The Ego Impairment Index as a Predictor of Outcome in Melancholic Depressed Patients Treated With Tricyclic Antidepressants

Perry, William; Viglione, Donald J.

doi:10.1207/s15327752jpa5603_10

Cited by 106 publications

(151 citation statements)

References 22 publications

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“…It is possible that the GHR taps a partly different set of interpersonal capacities compared to the SPS. Our finding that the GHR was associated with the SPS suggests that the GHR, like the SPS, might have potential utility in predicting the outcome of psychotherapy [6]. Thus, the prediction of the GHR, in comparison to the SPS, should be addressed in future studies.…”

Section: General Findingsmentioning

confidence: 90%

“…The Ego Impairment Index (EII) [6], (EII-2) [7] is a theoretically based composite Rorschach measure, designed to provide data regarding reality testing, reasoning processes, defensive functions, and the quality of object relationships [7].…”

Section: Introductionmentioning

confidence: 99%

“…It thus measures the underlying ego organization and the capacity to meet internal and external demands and stressors [6]. Previous studies have demonstrated the ability of the EII-2 to reflect the continuum of psychiatric severity [8] and to distinguish between patient groups representing a diverse range of impairment, e.g., inpatients vs. outpatients [9] and patients with psychotic disorder vs. non-patients [10].…”

Section: Introductionmentioning

confidence: 99%

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Associations between the Rorschach Ego Impairment Index and Measures on Intrapsychic and Interpersonal Functioning

Stenius¹,

Lindfors²,

Antikainen³

et al. 2018

OJPsych

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The Rorschach Ego Impairment Index-2 (EII-2) has shown considerable validity as a measure of personality disturbance. However, few studies have been conducted on the associations between the EII-2 and measures related to ego strength and interpersonal capacities in mood and anxiety disorder patients. This study examined the strength of associations between the EII-2 and its subcomponents with measures of psychological suitability for psychotherapy, personality functioning, and interpersonal problems. A total of 315 outpatients with mood or anxiety disorders were assessed with the Rorschach Comprehensive System (RCS), comprising the EII-2, the Suitability for Psychotherapy Scale (SPS), the Inventory of Interpersonal Problems (IIP-64), and the Quality of Object Relations Scale (QORS), as part of a pre-treatment evaluation. The relatively weak associations found in the study between the EII-2 and the other measures were mostly in the hypothesized direction and often modified by personality pathology. Of the EII-2 subcomponents, the Good Human Representation (GHR) variable was associated with the SPS. The subcomponent Critical Contents were associated with the IIP and the subcomponent WSum6 with the IIP and QORS. Further research is needed to clarify whether the EII-2 has incremental validity in predicting the treatment outcome and alliance in comparison to interview-based and self-report measures.

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Section: General Findingsmentioning

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Associations between the Rorschach Ego Impairment Index and Measures on Intrapsychic and Interpersonal Functioning

Stenius¹,

Lindfors²,

Antikainen³

et al. 2018

OJPsych

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“…Calculation of the HEV score requires that means and standard deviations from a distribution of scores be inserted into the HEV formula. Meyer's commentary argued that we had erroneously inserted the means and standard deviations from a study by Perry and Viglione (1991), whereas we should have inserted the means and standard deviations from a study by Haller (1982).…”

Section: Meyer's Commentarymentioning

confidence: 98%

“…The authors refer to Perry and Viglione (1991). These authors should know, per Perry and Viglione (p. 491) that the EII and the HEV weights are derived from data from Haller (1982).…”

Section: Meyer's Commentarymentioning

confidence: 99%

Advancing Scientific Discourse in the Controversy Surrounding the Comprehensive System for the Rorschach: A Rejoinder to Meyer (2000)

Wood¹,

Nezworski²,

Stejskal³

et al. 2001

Journal of Personality Assessment

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Sensorimotor Gating and Thought Disturbance Measured in Close Temporal Proximity in Schizophrenic Patients

Perry¹,

Geyer²,

Braff³

1999

Arch Gen Psychiatry

Self Cite

230

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Background: Sensorimotor gating abnormalities have been previously correlated with thought disturbance in schizophrenic patients. These correlative studies have led to the hypothesis that sensorimotor gating abnormalities may underlie thought disturbance. Several authors have cautioned, however, that this and similar hypotheses are supported by data recorded at different times or during "resting states" and therefore incorrectly assume that the observed association represents a concurrent relationship. To address this issue, sensorimotor gating and thought disturbance were measured in close temporal proximity, thus strengthening the evidence for the association of these 2 abnormalities in schizophrenic patients.Methods: Twenty-one schizophrenic men were assessed on measures of sensorimotor gating and thought disturbance. Sensorimotor gating was examined operationally via the use of prepulse inhibition. Thought disturbance was assessed via the Rorschach test measures of perceptual inaccuracy, disordered cognition, and the expression of normally repressed contents. Symptom rating scales (the Scale for the Assessment of Positive Symp-toms and the alogia subscale of the Scale for the Assessment of Negative Symptoms) were also used.Results: Deficient prepulse inhibition correlated significantly with 2 of the 3 Rorschach-derived thought disturbance measures. Prepulse inhibition was not correlated significantly with symptom rating scales. The Rorschach measure of impaired perceptual accuracy independently accounted for 60% of the variance in prepulse inhibition measures and contributed 35% of the unique variance beyond the effect attributable to the Scale for the Assessment of Positive Symptoms.Conclusions: Assessment of information processing and thought disturbance measures in close temporal proximity resulted in strong evidence that gating deficits correlate highly with measures of perceptual and reasoning disturbances. This relationship may form an important basis for the cognitive dysfunction observed among schizophrenic patients.

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The Ego Impairment Index as a Predictor of Outcome in Melancholic Depressed Patients Treated With Tricyclic Antidepressants

Cited by 106 publications

References 22 publications

Associations between the Rorschach Ego Impairment Index and Measures on Intrapsychic and Interpersonal Functioning

Associations between the Rorschach Ego Impairment Index and Measures on Intrapsychic and Interpersonal Functioning

Advancing Scientific Discourse in the Controversy Surrounding the Comprehensive System for the Rorschach: A Rejoinder to Meyer (2000)

Sensorimotor Gating and Thought Disturbance Measured in Close Temporal Proximity in Schizophrenic Patients

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