This article examines the milieu of Hermann Rorschach's Psychodiagnostics (1921/2021) under development between 1911 and his death in 1922 and explores new evidence about the direction Rorschach's ...test might have taken after publication of Psychodiagnostics. This includes direct and indirect influences from turn of the century continental philosophy and science and innovative colleagues in the Swiss psychiatric and psychoanalytic societies. The availability of newly translated scholarship, including the correspondence between Ludwig Binswanger and Hermann Rorschach following the 1921 publication of Psychodiagnostics, Binswanger's posthumous 1923 commentary in the International Journal of Psychoanalysis, and recent new translation of Psychodiagnostics, permits a fresh appraisal of the milieu and foundations of Rorschach's development. Understanding these sources and influences opens new vistas in reappraising the nature of Rorschach's “test theory” which Rorschach considered undeveloped at the time of his death. This paper presents new evidence that, under the influence of Rorschach's close colleague, Ludwig Binswanger, the Geisteswissenschaften and phenomenology might have figured prominently in future developments. The paper concludes that Rorschach, preoccupied with considerations of kinesthetic subjectivity in his innovative conceptualization of human movement responses, was a nascent phenomenologist whose untimely death cut short further developments in his theory of the test.
Forensic psychologists commonly utilize unstructured clinical judgment in aggregating clinical and forensic information in forming opinions. Unstructured clinical judgment is prone to evaluator bias ...and suboptimal levels of inter-rater reliability. This article proposes Structured Professional Judgment (SPJ) methods as a potential remedy. Following a review of canonical forensic assessment models, the prevalence of bias in forensic judgments, and inter-rater agreement in criminal responsibility (CR) determinations, this article presents a SPJ model for CR evaluations translated from violence risk assessment methodology. A systematic user-friendly methodology is described, applying procedural checklists, application of a mental state at time of the offense (MSO) model using structured data collection methods, aggregation of empirical evidence guidelines, and
post-hoc
hypothesis testing using the Analysis of Competing Hypotheses (ACH). A case study describes application of the procedural and CR decision model in a complex homicide case. The model demonstrates the power and efficacy of the application of SPJ to forensic decision-making and is relevant to other types of forensic assessment (e.g., competency to stand trial, post-acquittal release decision-making).
This article focuses on ethical quandaries in the practice of indirect personality assessment in non-health-service psychology. Indirect personality assessment methods do not involve face-to-face ...interaction. Personality assessment at a distance is a methodological development of personality and social psychology, psychobiography, and psychohistory. Indirect personality methods are used in clinical, forensic, law enforcement, public safety, and national security settings. Psychology practice in non-health-service settings creates tensions between principles of beneficence and duty to society. This article defines methods of indirect personality assessment and some ethical ramifications. Their application in non-health-service settings occurs in the context of intense controversy over the ethics of psychologists' participation in work settings where there are third-party loyalties, absence of voluntary informed consent, presence of nonstipulated harms, and absence of legal and ethical accountability. A hypothetical case example illustrates typical quandaries encountered in a national security assessment. This article provides a framework for critically examining ethical quandaries, a contemporary conceptual and process model for integrative moral cognition, and parameters for ethical reasoning by the individual practitioner under the exigencies of real-world practice.
This article examines the historical background of the Behn-Rorschach Test based on new document translations, including the dissertation (Psychische Schüleruntersuchngen mit dem Formdeutversuch) ...conducted by H. Behn-Eschenburg under Hermann Rorschach's direct supervision and published in 1921. The Behn-Eschenburg dissertation was published at the same time and is a companion piece to Psychodiagnostics. The dissertation project applied Rorschach's clinical theory and coding scheme to a duplicate set of inkblots ("the parallel series") in a sample of 209 13-15-year-olds. The article reviews the newly translated correspondence between Rorschach, Behn-Eschenburg, and other colleagues in the development of the parallel series that was not published until 1940. Psychodiagnostics describes Hermann Rorschach's rationale and prerequisites for development of the parallel series, and the dissertation is an early extension into new territory beyond Psychodiagnostics. Various investigators in the 1950s and 1960s critically examined Rorschach's claims that the parallel series is equivalent to the original inkblots. The Behn-Eschenburg dissertation, published concurrently with Psychodiagnostics, illuminates the earliest development of Rorschach's psychology on the eve of his untimely demise.
This paper examined quality of forensic reports submitted to the Hawaii Judiciary. Hawaii utilizes a three panel system for assessing fitness to proceed, where two psychologists and one psychiatrist ...submit independent reports to the Court. Utilizing a survey instrument based on previous research and nationally-derived quality standards, 150 competency to stand trial (CST) reports were examined. Reports demonstrated pervasive mediocrity with respect to quality (Mean QC
=
68.95, SD
=
15.21). One quarter (
N
=
38) of the reports scored at or above 80% of the maximum possible score. Levels of CST agreement between evaluators and evaluators and judges were high. Report quality did not differ as a function of evaluator professional identity. Full-time employed evaluators submitted a greater number of reports above the quality criterion. For those evaluators who attended the March training, reports demonstrated significantly improved quality. Suggestions for enhancing report quality are offered with a special attention to inclusion of report elements, focus on inclusion of historical elements, and clearly described rationales supporting forensic opinions. (7664 words. Competency to stand trial, inter-rater agreement).
