James Kleiger

James Kleiger
James Kleiger PC · Psychoanalysis & Psychological Assessment Services

Doctor of Psychology

About

37
Publications
8,242
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534
Citations
Citations since 2017
9 Research Items
88 Citations
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201720182019202020212022202305101520
201720182019202020212022202305101520
Introduction
My debut novel, The 11th Inkblot, is a fictionalized memoir, set in Eastern Europe during WWI, about a man’s search for family connections and healing. His search leads him to Hermann Rorschach. Please check out The 11th Inkblot and my other books on Amazon https://www.amazon.com/James-H.-Kleiger/e/B001KIU0QA%3Fref=dbs_a_mng_rwt_scns_share or Kirkus Authors Page https://www.kirkusreviews.com/author/j-herman-kleiger/
Skills and Expertise

Publications

Publications (37)
Preprint
Full-text available
In this comprehensive review, the authors examine the nature of the psychosis spectrum from multiple perspectives. Beginning with a definition of psychosis and psychotic phenomena, the authors summarize DSM-5-TR and ICD-11criteria and clarify conceptual, terminological, and cultural issues that help sharpen the understanding of the structural facto...
Article
This manuscript presents a single case study of a psychotically disturbed adult male (whom we call “Peter”), focusing on similarities and differences in Rorschach interpretation based on three different Rorschach approaches. Specific questions were raised as to whether the client suffered from a paranoid psychosis (paranoia) or paranoid schizophren...
Article
Full-text available
In its first 100 years, the Rorschach has been heralded as a valuable method for investigating disturbances in thought organization and reasoning. It has survived periods of intense scrutiny and criticism, as contemporary researchers continued to demonstrate the empirical validity of the Rorschach as a measure of disordered thinking ( Mihura et al....
Article
Full-text available
Autistic thinking and its manifestations in Rorschach responses have long been of interest to students of psychopathology and practitioners of personality assessment. However, the precise nature of autistic thinking has not always been adequately grasped, nor have its diagnostic implications been fully appreciated. The present report clarifies the...
Article
Full-text available
Six experienced clinicians interpreted the Rorschach of Ms. B., an 18-year-old patient who had been referred for psychological testing following a severe suicide attempt. The clinicians each conducted a blind interpretation of Ms. B.'s Rorschach from six different psychoanalytic schools of thought, which included ego psychology, object relations, s...
Book
Rorschach Assessment of Psychotic Phenomena takes the reader beyond where James Kleiger’s original work, Disordered Thinking and the Rorschach, left off. This new book offers readers a number of conceptual bridges between Rorschach characteristics commonly associated with psychotic phenomena and a range of psychological, neurocognitive, and psychoa...
Article
Full-text available
Human movement responses (M) on the Rorschach have been traditionally viewed as lying neither completely in the inkblot (external reality) nor within the subject's mind (inner world). The authors contend that M is not reducible to the "body that I have" but to the "body that I am," which is a higher level organization of bottom-up and top-down brai...
Article
The Rorschach has become a cultural icon. Over the last century, Hermann Rorschach’s creative experiment has imbedded itself in our society and captured the imagination of generations of clinicians, researchers, artists, writers, and the lay public in general. The author writes an imaginary letter to Hermann Rorschach, informing him of what has bec...
Article
In this article, I discuss the challenging experience of testing a child with severe separation anxiety and school refusal, which reached psychotic-level proportions. Unusual parameters are necessary to provide assessments with severely compromised children. In cases such as these, the goal should be to gather as much useful information as possible...
Chapter
An integrative definition of disordered thinking encompasses a broad perspective that includes traditional concepts such as impaired pace and flow of associations along with such factors as (1) inefficient focusing and attentional processes; (2) deviant word usage; (3) errors in syntax and syllogistic reasoning; (4) inappropriate levels of abstract...
Article
Full-text available
The construct of analyzability (i.e., selecting for psychoanalysis) has been with us for 101 years. It has been extensively discussed and extensively debated. Most recently, it has been proposed that the construct has expired, due to the shrinking pool of people interested in undergoing psychoanalysis and the expanding meaning of what psychoanalysi...
Article
This paper discusses the development of a group psychotherapy process for adolescents on a residential treatment unit. We found that consideration of four factors were important in the creation of a productive group. (1) Group therapy should be tailored to the developmental level and needs of this age group. (2) Group leaders need to remain aware o...
Article
Full-text available
Beginning with a review of the historical development, the current status, and the empirical foundations of Rorschach shading responses, I then explore how the 4 psychologies of psychoanalysis can help generate inferences about clinical issues suggested by these responses. The contributions and limitations of this theory-based approach to understan...
Article
Full-text available
Because the war was relatively brief, casualties relatively light, and the Nation sanctioned the war socially, veterans of Desert Shield/Storm and their families were not anticipated to suffer symptoms of trauma or re-entry stress beyond that expected in routine peacetime military deployments. However, the authors argue that the stress imposed on f...
