Relationship of Pretreatment Rorschach Factors to Symptoms, Quality of Life, and Real-Life Functioning in a 3-Year Follow-Up of Traumatized Refugee Patients

References

• Allen, J., & Dana, R. H. (2004). Methodological issues in cross-cultural and multicultural Rorschach research. Journal of Personality Assessment, 82, 189–208.
   PubMed Web of Science ®Google Scholar
• Altman, D. G. (1991). Practical statistics for medical research. London, UK: Chapman & Hall/CRC.
   Google Scholar
• American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
   Google Scholar
• Armstrong, J. G., & Loewenstein, R. J. (1990). Characteristics of patients with multiple personality dissociative disorders on psychological testing. Journal of Nervous and Mental Disease, 178, 448–454.
   PubMed Web of Science ®Google Scholar
• Arnon, Z., Maoz, G., Gazit, T., & Klein, E. (2011). Rorschach indicators of PTSD: A retrospective study. Rorschachiana, 32, 5–26.
   Google Scholar
• Bentley, J. A., Thoburn, J. W., Stewart, D. G., & Boynton, L. D. (2012). Post-migration stress as a moderator between traumatic exposure and self-reported mental health symptoms in a sample of Somali refugees. Journal of Loss and Trauma: International Perspectives on Stress & Coping, 17, 452–469.
   Web of Science ®Google Scholar
• Boehnlein, J. K., Kinzie, J. D., Sekiya, U., Riley, C., Pou, K., & Rosborough, B. (2004). A ten-year treatment outcome study of traumatized Cambodian refugees. Journal of Nervous and Mental Disease, 192, 658–663.
   PubMed Web of Science ®Google Scholar
• Bohart, A. C., & Wade, A. G. (2013). The client in psychotherapy. In M. J. Lambert (Ed.), Bergin and Garfield's handbook of psychotherapy and behavior change (6th ed., pp. 219–257). Hoboken, NJ: Wiley.
   Google Scholar
• Bornstein, R. F. (2012). Rorschach score validation as a model for 21st-century personality assessment. Journal of Personality Assessment, 94, 26–38.
   PubMed Web of Science ®Google Scholar
• Brand, B. L., Armstrong, J. G., & Loewenstein, R. J. (2006). Psychological assessment of patients with dissociative identity disorder. Psychiatric Clinics of North America, 29, 145–168.
   PubMed Web of Science ®Google Scholar
• Carlsson, J. M., Olsen, D. R., Kastrup, M., & Mortensen, E. L. (2010). Late mental health changes in tortured refugees in multidisciplinary treatment. Journal of Nervous and Mental Disease, 198, 824–828.
   PubMed Web of Science ®Google Scholar
• Clarkin, J. F., & Levy, K. N. (2004). The influence of client variables on psychotherapy. In M. J. Lambert (Ed.), Bergin and Garfield's handbook of psychotherapy and behavior change (5th ed., pp 194–226). NewYork, NY: Wiley.
   Google Scholar
• Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155–159.
   PubMed Web of Science ®Google Scholar
• Cortina, J. M. (1993). What is coefficient alpha? An examination of theory and applications. Journal of Applied Psychology, 78, 98–104.
   Web of Science ®Google Scholar
• Courtois, C. A. (2008). Complex trauma, complex reactions: Assessment and treatment. Psychotherapy: Theory, Research, Practice, Training, 41, 412–425.
   Web of Science ®Google Scholar
• Crumlish, N., & O’Rourke, K. (2010). A systematic review of treatments for post-traumatic stress disorder among refugees and asylum-seekers. Journal of Nervous and Mental Disease, 198, 237–251.
   PubMed Web of Science ®Google Scholar
• Ephraim, D. (2002). Rorschach trauma assessment of survivors of torture and state violence. Rorschachiana, 25, 58–76.
   Google Scholar
• Evans, B. F. (2008). The Rorschach and immigration evaluations. In C. B. Gacono & F. B. Evans (Eds.), The handbook of forensic Rorschach assessment (pp. 489–504). New York, NY: Taylor & Francis.
   Google Scholar
• Exner, J. E., Jr. (2003). The Rorschach: A comprehensive system: Vol.1 (4th ed.). New York, NY: Wiley.
   Google Scholar
• Fayers, P. M., & Machin, D. (2007). Quality of life: The assessment, analysis and interpretation of patient-reported outcomes. Chichester, UK: Wiley.
   Google Scholar
• Fonagy, P., & Target, M. (2005). Bridging the transmission gap: An end to an important mystery of attachment research? Attachment and Human Development, 7, 333–343.
