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Rorschach changes in long-term and short-term psychotherapy.

I B Weiner1, J E Exner

  • 1University of Florida Psychiatry Center, Tampa 33613.

Journal of Personality Assessment
|June 11, 1991
PubMed
Summary
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This study found psychotherapy generally beneficial, with long-term, dynamic therapy showing greater positive changes than short-term behavioral or gestalt therapy. The Rorschach test effectively measured these therapeutic effects over time.

Area of Science:

  • Psychology
  • Clinical Psychology
  • Psychotherapy Research

Background:

  • Outpatient psychotherapy is a common treatment modality.
  • Assessing the long-term efficacy of different psychotherapy approaches is crucial.
  • The Rorschach test is a projective psychological assessment tool.

Purpose of the Study:

  • To compare the effects of long-term dynamic psychotherapy versus short-term behavioral or gestalt therapy.
  • To evaluate the Rorschach test's utility in measuring changes resulting from psychotherapy.
  • To assess the longitudinal impact of psychotherapy on patient outcomes.

Main Methods:

  • Two groups of patients (n=88 each) received either long-term dynamic or short-term behavioral/gestalt therapy.
  • Rorschach protocols were administered at baseline and at 1, 2.5, and 4 years.

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  • Therapy completion varied, with most long-term and all short-term patients finishing within the study period.

    • Main Results:

    • Psychotherapy demonstrated generally beneficial effects across both groups.
    • Long-term dynamic psychotherapy yielded significantly greater changes compared to short-term therapies.
    • The Rorschach test proved valid in detecting and measuring these therapeutic changes.

    Conclusions:

    • Both long-term dynamic and short-term therapies offer benefits.
    • Intensive, long-term dynamic psychotherapy may lead to more profound changes.
    • The Rorschach is a reliable instrument for tracking psychotherapy outcomes over extended periods.