Literature about psychological test findings in borderline disorders reflects changes in the meaning of the term and can be confusing when viewed from today's prespective. Most descriptions have referred to a concept of borderline schizophrenia. This paper reviews psychological assessment of borderline patients by means of the Rorschach, by using WAIS/Rorschach patterns, and, post-DSM-III, by using the MMPI. It focuses on the Rorschach's sensitivity to several dimensions relevant to borderline pathology.
The concept that borderline disorders can include mild forms of affective and schizophrenic illness was examined by applying a Rorschach content scoring system to a borderline sample. The findings demonstrate Rorschach ability to identify borderline subtypes and offer independent validation of affective and schizotypal subtypes in the borderline realm.
References
1.
WidigerTPsychological tests and the borderline diagnosis.J Pers Assess1982; 46(3): 227–238.
2.
KernbergOBorderline personality organization.J Am Psychoanal Assoc1967; 15: 641–685.
3.
RorschachHPsychodiagnostics.New York: Grune and Stratton,1942.
4.
RapaportD, GillM, SchaferRDiagnostic psychological testing.2 vols. Chicago: Year Book,1945–1946.
5.
SchaferRThe clinical application of psychological tests.New York: International Universities Press,1948.
6.
WeinerIPsychodiagnosis in schizophrenia.New York: John Wiley and Sons,1966.
7.
RapaportD, GillM, SchaferRDiagnostic psychological testing. Rev. ed. (HoltR ed.) New York: International Universities Press,1968.
8.
SingerMThe borderline diagnosis and psychological tests: review and research. In: HartocollisP ed. Borderline personality disorders.New York: International Universities Press,1977: 193–212.
SingerM, LarsonDBorderline personality and the Rorschach test.Arch Gen Psychiatry1981; 38: 693–698.
11.
GundersonJ, KolbJDiscriminating features of borderline patients.Am J Psychiatry1978; 135: 792–796.
12.
SpitzerR, EndicottJ, GibbonMCrossing the border into borderline personality and borderline schizophrenia: the development of criteria.Arch Gen Psychiatry1979; 36: 17–24.
MahlerM, KaplanLDevelopmental aspects in the assessments of narcissistic and so-called borderline personalities. In: HartocollisP ed. Borderline personality disorders.New York: International Universities Press,1977: 71–85.
15.
LernerP, LernerHRorschach assessment of primitive defenses in borderline personality structure. In: KwawerJ eds. Borderline phenomena and the Rorschach test.New York: International Universities Press,1980: 257–274.
16.
SmithKObject relations concepts as applied to the borderline level of ego functioning. In: KwawerJ eds. Borderline phenomena and the Rorschach test.New York: International Universities Press,1980: 59–87.
17.
SugarmanAThe borderline personality organization as manifested on psychological tests. In: KwawerJ eds. Borderline phenomena and the Rorschach test.New York: International Universities Press,1980: 39–57.
18.
KwawerJPrimitive interpersonal modes, borderline phenomena, and Rorschach content. In: KwawerJ eds. Borderline phenomena and the Rorschach test.New York: International Universities Press,1980: 89–105.
19.
CoonertySAn exploration of separation-individuation themes in the borderline personality disorder.J Pers Assess1986; 50(3): 501–511.
20.
ArnowD, CooperSThe borderline patient's regression on the Rorschach test.Bull Menninger Clin1984; 48(1): 25–36.
21.
ExnerJSome Rorschach data comparing schizophrenics with borderline and schizotypal personality disorders.J Pers Assess1986; 50(3): 455–471.
22.
LernerH, SugarmanA, GaughranJBorderline and schizophrenic patients: a comparative study of defensive structure.J Nerv Ment Dis1981; 169(11): 705–711.
SchaferRProjective testing and psychoanalysis: selected papers.New York: International Universities Press,1967.
25.
CarskyM, BloomgardenJSystem for scoring affective and schizoid content in the Rorschach.New YorkHospital, Westchester Division and Cornell Medical College. Unpublished Manuscript, 1982.
26.
CarskyM, BloomgardenJSubtyping in the borderline realm by means of Rorschach analysis.Psychiatr Clin North Amer1981; 4(1): 101–116.
27.
SteinerM, MartinS, WallaceJ, GoldmanSDistinguishing subtypes within the borderline domain: a combined psychoneuroendocrine approach.Biol Psychiatry1984; 19(6): 907–911.
28.
SpitzerR, EndicottJ, RobinsEResearch diagnostic criteria (RDC) for a selected group of functional disorders, Third Edition.New York: Biometrics Research,1977.
29.
SpitzerR, EndicottJSchedule for affective disorders and schizophrenia (SADS), third edition.New York: Biometrics Research,1977.
30.
MarksP, SeemanW, HallerDThe actuarial use of the MMPI with adolescents and adults.Baltimore: Williams and Wilkins,1974.
31.
HurtS, ClarkinJ, FrancesA, AbramsR, HuntHDiscriminant validity of the MMPI for borderline personality disorder.J Pers Assess1985; 49(1): 56–61.
32.
AbramowitzS, CarrollJ, SchafferCBorderline personality disorder and the MMPI.J Clin Psychol1984; 40(2): 410–413.
33.
EvansR, RuffR, BraffD, AinsworthRMMPI characteristics of borderline personality inpatients.J Nerv Ment Dis1984; 172(12): 742–748.
34.
PatrickJCharacteristics of DSM-III borderline MMPI profiles.J Clin Psychol1984; 40(3): 655–658.
35.
EvansR, RuffR, BraffD, CoxDOn the consistency of the MMPI in borderline personality disorder.Percep Motor Skills1986; 62: 579–585.
AntoniM, FischerM, LevinJ, GreenC, MillonTRefining personality assessments by combining MCMI high point profiles and MMPI codes. Part III: MMPI code 24/42.J Pers Assess1985; 49(5): 508–515.