   PubMed Web of Science ®Google Scholar
• Fowler, J. C., Ackerman, S. J., Speanburg, S., Bailey, A., Blagys, M., & Conklin, A. C. (2004). Personality and symptom change in treatment-refractory inpatients: Evaluation of the phase model of change using Rorschach, TAT, and DSM–IV Axis V. Journal of Personality Assessment, 83, 306–322.
   PubMed Web of Science ®Google Scholar
• Graceffo, R. A., Mihura, J. L., & Meyer, G. J. (2014). A meta-analysis of an implicit measure of personality functioning: The Mutuality of Autonomy Scale. Journal of Personality Assessment, 96, 581–595.
   PubMed Web of Science ®Google Scholar
• Grønnerød, C. (2003). Temporal stability in the Rorschach method: A meta-analytic review. Journal of Personality Assessment, 80, 272–293.
   PubMed Web of Science ®Google Scholar
• Grønnerød, C. (2004). Rorschach assessment of changes following psychotherapy: A meta-analytic review. Journal of Personality Assessment, 83, 256–276.
   PubMed Web of Science ®Google Scholar
• Hartmann, E., & Hartmann, T. (2014). The impact of exposure to Internet-based information about the Rorschach and the MMPI–2 on psychiatric outpatients’ ability to simulate mentally ealthy test performance, Journal of Personality Assessment, 96, 432–444.
   PubMed Web of Science ®Google Scholar
• Herman, J. L. (1992). Complex PTSD: A syndrome in survivors of prolonged and repeated trauma. Journal of Traumatic Stress, 5, 377–391.
   Web of Science ®Google Scholar
• Hilsenroth, M. J., Handler, L., Toman, K. M., & Padawer, J. R. (1995). Rorschach and MMPI-2 indices of early psychotherapy termination. Journal of Consulting and Clinical Psychology, 63, 956–965.
   PubMed Web of Science ®Google Scholar
• Hinton, D. E. & Kirmayer, L. J. (2013). Local responses to trauma: Symptom, affect, and healing. Transcultural Psychiatry, 50, 607–621.
   PubMed Web of Science ®Google Scholar
• Hinton, D. E., Pham, T., Tran, M., Safren, S. A., Otto, M. W., & Pollack, M. H. (2004). CBT for Vietnamese refugees with treatment-resistant PTSD and panic attacks: A pilot study. Journal of Traumatic Stress, 17, 429–433.
   PubMed Web of Science ®Google Scholar
• Hollifield, M., Warner, T. D., & Lian, N. (2002). Measuring trauma and health status in refugees: A critical review. Journal of the American Medical Association, 288, 611–621.
   Google Scholar
• Holt, R. (1977). A method for assessing primary process manifestations and their controls in Rorschach responses. In M. Rickers-Ovsiankina (Ed.), Rorschach psychology (pp. 375–420). New York, NY: Krieger.
   Google Scholar
• Jakobsen, M., Thoresen, S., & Johansen, L. E. E. (2011). The validity of screening for post-traumatic stress disorder and other mental health problems among asylum seekers from different countries. Journal of Refugee Studies, 24, 171–186.
   Web of Science ®Google Scholar
• Kaser-Boyd, N., & Evans, F. B. (2008). Rorschach assessment of psychological trauma. In C. B. Gacono & F. B. Evans (Eds.), The handbook of forensic Rorschach assessment(pp. 255–277). New York, NY: Taylor & Francis.
   Google Scholar
• Kleijn, W. C., Hovens, J. E., & Rodenburg, J. J. (2001). Posttraumatic stress symptoms in refugees: Assessments with the Harvard Trauma Questionnaire and the Hopkins Symptom Checklist–25 in different languages. Psychological Reports, 88, 527–532.
   PubMed Web of Science ®Google Scholar
• Klopfer, B., Kirkner, F. J., Wisham, W., & Baker, G. (1951). Rorschach prognostic rating scale. Journal of Projective Techniques, 15, 425–428.
   Google Scholar
• Lambert, M. J. (2013). The efficacy and effectiveness of psychotherapy. In M. J. Lambert (Ed.), Bergin and Garfield's handbook of psychotherapy and behavior change (6th ed., pp. 169–218). Hoboken, NJ: Wiley.
   Google Scholar
• Levin, P., & Reis, B. (1997). Use of the Rorschach in assessing trauma. In J. P. Wilson &. T. M. Keane (Eds.), Assessing psychological trauma and PTSD (pp. 529–543). New York, NY: Guilford.
   Google Scholar
• McFarlane, C. A., & Kaplan, I. (2012). Evidence-based psychological interventions for adult survivors of torture and trauma: A 30-year review. Transcultural Psychiatry, 49, 539–567.
