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应用临床实践中的罗夏测验分数:经验丰富的临床医生对其有效性的看法调查。

Rorschach scores in applied clinical practice: a survey of perceived validity by experienced clinicians.

机构信息

Department of Psychology, University of Toledo, Toledo, OH 43606, USA.

出版信息

J Pers Assess. 2013;95(4):351-65. doi: 10.1080/00223891.2013.770399. Epub 2013 Mar 1.

DOI:10.1080/00223891.2013.770399
PMID:23452352
Abstract

We surveyed practicing clinicians who regularly used the Rorschach about the perceived clinical validity of specific Rorschach scores from many coding systems. The survey included quantitative feedback on the validity of specific variables as well as qualitative input in several areas, including the validity of specific variables, the potentially unique information that can be obtained from them, coding challenges associated with Comprehensive System (CS) codes, and recommendations for CS developments. Participants were recruited by applying a snowball sampling strategy. Based on responses from 246 experienced clinicians from 26 countries, composite judgments on rated variables were quite reliable (e.g., M α = .95 across 88 CS variables), despite limited agreement among any 2 judges. The aggregated judgments clearly differentiated among scores that were considered more and less clinically valid and the overall results aligned with recently obtained meta-analytic conclusions from the traditional validity literature (Mihura, Meyer, Dumitrascu, & Bombel, 2012). The judges also provided guidance concerning revisions and enhancements that would facilitate Rorschach-based assessment in the future. We discuss the implication of the quantitative and qualitative findings and provide suggestions for future directions based on the results.

摘要

我们调查了经常使用罗夏测验的执业临床医生,了解他们对来自许多编码系统的特定罗夏测验分数的感知临床有效性。该调查包括对特定变量有效性的定量反馈,以及在几个领域的定性投入,包括特定变量的有效性、可以从中获得的潜在独特信息、与综合系统(CS)编码相关的编码挑战,以及对 CS 发展的建议。参与者是通过应用滚雪球抽样策略招募的。基于来自 26 个国家的 246 名经验丰富的临床医生的回应,尽管任何两个裁判之间的共识有限,但对评分变量的综合判断非常可靠(例如,88 个 CS 变量的 Mα=.95)。综合判断清楚地区分了被认为更具和较少临床有效性的分数,总体结果与传统有效性文献中最近获得的荟萃分析结论(Mihura、Meyer、Dumitrascu 和 Bombel,2012)一致。裁判还就修订和增强提出了指导意见,以方便未来基于罗夏测验的评估。我们根据结果讨论了定量和定性发现的含义,并提出了未来方向的建议。

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Rorschach scores in applied clinical practice: a survey of perceived validity by experienced clinicians.应用临床实践中的罗夏测验分数:经验丰富的临床医生对其有效性的看法调查。
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