By James H. Kleiger
In Disordered pondering and the Rorschach, James Kleiger presents a completely up to date textual content that covers the complete diversity of medical and diagnostic matters linked to the phenomenon of disordered pondering as printed at the Rorschach. Kleiger publications the reader in the course of the background of psychiatric and psychoanalytic conceptualizations of the character and value of alternative different types of disordered considering and their relevance to realizing character constitution and differential analysis. He then strikes directly to thorough studies of the respective contributions of David Rapaport, Robert Holt, Philip Holzman, and John Exner in conceptualizing and scoring disordered pondering at the Rorschach. those synopses are by way of an both interesting exam of much less popular study conceptualizations, which, taken jointly, aid make clear the fundamental interpretive conundrums besetting the main platforms.
Finally, having introduced the reader to an entire knowing of systematic exploration to this point, Kleiger enters right into a specific research of the phenomenological and psychodynamic elements of disordered pondering consistent with se. Even skilled clinicians will locate themselves challenged to reconceptualize such general different types as confabulatory or combinative pondering in a way that leads not just to new diagnostic precision, but additionally to a richer knowing of the different types of inspiration disturbances with their both variable healing and prognostic implications.
With Disordered considering and the Rorschach, Kleiger has succeeded in summarizing a wealth of expertise referring to the rigorous empirical detection and class of disordered considering. both striking, he has taken complete good thing about the Rorschach as an evaluate software capable of trap the richness of character and hence able to supplying a different medical window into these crucially vital changes within the caliber of concept that sufferers could evince.
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Extra resources for Disordered Thinking and the Rorschach: Theory, Research, and Differential Diagnosis
Further details of the Rapaport system will be taken up in the next chapter. Suffice it to say, Rapaport's work was widely and harshly criticized because of the methodological flaws in his research and statistical analyses. Some of these errors were glaring and led critics to dismiss the nature of Rapaport's contributions to the Rorschach assessment of disordered thinking. As Goldfried, Stricker, and Weiner (1971) pointed out, the basic method involved elements of a sign approach; however, I believe that it is inaccurate to characterize the Rapaport system as simply an empirical sign approach.
Traditionally Studied as a psychological construct, researchers have increasingly sought to understand disordered thinking from a cognitive neuroscience perspective. Actually, both Bleuler (1911) and Kraepelin (1896) paved the way for later efforts to conceptualize thought disorder neuropsychologically. Both highlighted the attentional deficits in schizophrenia. As a result, the domain of attention early captured the interest of neuroscientists seeking to understand the cognitive and neurological substrata of thought disorder.
Examples of these two widely used categories of measurement will be reviewed below. INTERVIEWS WITH RATING SCALES. Structured and unstructured interview techniques are usually accompanied by rating scales which attempt to categorize degrees of severity of different types of thought disorder. Johnston and Holzman (1979) mentioned several thought disorder rating scales that have been based on interview techniques over the last 25 years. Among these are Bellak's thought process rating scale (Bellak, 1969); Cancero's rating scale for thought disorder (Cancero, 1969); and Grinker and Holzman's Schizophrenia State Inventory (Grinker and Holzman, 1973).