous empirical detection and classification of disordered thinking. Equally impressive, he has taken full advantage of the Rorschach as an assessment instrument able to capture the richness of personality and thus capable of providing a unique clinical window into those crucially important differences in the quality of thought that patients may evince.
Since its creation more than eighty years ago, the famous Rorschach inkblot test has become an icon of clinical psychology and popular culture. Administered over one million times world-wide each year, the Rorschach is used to assess personality and mental illness across a wide range of circumstances: child custody disputes, educational placement decisions, employment and termination proceedings, parole determinations, and even investigations of child abuse allegations. The test's enormous power shapes the lives of hundreds of thousands of people -- often without their knowledge. In the 1970s, this notoriously subjective test was supposedly systematized and improved. But is the Rorschach more than a modern variant on tea leaf reading? What's Wrong With the Rorschach? challenges the validity and utility of the Rorschach and explains why psychologists continue to judge people by their reactions to ink blots, in spite of a half century of largely negative scientific evidence. What's Wrong With the Rorschach? offers a provocative critique of one of the most widely applied and influential - and still intensely controversial - psychological tests in the world today. Surveying more than fifty years of clinical and scholarly research, the authors provide compelling scientific evidence that the Rorschach has relatively little value for diagnosing mental illness, assessing personality, predicting behavior, or uncovering sexual abuse or other trauma. In this highly engaging, novelistic account of the Rorschach's origins and history, the authors detail the wealth of scientific evidence that the test is of questionable utility for real-world decision making. What's Wrong With the Rorschach? presents a powerfully reasoned case against using the test in the courtroom or consulting room - and reveals the strong psychological, economic, and political forces that continue to support the Rorschach despite the research that has exposed its shortcomings and dangers. James M. Wood (El Paso, TX) is Associate Professor, Department of Psychology, at the University of Texas at El Paso. M. Teresa Nezworski (Dallas, TX) is Associate Professor, Department of Psychology, University of Texas at Dallas. Scott O. Lilienfeld (Atlanta, GA) is an Associate Professor of Psychology at Emory University in Atlanta. Howard N. Garb (Pittsburgh, PA) is on the faculty at the University of Pittsburgh and the author of Studying the Clinician: Judgement Research and Psychological Assessment.
"Unique synthesis from the French School of psychoanalytical projective methods This unique book synthesizes the work of leading thinkers of the French School of psychoanalytical projective methods in personality assessment. The French School is a direct successor to Rorschach's and Murray's original approaches using the Rorschach Test and the Thematic Apperception Test (TAT). Underlying this method is the idea of the coexistence of conscious and unconscious processes, of opposite instinctual pairs, and of agents that are ruled by conflicts (Freud). Transitional activity is seen as part of an intermediate space, a mediator space, and bearer of messages between the subject and the clinician (Winnicott). This book brings to life the important contributions of the French School, firstly exploring its theories and methods and then its clinical applications. Detailed case studies from different stages of life examine the psychopathology of everyday life with its severe and disabling states of suffering. Contemporary advances in research and clinical work are presented, and the groundbreaking early work of Nina Rausch de Traubenberg, Vica Shentoub, and Rosine Debray are also critically reread and discussed. Clinical tools adapted for clinicians and researchers in the appendices include a useful schema to facilitate the interpretation of the Rorschach and TAT together, a list of latent solicitations for the TAT, and the current version of the TAT Scoring Grid. This book is essential reading for clinical psychologists, psychiatrists, psychotherapists, researchers, and students interested in applying psychoanalytical theory to projective methods"--
This book provides a definitive empirical study of antisocial character pathology and its assessment through the use of the Rorschach. Drawing upon a decade of research with nearly 400 individuals in various hospitals and prisons, the authors paint an extraordinary intrapsychic picture of the personality structure and psychodynamics of these troublesome patients. Serving as both an educational tool and a reference text, this book presents: * Rorschach data on several different antisocial groups -- conduct disordered children and adolescents, antisocial personality disordered adult males with and without schizophrenia, antisocial adult females, and male and female sexual homicide perpetrators; * nomothetic (group) and idiographic (case study) data; * data which have been analyzed and theoretically interpreted using both structural methods and psychoanalytic approaches which represent the cutting edge of Rorschach theory and practice; and * a developmental approach in analyzing Rorschach data gathered from antisocial children, adolescents, and adults -- providing striking similarities. This is the first Rorschach database of this type that has ever been published. As such, it serves as a valuable reference text for Rorschach users -- providing a definitive empirical base, theoretical integration, and a focus on individuals who create severe problems for society.