Many years ago, when I worked in a psychiatric hospital for children, two  
of my colleagues discussed some unusual features they had observed in  
figure drawings that seemed to be associated with temporal lobe epilepsy.   
Several years later, a psychiatrist asked my opinion about psychological issues 
 
in drawings a young boy had done for him.  I observed these features in his  
drawings and suggested he be worked up for seizures. In fact, he did have  
temporal lobe seizures(these have no convulsions but have other behavioral  
manifestations), but no physicians had previously considered  this. 
 
 
In a message dated 7/29/2009 10:06:28 A.M. Eastern Daylight Time,  
[email protected] writes:

Despoilers of the Rorschach have been on the internet for many  years.  E.g.

http://www.deltabravo.net/custody/rorschach.php

These folks  didn't originally have all the disclaimers at the beginning of 
their site that  they now have.

While I fully agree with Stephen about the demonstrated  lack of validity 
of the Rorschach, and I have been vocal about that opinion  for decades, I 
must tell the following story which gives me pause.

In  the early 1980's I gave a tirade against the Rorschach something like  
Stephen's in a clinical case conference in a large hospital setting 
populated  by a fairly large number of psychodynamically oriented 
practitioners.  
Afterwards, one of my more open-minded colleagues took me aside and informed  
me of a challenge that had been put out by Lloyd Silverman (RIP, 1986), a  
psychoanalyst in NYC. Silverman offered to read the Rorschach protocols of 
any  client of any doubting physician and return an interpretation of the test 
that  would be the virtual equivalent of the empirically derived MMPI 
results of the  same client. We simply had to pay Silverman for the 
interpretation (I think it  was something like $300 at the time), but he would 
provide a 
"double your  money back" garauntee regarding its match to the MMPI (he was 
of course blind  to the MMPI data). We decided to give him the test and 
provided him with a  Rorschach protocol  of a very complicated client who had a 
very complex  set of statements that were generated by the MMPI.

We didn't get our  money back. Silverman's interpretation was very very 
similar to the MMPI  results and in fact his predictions regarding the course 
of treatment for the  client were better than those generated by the MMPI.

Now, of course  this is anecdotal, but it has tempered my thinking about 
the meaning of  statistical tests of reliability and validity, particularly in 
the face of the  objections that are made (particularly by supporters of 
tests like the  Rorschach), that it depends upon in whose hands the test 
resides. It has also  tempered my thinking about the results of the empirical 
tests of the efficacy  of certain therapies when the execution of the therapies 
is handbook/template  driven rather than executed by unrestrained artistic 
virtuosos of the type of  therapy being examined.

I know this kind of talk is the kind of  maddening dismissals of science 
expressed by people who divine for water and  help the police with psychic 
powers, but Silverman's performance impressed me.  It is said that he never 
(perhaps rarely) had to pay on his Rorschach  challenge.

Bill  Scott



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