Number of Response R.docx
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NumberofResponseR
NumberofResponse(R)
Adults17-27,Mean=22.32,S.D.=4.40
LowR(Adult,R<17;Children,R<15)小心使用資料,可信度值得懷疑
Defensiveness,constriction,organicity,depression,attemptedmalingering
HighR(R>33)
Introversivecharacter,高智商高學業成就,高創造力,highlevelofpersonalinsight,goodegofunction(計畫能力、控制力、壓力忍受力),mania,O.C.D
Location
Reflectionoftheoverallstyleinwhichtheyapproachtheirworld,特別是面對uncertaintiesandambiguities
UsualLocation&goodquality,表示好的現實感、智力、ambition、goodreasoning,abilitytogeneralize
UnusualLocation,表示neuroticsymptomatology,fear,anxiety,obsessiveorcompulsive,此種反應越多表示psychopathology越嚴重
WholeResponse(W)
Whole:
Detail=1:
2(normaladult)
HighW
Reflectaperson’sabilitytoorganizeandintegratehisenvironment
需再瞭解QualityofW(W+)和complexityofR
在CardsⅤ、Ⅰ、Ⅳ較不會出現W+,在CardsⅩ、Ⅸ、Ⅲ、Ⅷ則較會出現W+
所以W多且goodquality,moreorganizingactivity,則reflect
1).Synthesizingandabstractingability
2).Ambition
3).Goodtieswithreality
4).Excellentproblemsolvingability
LowW
Reflectdepressionoranxiety
如果W的frequency低,quality差,complexity差,則表示Maladjustment嚴重,智能傷害(包括Braindamage,mentalretardation)
CommonDetail(D)
表示個人reactsto&perceivestheobviousaspectsofsituation
nonpsychiatric&outpatients62%-67%
inpatients46%-47%
HighD
表示過份強調具體且明顯的情境層面,則犧牲intellectualpotential而去表現出較safe保守、符合社會期待的反應
Schizophrenia:
pre-treatment(40%)post-treatment(73%)
表示excellentlevelofdevelopmentalfunction,butformqualityisu,-,則maladjustment
LowD
D減少,Dd增加,則understress
SoLowDreflectinadequateperceptualhabits
D的比率隨年齡而增加
UnusualDetail(Dd)
Normal6%
Schizophrenia&seriousimpairedcompulsive,25%ormore
HighDd
Schizophrenia,為窄化對刺激的知覺以求與內在世界較congruent
Ddcombinemovement,thoughtprocessareimpairingtheirperception
Compulsive,為reduceanxiety運用更多的控制在知覺上,造成思考歷程沒有足夠的flexible去做W的反應
Space(S)
Negativismandoppositional的傾向
如S-%high,則anger,hostility,andpotentialactingout
中等數量的S且FQ(+,o),則constructiveexpressionofself-assertion
ConfabulatedWholeorConfabulatedDetail(DW,DdW,DdD)
Beck(1961)illogicalthinking&autisticassociations
Exner(1974)grossintellectualdysfunction
現今證據不多
DQ+&DQv
Abilitytoanalyzeandsynthesizeinformation
HighDQ+(>9or10),
moreintelligent,complex,andsophisticatedpersons
HighDQv(2or3),
immatureandlesssophisticated(e.g.children,neuropsychologicallyimpaired,intellectuallydisabled,Exner,1993,2003)
EA(ExperienceActual,M+C)
Volumeoforganizedactivity,availableresourcesthepersonhas
M:
表示personareabletoorganizetheirinnerlives的程度
C:
表示emotionsareavailable的程度
Bothrepresentdeliberate,organizedactivity
相對於FM,m及T,V,Y表示disorganization
M:
C穩定,但M+C會隨moodchange而每天有變化
M+Chigh,則greaterincreaseinthedegreeoforganizationoftheperson’sinnerlife
Moreemotionshavealsobecomeavailable
es(ExperiencedStimulation,(FM+m)+(C’+T+V+Y))
theamountofdisorganizedeventsthatareoccurringbeyondtheperson’scontrol
reflectingthattheperson’sfunctioningisdisorganized
