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We propose the addition of four aggressive indices for Rorschach scoring: aggressive content, aggressive potential, aggressive past, and sado-masochism scores. Interrater agreement is presented and ranges from 92-100%. Nomothetic comparisons are made between groups with higher base rates for violence with mixed results, although the sado-masochism frequency was significantly higher in severe psychopaths than in moderate psychopaths. Idiographic use of the aggression indices is emphasized, with a particular focus upon inferring the quality, intensity, and directionality of intrapsychic aggression in relation to self and object representations.

The Rorschach (RIM) provides information beyond what one gathers from self-report measures. In addition to CS data, psychoanalytic theory has led to several valid and reliable supplemental Rorschach scoring systems. When integrated, CS and supplemental RIM data increases the conceptual understanding of a patient or group, allowing for highly nuanced insights into personality functioning. In order to interpret Rorschach data one must understand that, for the most part 1) Rorschach variables measure traits (dimensions) not diagnosis (categories), that 2) the degree of pathology or health represented by a variable is determined in relationship to comparative group data, such as non-patients, and assessed within the context of the entire protocol or protocols (for group data), and, 3), confirming the presence or absence of a trait within a given sample necessitates a comparison to other relevant groups both those that contain threshold quantities of the identified trait, and those "absence" the trait. Throughout this article we underscore the essential contribution of a nomothetic context (using comparative CS data) for anchoring Rorschach interpretation. [ABSTRACT FROM AUTHOR]

After the sudden death of John Exner (developer of the Comprehensive System; CS; Exner, 1969, 2003), a new scoring system, the Rorschach Performance Assessment System (R-PAS; Meyer, Viglione, Mihura, Erard, & Edberg, 2011) was introduced. While the CS was developed with extensive research over approximately 40 years, this new system has only been studied for approximately fifteen years. When considering its forensic usage, it is essential to understand that CS validity research does not translate directly to R-PAS. One primary reason for the lack of translation is the differing administration procedures. Other factors such as the absence of comparison descriptive group data (non-patient, clinical, & forensic) and internal validity problems with studies utilized in the primary meta-analyses which supports the R-PAS variable selection should be considered in determining the methods admissibility. In this article, we discuss essential issues to consider prior to using the R-PAS in an applied context. [ABSTRACT FROM AUTHOR]

Mihura's (2019) recent commentary on Smith et al.'s (2018) article, "A Scientific Critique of Rorschach Research: Revisiting Exner's Issues and Methods in Rorschach Research (1995)" raised several issues surrounding our internal validity criteria and our approach to validating Rorschach research. Mihura also conducted additional statistical analyses that failed to address important, critical issues. In this article, we further clarify the importance of refining internal validity criteria for Rorschach research and Rorschach metaanalytic studies (our 2018 article). We offer this information and analysis to guide the Rorschach consumer toward a better understanding of how to assess the validity of Rorschach data and empirical findings. Criticisms of our criteria for evaluating Rorschach research (inter-rater reliability, IQ/Education level, Rorschach Responses, Lambda/F%, sample size) and our recommendation to include descriptive data for critical variables in all published Rorschach studies contradict accepted standards for Rorschach research. Mihura stated that "the associations between the Rorschach and self-report measures were not used to determine the validity of Rorschach variables" (p. 171) in her meta-analyses. Consequently, we applied our methodological criteria to only Mihura's externally assessed criteria studies (removing self-report studies; 67%) and found that 91% had three or more problems related to internal validity (13 had counter-intuitive findings). In addition, other central issues related to meta-analyses, application/validation studies, and counter-intuitive findings regarding the Rorschach were discussed. [ABSTRACT FROM AUTHOR]

