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The Use of the Hare Psychopathy Checklist (PCL-R) and Rorschach Inkblot Method (RIM) in Forensic Psychological Assessment

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In the present chapter, we discuss the role of the Hare Psychopathy Checklist-Revised (PCL-R) and Rorschach in forensic psychological assessment. We stress the importance of using a multi-method over a mono-method assessment approach and advocate for the incremental validity of psychological testing over interviews alone as an essential aspect of assessment practice. The ability to integrate the nomothetic strengths of the PCL-R with the idiographic potential of the Rorschach allows for conclusions to be refined into nuanced person-context interactions most useful in areas such as risk assessment, forming diagnostic impressions, and determining treatability. A case example involving an incarcerated antisocial male with a history of exclusively affective violence is presented.
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... Nesse sentido, embora exista uma gama de instrumentos para avaliação da personalidade, o teste de Rorschach tem ocupado uma posição privilegiada e admissibilidade diante das avaliações da personalidade na área forense. O teste, quando comparado aos demais instrumentos como escalas e inventários, pode ser menos suscetível à manipulação ou dissimulação consciente e intencional por parte do examinando, o que favorece o seu uso no contexto forense(Gacono, Kivisto, Smith, & Cunliffe, 2016;Meyer et al., 2017;Nørbech, Fodstad, et al., 2016;Weiner & Greene, 2017).Logo, considerando o tipo de delineamento das pesquisas com AVSs, foram encontrados quatro estudos de casos (44,4%) e cinco estudos de comparação entre grupos (55,6%). Todas as pesquisas foram do tipo descritivas (Tabela 1), as quais buscam conhecer e interpretar a realidade sem interferir nela, descrevendo o que de fato ocorre. ...
Article
O objetivo deste estudo foi realizar uma revisão da literatura de publicações que investigam a personalidade do autor de violência sexual por meio do teste de Rorschach. Realizou-se uma busca bibliográfica nas bases de dados PubMed, Psycnet, Web of Science, PePSIC e SciELO, com descritores: “Sex Offender”, “Pedophile”, “Sex Offenses”, “Sexual Molester”, “Sexual Violence” e “Rapist”, combinados com Rorschach. A busca foi limitada aos artigos publicados nos idiomas inglês, espanhol e português, dos últimos quinze anos, considerando os Sistemas Compreensivo e de Avaliação por Performance no Rorschach, com autores de violência do sexo masculino, e tendo como vítimas crianças e adolescentes. Ao total foram encontrados nove artigos, e a análise apontou que os AVSs podem ter comprometimento nos aspectos cognitivos, afetivos, na autopercepção e na tendência a responder de modo impulsivo. Tais achados podem colaborar na criação de estratégias de intervenção e tratamento para esse público. Futuros estudos, que considerem diferentes bases de dados e descritores, poderão comparar os resultados encontrados, enriquecendo o processo de investigação nesta área.
Chapter
The treatment and management of female offenders provide unique challenges to even the most experienced clinicians. Incarcerated women, in addition to exhibiting multiple mental health issues, trauma histories, and chronic substance use, provoke strong countertransference reactions that if not managed, threaten the integrity of any treatment endeavor. Diagnosis and assessment are essential to guiding interventions and managing the antisocial woman’s distinctive psychodynamics (Gacono, Nieberding, Owen, Rubel, & Bodholdt, 2001; see Chapters 3 and 4Chapter 3Chapter 4). In this chapter, we discuss essential clinical issues, a conceptual model of female psychopaths, management versus treatment, a treatment process including managing transference/countertransference, and effective treatment interventions. We conclude by offering a case example of the use of the assessment process in treating Anna, an incarcerated non-psychopathic woman.
Chapter
Historically, the cornerstone of the psychologist’s identity rested on providing competent in-depth psychological assessment (Rapaport, Gill, & Schafer, 1946). The ability to utilize a battery of assessment methods to elucidate complex issues makes the psychologist unique among other mental health professionals. Recent trends, however, have tarnished that cornerstone. Not surprisingly, the movement away from proficiency in psychological assessment has led to a decline in the need for psychologists. In this chapter, we discuss these harmful trends, define psychological assessment, offer a model for assessing female offenders, and provide examples of how record review, clinical interview, the Hare Psychopathy Checklist-Revised (PCL-R), Personality Assessment Inventory (PAI), and Rorschach Inkblot test can be useful with female offenders. We discuss the interpersonal aspects of the assessment process, evaluate gender specific patterns for several PCL-R criteria (also see Appendices A & B), and provide caveats for assessing female offenders. We conclude with a case study.
Thesis
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Psychopathy is one of the oldest personality disorders and causes the most concern within society. The majority of the research has focused on males and little is known about female psychopathy. Fourteen female psychopaths (PCL-R ≥ 30) were studied using the Psychopathy-Checklist Revised and the Rorschach Inkblot Method with different scoring scales (Exner Comprehensive System, Rorschach Oral Dependency Scale, Gacono & Meloy Extended Aggression Scales, Cooper, Perry, & Arnow Rorschach Defense Scales, and Kwawer Primitive Modes of Relating) to examine personality structure. PCL-R scores were used to identify the psychopaths (PCL-R ≥ 30) and a data analysis was performed to provide descriptive statistics for the different Rorschach variables related to different domains: interpersonal (object relations), self-perception, affect, cognitive processing and mediation. The results were that the female psychopath has disturbances in perceptual accuracy, masochistic aggression/hostility, poor emotional control, avoidance of emotionally toned situations, dysphoric affect, an impressionistic and suggestible cognitive style, dependency, used primitive defenses and interpersonal modes of relating, somatic complaints, and a pathological self-focus accompanied with a damaged self view. Support was found for conceptualizing the female psychopath at the borderline level of personality organization with a hysterical style. These characteristics are presented as a model of the female psychopath. These results allow for a more comprehensive view of the female psychopath as well as an understanding of the importance to the construct of psychopathy, the administration of the PCL-R, treatment, and the proper administration of the Rorschach in research studies.