The objective of this study was to construct normative tables for the Rorschach Comprehensive System for Brazilian children from public and private schools. The sample was selected using the Child Behavior Checklist and the Raven Test. The Rorschach was administered to children from 7 to 10 years old, both genders, from public schools (N=110) and private schools (N=101) in the city of Cuiabá, Mato Grosso State. Normative tables were created from the 113 variables of the Rorschach Comprehensive System, taking into consideration school type and age group. A comparison of the results demonstrated higher results in the R, Sum Y and Blend variables and in the Intellectualization Index among private school children, and higher Lambda scores among public school children.
This study provides Rorschach Comprehensive System normative data for Brazilian boys and girls drawn from public and private schools. Initially, the Child Behavior Checklist was administered to parents to assess the child's social competence and to screen out behavioral disturbances. Afterward, the Raven's Color Progressive Matrices was administered to exclude children with low intellectual development. Finally, the Rorschach Comprehensive System was administered to the selected 211 children who were distributed in 4 subgroups: 7-year-olds (n = 50), 8-year-olds (n = 53), 9-year-olds (n = 52), and 10-year-olds (n = 56). Interrater reliability statistics were calculated, including percentage of agreement and iota. Descriptive statistics of all variables of the Comprehensive System for each subgroup are presented and contrasted with results from other relevant comparison samples.
ResumoA proposta foi avaliar mudanças decorrentes de psicoterapia psicanalítica em pessoas assistidas em um serviço universitário. Assim, 68 pessoas adultas, de ambos os sexos, foram avaliadas antes e depois de um ano de psicoterapia. Os protocolos de Rorschach Sistema Compreensivo foram analisados de acordo com seu grau de complexidade, metade em "menor" [R↓+F↑] e metade em "maior" [R↑+F↓]. Diferenças estatisticamente significantes foram encontradas com (a) aumento no grupo de "menor" complexidade e diminuição no grupo de "maior" complexidade em: R; EA; es; SumY; SumShd; FC+CF+C; CF+C; M; ativo; FD; H+(H)+Hd+(Hd); H puro, DEPI, (b) diminuição no "menor" e aumento no "maior" em Lambda e F puro. Observouse confluência dos resultados, com o grupo de "maior" complexidade com menos turbulência em suas emoções e o de "menor" complexidade expressando abertura às experiências, mesmo se desconfortáveis. A terapia mostrou trazer benefícios a essas pessoas. Palavras-chave: Rorschach Sistema Compreensivo, Avaliação de resultado de intervenções terapêuticas, psicoterapia Psicanalítica. Rorschach Comprehensive System on the evaluation of psychodynamic psychotherapy AbstractThe proposal aimed to evaluate changes due to psychoanalytic psychotherapy on individuals assisted in a university clinic. Thus, 68 adult subjects, both genders, were evaluated before and after one year of psychotherapy. The Rorschach Comprehensive System protocols were analyzed according to their level of complexity, half on "low" [R↓+F↑] and half on "high" [R↑+F↓]. Significant statistical differences were found for (a) increase in "low" complexity group and decrease in 'high' complexity group on: R; EA; es; SumY; SumShd; FC+CF+C; CF+C; M; active; FD; H+(H)+Hd+(Hd); H pure, DEPI, (b) decrease in "low" and increase in "high" on Lambda and F pure. A confluence of these results was observed; the "high" complexity group showing less turbulence of their emotions, and the "low" complexity group displaying openness to experiences, even if of a more discomforting kind. The therapy proved to be beneficial to the individuals.
Abstract:The creation of the Rorschach Performance Assessment System (R-PAS) requires research that allows its use in the Brazilian population. The Formal Quality (FQ) category is essential both for clinic and research. The aim of this study was to compare form quality variables in Rorschach protocols from psychiatric patients and ratings coded in the Comprehensive System (CS) and R-PAS. The sample comprised 206 Rorschach protocols from adult patients in psychiatric treatment, who were also assessed by SCID-I and SCID-II. Most protocols were administered in the CS and recoded according to the R-PAS. The kappa coefficient was calculated, and we compared the means of these variables in both systems. The kappa results varied from almost perfect to substantial consistency for all variables, however, the descriptive statistics confirmed that the R-PAS elicits more FQ ordinary coding while the CS elicits more FQ minus coding. Keywords Calidad Formal del Sistema Comprehensivo de Rorschach y R-PAS: Muestra de Casos PsiquiátricosResumen: La creación del Sistema de Evaluación del Desempeño de Rorschach (R-PAS) requiere estudios para su uso en la población brasileña. La calidad formal (FQ) es una categoría esencial en la clínica y la investigación. El objetivo del estudio fue comparar variables de FQ de protocolos de Rorschach codificados por el Sistema Comprehensivo y R-PAS. La muestra consistió de 206 protocolos de Rorschach de pacientes adultos en tratamiento psiquiátrico, que también fueron evaluados por la SCID-I y SCID-II. La mayoría de los protocolos fue aplicada en el SC y re-codificados de acuerdo con el R-PAS. Se calculó el coeficiente kappa y se comparó el promedio de estas variables en los dos sistemas. Los resultados de kappa se variaron desde concordancia casi perfecta hasta consistencia considerable para todas las variables, pero las estadísticas descriptivas confirmaron que el R-PAS provoca más codificación de FQ ordinaria y el SC de FQ menos.
Abstract. This paper is about a psychoanalytic psychotherapy follow-up by the Rorschach Comprehensive System of Doralice, a 30-year-old, unemployed, single woman, with diagnosis of Major Depressive Disorder, recurrent, severe, with psychotic features (Axis-I); and Borderline Personality Disorder (Axis-II) in DSM IV. The Rorschach Comprehensive System was administered upon admission and also in five annual follow-ups. In this paper, the authors show the characteristics and the development of the dual therapeutic attachment that will be illustrated by the responses to the Rorschach cards II, III and VII, focusing mainly on the MOA scale on the four assessments. The authors will discuss the development of good internal objects over the years during the psychotherapeutic process with a turning point in the third year of treatment that is manifested in the Rorschach. The State of São Paulo Research Foundation, FAPESP, sponsored this study.
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