L’intérêt du test de Rorschach dans l’évaluation diagnostique des troubles du spectre autistique

Differential diagnosis on the autism spectrum: Theorizing an “Ordinary Autism”

“…In an earlier article [104], we sketched out a possibility for operationalizing this project by using the Rorschach test to highlight the differential elements in clinical situations where the use of classic diagnostic criteria doesn't help elucidate the diagnostic situation. More recently, we have more strongly reiterated our thesis, based on a literature review, of the value of using the Rorschach test in evaluating ASD [165]. In effect, this test is particularly effective at revealing the semiological autistic characteristics that are sought for a psychiatric diagnosis.…”

“…In effect, this test is particularly effective at revealing the semiological autistic characteristics that are sought for a psychiatric diagnosis. It also allows clinicians to study, using Maleval's theoretical postulates, intrapsychic cognitive and affective processes (underlying elements of behavioral manifestations), and the disturbances of these processes, in a dynamic perspective, in order to tease out qualitative and quantitative clues that might influence a differential diagnosis, in particular with schizophrenia [165]. As we've already pointed out, the stakes of differential diagnosis are real; a diagnosis of autism or of schizophrenia, for example, implies very different treatment plans.…”

Teaching the Rorschach Comprehensive System

“…The Rorschach test continues to be effectively used in psychopathology, forensic, inpatient and outpatient practices for diagnosis and treatment recommendations (Erdberg, 2019; Wright et al, 2017). There is also interest in new applications, for example, Finn’s model of therapeutic assessment in psychotherapy (2020), the differential diagnosis of unipolar versus bipolar depression (Le Chevanton et al, 2020), or the application to disabilities such as autistic disorders (Frigaux et al, 2020).…”

“…Thus, despite criticism, a reduction in the hours of training, or the influence of other measurement tools, the Rorschach test remains resilient, possibly due to its perceived clinical utility. Clinical psychologists report that the Rorschach test usefully enlightens their patients’ personality dynamics and diagnosis (Norcross & Rogan, 2013), and reveals the holistic dimensions of the individual (Frigaux et al, 2020).…”