Based on findings from prior research studies, trauma histories have been found to be ubiquitous in psychopathic women. In this study, the Rorschach Trauma Content Index (TCI) was used to better understand the trauma histories of incarcerated women (N = 180). The TCI was significantly correlated with total reported trauma events, reported sexual abuse, other Rorschach scores (AgPast, ROD), and scales on both the Personality Assessment Inventory and the Trauma Symptom Inventory-2. The TCI may be related more to sexual abuse than physical abuse and the traumatic intrusions appear to be related to borderline features and dependency in this sample. These results suggest that the TCI facilitates our understanding of trauma in the lives of incarcerated women. [ABSTRACT FROM AUTHOR]

Describes the San Luis Obispo County Jail Treatment program, which included crisis management, psychiatric services, substance abuse counseling, Graduate Equivalency Diploma preparation, vocation counseling, and postrelease counseling and referral. Data from 73 offenders indicated the approach was effective in lowering the immediate recidivism rate. (JAC)

Nonsexually offending psychopaths (N = 32) were compared to sexual homicide perpetrators (N = 38) and nonviolent pedophiles (N = 39) on select Comprehensive System Rorschach variables (Exner et al., 1993). Results indicate similarities among the groups in pathological narcissism, formal thought disorder, and borderline level reality testing. Nonsexually offending psychopaths are distinguished by their lack of interest in and attachment to others and their seemingly conflict-free internal world. While both sexually deviant groups evidenced interest in others and appear to experience a very dysphoric internal world, the sexual homicide perpetrators are distinguished by high levels of obsessional thought and an inability to disengage from environmental stimuli. Pedophiles show significantly more characterological anger, which may stem from their general inadequacy, cognitive rigidness, less alloplastic (acting out) style, and their introversive inability to gratify their needs. Rorschach differences add to our understanding of sexual deviation and violence among these three groups. C 2000 John Wiley & Sons, Inc. J Clin Psychol 56: 757--777, 2000. Keywords: psychopathy; sexual homicide; Rorshach; pedophilia

Psychopathy is considered an essential construct in forensic work (Gacono, 2016). Most methodologically sound studies have involved males rather than females (Smith et al., 2014). Gender differences have been found to be, and continue to be considered important in the assessment and management of forensic populations (Cunliffe et al., 2016). Male psychopaths present as pathologically narcissistic whereas female psychopaths manifest a malignant form of hysteria. Both are pathologically self-focused; however, the grandiosity in males is contrasted by women‘s negative self-view. In the current study, male and female psychopaths (males = N = 44; PCL-R M = 33.13; females = N = 46; PCL-R M = 32.93) were compared using select Comprehensive System Rorschach variables. Female psychopaths produced more painful rumination (SumV), helplessness (SumY), and poor self-regard (EGOI ≥ .44 & Fr + rF = 0) than the males. Males were more detached (SumT) than females. Implications for future research, recommendations for these populations, and suggestions for using the PCL-R to assess female offenders are discussed. [ABSTRACT FROM AUTHOR]

The case of a 42-year-old man with a nonviolent criminal history caused by compulsive gambling is presented. His Rorschach is analyzed and interpreted using both psychostructural (Exner, 1986) and psychodynamic (Cooper, Perry, & Arnow, 1988; Meloy & Gacono, 1992b) methodologies. Findings provide idiographic support for Meloy's (1988) hypothesis that a neurotic psychopath is an oxymoron, yet neurotic personality organization and criminal behavior can and do coexist. [ABSTRACT FROM AUTHOR]

The case of a 33-year-old White male with a history of sexual assault is presented. His Rorschach is analyzed and interpreted using both psychostructural (Exner, 1986) and psychodynamic (Cooper & Arnow, 1986; Kwawer, 1980; Meloy & Gacono, in press-b) methodologies. Findings are used to understand the presence and interaction of both psychopathic character and psychotic personality organization in this mentally ill, sadistic, and sexually predatory young man. [ABSTRACT FROM AUTHOR]

Discusses the role of Psychopathy Checklist-Revised (PCL-R) and Rorschach in treating Antisocial Personality Disordered (ASPD) patients. Reference to the decrease in mental health resources; Characteristics of ASPD patients; Reference to the use of psychopathy; Information on some of the behavioral patterns of ASPD patients.