   PubMed Web of Science ®Google Scholar
• Meyer, G. J., Erdberg, P., & Shaffer, T. W. (2007). Towards international normative reference data for the Comprehensive System. Journal of Personality Assessment, 89(Suppl. 1), S201–S216.
   PubMed Web of Science ®Google Scholar
• Meyer, G. J., & Handler, L. (1997). The ability of the Rorschach to predict subsequent outcome: A meta-analysis of the Rorschach Prognostic Rating Scale. Journal of Personality Assessment, 69, 1–38.
   Web of Science ®Google Scholar
• Meyer, G. J. & Viglione, D. J. (2008). An introduction to Rorschach assessment. In R. P. Archer & S. R. Smith (Eds.), Personality assessment (pp. 281–336). New York, NY: Routledge.
   Google Scholar
• Meyer, G. J., Viglione, D. J., & Exner, J. E., Jr. (2001). Superiority of Form% over Lambda for research on the Rorschach Comprehensive System. Journal of Personality Assessment, 76, 68–75.
   PubMed Web of Science ®Google Scholar
• Meyer, G. J., Viglione, D. J., Mihura, J., Erard, R. E., & Erdberg, P. (2011). Rorschach Performance Assessment System: Administration, coding, interpretation, and technical manual. Toledo, OH: Rorschach Performance Assessment System.
   Google Scholar
• Mihura, J. L., Meyer, G. J., Dumitrascu, N., & Bombel, G. (2013). A systematic review and meta-analysis of the Rorschach Comprehensive System validity literature. Psychological Bulletin, 139, 548–605.
   PubMed Web of Science ®Google Scholar
• Mollica, R. F., McDonald, L. S., Massagli, M. P., & Silove, D. M. (2004). Harvard program in refugee trauma: Measuring trauma, measuring torture. Instructions and guidance on the utilization of Hopkins Symptom Checklist–25 (HSCL–25) & the Harvard Trauma Questionnaire (HTQ).Retrieved from http://hprt-cambridge.org/
   Google Scholar
• Nakagawa, S., & Schielzeth, H. (2013). A general and simple method for obtaining R2 from generalized linear mixed-effects models. Methods in Ecology and Evolution, 4, 133–142.
   Web of Science ®Google Scholar
• Norcross, J. C., & Lambert, M. J. (2011). Evidence-based therapy relationships. In J. C. Norcross (Ed.), Psychotherapy relationships that work. Evidence-based responsiveness(2nd ed., pp. 3–21). New York, NY: Oxford University Press.
   Google Scholar
• Opaas, M., & Hartmann, E. (2013). Rorschach assessment of traumatized refugees: An exploratory factor analysis. Journal of Personality Assessment, 95, 457–470.
   PubMed Web of Science ®Google Scholar
• Perry, W., & Viglione, D. J. (1991). The Ego Impairment Index as a predictor of outcome in melancholic depressed patients treated with tricyclic antidepressants. Journal of Personality Assessment, 56, 487–501.
   PubMed Web of Science ®Google Scholar
• Renner, W., Salem, I., & Ottomeyer, K. (2006). Cross-cultural validation of measures of traumatic symptoms in groups of asylum seekers from Chechnya, Afghanistan, and West-Africa. Social Behaviour and Personality, 34, 1101–1114.
   Web of Science ®Google Scholar
• Schore, A. N. (2002). Dysregulation of the right brain: A fundamental mechanism of traumatic attachment and the psychopathogenesis of posttraumatic stress disorder. Australian and New Zealand Journal of Psychiatry, 36, 9–30.
   PubMed Web of Science ®Google Scholar
• Schottenbauer, M. A., Glass, C. R., Arnkoff, D. B., & Gray, S. H. (2008). Contributions of psychodynamic approaches to treatment of PTSD and trauma: A review of the empirical treatment and psychopathology literature. Psychiatry, 71, 13–34.
   PubMed Web of Science ®Google Scholar
• Shaffer, T. W., Erdberg, P., & Meyer, G. J. (2007). Introduction to the JPA special supplement on international reference samples for the Rorschach Comprehensive System. Journal of Personality Assessment, 89(Suppl. 1), S2–S6.
   PubMed Web of Science ®Google Scholar
• Skevington, S. M., Lotfy, M., & O’Connell, K. A. (2004). The World Health Organization's WHOQOL–BREF quality of life assessment: Psychometric properties and results of the international field trial. A report from the WHOQOL Group. Quality of Life Research, 13, 299–310.
