The Use of Projective Techniques in Personality Assessment of the Aged

  • Boaz Kahana

Abstract

The classical problem confronting personality assessment in the elderly as well as in other groups has been that of surveying the gestalt of personality using indices which are both valid and reliable and yet which allow an overall understanding of the person (Chown, 1967). Hacker, Gaitz, and Hacker (1972, p, 94) argue that a humanistic view of mental health dictates a reevaluation of our orientation to diagnostic assessment. “In the pressure to quantify certain aspects of human behavior for scientific investigation, the essential human or spiritual qualities of the person are de-emphasized, and at times forgotten.” Behavioral scientists increasingly have been using standardized, closed-ended indices of mental health or illness. Data obtained through such measures are easily scored, processed, and quantified. Research on older persons has shown, however, that such indices may not capture the complexities of behavior and may even encourage a dehumanizing orientation toward older mental patients. Clinical assessment of the aged must go beyond an attempt to characterize mental impairment and illness and serve to uncover the potential of the aging individual (Oberleder, 1967).

Keywords

Arthritis Depression Dementia Schizophrenia Syria 

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References

  1. Ames, L. B. Age changes in the Rorschach responses of a group of elderly individuals. Journal of Genetic Psychology, 1960, 97, 257–285. (a)PubMedGoogle Scholar
  2. Ames, L. B. Age changes in the Rorschach responses of individual elderly subjects. Journal of Genetic Psychology, 1960, 97, 287–315. (b)PubMedGoogle Scholar
  3. Ames, L. B. Changes in the experience balance scores on the Rorschach at different ages in the life span. Journal of Genetic Psychology, 1965, 106, 279–286.PubMedGoogle Scholar
  4. Ames, L. B. Calibration of aging. Journal of Personality Assessment, 1974, 38, 507–529.PubMedGoogle Scholar
  5. Ames, L. B., Learned, J., Metraux, R. W., and Walker, R. N. Rorschach responses in old age. New York: Harper Brothers, 1954.Google Scholar
  6. Ames, L. B., Metraux, R. W., Rodell, J. L., and Walker, R. N. Rorschach responses in old age. New York: Brunner-Mazel, 1973.Google Scholar
  7. Apfeldorf, M., Randolph, J., and Whitman, G. Figure drawing correlates of furlough utilization in an aged institutionalized population. Journal of Projective Techniques, 1966, 30, 467–470.Google Scholar
  8. Bellak, L. The T.A.T., C.A.T., and S.A.T. in clinical use (3rd Edition). New York: Gruen & Stratton, 1975.Google Scholar
  9. Bender, L. A visualmotor Gestalt test and its clinical use. New York: The American Orthopsychiatry Association, 1938.Google Scholar
  10. Birren, J. E., Butler, R. N., Greenhouse, S. W., Sokoloff, L., and Yarrow, M. R. (Eds.). Human aging I: A biological and behavioral study (USPHS Publ. No. 986). Washington, D.C.: U.S. Government Printing Office, 1963.Google Scholar
  11. Bradburn, N. Measures of psychological well-being. Working paper, National Opinion Research Center, Chicago, January, 1964.Google Scholar
  12. Britton, J. H. Dimensions of adjustment of older adults. Journal of Gerontology, 1963, 18, 60–65.PubMedGoogle Scholar
  13. Büros, O. K. (Ed.). The Seventh Mental Measurement Yearbook (Vol. 1). Highland Park, New York: Gryphon Press, 1972.Google Scholar
  14. Butler, R. N., and Lewis, M. I. Aging and mental health: Positive psychosocial approaches. St. Louis: C. V. Mosby, 1973.Google Scholar
  15. Caldwell, B. McD. The use of the Rorschach in personality research with the aged. Journal of Gerontology, 1954, 9, 316–323.PubMedGoogle Scholar
  16. Canter, A., and Straumanis, J. J. Performance of senile and healthy aged persons on the BIP Bender Test. Perceptual and Motor Skills, 1969, 28, 695–698.PubMedGoogle Scholar
  17. Carp, F. M. The application of an empirical scoring standard for a sentence completion test administered. Journal of Gerontology, 1967, 22, 301–307.PubMedGoogle Scholar
