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Rorschach and suicide-theories: A preliminary study in young women

Published online by Cambridge University Press:  16 April 2020

P. Solano
Affiliation:
Neurosciences, Ophthalmology and Genetics, Psychatric Clinic, University of Genova, Genoa, Italy
I. Antico
Affiliation:
Department of Clinical Psychology, University of Genova, Genoa, Italy
E. Magi
Affiliation:
Neurosciences, Ophthalmology and Genetics, Psychatric Clinic, University of Genova, Genoa, Italy
F. Gabrielli
Affiliation:
Neurosciences, Ophthalmology and Genetics, Psychatric Clinic, University of Genova, Genoa, Italy

Abstract

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Introduction

The accuracy of the Rorschach Test in identifying the pathway to suicide is still controversial, though it can help for a better understanding of the functioning of suicidal minds.

Objectives

To investigate whether Rorschach indexes fit major suicidal models.

Aims

To evaluate whether Schneidman's psychache theory (1993), Baumeister's thought deconstruction model (1990) and Maltsberger's affect deluge model (2003) fit with Rorschach test indexes.

Methods

Three young women hospitalised for near-lethal suicide- attempts were analysed through the Rorschach test by trained researchers using the Exner Comprehensive System. The Concept of the Object Scale on the Rorschach (COR) and the Mutuality of Autonomy Scale (MOA) were used for a systematic assessment of object relations and as index of interpersonal relationship capacities respectively.

Results

All the tests are scarce. All patients rejected Table 9.

Patient 1: L = 1.4, EB=3:0, X- index = 0.25, M- = 2, EA=3; X+% = 0.58; P=3; Zd = −1.5; Afr =0.2;Ego index = 0.5 sR=1 and S-CON = 9. COR: poor differentiation, articulation and integration and MOA level 2.

Patient 2 : L = 1.5; CDI +; EB = 2:0; Afr = 0.37. Ego index 0.3; EA = 2 ; S-CON = 8. COR = good differentiation and integration, though a poor articulation of the object, MOA level of 2.

Patient 3: L = 1.42; Ag=0, COP = 0; S-CON = 8; MOR = 2; Afr = 0.41, SumC’ = 1; CDI +; FM = 2, m = 1, M = 1. COR: scarce differentiation, severely impaired articulation and integration of the object, MOA = level 6.

Conclusions

Patient 1's Rorschach test suggests Baumeister's model; patient 2's test Maltsberger's model and patient 3's test Schneidman model.

Type
P03-478
Copyright
Copyright © European Psychiatric Association 2011
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