   PubMed Web of Science ®Google Scholar
• Smith, J. D., Van Ryzin, M. J., Fowler J. C., & Handler L. (2014). Predicting response to intensive multimodal inpatient treatment: A comparison of single- and multiple-class growth modeling approaches. Journal of Personality Assessment, 96, 306–315.
   PubMed Web of Science ®Google Scholar
• Steel, Z., Silove, D., Phan, T., & Bauman, A. (2002). Long-term effect of psychological trauma on the mental health of Vietnamese refugees resettled in Australia: A population-based study. The Lancet, 360, 1056–1062.
   PubMed Web of Science ®Google Scholar
• Stokes, J. M., Pogge, D. L., Powell-Lunder, J., Ward, A. W., Bilginer, L., & DeLuca, V. A. (2003). The Rorschach Ego Impairment Index: Prediction of treatment outcome in a child psychiatric population. Journal of Personality Assessment, 81, 11–19.
   PubMed Web of Science ®Google Scholar
• Swift, J. K., & Greenberg, R. P. (2012). Premature discontinuation in adult psychotherapy: A meta-analysis. Journal of Consulting and Clinical Psychology, 80, 547–559.
   PubMed Web of Science ®Google Scholar
• Teodorescu, D., Siqveland, J., Heir, T., Hauff, E., Wentzel-Larsen, T., & Lien, L. (2012). Posttraumatic growth, depressive symptoms, posttraumatic stress symptoms, post-migration stressors and quality of life in multi-traumatized psychiatric outpatients with a refugee background in Norway. Health and Quality of Life Outcomes, 10, 1–16.
   PubMed Web of Science ®Google Scholar
• Urist, J. (1977). The Rorschach test and the assessment of object relations. Journal of Personality Assessment, 41, 3–9.
   PubMed Web of Science ®Google Scholar
• Vaage, A. B., Thomsen, P. H., Silove, D., Wentzel-Larsen, T., Van Ta, T., & Hauff, E. (2010). Long-term mental health of Vietnamese refugees in the aftermath of trauma. British Journal of Psychiatry, 196, 122–125.
   PubMed Web of Science ®Google Scholar
• van der Kolk, B. A. (1994). The body keeps the score: Memory and the evolving psychobiology of posttraumatic stress. Harvard Review of Psychiatry, 1, 253–265.
   PubMed Web of Science ®Google Scholar
• van der Kolk, B. A., & Ducey, C. P. (1989). The psychological processing of traumatic experience: Rorschach patterns in PTSD. Journal of Traumatic Stress, 2, 259–274.
   Google Scholar
• Van Ee, E., Kleber, R. J., & Mooren, T. T. M. (2012). War trauma lingers on: Associations between maternal posttraumatic stress disorder, parent–child interaction, and child development. Infant Mental Health Journal, 33, 459–468.
   PubMed Web of Science ®Google Scholar
• van Wyk, S., & Schweitzer, R. D. (2014). A systematic review of naturalistic interventions in refugee populations. Journal of Immigrant Minority Health, 16, 968–977.
   PubMed Web of Science ®Google Scholar
• Viglione, D. J. (1999). A review of recent research addressing the utility of the Rorschach. Psychological Assessment, 11, 251–265.
   Web of Science ®Google Scholar
• Viglione, D. J., Perry, W., Giromini, L., & Meyer, G. J. (2011). Revising the Rorschach Ego Impairment Index to accommodate recent recommendations about improving Rorschach validity. International Journal of Testing, 11, 349–364.
   Google Scholar
• Viglione, D. J., Towns, B., & Lindshield, D. (2012). Understanding and using the Rorschach inkblot test to assess post-traumatic conditions. Psychological Injury and Law, 5, 135–144.
   Google Scholar
• Weiner, I. B. (2003). Principles of Rorschach interpretation. In I. B. Weiner (Series Ed.), Personality and clinical psychology series (2nd ed.). Mahwah, NJ: Erlbaum.
   Google Scholar
• WHOQOL Group. (1998). Development of the World Health Organization WHOQOL–BREF quality of life assessment. Psychological Medicine, 28, 551–558.
   PubMed Web of Science ®Google Scholar
• World Health Organization Geneva. (1994). Pocket guide to the ICD-10 classification of mental and behavioural disorders, with glossary and diagnostic criteria for research, ICD-10: DCR-10. London, UK: Churchill Livingstone, Elsevier.
   Google Scholar
• World Medical Association. (2010). WMA Declaration of Helsinki—Ethical principles for medical research involving human subjects. Retrieved from http://www.wma.net/en/30publications/10policies/b3/17c.pdf
   Google Scholar