  18. Cassel, R., Johnson, A. P., and Burns, W. H. Examiner, ego-defense, and the H-T-P Test. Journal of Clinical Psychology, 1958, 14, 157–160.PubMedGoogle Scholar
  19. Chesrow, E. J., Wasika, P. H., and Reinitz, A. H. A psychometric evaluation of aged white males. Geriatrics, 1949, 4, 169–177.PubMedGoogle Scholar
  20. Chown, S. Personality and aging. In K. W. Schaie (Ed.), Theory and methods of research on aging. Morgantown, W.V.: West Virginia University Library, 1967.Google Scholar
  21. Davidson, H. H., and Kroglov, L. Personality characteristics of the institutionalized aged. Journal of Consulting Psychology, 1952, 16, 5–12.PubMedGoogle Scholar
  22. Dohrenwend, B. Social status and psychological disorder: An issue of substance and an issue of method. American Socio logical Review, 1966, 31, 14–34.Google Scholar
  23. Dörken, H., and Kral, A. V. Psychological investigation of senile dementia. Geriatrics, 1951, 6, 151–163.PubMedGoogle Scholar
  24. Eisdorfer, C. Developmental level and sensory impairment in the aged. Journal of Projective Techniques, 1960, 24, 129–132.PubMedGoogle Scholar
  25. Eisdorfer, C. Rorschach performance and intellectual functioning in the aged. Journal of Gerontology, 1963, 18, 358–363.PubMedGoogle Scholar
  26. Exner, J. E. Jr. The Rorschach: A comprehensive system. New York: Wiley Interscience, 1974.Google Scholar
  27. Fine, E. W., Lewis, D., Villa-Londa, I., and Blakemore, C. B. The effect of cyclandelate on mental function in patients with arteriosclerotic brain disease. British Journal of Psychiatry, 1970, 117, 157–161.PubMedGoogle Scholar
  28. Fink, H. The relationship of time perspective to age, institutionalization and activity. Journal of Gerontology, 1957, 12, 414–417.PubMedGoogle Scholar
  29. Fitzgerald, B., Pasewark, R., and Fleischer, S. Responses of an aged population on the Gerontological and Thematic Apperception Tests. Journal of Personality Assessment, 1974, 38, 234–275.PubMedGoogle Scholar
  30. Gaitz, C. M. Mental disorders: Diagnosis and treatment. In E. Busse (Ed.), Theory and therapeutics of aging. New York: Medcom Press, 1973.Google Scholar
  31. Gaitz, C. M., and Baer, P. E. Diagnostic assessment of the elderly: A multifunctional model. The Gerontologist, 1970, 10, 47–52.PubMedGoogle Scholar
  32. Gilbert, J., and Hall, M. R. Changes with age in human figure drawing. Journal of Gerontology, 1962, 17, 397–404.PubMedGoogle Scholar
  33. Goodenough, F. L. Measurement of intelligence by drawings. Yonkers, New York: World Book Company, 1926.Google Scholar
  34. Granick, S., and Friedman, A. S. The effects of education on the decline of psychometric test performance with age. Journal of Gerontology, 1967, 22, 191–195.PubMedGoogle Scholar
  35. Gravitz, M. A. Normal adult differentiation patterns on the Figure Drawing Test. Journal of Projective Techniques, 1966, 30, 471–473.Google Scholar
  36. Gravitz, M. A. Marital status and figure drawing choice in normal older Americans. Journal of Social Psychology, 1969, 77, 143–144.PubMedGoogle Scholar
  37. Grossman, C., Warshawsky, F., and Hertz, M. Rorschach studies on personality characteristics of a group of institutionalized old people. Journal of Gerontology, 1951, 6 (Suppl. 3), 97. (Abstract)Google Scholar
  38. Guilford, J. P. (Ed.). Fields of psychology, basic and applied. New York: Van Nostrand, 1950.Google Scholar
  39. Gutmann, D. L. The country of old men: Cross cultured studies in the psychology of later life. In Occasional papers in gerontology. University of Michigan and Wayne State University, April, 1969.Google Scholar
  40. Gutmann, D. L. Alternatives to disengagement: The old Maya and the Highland Druze. In J. F. Gubrium (Ed.), Time, roles, and self in old age. New York: Human Science Press, 1976.Google Scholar
  41. Hacker, S., Gaitz, C, and Hacker, B. A humanistic view of measuring mental health. Journal of Humanistic Psychology, 1972, 12, 94–105.Google Scholar
