Application of the Rorschach test in psychological diagnosis of personality disorders
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Institute of Applied Psychology, Jagiellonian University, Krakow, Poland
the “Dąbrówka” Neurosis and Eating Disorders Center, Gliwice, Poland
Submission date: 2015-09-24
Final revision date: 2016-01-13
Acceptance date: 2016-01-13
Online publication date: 2016-05-25
Publication date: 2016-05-20
Health Psychology Report 2016;4(4):340–359
The paper presents the authors’ own research, which points to the possibility of applying the Rorschach test in the clinical diagnosis of personality disorders.

Participants and procedure
The clinical research was conducted in the years 2010-2013 in the Neurosis Treatment Center and in the Mental Health Outpatient Clinic. The study population comprised individuals with a medical diagnosis of neurotic personality organization as well as patients with more severely disorganized personality structure. The research participants had never undergone psychological evaluation for personality disorders (for instance, they had never taken the Rorschach test), and therefore it seemed rather difficult to verify the accuracy of the medical diagnoses which they had received, concerning the level of personality destabilization. Eighty Polish individuals participated in the research. The study population comprised 38 males (47.50%) and 42 females (52.50%). The mean age of women was 30.40 (SD = 7.67). The men’s mean age was 35.10 (SD = 8.73). The examined females were somewhat younger than the male subjects. Methods: Rorschach test, clinical interview.
The statistical procedures applied in the present study allowed us to conduct empirical examination of the indicators of the investigated variables constituting the major psychological criteria for describing psychological functioning of personality, and thus to identify the main characteristics of neurotic as well as borderline level of personality organization. Analysis of the data obtained as a result of this research allowed us to distinguish two significantly different clusters in the group of 80 examined individuals.

The results of the present investigation indicate that despite the fact that the examined individuals displayed symptoms of different medical diagnoses (F40 and F60), the subjects comprising cluster 1 exhibited a higher level of personality structure compared with the study participants belonging to cluster 2.
Biagiarelli, M., Roma, P., Comparelli, A., Paola, M., Di Pomponio, I., Corigliano, V., Curto, M., Allison, G., McLean, M., & Ferracuti, S. (2015). Relationship between the Rorschach Perceptual Thinking Index (PTI) and the Positive and Negative Syndrome Scale (PANSS) in psychotic patients: a validity study. Psychiatry Research, 225, 315–321.
Bilash, I. S. (2011). An investigation of the relationship between empathy and the human movement response on the Rorschach test. Dissertation Abstracts International: Section B: The Sciences and Engineering, Vol. 72 (5-B), 3128. US: ProQuest Information & Learning. 0419-4217 (print).
Bram, A. D. (2010). The relevance of the Rorschach and patient-examiner relationship in treatment planning and outcome assessment. Journal of Personality Assessment, 92, 91–115. doi: 10.1080/00223890903508112.
Chabert, C. (1987). La psychopatologie a l’epreuve du Rorschach [The psychopathology the test of Rorschach]. Paris: Dunod.
Charnas, J. W., Hilsenroth, M. J., Zodan, J. & Blais, M. A. (2010). Should I stay or should I go? Personality Assessment Inventory and Rorschach indices of early withdrawal from psychotherapy. Psychotherapy, 47, 484–499.
Clarkin, J. F., Fonagy, P., & Gabbard, G. O. (2013). Psychoterapia psychodynamiczna [Psychodynamic psychotherapy]. Kraków: Wydawnictwo Uni­wersytetu Jagiellońskiego.
Cooper, S. H., Perry, J. C., & Arnow, D. (1988). An empirical approach to the study of defense mechanisms: I. reliability and preliminary validity of the Rorschach Defense Scale. Journal of Personality Assessment, 52, 183–203.
Czerederecka, A. (2006). Test Rorschacha w psychologicznej ekspertyzie sądowej [Application of the Rorschach test in forensic psychological evaluation]. Krakow: Wydawnictwo Instytutu Ekspertyz Sądowych IES.
De Tichey, C. (1982). Test de Rorschach et mechanisms de defense dans les ‘etats-limites’ [Rorschach test and the defense mechanism in borderline disorders]. Psychologie Medicale, 14, 1965–1874.
Diener, M. J., Hilsenroth, M. J., Shaffer, S. A., & Sexton, J. E. (2011). A meta‐analysis of the relationship between the Rorschach Ego Impairment Endex (EII) and psychiatric severity. Clinical Psychology & Psychotherapy, 18, 464–485.
Di Nuovo, S. (2000). A diagnosis of the borderline personality disorder by means of the Rorschach test. Przegląd Psychologiczny, 43, 101–114.
Dulz, B., & Schneider, A. (1997). Borderline-Störungen. Theorie und Therapie [Borderline disorders. Theory and therapy]. Stuttgart: Schattauer Verlagsgesellschaft.
Exner, J. E. (1974). The Rorschach: A Comprehensive System. New York: Wiley.
Exner, J. E. (1978). The Rorschach: A Comprehensive System. Vol. 2: Recent research and advanced interpretation. New York: Wiley.