thatthereareforcesactingoutonthepersonthatheorshefeelarebeyondhisorhercontrol
disorganizationandhelplessness程度的指標
eshigh(>11),lowfrustrationtolerance,anddifficultforthemtobepersistent,eveninmeaningfultask
乃因havealimitedabilitytoprocessandmediatecognitiveinformation
normalperson,EA>es,psychiatricperson,es>EA
So,EA:
es,anindexofthedegreetowhichapersoncantolerancefrustration
EB(ExperienceBalanceorErlebnistypus,M:
C)
Astheextenttowhichapersonisinternallyorientedasopposedtobeingmoreexternallydirectedandbehaviorallyresponsivetooutsidestimuli
EB通常穩定,但是在長期的壓力或成功的Psychotherapy下會改變
HighM“introversives”,表示preferenceforinternalexperience
Moreorientedtowardusingtheirinnerfantasylife
Directedinward
Usetheirinnerexperiencetosatisfymostoftheirbasicneeds
Cautious,deliberate,submissive,lessphysicallyactive
Problem-solving的方式,internalizingthesituation,mentallyreviewingpossiblealternatives,少行動
HighC“extratensive”,表示morepronetoactivityandexternalexpression
Useexternalinteractionsasthemostimportantmeansofsatisfyingtheirneeds
Directedtheirenergytowardtheoutsideworld
Spontaneous&assertive,butdifficultydelaytheirresponses
Inchildren,representalackofself-assurance
Problem-solving的方式,experimenting不同的行為
M&Cequal(ambitents)
人際關係較具彈性,但問題解決時較游移不定
“introversive”&“extratensive”,無效率且不一致
HighM&C
Maniccondition
eb(experiencebase,(FM+m)/(C’+Y+T+V))
FM+m:
reflecttendenciestorespondinwaysthatarenotcompletelyacceptabletotheego
C’+Y+T+V:
reflectionofthepainanddisharmonythepersonisfeelingasaresultofunsolvedstress
若兩邊均低,則notexperiencingverymuchpainandthathisneedsarewellorganized
正常時兩邊相差1至3倍,若大於5倍,則看FM+m或C’+Y+T+V的解釋
EBPer(ExperiencePervasive)
ExtensionoftheinterpretationofEB,howpervasiveordominanttheintroversiveorextratensivestyleis
EBPer>=2.5indicatethatoneofthestylesisquitepervasive,suggestingrigidityinproblem-solvingstyle
DScore(D;EA-es)
Theclient’sabilitytotoleratefrustration
LowDScore(-1orlower)
Feeloverwhelmedandunabletodealwithcomplexorambiguoussituation
Thoughts,affects,&behaviorsmightbeimpulsiveandpoorlyfocused
HighDScore(+0orhigher)
Canadequatelydealwiththecurrentlevelofstress
Adjustedes(Adies)
Excludedm&Y(currentstimuliimpingingontheperson)
Representthemorechronicconditionoftheperson
Scoringhigh:
Feelchronicallystimulated&havedifficultiesorganizetheirthoughts
AdjustedDScore(AdjD)
Theperson’stypicalorusualcapacitytotoleratestressandtocontrolbehavior
LowAdjD(-1orlower)
Havefewerthanaverageresourcestoadequatelycopewithstressfulsituation
Functionbestinroutine&predictablesituation,adaptingtonewsituationspresentdifficulties
HighAdjD(+1orhigher)
Goodabilitytodealwithstressfulsituationsbutnotnecessarilyawell-adjustedperson,e.g.antisocialorparanoidpersonalities
Active:
PassiveRatio(a:
p)
Significantdifferences
1).Sumofthevaluesintheratiois4andonevalueis0
2).Valuesintheratioexceed4,andthevalueononesideoftheratioisnomorethantwicethatofother(a<2porp<2a)