Article
Full-text available
David Rapaport's contributions to the Rorschach are highlighted and placed within the context of his significant impact on psychological testing and psychoanalytic theory. After a brief biographical sketch, I examine the essence of Rapaport's lasting Rorschach contributions and summarize some of the strengths and limitations of the Rapaport Method.
Article
Full-text available
We examined the scoring criteria, subtypes, and interpretative nuances of the deviant response (DR) special score of the Comprehensive Rorschach System. To augment the usual understanding of the DR score, we review the concepts of fabulizing and confabulation in Rorschach literature and discuss the traditional meaning of and the confusion surroundi...
Article
Full-text available
Despite its empirical and normative strengths, the underlying conceptual base of the Comprehensive Rorschach System at times lacks clarity and an overarching theory of personality that can help psychodiagnosticians make more clinically relevant inferences. After reviewing the functions provided by an integral theory of personality, the author focus...
Article
The author focuses his response to Exner’s commentary on 2 key issues: (a) the distinction between a misuse of theory and a neglect of theory in the Comprehensive System, and (b) the related problems of retaining experience-distant terminology to explain concepts that Exner himself originally found ambiguous and difficult to explain. A more concise...
Article
Responds to J. E. Exner's (see record 1993-04003-001 ) commentary on 2 key issues: (1) the distinction between a misuse of theory and a neglect of theory in the Comprehensive System and (2) the related problems of retaining experience-distant terminology to explain concepts that Exner himself originally found ambiguous and difficult to explain. A m...
Article
Full-text available
Reviews the concept of selective or conditional mirroring, which can foster the development of a false self in early childhood, and examines aspects of the ministry that may reinforce the minister's false self experience and eventually contribute to a severe sense of disillusionment and despair. The theoretical underpinnings of the false self pheno...
Article
Clinical observations by Navy psychiatrists and psychologists who concurrently conducted therapy groups at three separate military treatment facilities between 1981 and 1984 were recorded. The reasons they returned to active duty or remained in the service, how and why they were referred to therapy, issues that arose in group therapy, and factors t...
Article
Alexithymic characteristics in 100 chronic respiratory illness patients were assessed by means of the Beth Israel Psychosomatic Questionnaire (BIQ). The study was designed to explore the relationship of alexithymia to various demographic variables and three disease categories (asthma, tuberculosis, and chronic obstructive respiratory disease). The...
Article
A 22-item MMPI alexithymia scale was derived from the Beth Israel Psychosomatic Questionnaire (BIQ). The new MMPI scale yields an 82% hit rate when predicting to BIQ alexithymia scores and has been shown to have impressive stability over time. The new scale should provide a rapid, standardized means of assessing alexithymia in a variety of populati...
Article
MMPI alexithymia scores and MMPI panic-fear personality scores were calculated for 202 adult asthmatic patients. Both sets of scores were shown to be related to the number of days rehospitalized. In addition, patients who scored high on both the alexithymia and panic-fear personality scales were judged by their attending physicians as being more se...
Article
Clinical observations and studies of asthmatic patients have often concluded that therre is a strong relationship between the degree of the patient's anxiety and the medical intractability of his illness. However, psychotherapeutic interventions designed to alleviate patient anxiety have been noticeably inconsistent in achieving meaningful alleviat...
Article
Clinical observations and studies of asthmatic patients have often concluded that there is a strong relationship between the degree of the patient's anxiety and the medical intractability of his illness. However, psychotherapeutic interventions designed to alleviate patient anxiety have been noticeably inconsistent in achieving meaningful alleviati...
Article
In an attempt to assess patient and physician behavior patterns which interfere with effective medical treatment, 100 chronic adult and adolescent asthmatics were asked about the frequency and the nature of their medication non-compliance. The nature of the patient's medication abuse was also related to underlying personality characteristics, as me...
Article
The present findings support earlier conceptualizations that there are important differences between ASC and MMPI Panic-Fear categories. In the present study, ASC Panic-Fear categories proved unrelated to length of hospitalization in a sample of patients which had previously shown a strong relationship between MMPI Panic-Fear categories and length...

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Projects

Projects (3)
Project
To improve our understanding of the psychological features psychosis as well as our ability to accurately assess it. I conducted meta-analyses on the ability of popular normed psychological tests to detect psychosis in a clinical setting on the Rorschach (Mihura, Meyer, Dumitrascu, & Bombel, 2013) and one on the MMPI is underway (in progress). Our lab has multiple projects related to psychosis underway. Gregory J Meyer and I are also developing a version of the Rorschach specifically to assess psychosis--the Thought and Perception Assessment System (TPAS), the first publication being Eblin, Meyer, Mihura, Viglione, & O'Gorman (2018) and several others underway.
Archived project
Published by Routledge in February 2017