This article presents an introduction to Ludwig Binswanger’s Comments on Hermann Rorschach’s Psychodiagnostik, published in the International Journal of Psychoanalysis in 1923, after Rorschach’s ...death in 1922. Binswanger, one of the most distinguished psychiatrists of the twentieth century and a close professional colleague and compatriot in the Swiss Psychiatric and Psychoanalytic Societies, was blazing new trails by incorporating turn-of-the-century phenomenology and experimental psychology into Swiss psychiatry. His comments, which have been noted for over 100 years but never before translated, are a critical review of Rorschach’s monograph, highlighting the undeveloped status of the test theory and philosophical foundations. Binswanger’s comments illuminate philosophical, conceptual and scientific pathways not taken in the development of the test following Rorschach’s untimely demise.
Annually thousands of insanity acquitees are released from mental hospitals when they are no longer determined to be dangerous. This research examined quality of post-acquittal Conditional Release ...(CR) reports submitted to the Hawaii Judiciary. Hawaii utilizes a “three panel” system for assessing trial felony competency, criminal responsibility, and conditional release, where typically two psychologists (one Department of Health and one community-based) and one community-based psychiatrist submit independent reports to the Court. One hundred fifty CR reports were rated using a 44-item report quality measure. Interrater reliability trials indicated good to excellent agreement between quality ratings. Overall level of report quality was poor regardless of examiners' professional discipline, employer, or board certification status. Concordance rates for CR opinions were poor. Level of agreement between the judicial determination and majority recommendations was also poor. Reasons for the poor quality and level of agreement are discussed with recommendations for report quality improvement, including standardization of procedures and use of forensic risk assessment instruments.
The current study evaluated field reliability of forensic judgments in a state circuit court setting. Utilizing panels of three independently appointed examiners, Hawaii's system for evaluating ...mentally ill defendants charged with felonies provides a naturalistic laboratory for investigating decision-making processes in examiners and judges. The study focused on competency to stand trial (CST), criminal responsibility (NGRI), and postacquittal conditional release (CR) using a methodology adopted from clinical medicine and natural sciences. The entire adjudicative process from examination to judicial determination is examined as a forensic classification model. Examiner agreement and judicial consensus for 450 forensic reports were examined to assess performance in a non-crossed-data measurement design. Reliability of psycholegal constructs (CST, NGRI, postacquittal CR) was assessed using a novel reliability estimator (Krippendorff's alpha: KALPHA). This is the first study in the forensic mental health literature to examine interrater agreement for postacquittal conditional release decision making. Findings revealed adequate performance for CST, poor performance for CR, and marginal performance for NGRI decisions. Judges demonstrated independence in the presence of panel disagreements. Across the board, examiners demonstrated high levels of inconsistency in judgments. Factors associated with poor reliability, including task complexity, are discussed. The findings raise concerns about the overall quality of psycholegal decision making in criminal proceedings, especially in NGRI and CR determinations.
This paper is the third in a series of research reports on quality of forensic mental health evaluations submitted to the Hawaii judiciary. Previous studies examined quality of reports assessing ...competency to stand trial (CST) and post-acquittal conditional release, in felony defendants undergoing court-ordered examinations. Utilizing a 44-item quality coding instrument, this study examined quality of criminal responsibility reports in a sample of 150 forensic mental health evaluations conducted between 2006 and 2010 by court-appointed panels. Raters attained high levels of agreement in training and quality coding. Similar to the previous studies, overall quality of reports was mediocre, falling below the .80 quality criterion score for report elements, regardless of evaluator professional identification or employment status. Level of agreement between evaluators and judicial sanity determinations was “fair” using Cicchetti's (1994) standards for interpretation of intra-class correlations. Level of agreement was lower than previously published findings for CST reports and better than conditional release reports. Reasons for mediocre report quality and “fair” inter-rater agreement are discussed, including the fact that criminal responsibility evaluations are complex, retrospective in nature, and involve significant degrees of inference. In contrast to CST evaluations, assessment of criminal responsibility involves a mental state at the time of the offense evaluation. Threats to reliability in forensic reports are discussed. Suggestions for improvement of report quality are proffered, including standardization of procedures and report format and use of forensic assessment instruments.
This study investigated the prevalence of alexithymia and its relationship with somatic complaints in a sample of 118 general psychiatric out-patients. Of the sample 39.8% scored in the alexithymic ...range of the Toronto Alexithymia Scale. Compared with the non-alexithymic patients, the alexithymic patients scored significantly higher on several Minnesota Multiphasic Personality Inventory (MMPI) scales that collectively measure a diverse and extensive range of somatic symptoms and bodily concerns. In addition, the alexithymic patients had significantly higher levels of anxiety, depression, and general psychological turmoil. Although the Alexithymic and non-alexithymic patients did not differ on the MMPI Repression and overall Hysteria Scales, which reflect the defenses of denial and repression, the alexithymic patients had significantly less ego strength and were significantly more dependent and more likely to engage in impulsive and acting out behaviours. The overall pattern of results is consistent with the view that alexithymic individuals are prone to both ‘functional’ somatic symptoms and symptoms of emotional turmoil because they are not well equipped psychologically.
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