Rorschach and severe psychic suffering
Psychic functioning in first psychotic crisis
Keywords:
Early intervention, Rorschach test, Psychotic disordersAbstract
This is a study about structure and dynamics of the personality of 10 clients in first psychotic-like crises, critically questioning traditional practices in early intervention. Ten clients under individual and family treatment in Grupo de Intervenção Precoce nas Primeiras Crises do Tipo Psicótico were assessed with the Rorschach Inkblot Method in Comprehensive System. Data were compared with international descriptive statistics of schizophrenic inpatients and nonpatient adults, analysis focused the following indexes: Perceptive-thinking, depression, coping and a group of specifically relevant variables for the studied population. Results indicate that individuals in first psychotic-like crises do not have moderate signs of thinking disorder, but accurate and unusual perceptions; affective overload; and diminished social abilities. Such individuals have cognitive and affective resources to be improved. Early intervention in psychosis may adapt practices on the specific characteristics of this population.
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References
Aitchison, K. J., Meehan, K., & Murray, R. M. (1999). First-episode psychosis. London: Martin Duritz.
American Psychiatric Association. (2000). Diagnostic and Statistical Manual of Mental Disorders: DSM-IV. Washington, DC: The Author.
Carlson, C., Kula, M., & Laurent, C. (1997). Rorschach revised DEPI and CDI with inpatient major depressives and borderline personality disorder with major depression: Validity issues. Journal of Clinical Psychology, 53(1), 51-58.
Carracena, P. F. (2005). ROR-SCAN: Rorschach Interpretative System. Versão 6.05. Edmond: Phillip F. Carracena.
Carvalho, N. R. (2006). Primeiras crises psicóticas: identificando pródromos a partir de familiares (Dissertação de mestrado não-publicada). Universidade de Brasília.
Costa, I. I. (2003). Da fala ao sofrimento psíquico grave: ensaios acerca da linguagem ordinária e a clínica familiar da esquizofrenia. Brasília: ABRAFIPP.
Costa, I. I. (2010). Da psicose aos sofrimentos psíquicos graves: caminhos para uma abordagem complexa. Brasília: Kako Editora.
Dalgalarrondo, P. (2001). Psicopatologia e semiologia dos transtornos mentais. Porto Alegre: Artmed.
Dao, T. K., & Prevatt, F. (2006). A psychometric evaluation of the Rorschach comprehensive system’s perceptual thinking index. Journal of Personality Assessment, 86(2), 180-189.
Exner, J. E. (1999). Manual de interpretação de Rorschach: sistema compreensivo. São Paulo: Casa do Psicólogo.
Exner, J. E. (2003). The Rorschach: A comprehensive system. Hoboken: John Wiley & Sons.
Fox, D., & Prilleltensky, I. (1997). Critical psychology: Na introduction. London: Sage.
Gabbard, G. O. (2006). Psiquiatria psicodinâmica na prática clínica. Porto Alegre: Artmed.
Gacono, C., & Meloy, R. (1994). The Rorschach assessment of aggressive and psychopathic personalities. Hillsdale: Lawrence Erlbaum.
Groth-Marnat, G. (2003). Handbook of psychological
assessment. Hoboken: John Wiley & Sons.
Hilsenroth, M., Eudell-Simons, E., Defife, J., & Charnas, J. (2007). The Rorschach Perceptual-Thinking Index (PTI): An examination of reliability, validity and diagnostic efficiency. International Journal of Testing, 7(3), 269-291.
Hilsenroth, M., Fowler, C., & Padawer, R. (1998). Rorschach Schizophrenia Índex. Journal of Personality Assessment, 70, 514-534.
Ilonen, T., Taiminen, T., Karlsson, H., Lauerma, H., Leinonen, K. M., Wallenius, E., … Salokangas, R. K. (1999). Diagnostic efficiency of the Rorschach schizophrenia and depression indices in identifying first-episode and severe depression. Psychiatry Research, 87(2-3), 183-192.
Jorgensen, K., Andersen, T. J., & Dam, H. (2000). Diagnostic efficiency of the Rorschach depression index and the schizophrenia index: A review. Journal of Personality Assessment, 7(3), 258-280.
Klonsky, D. E. (2004). Performance of personality assessment inventory and Rorschach indices of schizophrenia in a public psychiatric hospital. Psychological Services, 1(2), 107-110.
Martins, F. (2003). Psicopathologia II - semiologia clínica: investigação teórico-clínica das síndromes psicopatológicas clássicas. Brasília: ABRAFIPP.
McGorry, P. (2011). International Early Psychosis Association: Presentation. Melbourne: EPPIC early psychosis webinars. Retrieved March 22, 2011, from http://www.eppic.org.au/webinars
McGorry, P. D., & Edwards, J. (2002). Implementing early intervention in psychosis. A guide to establishing early psychosis services. London: Martin Duritz.
Moreira, V., & Sloan, T. (2002). Personalidade, ideologia e psicopatologia crítica. São Paulo: Escuta.
Nascimento, R. S. G. F. (2010). Sistema compreensivo do Rorschach: teoria, pesquisa e normas para a população brasileira. São Paulo: Casa do Psicólogo.
Palazzoli, M. S., Cirillo, S., Selvini, M., & Sorrentino, A. M. (2006). Os jogos psicóticos na família. São Paulo: Summus.
Salokangas, R. K., & McGlashan, T. H. (2008). Early detection and intervention of psychosis: A review. Nordic Journal Psychiatry, 62(2), pp. 92-105.
Szasz, T. (1971). The manufacture of madness: A comparative study of the inquisition and the mental health movement. London: University Press.
Szasz, T. (1979). The lying truths of psychiatry. The Journal of Libertarian Studies, 3(2), 121-139.
Teixeira, V., & Marques, M. E. (2009). O buraco negro na patologia limite: um contributo da/para a técnica de Rorschach. Análise Psicológica, 27(3), 281-293.
Viglione, D. J., Perry, W., & Meyer, G. (2003). Refinements in the Rorschach ego impairment index incorporating the human representational variable. Journal of Personality Assessment, 81(1), 149-156.
Weiner, I. B. (2000). Princípios de interpretação do Rorschach. São Paulo: Casa do Psicólogo.
Yung, A., & McGorry, P. (1996). The prodromal phase of first-episode psychosis: Past and current conceptualizations. Schizophrenia Bulletin, 22(2), 353-370.
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