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Assessing Posttraumatic Stress Disorder with the Rorschach Projective Technique

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International Handbook of Traumatic Stress Syndromes

Part of the book series: The Plenum Series on Stress and Coping ((SSSO))

Abstract

The literature on the theory and clinical implications of posttraumatic stress disorder (PTSD) has grown enormously over the past 10 years, yet clearly in striking contrast to the relative paucity of literature regarding psychometric assessment. There are few psychological instruments in use which have adequate norms for the evaluation of PTSD, particularly for nonmilitary traumatic events. Currently, there is much evidence that many kinds of “civilian” disasters (e.g., rape, violent assault, natural disasters, hostage situations, etc.) can produce a stress response (Green, Lindy, & Grace, 1985; Horowitz, 1976, 1985; Krystal & Niederland, 1968; Sales, Baum, & Shore, 1984).

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References

  • American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author.

    Google Scholar 

  • American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (3rd ed., rev.). Washington, DC: Author.

    Google Scholar 

  • Aron, L. (1982). Stressful life events and Rorschach content. Journal of Personality Assessment, 46 (6)}, 582–585.

    Article  PubMed  CAS  Google Scholar 

  • Bard, M., Arnone, H., & Nemiroff, D. (1986). Contextual influences on the post-traumatic stress adaptation of homicide survivor-victims. In C. R. Figley (Ed.), Trauma and its wake: Vol. II. Traumatic stress theory, research, and intervention. New York: Brunner/Mazel.

    Google Scholar 

  • Bard, M., & Sangrey, D. (1986). The crime victim’s book (2nd ed.). New York: Brunner/Mazel.

    Google Scholar 

  • Bersoff, S. (1970). Rorschach correlates of traumatic neurosis of war. journal of Projective Techniques and Personality Assessment, 34 (3)}, 194–200.

    Article  CAS  Google Scholar 

  • Brett, E., & Ostroff, R. (1985). Imagery and post-traumatic stress disorder: An overview. American journal of Psychiatry, 142 (4)}, 417–424.

    PubMed  CAS  Google Scholar 

  • Burgess, A., & Holmstrom, R. (1974). Rape trauma syndrome. American journal of Psychiatry, 131, 981–985.

    PubMed  CAS  Google Scholar 

  • Burke, H., & Mayer, S. (1985). The MMPI and the posttraumatic stress syndrome in Vietnam era veterans. Journal of Clinical Psychology, 41 (2)}, 152–156.

    Article  PubMed  CAS  Google Scholar 

  • Carr, A. (1984). Content interpretation re: Salley and Teiling’s “Dissociated rage attacks in a Vietnam veteran: A Rorschach study.” Journal of Personality Assessment, 48 (4)}, 420–421.

    Article  PubMed  CAS  Google Scholar 

  • Carr, A. (1985). Rorschach content interpretation in posttraumatic stress disorders: A reply to Kowitt. Journal of Personality Assessment, 49(1), 25.

    Article  PubMed  CAS  Google Scholar 

  • Davidson, P., & Jackson, C. (1985). The nurse as a survivor: Delayed post-traumatic stress reaction and cumulative trauma in nursing. International Journal of Nursing Studies, 22 (1)}, 1–13.

    Article  PubMed  CAS  Google Scholar 

  • Durham, T., McCammon, S., Allison, Y, & Williamson, J. (1987). Psychological adjustment of rescue workers following two disasters. Paper presented at the national meeting of the Academy of Criminal Justice Sciences, St. Louis, MO.

    Google Scholar 

  • Exner, J. (1974). The Rorschach: A comprehensive system. New York: Wiley.

    Google Scholar 

  • Exner, J. (1985). A Rorschach workbook for the comprehensive system (2nd ed.). New York: Rorschach Workshops.

    Google Scholar 

  • Exner, J. (1986). The Rorschach: A comprehensive system: Vol. I. Basic foundations (2nd ed.). New York: Wiley.

    Google Scholar 

  • Exner, J. (1990). A Rorschach workbook for the comprehensive system (3rd ed.). North Carolina: Rorschach Workshops.

