The Rorschach Ego Impairment Index: Prediction of Treatment Outcome in a Child Psychiatric Population

Abstract

In this study, we investigated the treatment utility of the revision of Perry and Viglione's (1991) Rorschach Ego Impairment Index (EII-2) in a sample of 53 child psychiatric inpatients. Parent ratings of symptomatic functioning on the Devereux Scales of Mental Disorders (DSMD; Naglieri, LeBuffe, & Pfeiffer, 1994) were obtained at admission, 30 days postdischarge, and 120 days postdischarge. EII-2 scores correlated with initial symptom elevations on the Critical Pathology at admission. EII-2 scores did not predict short-term response to treatment. However, EII-2 scores demonstrated moderate correlations with long-term outcome and relapse. EII-2 was related to prediction of worsening of symptoms between 30-day and 120-day follow-up as measured by Reliable Change Index scores that were computed for the Externalizing, Internalizing, Critical Pathology, and Total DSMD scales.

A Meta‐Analysis of the relationship between the Rorschach Ego Impairment Index (EII) and psychiatric severity

“…In the text of the article, Stokes et al (2003) refer to this data as a 'biserial correlation' (p. 17). As indicated by Lipsey and Wilson (2001), the differences between the statistical properties of biserial correlations obtained from artifi cially dichotomized continuous data and product moment correlations are suffi ciently large to make their combination in a single meta-analysis questionable.…”

“…To be conservative, therefore, we coded the sample size as 58. Kates (1994;as detailed inViglione, 1996) 0.18 NR or none NR or none Perry and Viglione (1991;Perry et al, 1995a;Viglione, 1996) 0.49 NR or none High 0.20 Full Low Perry et al (1995b) 0.42 Partial Low Stokes et al (2003) 0.10 Partial High Tibon et al (2005) −0.01 Full Low Viglione et al (1994;as detailed in Viglione, 1996) 0.43 NR or none NR or none Viglione et al (2003) 0.47 NR or none NR or none…”

“…8 The size of this association 9 falls just short 8 The unweighted average effect size was r = 0.30 which was calculated by (a) transforming each effect size into Fisher's Z r ; (b) obtaining the average effect size within each of the 13 independent samples; (c) averaging the effect sizes across the independent samples; and then (d) transforming the results back into terms of r. 9 Several supplementary calculations of the overall effect size were conducted to take into consideration the issues of whether to include or exclude (a) data from Perry et al (1992) and (b) the last two effect sizes from Stokes et al (2003), as discussed in the footnote to Table 1. The overall effect size (r = 0.29, p = 0.000002) presented in the main body of the text is based on data from all 13 independent samples, excluding Perry et al (1992) but including the last two effect sizes from Stokes et al (2003). When the last two effect sizes from Stokes et al (2003) were excluded along with the data from Perry et al (1992) and results were recalculated, the fi ndings were essentially the same (average weighted r = 0.30, p = 0.000002, 95% confi dence interval = 0.18-0.40; Q = 56.09, p = 0.0000001).…”

Association of Rorschach and MMPI Psychosis Indicators and Schizophrenia Spectrum Diagnoses in a Russian Clinical Sample

“…To create the PTI, the specific variables within the SCZI that had high false positive rates were revised (Exner, 2000;Smith et al, 2001). Like the SCZI, the PTI contains Rorschach variables such as poor Form Quality (X -% and M-) and Special Scores (e.g., Wsum6), which in various forms have been shown to be empirically related to thought disturbance, perceptual distortion, and cognitive slippage (Exner, 1993;Perry, Minassian, Cadenhead, Sprock, & Braff, 2003;Smith et al, 2001;Stokes et al, 2003;Viglione, Perry, & Meyer, 2003). To date, there are scant data on the psychometric properties of the PTI, but initial studies indicate that it may indeed outperform the SCZI in accurately classifying persons with and without psychosis (Exner, 2000;Smith et al, 2001).…”

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

“…There is, however, limited research on how RIM variables might predict change. The Rorschach Prognostic Rating Scale (RPRS; Klopfer, Kirkner, Wisham, & Baker, 1951), the EII, the MOA, and Holt's (1977) Primary Process Aggression Score (AGG1) have predicted treatment outcome in psychiatric adult and child populations (e.g., Meyer & Handler, 1997;Perry & Viglione, 1991;Smith, Van Ryzin, Fowler, & Handler, 2014;Stokes et al, 2003). Hilsenroth, Handler, Toman, and Padawer (1995) found the RIM Comprehensive System (CS; Exner, 2003) variables Cooperative Movement (COP), Texture-Shading (T), and Aggressive Movement (AG) to discriminate between patients who terminated psychotherapy prematurely and those who stayed on in treatment.…”