3).Ratioexceeds4,andthevalueononesideis2-3timesgreaterthanthevalueontheotherside(a>2-3p,orp>2-3a)
MActive:
PassiveRatio(Ma:
Mp)
Mp>Ma:
morepassiveorientation
Morerequestsfordirections,seemedmorehelpless,exhibitedarelativelyhighnumberofsilences
FC:
CF+C
FC:
form-dominatedcolorresponses
CF+C:
color-dominatedresponses
提供impulsecontrol的能力指標
FC是CF+C的1.5至2.5倍時,goodcontrol&滿意的人際關係
HighForm,則canintegrateanaccurate,reality-orientedinterpretationintotheirperception
沒有CF+C,則過份constricted,少接觸自己的情緒
PsychosomaticpatientsFC:
(CF+C)=4:
1ormore
CF+C相對高於1:
1,則weakcontrol,aggressiveactingout,perhapsconsistentwithanarcissisticpersonality
PureC
Anindexofthedegreetowhichapersonislikelytobeoverwhelmedbyaffectiveimpulse
PureC:
7%non-patient,45%depression,32%schizophrenia,27%characterdisorder
Afr(AffectiveRatio)
Indicatestheextenttowhichcolormakeanimpactontheperson
Normal.63-.75Mean=.67,SD=0.16
HighAfr(>.85)
Overresponsivenesstoaffect
亦即morereceptivetoemotionalinputsandmorelikelytorespondimmediatelyratherthantodelaybehavior
EB“introversive”=lowAfr(mean=.62,0.50-0.80)
EB“extratensive”=highAfr(mean=.79,0.60-0.95)
另要再考慮FC:
CF+C
亦即Afr測量受試者對Affect的反應程度,FC:
CF+F則表示其對Affect的控制能力
LowAfr(<.53)
Withdrawfromtheiremotion
若太低,則mayattempttoexertanextremeamountofcontrolovertheiraffectiveresponses
L(Lambda,PureF:
NonpureF)
Usedasanindexofthedegreeofresponsivenessv.s.lackofresponsivenesstostimuli
反應形式從highlyconstricted至withdrawto完全的情緒flooded
normal.52-1.12Mean=.82
outpatient.05-.85
inpatientnon-schizophrenia.20-.58
inpatientschizophrenia.23-.63
HighL(>1.1)or(>0.99)
因為PureF是指從情緒經驗中withdraw或逃避所有的可能性,所以HighL表示conservative,insecure,fearfulofinvolvement,defensive,constricted,unimaginative,anxious
depression,quilt,自殺的可能性
L>1.20時
Haveanexcessivedegreeofaffectivedetachmentoftenscreeningoutrelevantinformation
Avoidcomplexityofastimulus
Develop“tunnelchannel”
LowL(<0.50)or(<0.32)
Overinvolvedwithstimulitotheextentthataffectdisruptscognitivefunctioning
Inadequatecontrolovertheir,由於經常的actingout(impulse)因而造成人際關係的困難
Achievementorientedanddealeffectivelywiththeenvironment(且averageX+%,平均的P反應,goodorganizationactivity,W高於平均)
Blends:
R(ComplexityIndex)
平均大約20%
需要bothanalysis&synthesis的能力
若無Blends,則narrowness&constriction
Blends少,則depressiveor智力低
Blends多(>8),則unusualamountofcomplexitytotheextentthatthepersonmaybeoverlyburdened
Blends的解釋需要再瞭解其qualitativeaspects
1.color-dominated,則easilyoverwhelmedbyaffect
2.form-dominated,則相對於color-dominated的解釋
3.color-shadingblend,則painful,irritating,confusingemotionalexperiencing,depressive,suicide(mild)
X+%(ConventionalForm)
Anindicatorofthedegreetowhichapersonperceivesthingsinaconventional,realisticmanner
Normal77%,SD=9%
HighX+%(>90%)
Perceivedtheirworldanoverlyconventionalmannertotheextentthattheymightsacrificetheirindividuality
Hypernormal,inflexible,rigid,overlyconventional(通常Popular多)
LowX+%(<70%)
Perceivedtheirworldinanunusualmanner
Individualit