The psychological states of patients with diabetes mellitus were compared with those of patients suffering from other chronic diseases and people with no diagnosed chronic diseases. These states were assessed by applying content analysis scales to transcripts of their descriptions of their current experiences. Analyses of the diabetics' scale scores re vealed a pattern characterized by much anxiety, depression, anger expressed both direct ly and indirectly, together with feelings of helplessness. The sources of anxiety which proved to be of most importance to them were fears of death and bodily mutilation, as weIl as guilt and shame. They experienced little sense of sharing with most people around them, although they showed considerable enjoyment of dose relationships with family and friends. This pattern of psychological states did not vary with the sex of the patients or whether they were interviewed in a hospital or at horne nor with recency of onset or multiplicity of health problems. It was similar to the pattern of patients with other chronic diseases but differed significantly from that of the healthy group. Acknowledgment The authors wish to acknowledge the contribution ofCarol Preston to the collection and analysis of these data which were made available, inpart, by patients of the Wollongong Hospital and members of the Illawarra Branch of the Diabetic Association of N ew South Wales. References 1. Strong JA, Baird JD (1971) Diseases ofthe endocrine system. In: Davidson S, McLeod J (eds) The principles and practice of medicine.

The fully revised and expanded edition of the premier guidebook toInterpreting the Rorschach For the last three decades, Dr. John Exner's Comprehensive Systemhas been the leading approach worldwide to administering andinterpreting the Rorschach Inkblot Test. Comprised of threevolumes, The Rorschach(r): A Comprehensive System is theauthoritative reference for the administration, scoring, andinterpretation of the Rorschach. This Third Edition of Volume Two:Advanced Interpretation, with new and updated information and casestudies, provides an essential companion to the basic foundationsand principles outlined in Volume One: Basic Foundations andPrinciples of Interpretation. New to this edition: * All-new case studies describing accurate use of the Rorschach inthe assessment of children, adolescents, and adults in a variety ofclinical and forensic settings * New research developments * New additions to Exner's Comprehensive System * Expanded reference data, including nonpatient data * Expanded coverage of the cluster approach to organizing data forinterpretation The leading guide to the study and implementation of the Rorschachfor more than three decades, this latest volume from John Exner andPhilip Erdberg is must-reading for any serious scholar or user ofthe Rorschach.

Few books illuminate a domain of clinical inquiry as superbly as Psychoanalytic Perspectives on the Rorschach. Paul Lerner has written a comprehensive text that offers a richly detailed, multidimensional vision of the Rorschach as the ideal medium for operationalizing, testing, and in some instances transforming contemporary clinical theory. For psychoanalytic therapists, the book provides a fascinating overview of how the coevolution of psychoanalytic theory and Rorschach technique has created new possibilities for conceptual integration. Lerner explores recent advances in our ability to operationalize such clinical concepts as splitting, dissociation, and false-self organization. He then reviews how these advances have been applied to research into psychic organization across different diagnostic categories, including anorexia and bulimia, aggressive and psychopathic personality, and schizotypal disorders. Finally, Lerner shows how the resulting data offer a unique vantage point from which to clarify such critical topics as developmental object relations and the structure of primitive experience. Rorschach scholars will appreciate Lerner's informed discussions of theorists as diverse as Rapaport and Schachtel, Exner and Mayman, Schafer and Leichtman. Rorschach students, for their part, will find the book an unusually lucid introduction to test administration, scoring, interpretation, and report writing. Even here, however, Lerner's breadth and originality are apparent, for his exposition of these testing fundamentals incorporates fresh discussions of the nature of the Rorschach test, the impact of the patient-examiner relationship, and the value of the test in treatment planning. Timely, definitive, and uniquely integrative, Psychoanalytic Perspectives on the Rorschach will be valued by students, clinicians, and researchers well into the next century.

This book provides a definitive empirical study of antisocial character pathology and its assessment through the use of the Rorschach. Drawing upon a decade of research with nearly 400 individuals in various hospitals and prisons, the authors paint an extraordinary intrapsychic picture of the personality structure and psychodynamics of these troublesome patients. Serving as both an educational tool and a reference text, this book presents: * Rorschach data on several different antisocial groups -- conduct disordered children and adolescents, antisocial personality disordered adult males with and without schizophrenia, antisocial adult females, and male and female sexual homicide perpetrators; * nomothetic (group) and idiographic (case study) data; * data which have been analyzed and theoretically interpreted using both structural methods and psychoanalytic approaches which represent the cutting edge of Rorschach theory and practice; and * a developmental approach in analyzing Rorschach data gathered from antisocial children, adolescents, and adults -- providing striking similarities. This is the first Rorschach database of this type that has ever been published. As such, it serves as a valuable reference text for Rorschach users -- providing a definitive empirical base, theoretical integration, and a focus on individuals who create severe problems for society.

First Published in 1987. Routledge is an imprint of Taylor & Francis, an informa company.

Critical appreciations of George A. De Vos, a pioneer in the cross-cultural application of projective techniques (M. Suarez-Orozco, P. Lerner), and De Vos's own reminiscences, are followed by contributions true to the spirit of De Vos's methodology. They include a demonstration of the usefulness of projective tests in the psychodiagnostic evaluation of schizophrenia (J. Stone, P. Wilson & B. Boyer); an examination of the role of historical events in the development of Chinese and Japanese personality characteristics (J. Connor); a review of the impact of Freudian and Jungian thought in India (S. Kakar); and a study of loss and grief in a community of the North American Great Plains (H. Stein).

Current Topics in Clinical and Community Psychology, Volume 2 covers the need of scientific work in the field of clinical and community psychology to the problems of modern society. The book discusses a new area of specialization - clinical neuropsychology; and the behavior deficits that result from brain damage in humans that may result from agents such as mind-altering drugs, alcohol, tranquilizers, and inadequate diet. The text also describes the sequential system for personality scale development; the prediction of violence with psychological tests; the relationship between depression and oral contraception. The quest for valid preventive interventions is also considered. Clinical psychologists, community psychologists, psychiatrists and students taking related courses will find the book useful.