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Journal of Projective Psychology and Mental Health: Volume 9, Number 2, July 2002 Editorial

1. Editorial: Application of The SIS Board: Deborah A. Mohn, Ph.D. Email: debmohn@gci.net pages 79-80.

Projective instruments are an integral part of my psychological assessments. I routinely use at least one instrument that requires the examinee to tell a story based on ambiguous pictures, such as the Thematic Apperception Test (TAT) or Robert’s Apperception Test (RAT). I also use the Rorschach Psychodiagnostic Plates with the Exner or Klopfer interpretive protocols (or both).

For the past few months, I’ve been using the Somatic Inkblots in addition to the above measures. I’ve found that overall the diagnostic material obtained by the Somatic Inkblot Board (SIB) is similar to what I obtain from other test instruments. At times the Rorschach and TAT seem threatening. I can tell there are strong reactions to particular images due to changes in facial expression or posture, but the examinee is unwilling or unable to verbalize what they are experiencing.

A sixteen year-old female patient was unable to provide a valid Rorschach or TAT because she became agitated and tearful during the test and would not discuss her perceptions. I showed her the board format SIS and suggested that it resembled a strip of photographic or video film. I suggested that perhaps she could put some of the images together to make a story or movie storyline about anything she wanted. She was intrigued with this idea and chose four “good scenes” and three “bad scenes” from the SIS. We discussed that a story had a beginning, middle and end. For a therapeutic homework assignment she wrote her “screenplay”.

Her “film” would begin with block 5. This would be a happy loving person, dancing with happiness. The story moves to block 3, where the happy dancing person’s heart is wounded, and block 13 where the heart is scarred and ugly, and block 50 (Card 19B) which represented how ugly the whole world seemed when there was a broken heart. Block 36 (Card 5B) was talking about how ugly she felt. Block 61 (Card 30B) was feeling stronger and realizing that maybe everything did not have to be ugly. Block 59 (Card 28B) was where the person was feeling stronger and warmer in the light. When she was finished telling me about her screenplay, she stopped suddenly, and said this is my story! I agreed that of course it was her story since she created it. She said, “No, this is my story!” It’s about me! Her disclosure led to a very fruitful therapy session.

The SIS allowed her to step outside herself long enough to put her history in an order that made sense to her. This young girl has a history of physical and sexual trauma. She has been diagnosed with anorexia nervosa with binging and purging behaviors. Therapy has been pretty much unsuccessful for almost three years. By creating a story with the SIS images, she accessed material that was too difficult to admit and allowed her to begin to gain insight into her behavior. I believe these images and this technique will continue to help this young lady make therapeutic progress. In the article that follows this one, Dr. Cassell discusses how the SIS and the SIS Board were used with another patient.

2. Symbolism in Violent Hallucinations: Wilfred A. Cassell, Ann M. Schaeck and Deborah Mohn, SIS Center, Anchorage, (USA), E-Mail : siswilfredacassell@yahoo.com, pages 81-92.

In this case history study, the Somatic Inkblot Series Video, Rorschach Inkblot Test and Figure Drawing tests were administered to a 15-year-old girl who was admitted to a psychiatric hospital in Boston for treatment of Major Depression and Dissociative Reaction. She had a history of suicidal ideation and self-mutilation of her left wrist and forearm. The relaxing instructions in the video and the hypnotically present healing flowers may have facilitated neural extinction of the terrifying hallucinations intruding upon her consciousness. The Figure Drawing and Content Analysis of SIS and Rorschach may provide useful aides to supplement standardized clinical interviewing techniques. The case has been discussed in detail.

3. Manifestations of Dependent and Self-critical Personality Styles in Rorschach: an Exploratory Study: Rui C. Campos, Portugal. E-mail : rcampos@uevora.pt. / ruiccampos@clix.pt), pages 93-104.

The present work aims to study the manifestations of dependent and self-critical personality styles, following Sidney Blatt’s perspective, in Rorschach, using the Rorschach Comprehensive System. Rorschach was administered to a group with a self-critical personality style, to a group with a dependent style and to a control group. It used the extreme groups’ methodology. The participants were selected from an initial sample of 359 college students, using the result in the Portuguese version of Depressive Experiences Questionnaire, and also in the Portuguese version of Beck Depression Inventory. Discriminant analysis reveals that a group of four Rorschach variables appear to be the best differentiating the two styles, a group of four variables reflects the way self-critical style expresses itself in Rorschach and also a group of four variables reflects the way dependent style expresses itself. Variables of the Comprehensive System seem to be useful in the detection and differentiation of two depression pre-dispositional styles.

4. Treating Panic Attack with Hypnosis in Combination with Rational Emotive Therapy-A Case Report: Amool R. Singh and K.R. Banerjee, RINPAS, Kanke, Ranchi- 834006, pages 105-108.

A single subject research design was employed in the treatment of panic attacks. Hypnotherapy and Rational Emotive therapeutic approaches were applied in combination. Treatment lasted for 16 sessions and results showed increased sense of control, improved self-confidence, elimination of psychopathological symptoms with no recurrence of subsequent panic attacks.

5. Rorschach Profile and its Relationship with PEN Questionnaire in Borderline Psychosis: Adarsh Kohli and Rajinder P. Kaur, PGIMER, Chandigarh, pages 109 -113.

Rorschach and PEN were administered to 125 patients attending the Psychiatry Department of the Post Graduate Institute of Medical Education and Research, Chandigarh (India). Cases were referred to the Psychology Unit for ruling out psychotic illness. The questionnaire variables did not show significant correlation with Rorschach. The Rorschach profile shows signs of general disturbance and propensity to psychosis rather than clear-cut pathognomonic signs.

6. How Common is Anxiety in Surgical Cases: Lt.Col.D.Saldanha, Additional Advisor in Psychiatry, Military Hospital Meerut. Pages 114-120.

Ninety two Hospitalised patients in the age range of 20-46 yrs. were evaluated on Talor's Manifest Anxiety Scale. Findings suggest that psychotherapy and psychoactive drugs reduce anxiety in surgical cases.

7. Inter Correlation among Various Indices of SIS-II: Manindra P. Singh and Bankey L. Dubey, Email: bldubey@gmail.com, pages 121-132.

The inter correlation among eight SIS indices i.e. total number of Responses (R), Human responses (H), Animal responses (A), Anatomical responses (At), Sex responses (Sex), Movement responses (M), Most Typical responses (MT) and Rejection of Images (Rej.) was studied on male and female subjects of Adolescent age, Adult age, Later Adult age and Old age. High and positive correlation was observed among various indices of SIS -II. The findings are discussed in the paper.

8. Diagnostic Value of SIS-I and EDI-2 Tests in the Obese Patients- Presentation of a Clinical Case: Paola Nicolini, (Paola Nicolini, Clinical Psychologist, Via E. Fermi, 14, 23871 Lomagna (LC) Italy Tel./ Fax: +39-039-9220187 , E-Mail: paola.nicolini@email.it), pages 133-152.

This research concerns corporeal perception in 41 obese female subjects, under diet therapy. A possible organic cause of the weight increase has been excluded. The projective SIS-I and EDI-2 Tests have been administered to have a psycho diagnostic evaluation. The main objective of the presentation is to compare the results of the two tests and carry out the thorough qualitative and quantitative analysis of the SIS-I protocols. At the end a case of a 37 years old female subject using SIS-I and EDI-2 is discussed for the better understanding of the tests.

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