  42. Hacker, S., Gaitz, C., and Hacker, B. Measuring mental health and illness: Analysis of empirical relationships between measurements of concepts. Unpublished manuscript, Texas Research Institute of Mental Sciences, Houston, 1970.Google Scholar
  43. Hain, J. D. The Bender Gestalt Test. A scoring method for identifying brain damage. Journal of Consulting Psychology, 1964, 28, 34–40.PubMedGoogle Scholar
  44. Harris, D. B. Children’s drawings as measures of intellectual maturity. New York: Harcourt, Brace & World, Inc., 1963.Google Scholar
  45. Harrower, M., Thomas, C. B., and Altman, A. Human figure drawings in a prospective study of six disorders: Hypertension, coronary heart disease, malignant tumor, suicide, mental illness, and emotional disturbance. Journal of Nervous and Mental Disease, 1975, 161, 191–199.PubMedGoogle Scholar
  46. Hartman, A. A. A basic TAT set. Journal of Projective Technology and Personality Assessment, 1970, 34, 391–396.Google Scholar
  47. Henry, W. E. The analysis of fantasy: The Thematic Apperception Technique in the study of personality. New York: John Wiley & Sons, Inc., 1956.Google Scholar
  48. Hochschild, A. R. Disengagement theory: A critique and proposal. American Sociological Review, 1975, 40, 553–569.Google Scholar
  49. Holsopple, J., and Miale, F. Sentence completion—a projective method for the study of personality. Springfield, II: Charles C. Thomas, 1954.Google Scholar
  50. Howell, S. Assessing the function of the aging adult. The Geron-tologist, 1968, 8, 60–62.Google Scholar
  51. Hutt, M. The Hutt adaptation of the Bender Gestalt Test (2nd ed.). New York: Gruen & Stratton, 1969.Google Scholar
  52. Jones, A. W., and Rich, T. A. The Goodenough Draw-A-Man test as a measure of intelligence in aged adults. Journal of Consulting Psychology, 1957, 21, 235–238.PubMedGoogle Scholar
  53. Kahana, B., Dvorkin, L., Pruchno, R., and Zarker, T. Adaptation of clinical assessment techniques for use with the aged. Paper presented at the Gerontological Society Annual Meeting, San Francisco, 1977.Google Scholar
  54. Kahana, B., and Kahana, E. Changes in mental status of elderly patients in aged-integrated and age-segregated hospital milieus. Journal of Abnormal Psychology, 1970, 75, 177–181.PubMedGoogle Scholar
  55. Kahana, B., and Kiyak, A. The use of projective tests as an aid to assessing coping behavior and coping styles among the aged. Paper presented at the 29th Annual Meeting of the Gerontological Society, New York, 1976.Google Scholar
  56. Kahana, E., and Kahana, B. Effects of age segregation on affective expression of elderly psychiatric patients. American Journal of Orthopsychiatry, 1968, 38, 1968.Google Scholar
  57. Kahana, B., and Kahana, E. Strategies of adaptation to institutional environments. Symposium given at the Annual Meeting of the Gerontological Society, Miami, 1973.Google Scholar
  58. Kahana, E., and Kahana, B. Strategies of coping in institutional environments. Progress Report submitted to National Institute of Mental Health, 1976.Google Scholar
  59. Kahana, E., and Felton, B. J. Continuity and change in coping strategies in a longitudinal analysis. Paper presented at the 29th Annual Meeting of the Gerontological Society, New York, 1976.Google Scholar
  60. Klopfer, W. G. Personality patterns of old age. Rorschach Research Exchange, 1946, 10, 145–166.Google Scholar
  61. Klopfer, W. G. The application of the Rorschach Technique to geriatrics. In W. G. Klopfer (Ed.), Developments in the Rorschach technique, Fields of application (Vol. 2). Yon-kers, New York: World Book Co., 1956.Google Scholar
  62. Klopfer, W. G. The Rorschach and old age. Journal of Personality Assessment, 1974, 38, 420–422.Google Scholar
  63. Klopfer, W. G., and Taulbee, E. S. Projective tests. Annual Review of Psychology, 1976, 27, 543–567.PubMedGoogle Scholar
  64. Knutson, J. F. Rorschach. In O. K. Buros (Ed.), Mental Measurement Yearbook (Vol. 1). Highland Park, New York: Gryphan, 1972.Google Scholar
  65. Koppitz, E. M. The Bender Gestalt test for young children. New York: Gruen & Stratton, 1964.Google Scholar
