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Borderline personality and the Rorschach test

M T Singer, D G Larson

    Archives of General Psychiatry
    |June 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Rorschach testing reveals distinct patterns in borderline personality disorder (BPD) and schizophrenia. Borderline individuals showed more fabulized responses and declining response quality, differentiating them from other groups.

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    Area of Science:

    • Psychological assessment
    • Psychopathology
    • Psychiatric diagnosis

    Background:

    • The Rorschach test is a projective psychological test used to assess personality characteristics and emotional functioning.
    • Distinguishing between borderline personality disorder (BPD) and schizophrenia spectrum disorders can be challenging using traditional diagnostic methods.

    Purpose of the Study:

    • To compare Rorschach response patterns across individuals with borderline personality disorder, acute schizophrenia, chronic schizophrenia, neurosis, and normal controls.
    • To identify specific Rorschach variables that can differentiate borderline personality disorder from schizophrenia spectrum disorders.

    Main Methods:

    • Rorschach responses were analyzed using summary, composite, and fabulized combination scores.
    • A score assessing the decline in response quality across individual cards was also utilized.

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  • Discriminant-function and stepwise regression analyses were employed for group classification.

    • Main Results:

    • Rorschach summary scores aligned with ego function theory predictions, with normals scoring highest, followed by neurotics, borderline persons, acute schizophrenics, and chronic schizophrenics.
    • Discriminant-function analysis accurately classified most borderline, acute schizophrenic, and chronic schizophrenic subjects in a three-group comparison.
    • Stepwise regression analysis correctly classified most borderline and acute schizophrenic subjects in a two-group comparison.

    Conclusions:

    • Borderline individuals exhibited a higher frequency of fabulized combination responses and a greater decline in response quality compared to other groups.
    • Associative drift and reasoning difficulties observed in Rorschach records are characteristic of borderline personality disorder, aiding in clinical distinction.
    • The Rorschach test, through specific scoring and analysis, can aid in differentiating borderline personality disorder from schizophrenia.