Can Neuroscience Provide a New Foundation for the Rorschach Variables?

Recent progress in neuroscience has made it possible to use neurophysiological techniques to validate and deepen the interpretation of Rorschach variables. The aim of this article is to review the results from Rorschach studies using the neurophysiological approach to discuss the consistencies and inconsistencies between the different results, and then to consider the future direction of Rorschach research in this area. We also provide unpublished data to complement the picture from peer-reviewed studies. Two main approaches to neuropsychological studies on the Rorschach exist. One approach is to measure brain activities directly during the Rorschach administration; a series of studies using multiple neurophysiological methods revealed activation of the mirror neuron system with relation to human movement responses. Another possible approach is to investigate whether individual differences in Rorschach scores can be explained by neurophysiological measurements during the administration of another psychological task. This article reviews how these two approaches provide novel insights into the Rorschach Test.

The Rorschach and Violent Crime

Over the years, a significant number of Rorschach studies have been conducted with forensic adult and adolescent samples, partly motivated by the use of the test in forensic psychological evaluations. Could the Rorschach, as a performance-based personality assessment tool, provide unique information that is not as vulnerable to distortion on the part of the examinee as self-report measures are? This article provides a review of Rorschach studies on relevant Rorschach variables, including those with different forensic samples. Empirical findings are mixed; there is not a one-on-one relationship between certain Rorschach variables and forensically relevant traits, such as psychopathy or hostility. This does not mean the Rorschach cannot provide useful information in answering psychological questions before the court. A case illustration of a male college student, who committed a (first) violent offense, illustrates the unique contribution of the Rorschach for understanding the psychological dynamics behind a violent act that was seemingly out of character.

A Systematic Narrative Review of Evaluating Change in Psychotherapy With the Rorschach Test

In 2004, Grønnerød conducted a meta-analysis on the use of the Rorschach Test to detect change in psychotherapy. Results showed which Rorschach variables were associated with change in clients, and to what extent. The purpose of this study was to update the picture from the year of publication of the previous meta-analysis until 2019. A systematic review of the literature was carried out, including 17 studies of relevance to this research. Results showed that the Rorschach Test captures the changes in patients after psychotherapy, particularly when treatment is tailored to the unique needs of clients. We describe the limitations of the studies included in this systematic review and propose strategies to increase the effectiveness of using the Rorschach to evaluate treatment outcome.

Toward a Rorschach Hope Index

In this study, we derive a measure of hope from the Rorschach. Drawing on an integrative approach to hope, we identify six Rorschach variables, representing two dimensions each of: interpersonal perceptions, coping resources, and goal engagement. We empirically validate these variables against theoretically linked measures of attachment, coping, and mastery. We propose a Rorschach State Hope Index. To illustrate one potential benefit of this new measure, we apply the Hope Index retrospectively to an individual who died by suicide despite a relatively low score on the existing Suicide Constellation of the Comprehensive System.

Correspondence of Maximum and Typical Performance Measures of Cognitive Processing

We examined associations among cognitive processing measures that varied on a continuum from maximum to typical performance tasks in the context of an ego depletion study. Our intent was to replicate and extend the findings of Charek, Meyer, and Mihura, which showed that ego depletion had an expected effect on selected scores from the Rorschach inkblot task. We hypothesized that Rorschach variables indicative of cognitive sophistication would correlate with neuropsychological measures of cognitive ability and that Rorschach variables theoretically unassociated with cognitive processing would not correlate with those criterion measures. These hypotheses were supported, providing evidence of convergent and discriminant validity. We also hypothesized ego depletion effects on all measures; however, none were evident. Methodological considerations and implications of the findings are discussed.