  66. Krai, V. A., and Wigdor, B. T. Clinical and psychological observations in a group of well-preserved aged people. Medical Services Journal of Canada, 1963, 19, 1–11.Google Scholar
  67. Kuhlen, R. G., and Kerl, C. The Rorschach performance of 100 elderly males. Journal of Gerontology, 1951, 6 (Suppl. to No. 3), 115. (Abstract)Google Scholar
  68. Lakin, M. Certain formal characteristics of human figure drawings by institutionalized aged and by normal children. Journal of Consulting Psychology, 1956, 20, 471–474.PubMedGoogle Scholar
  69. Lakin, M. Formal characteristics of human figure drawings by institutionalized and non-institutionalized aged. Journal of Gerontology, 1960, 15, 76–78.PubMedGoogle Scholar
  70. Lehmann, H. E., Ban, T. A., and Krai, V. A. Psychological test practice effect in geriatric patients. Geriatrics, 1968, 160–163.Google Scholar
  71. Levine, E. S., and Wagner, E. E. Personality patterns of deaf persons: An interpretation based on research with the Hand Test. Perceptual and Motor Skills, 1974, 39, 1167–1236 (Mongr. Suppl. 1-V39).Google Scholar
  72. Lewin, K. Field theory in social science. New York: Harper, 1951.Google Scholar
  73. Lieberman, M. A. Psychological correlates of impending death. Some preliminary observations. Journal of Gerontology, 1965, 20, 182–190.Google Scholar
  74. Lieberman, M. A., and Caplan, A. S. Distance from death as a variable in the study of aging. Developmental Psychology, 1970, 2, 71–84.Google Scholar
  75. Light, B. A., and Amick, J. H. Rorschach responses of normal aged. Journal of Projective Techniques, 1956, 20, 185–195.PubMedGoogle Scholar
  76. Lorge, I., Tuckman, J., and Dunn, M. B. Human figure drawing by younger and older adults. American Psychologist, 1954, 9, 420–421. (Abstract)Google Scholar
  77. Machover, K. Personality projection in the drawing of the human figure. Springfield, 111.: Charles C. Thomas, 1952.Google Scholar
  78. Modell, A. H. Changes in human figure drawings by patients who recover from regressed states. American Journal of Orthopsychiatry, 1951, 21, 584–596.PubMedGoogle Scholar
  79. Muller, C., and LeDinh, T. Aging of schizophrenic patients as seen through the Rorschach Test. Acta Psychiatrica Scandi-navica, 1976, 53 (Issue 3), 161–167.Google Scholar
  80. Neugarten, B. L., and Gutmann, D. L. Age-sex roles and personality in middle age: A thematic apperception study. In B. L. Neugarten (Ed.), Middle age and aging. Chicago: Atherton Press, 1968.Google Scholar
  81. Neugarten, B. L., Havighurst, R. J., and Tobin, S. S. The measurement of life satisfaction. Journal of Gerontology, 1961, 16, 134–143.PubMedGoogle Scholar
  82. Oberleder, M. Effects of psychosocial factors on test results of the aging. Psychological Reports, 1964, 14, 383–387.Google Scholar
  83. Oberleder, M. Adapting current psychological techniques for use in testing the aged. Gerontologist, 1967, 7, 188–191.PubMedGoogle Scholar
  84. Overall, J. E., and Gorham, D. R. Organicity versus old age in objective and projective test performance. Journal of Consulting and Clinical Psychology, 1972, 39, 98–105.PubMedGoogle Scholar
  85. Panek, P. E., Sterns, H. L., and Wagner, E. E. An exploratory investigation of the personality correlates of aging using the hand test. Perceptual and Motor Skills, 1976, 43, 331–336.PubMedGoogle Scholar
  86. Pascal, G. R., and Suttell, B. J. The Bender-Gestalt Test: Quantification and validity for adults. New York: Gruen & Strat-ton, 1951.Google Scholar
  87. Pasewark, R., Fitzgerald, B., Dexter, V., and Cangemi, A. Responses of adolescent, middle aged and aged females on the Gerontological & Thematic Apperception Tests. Journal of Personality Assessment, 1976, 40, 588–591.PubMedGoogle Scholar
  88. Peck, R. F. Personality factors in adjustment to aging. Geriatrics, 1960, 15, 124–130.PubMedGoogle Scholar
  89. Pollack, D. Coping and avoidance in inebriated alcoholics and normals. Journal of Abnormal Psychology, 1966, 71, 417–419.PubMedGoogle Scholar
  90. Postema, L. Y. Reminiscing, time orientation and self concept in aged men. Unpublished doctoral dissertation, Michigan State University, 1970.Google Scholar
