[Application of the psychodiagnostic Rorschach test in the psychiatric clinic].
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The paper describes a study of the Rorschach test, performed using R. Holt's method, in 25 schizophrenic subjects. The control and defence mechanisms, the request for defence and the efficacy of the defences are examined. Control and defence mechanisms present in the protocols appear in the following order of frequency: projection, vagueness of percept, rationalisation, isolation or negation; whereas, other mechanisms were absent (remoteness, context, dilatory strategies, etc.). The request for defence--which is used to indicate the degree with which the primary emergent process requests to be controlled so that the replay may be socially acceptable--was likewise assessed, as was the efficacy of the defence; using R. Holt's method, a qualiquantitative evaluation was obtained for all these values which was useful for the successive control of individual cases.
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The authors have studied in Rorschach's test the syntaxic structures of fifty neurotics subjects and fifty psychotics subjects. They have particulary remarked that phrases determinated by situation of test are more frequent in neurotic protocols than psychotic protocols. They note also the importance of verb with detriment of nominal syntagm for the latter.
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As a complement to a former study on the sexual character of the kinaesthetic human movement responses in the Rorschach tests of healthy and neurotic men and women, the same characteristic was investigated in Rorschach records of transsexuals and transvestites from the Psychiatric Out-Patient Department of the University Hospital of Zurich. In none of these groups was the distribution of masculine, feminine and neuter movement responses congruent with that in one of the preceding groups. The anatomically male transsexuals who desired a change of sex to female (TXmw) gave considerably more interpretations of the opposite or goal sex than did the anatomically female (TXwm). The two transsexual groups TXmw and TXwm do not constitute mirror images of each other. Whereas the mean experience type of most groups was not far from ambiequality, the TXmw and the male transvestites (TVmw) were decidedly introverted. All three of the newly studied groups gave more space responses than would be expected in a "normal" Rorschach record, especially the TXwm and the TVmw. The difference in the frequency of space responses between the TXmw and TXwm was statistically significant.
This paper presents some reflections on the experience of heart transplantation on the basis of Rorschach tests, collected from fifteen patients who underwent cardiac transplantation five years before. We suggest the use of six criteria: responses to Card I; movement (M, MA, m) as a key determinant; importance of surfaces and middle line; responses to Cards IV and VI; responses to Card X; complexual response, if present. Performances show problems related to the integration of the acquired organ. This process is long and difficult but easier in those patients who succeeded in working-through the graft re-acquisition.
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