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Eleven patients with serious injury to the frontal lobes were examined neurologically and tested with the usual neuropsychological tests. They were additionally evaluated by the Rorschach test. It became apparent that the neuropsychological tests presented a rather optimistic picture of the patients' behavior. Specifically, the cognitive tests did not convey much concerning the patients' capacity for emotional and social interaction. The Rorschach test, however, is constructed to register these aspects of a person's emotional makeup. In particular, it can tell something about the test subject's capacity for empathy or sympathetic insight, adaptation, and organisation. In these respects the results of the Rorschach test were in agreement with the actual behavior of the patients after their injury. The test revealed that these patients have an obvious lack of empathy and an inability to see a situation in the proper perspective, and it was evident that they had become egocentric, impulsive, and incapable of functioning socially. Essentially, the patients' reality testing was impaired.
This description was also in agreement with the account given by their relations, who also characterized the patients as being “completely different from the person they had known earlier”.
In this study we have attempted to elucidate these findings. We present a summation of our findings with these 11 patients in a diagram, which illustrates that the Rorschach scores for the above mentioned characteristics deviate substantially from the norm.