Exner, J. E. (1986). Some Rorschach data comparing schizophrenics with borderline and schizotypal personality disorders. Journal of Personality Assessment, 50, 455–471.
Fellers, G. L. (2012). A study of the relationships between selected Rorschach variables and neuroticism and extraversion. Dissertation Abstracts International: Section B: The Sciences and Engineering 72 (5-B), 3128, US: ProQuest Information & Learning, ISSN: 0419-4217.
Gabbard, G. O. (2009). Psychiatria psychodynamiczna w praktyce klinicznej [Psychodynamic psychiatry in clinical practice]. Kraków: Wydawnictwo Uniwersytetu Jagiellońskiego.
Gacono, C. B., Meloy, J. R, & Berg, J. L. (1992). Object relations, defensive operations, and affectivestates in narcissistic, borderline and antisocial personality disorder. Journal of Personality Assessment, 55, 270–279.
Gacono, C. B., & Meloy, J. R. (1997). The Rorschach research and psychodiagnostic of antisocial and psychopathic personalities. Rorschachiana, 22, 130–148.
Grabski, B., & Gierowski, K. (2012). Zaburzenia osobowości – różne spojrzenia i próby ich integracji [Personality disorders – different outlooks and attempts at their integration]. Psychiatria Polska, 46, 829–844.
Izydorczyk, B., & Gąska, A. (2015). Application of psychological diagnosis in the process of establishing criteria for psychodynamic therapy designed for patients with personality disorders. Archives of Psychiatry and Psychotherapy, 4, 5–16.
Jordan, R. J. (2012). Use of the Rorschach and MMPI-2 in Distinguishing Pedophilic and Teleiophilic Sexual Offenders. Dissertation Abstracts International: Section B: The Sciences and Engineering, 73 (4-B), 2505. US: ProQuest Information & Learning.
Kernberg, O. F. (1967). Borderline personality organization. Journal of the American Psychoanalytic Association, 15, 641–685.
Kernberg, O. F. (1977). The structural diagnosis of borderline personality organization. In P. Hartocollis (ed.), Borderline personality disorders. The concept, the syndrome, the patient (pp. 87-121). New York: International Universities Press.
Kwawer, J., Lerner, H., Lerner, P., & Sugarman, A. (1980). Borderline phenomena and the Rorschach test. New York: International Universities Press.
Łuszczyńska-Cieślak, A., & Cieślak, R. (1996). Minnesocki Wielowymiarowy Inwentarz Osobowości [The Minnesota Multidimensional Personality Inventory]. Encyklopedia Badań Medycznych. Gdańsk: Wydawnictwo Medyczne MAKmed.
McCrae, R. R., & Costa, P. T. (2005). Osobowość dorosłego człowieka: perspektywa teorii pięcioczynnikowej [A five-factor theory perspective on adult personality]. Kraków: Wydawnictwo WAM.
McWilliams, N. (2010). Diagnoza psychoanalityczna [Psychoanalytic diagnosis]. Gdańsk: Gdańskie Wydawnictwo Naukowe GWP.
Paluchowski, W. J. (1984). Stosowanie i interpretacja kwestionariusza MMPI [Application and interpretation of the MMPI inventory]. Warszawa: PTP.
Shafer, T. W., Erdberg, P., & Meyer, G. (2007). Introduction to the JPA Special Supplement on International Reference Samples for the Rorschach Comprehensive System. Journal of Personality Assessment, 2, S2–S6. doi: 10.1080/00223890701629268.
Siuta, J. (2006). NEO-PI-R – Inwentarz Osobowości NEO-PI-R P. T. Costy Jr i R. R. McCrae [The NEO-PI-R inventory by P.T Costa & R. R. McCrae]. Warszawa: Pracownia Testów Psychologicznych PTP.
Stasiakiewicz, M. (2004). Test Rorschacha [The Rorschach test]. Warszawa: Wydawnictwo Naukowe Scholar.
The status of the Rorschach in Clinical and Forensic Practice: an official statement by the Board of Trustees of the Society for Personality Assessment (2005). Journal of Personality Assessment, 85, 219–237.
Waszkiewicz, E., & Zakrzewska-Wirkus, K. (2012). Test Rorschacha w diagnostyce klinicznej i badaniach międzykulturowych [Application of the Rorschach test in a clinical diagnosis and cross-cultural studies]. Psychiatria i Psychoterapia, 8, 21–36.
Xian-Zhang, M., & Ting-Ye, L. (2015). Differences of Ego Impairment Index of Rorschach test between patients with schizophrenia and normal individuals. Chinese Mental Health Journal, 29, 522–527.
Yazigi, L., Semer, N., de Carvalho, A. T., de Mattos Fiore, M. L., da Silva, J., Freitas R., & Botelho, N. (2011). Rorschach and the WAIS-III after one and two years of psychotherapy. Psicologia: Reflexão e Crítica, 24, 10–18.
Zodan, J., Hilsenroth, M. J., Charnas, J., Goldman, R., & Bornstein, R. (2014). Rorschach assessment of childhood sexual abuse severity, borderline pathology, and their interaction: An examination of criterion validity. Psychological Trauma: Theory, Research, Practice, and Policy, 6, 318–327.