    Google Scholar 

  • Freud, S. (1954). Beyond the pleasure principle. In J. Strachey (Ed. and Trans.), The standard edition of the complete psychological works of Sigmund Freud (Vol. 3). London: Hogarth Press, 1954. (Original work published 1920)

    Google Scholar 

  • Green, B. L., & Grace, M. (1988). Conceptual issues in research. In J. Wilson, Z. Harel, & B. Kahana (Eds.), Human adaptation to extreme stress: From the holocaust to Vietnam. New York: Plenum Press.

    Google Scholar 

  • Green, B. L., Lindy, J., & Grace, M. (1985). Post-traumatic stress disorder: Toward DSM-IV. Journal of Nervous and Mental Disease, 173 (7)}, 406–411.

    Article  PubMed  CAS  Google Scholar 

  • Hartman, C., & Burgess, A. (1988). Rape trauma and the treatment of women. In F. Ochberg (Ed.), Post-traumatic therapy and victims of violence. New York: Brunner/Mazel.

    Google Scholar 

  • Hartman, W., Clark, M., Morgan, M., Dunn, V., Fine, A., Perry, G., & Winsch, D. (1990). Rorschach structure of a hospitalized sample of Vietnam veterans with PTSD. Journal of Personality Assessment, 54(1 & 2), 149–159.

    Article  PubMed  CAS  Google Scholar 

  • Horowitz, M. (1976). Stress response syndromes. New York: Jason Aronson.

    Google Scholar 

  • Horowitz, M. (1985). Disasters and psychological responses to stress. Psychiatric Annals, 15 (3)}, 161–167.

    Google Scholar 

  • Horowitz, M., Wilner, N., & Alvarez, W. (1979). Impact of event scale: A measure of subjective stress. Psychosomatic Medicine, 41 (3)}, 209–218.

    PubMed  CAS  Google Scholar 

  • Janoff-Bulman, R. (1985). The aftermath of victimization: Rebuilding shattered assumptions. In C. R. Figley (Ed.), Trauma and its wake: The study and treatment of post-traumatic stress disorder (pp. 15–35). New York: Brunner/Mazel.

    Google Scholar 

  • Kardiner, A. (1941). The traumatic neuroses of war. New York: Paul B. Hoeber.

    Book  Google Scholar 

  • Keane, T. (1989). Personal communication with the author

    Google Scholar 

  • Keane, T., Malloy, P., & Fairbank, J. (1984). Empirical development of an MMPI subscale for the assessment of combatrelated posttraumatic stress disorder. Journal of Consulting and Clinical Psychology, 52 (5)}, 888–891.

    Article  PubMed  CAS  Google Scholar 

  • Kowitt, M. (1985). Rorschach content interpretation in posttraumatic stress disorders: A reply to Carr. journal of Personality Assessment, 49 (1)}, 21–24.

    Article  PubMed  CAS  Google Scholar 

  • Krystal, H. (1984). Psychoanalytic views of human emotional damages. In B. van der Kolk (Ed.), Post-traumatic stress disorder: Psychological and biological sequelae Washington, DC: American Psychiatric Press.

    Google Scholar 

  • Krystal, H. (1988). Integration and self healing: Affect, trauma, alexithymia. New York: Analytic Press.

    Google Scholar 

  • Krystal, H., & Niederland, W. (1968). Clinical observations on the survivor syndrome. In H. Krystal (Ed.), Massive psychic trauma New York: International University Press.

    Google Scholar 

  • Lejeune, A. (1973, October). On being mugged. Urban Life and Culture, 254–287.

    Google Scholar 

  • Lewis, C., & Arsenian, J. (1982). Psychological resolution of homicide after ten years. Journal of Personality Assessment, 46 (6)}, 647–657.

    Article  PubMed  CAS  Google Scholar 

  • Lifton, R. J. (1976). The life of the self. New York: Simon & Schuster.

