Rorschach Assessment of Ego Involvement in Affect Regulation: Interrater Reliability of Form Dominance in Shading and Achromatic Color Responses

Although emphasis on psychodynamic thinking has waned in assessment training, the ascendant Rorschach Performance Assessment System (R-PAS; Meyer et al., 2011) has reintegrated psychoanalytic concepts into empirical Rorschach assessment: R-PAS adds scores involving object relations, implicit dependency, aggressive ideation, and ego impairment. R-PAS has, however, excluded the psychodynamic framework for assessing ego involvement in the regulation of anxiety/dysphoria by eliminating the coding of Form Dominance in Shading and Achromatic Color (FDSHAC) that has been part of the Comprehensive System (Exner, 2003). This decision was based in part on concerns about efficiently and reliably coding distinctions among Form Dominant, Form Secondary, and Formless levels of FDSHAC. To establish that such distinctions can be coded reliably, we applied supplemental guidelines (Viglione, 2010) to evaluate reliability among four experienced assessors who coded determinants for 155 Rorschach responses, 115 of which required FDSHAC determination. Applying Gwet's AC2′s to ordinal scales, interrater reliabilities were good to excellent. Reliabilities were strongest for Form Dominance in Texture and Achromatic Color, modestly so for Form Dominance in Diffuse Shading, and problematic for Form Dominance of Vista. Among levels of Form involvement across FDSHAC variables, raters had the most difficulty distinguishing Form Secondary. We discuss considerations for clinical coding, psychodynamic configurational analyses for interpretation, and construct validation research. 尽管在评估训练中对精神动力学思维的重视已经减弱,但崛起的罗夏表现评估系统(R-PAS;Meyer et al., 2011)将精神分析概念重新整合到实证的罗夏评估中:R-PAS增加了涉及客体关系、内隐依赖、攻击性意念和自我障碍的分数。然而,R-PAS排除了评估自我参与焦虑/焦虑调节的精神动力学框架,方法是消除阴影和消色差(FDSHAC)中的优势形式编码,该编码一直是综合系统的部分(CS;Exner, 2003)。该决定部分是基于对FDSHAC的优势形式、次要形式和无形式之间有效可靠的编码差异的担忧。为了确定这种区分可以被可靠地编码,我们采用了补充指南(Viglione, 2010)来评估四名经验丰富的评估员的可靠性,他们为155个罗夏反应编码了决定因素,其中115个需要FDSHAC确定。将Gwet的AC2'应用于序数量表,评分者间的信度从良好到优秀。纹理和消色差的优势形式的信度最强,漫反射阴影中的优势形式则不大,而远景的优势形式则存在问题。在FDSHAC变量的形式参与水平中,评分者最难区分次要形式。我们讨论了临床编码的考虑因素,用于解释的精神动力学配置分析,并构建了验证研究。