An Interpersonal Approach to Rorschach Interpretation

In response to Kleiger’s (this issue) unique invitation to interpret a Rorschach case study from multiple psychoanalytic perspectives, I was asked to present a Rorschach interpretation from Sullivan’s interpersonal psychodynamic theory (IPT) perspective. In reviewing the literature, I found no theoretical papers specifically addressing IPT Rorschach interpretation. As such this article will be an initial attempt to integrate the Rorschach with IPT. I will present a brief overview of some of Sullivan’s most relevant IPT concepts, suggest where to find them on the Rorschach Comprehensive System (CS), and apply IPT Rorschach variables to the case of Ms. B. Special attention will be given to how the IPT model aids in the dynamic understanding of the Ms. B.’s internal experience and personality functioning; what formal features of the Rorschach lend themselves to key constructs in the model; and how the IPT model addresses the referral questions and adds to an understanding of treatment issues, including likely transference/countertransference themes.

Assessing Narcissism Using Rorschach-Based Imagery and Behavior Validated by Clinician Reports: Studies With Adult Patients and Nonpatients

We evaluate 11 Rorschach variables with potential for assessing grandiosity and narcissism. Seven of these variables were drawn from previous literature: Omnipotence, Idealization, Reflection, Personal Knowledge Justification, Exhibitionism, Magic, and Elevated Mood States; four were developed for this research: Expanded Personal Reference, Narcissistic Devaluation, Narcissistic Deflation, and Narcissistic Denial. Using Rorschach protocols from American normative adults and Italian adult outpatients, the dimensional structure of these variables was evaluated by principal components analysis, and validity was tested by correlations with clinician ratings of narcissism on two scales from the Shedler–Westen Assessment Procedure–200 that were made after at least five sessions with the primary clinician. A cohesive dimension was found in both data sets defined by Expanded Personal Reference, Personal Knowledge Justification, Omnipotence, and Idealization, and it was meaningfully correlated with the clinician ratings of narcissism ( M r = .41). Implications of the findings include the applicability of these variables in clinical practice and research for assessing narcissistic personality dynamics.

Rorschach Nomological Network and Resting-State Large Scale Brain Networks

Despite advances in neuroscience, the field of personality assessment has not yet taken full advantage of the progress in neuroimaging techniques. Functional Magnetic Resonance Imaging (fMRI) is one of the most widely used neuroimaging techniques and allows the detection of brain processes and their anatomically detailed correspondences. In the last fifteen years, few studies have developed research designs using the Rorschach test in fMRI settings, analyzing the relationship between Rorschach variables and brain neural circuits. Although their findings were promising, some methodological issues related to fMRI research design have been outlined. Recently, personality neuroscience is emerging as a new field of research that attempts to deepen and refine neurobiological and psychological theories of personality using fMRI in resting state conditions. Recent studies report that resting state networks show a direct relationship with psychological traits. The aim of the present article is to propose a new research design that employs resting-state functional connectivity analyses to explore the brain’s functional architecture in relation to psychological constructs of Rorschach variables related to perceptual styles and personality traits.

Interaction structures in the psychodynamic therapy of a boy diagnosed with Asperger’s disorder: a single-case study

It is important to investigate the outcomes of psychotherapy and, especially, its process. Regarding child psychodynamic psychotherapy, available studies are in smaller numbers. Therefore, we still do not fully know the mechanisms of change in treatments with this age group. The Child Psychotherapy Q-Set (CPQ) was designed to analyze the therapeutic process with children. It permits one to identify interaction structures (i.e., repetitive patterns of interaction) and how they change in the course of a treatment. Based on these assumptions, the aim of this study was to identify and to analyze the interaction structures in the psychodynamic therapy of a boy diagnosed with Asperger’s disorder and possible changes in his psychic organization. A mixed longitudinal study, based on the Systematic Case Study procedure, was performed. Approximately 30 months of the boy’s psychotherapy were analyzed using the CPQ. The Rorschach method was used as the outcome measure. Four interaction structures were identified, using the CPQ: Active, confident and lively child, competing with connected, mentalizing and accepting therapist; Withdrawn and defensive child with uncertain, unresponsive and didactic therapist; Accepting therapist with demanding, provocative and hostile child; and Reassuring, supportive, nondirective therapist with a compliant and not spontaneous child. Two interaction structures varied over time. Some changes in Rorschach variables were detected after two years of treatment.