    Google Scholar 

  • Lifton, R. J. (1988). Understanding the traumatized self: Imagery, symbolization, and transformation. In J. P. Wilson, Z. Harel, & B. Kahana (Eds.), Human adaptation to extreme stress: From the Holocaust to Vietnam (pp. 7–31). New York: Plenum Press.

    Google Scholar 

  • Lifton, R. J., & Olson, E. (1976). The human meaning of total disaster: The Buffalo Creek experience. Psychiatry, 39, 1–18.

    PubMed  CAS  Google Scholar 

  • Lindy, J. (1985). The trauma membrane and other clinical concepts derived from psychotherapeutic work with survivors of natural disasters. Psychiatric Annals, 15 (3)}, 153–160.

    Google Scholar 

  • Lindy, J. D., Green, B. L., Grace, M., & Titchener, J. (1983). Psychotherapy with survivors of the Beverly Hills Supper Club fire. American Journal of Psychotherapy, 37, 593–610.

    PubMed  CAS  Google Scholar 

  • Modlin, H. (1967). A post accident anxiety syndrome: Psychosocial aspects. American Journal of Psychiatry, 123 (8)}, 1008–1012.

    PubMed  CAS  Google Scholar 

  • Newman, J. (1987). Differential diagnosis in post-traumatic stress disorder: Implications for treatment. In T. Williams (Ed.), Post-traumatic stress disorder: A handbook for clinicians Cincinnati, OH: Disabled American Veterans.

    Google Scholar 

  • Nichols, B., & Czirr, R. (1986). Post-traumatic stress disorder: Hidden syndrome in elders. Clinical Cerontologist, 5(3 & 4), 417–433.

    Article  Google Scholar 

  • Niederland, W. (1964). Psychiatric disorders among persecution victims: A contribution to the understanding of concentration camp pathology and its after-effects. Journal of Nervous and Mental Diseases, 139, 458–474.

    Article  CAS  Google Scholar 

  • Ochberg, F. (1988). Post-traumatic therapy and victims of violence. In F. Ochberg (Ed.), Post-traumatic therapy and victims of violence. New York: Brunner/Mazel.

    Google Scholar 

  • Parker, K. (1983). A meta-analysis of the reliability and validity of the Rorschach. Journal of Personality Assessment, 47 (3)}, 227–231.

    Article  PubMed  CAS  Google Scholar 

  • Peterson, C., & Seligman, M. (1983). Learned helplessness and victimization. Journal of Social Issues, 2, 103–116.

    Article  Google Scholar 

  • Robins, L. N., Heizer, J. E., Croughan, J., & Ratcliff, K. S. (1981). The NIMH Diagnostic Interview Schedule: Its history, characteristics, and validity. Archives of General Psychiatry, 38, 1381–1389.

    Article  Google Scholar 

  • Rose, D. (1986). “Worse than death”: Psychodynamics of rape victims and the need for psychotherapy. American Journal of Psychiatry, 143 (7)}, 817–824.

    PubMed  CAS  Google Scholar 

  • Sales, E., Baum, M., & Shore, R. (1984). Victim readjustment following assault. Journal of Social Issues, 40 (1)}, 117–136.

    Article  Google Scholar 

  • Salley, R., & Teiling, P. (1984). Dissociated rage attacks in a Vietnam veteran: A Rorschach study. Journal of Personality Assessment, 48 (1)}, 98–104.

    Article  PubMed  CAS  Google Scholar 

  • Schachtel. (1966). Experimental foundations of Rorschach’s test. New York: Basic Books, p. 7.

    Google Scholar 

  • Scurfield, R. (1985). Post-traumatic stress assessment and treatment: Overview and formulations. In C. Figley (Ed.), Trauma and its wake: The study and treament of post-traumatic stress disorder (pp. 219–256). New York: Brunner/Mazel.

    Google Scholar 

  • Seamons, D., Howell, R., Carlisle, A., & Roe, A. (1981). Rorschach simulation of mental illness and normality by psychotic and non-psychotic legal offenders. Journal of Personality Assessment, 4 (2)}, 130–135.

