Developments in the Rorschach Assessment of Disordered Thinking and Communication

In its first 100 years, the Rorschach has been heralded as a valuable method for investigating disturbances in thought organization and reasoning. It has survived periods of intense scrutiny and criticism, as contemporary researchers continued to demonstrate the empirical validity of the Rorschach as a measure of disordered thinking ( Mihura et al., 2013 ). It is fitting to mark the centenary of Rorschach’s “experiment” by summarizing contemporary contributions of the Rorschach Performance Assessment System (R-PAS) and reviewing the empirical and conceptual bases for using the inkblots to assess disordered thinking and communication.

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 We also provide unpublished data to complement the picture from peer-reviewed studies.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.

Eating Disorders and the Rorschach

In this article we review research on eating disorders with the Rorschach. In this field there are two main lines of research involving two specific methodologies: the Comprehensive System and the French school. We present the main results of the different studies separately and then comment on some similarities and differences in the findings. We find that the results of these studies are complementary on certain aspects of functioning found in anorexia nervosa as compared with other categories of eating disorders. Both sets of studies underline the self-centeredness of anorexic patients with their difficulty in communicating their feelings and thoughts. In both types of study, treatment is understood as relying on an integrative and multidisciplinary model that seeks to modify the eating behaviors and to improve ego functions in order to moderate the patient’s distress. In addition, both types of research show that secure attachment would be the first priority for the therapist in psychological treatment, which should increase the patient’s confidence in others. They also both stress the importance of the restoration of self-esteem and a sense of identity through the support offered by the relationship to the therapist.

The Rorschach and Trauma – An Update

Early research on trauma employing the Rorschach found it to be an ideal instrument, with its red, black, gray, and vibrant colors, to elicit trauma content. Two patterns of Rorschach responses emerged: the constricted pattern, where the evaluee kept to a form-based, avoidant approach to the blot, as if defending against the memories of the trauma, and a flooded pattern, where morbid and aggressive images paralleled that of psychosis. The Rorschach as an instrument continues to demonstrate high sensitivity to the experience of trauma, and research since 2005 has added complexity and additional validation for the use of the Rorschach in the evaluation of the effects of trauma.