    Article  Google Scholar 

  • Shalit, B. (1965). Effects of environmental stimulation on the M., FM and m responses in the Rorschach. Journal of Projective Techniques and Personality Assessment, 29, 228–231.

    Article  CAS  Google Scholar 

  • Souffront, E. (1987). The use of the Rorschach in the assessment of post-traumatic stress disorder among Vietnam combat veterans. (Doctoral dissertation, Temple University, 1987.) Dissertation Abstracts International, 48, 04B.

    Google Scholar 

  • St. Pierre, J. (1988). Rorschach responses of sexually abused children. Unpublished doctoral dissertation, Massachusetts School of Professional Psychology, MA.

    Google Scholar 

  • Swanson, G., Blount, J., & Bruno, R. (1990). Comprehensive system Rorschach data on Vietnam combat veterans. Journal of Personality Assessment, 54(1 & 2), 160–169.

    Article  PubMed  CAS  Google Scholar 

  • Thorndike, R., & Hagen, E. (1969). Measurement and evaluation in psychology and education. New York: Wiley.

    Google Scholar 

  • Titchener, J., & Kapp, F. (1976). Family and character change at Buffalo Creek. American Journal of Psychiatry, 133 (3)}, 295–299.

    PubMed  CAS  Google Scholar 

  • Trimble, M. (1981). Post-traumatic neurosis: From railway spine to whiplash. New York: Wiley.

    Google Scholar 

  • van der Kolk, B. (1984). Adult psychic trauma: Psychological and biological sequelae. Washington, DC: American Psychiatric Press.

    Google Scholar 

  • van der Kolk, B. (1987). The psychological consequences of overwhelming life experiences. In B. van der Kolk (Ed.), Psychological trauma (pp. 1–30). Washington, DC: American Psychiatric Press.

    Google Scholar 

  • van der Kolk, B., & Ducey, C. (1989). The psychological processing of traumatic experience: Rorschach patterns in posttraumatic stress disorder. Journal of Traumatic Stress, 2 (3)}, 259–274.

    Article  Google Scholar 

  • van der Kolk, B., & van der Hart, O. (1989). Pierre Janet and the rediscovery of psychological trauma. American Journal of Psychiatry, 146 (12)}, 1530–1540.

    PubMed  Google Scholar 

  • Wilson, J. (1989). Trauma, transformation, and healing: An integrative approach to theory, research and post-traumatic therapy. New York: Brunner/Mazel.

    Google Scholar 

  • Wilson, J. P. (1990). Personal communication with the author.

    Google Scholar 

  • Wilson, J., Harel, Z., & Kahana, B. (Eds.). (1988). Human adaptation to extreme stress: From the Holocaust to Vietnam. New York: Plenum Press.

    Google Scholar 

  • Wilson, J., Smith, W. K., & Johnson, S. (1985). A comparative analysis of PTSD among various survivor groups. In C. R. Figley (Ed.), Trauma and its wake: The study and treatment of posttraumatic stress disorder (pp. 142–172). New York: Brunner/Mazel.

    Google Scholar 

  • Wilson, J., & Zigelbaum, S. D. (1986). Post-traumatic stress disorder and the disposition to criminal behavior. In C. R. Figley (Ed.), Trauma and its wake: Vol. II. Traumatic stress theory, research and intervention (pp. 305–321). New York: Brunner/Mazel.

    Google Scholar 

  • Zilberg, N., Weiss, D., & Horowitz, M. (1982). Impact of Event Scale: A cross-validation study and some empirical evidence supporting a conceptual model of stress response syndromes. Journal of Consulting and Clinical Psychology, 30, 407–414.

    Article  Google Scholar 

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Levin, P. (1993). Assessing Posttraumatic Stress Disorder with the Rorschach Projective Technique. In: Wilson, J.P., Raphael, B. (eds) International Handbook of Traumatic Stress Syndromes. The Plenum Series on Stress and Coping. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-2820-3_16

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  • DOI: https://doi.org/10.1007/978-1-4615-2820-3_16

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