  91. Prados, M., and Fried, E. G. Personality structure in the older age groups. Journal of Clinical Psychology, 1947, 17, 302–304.Google Scholar
  92. Rorschach, H. Psychodiagnostics. New York: Grune and Stratton, 1942.Google Scholar
  93. Rosen, J. L., and Neugarten, B. L. Ego functions in the middle and later years: A thematic apperception study of normal adults. Journal of Gerontology, 1960, 15, 62–67.PubMedGoogle Scholar
  94. Rosenzweig, S. A test for types of reactions to frustration. American Journal of Orthopsychiatry, 1935, 5, 395–403.Google Scholar
  95. Rosenzweig, S. Revised norms for the adult form of the Rosenzweig Picture Frustration Study. Journal of Personality, 1950, 18, 344–346.PubMedGoogle Scholar
  96. Rosenzweig, S. Laboratory reports on miscellaneous Picture Frustration Study projects. Unpublished manuscript, 1952.Google Scholar
  97. Rosenzweig, S. Sex differences in reaction to frustration among adolescents. In J. Zubin and A. Freedman (Eds.), Psychopath-ology of adolescence. New York: Gruen & Stratton, 1970.Google Scholar
  98. Rosenzweig, S., and Braun, S. H. Adolescent sex differences in reactions to frustration as explored by the Rosenzweig P-F Study. Journal of Genetic Psychology, 1970, 116, 53–61.PubMedGoogle Scholar
  99. Rosenzweig, S. Aggressive behavior and the Picture Frustration study. Book manuscript in preparation.Google Scholar
  100. Saarni, C., and Azara, V. Developmental analysis of human figure drawings in adolescence, young adulthood, and middle age. Journal of Personality Assessment, 1977, 41, 1, 31–38.PubMedGoogle Scholar
  101. Schaeffer, R. W. Clinical psychologists’ ability to use the Draw-A-Person Test as an indicator of personality adjustment. Journal of Consulting Psychology, 1964, 28, 383. (Abstract)PubMedGoogle Scholar
  102. Schaie, K. W. Age changes and age differences. The Gerontologist, 1967, 7, 128–132.PubMedGoogle Scholar
  103. Schaie, K. W., and Schaie, J. P. Clinical assessment and aging. In J. E. Birren and K. W. Schaie (Eds.), The handbook of the psychology of aging. New York: Van Nostrand Reinhold Co., 1977.Google Scholar
  104. Shrut, S. Attitudes toward old age and death. Mental Hygiene, 1958, 42, 259–266.PubMedGoogle Scholar
  105. Shimonaka, Y., and Marase, T. Japanese Journal of Educational Psychology, 1975, 23, 104–113.Google Scholar
  106. Strumpfer, D. J. The relations of DAP Test variables to age and chronicity in psychotic groups. Journal of Clinical Psychology, 1963, 19, 208–211.PubMedGoogle Scholar
  107. Swensen, C. H. Empirical evaluations of human figure drawings. Psychological Bulletin, 1957, 54, 431–466.PubMedGoogle Scholar
  108. Tolor, A., and Shulberg, H. An evaluation of the Bender-Gestalt Test. Springfield, Ill.: Charles C. Thomas, 1963.Google Scholar
  109. Traxler, A., Swiener, R., and Rogers, B. Use of Gerontological Apperception Test (GAT) with community-dwelling and institutional aged. The Gerontologist, 1974, 14, 52. (Abstract)Google Scholar
  110. Tuckman, J., Lorge, I., and Zeman, F. D. The self image in aging. Journal of Genetic Psychology, 1961, 99, 317–321.PubMedGoogle Scholar
  111. Veroff, J., Atkinson, J. W., Feld, S. C., and Gurin, G. The use of thematic apperception to assess motivation in a nationwide interview study. Psychological Monographs, 1960, 74, (12, Whole No. 499).Google Scholar
  112. Wagner, E. E., and Capotosto, M. Discrimination of good and poor retarded workers with the Hand Test, American Journal of Mental Deficiency, 1966, 1, 126–128,Google Scholar
  113. Wolk, R. L. Refined projective techniques with the aged. In D. P. Kent, R. Kastenbaum, and S. Sherwood (Eds.), Research planning and action for the elderly: The power and potential of social science. New York: Behavioral Publications, 1972.Google Scholar
  114. Wolk, R. L., and Wolk, R. B. The Gerontological Apperception Test, New York: Behavioral Publications, 1970.Google Scholar

Copyright information

© Plenum Press, New York 1978

Authors and Affiliations

  • Boaz Kahana
    • 1
  1. 1.Oakland UniversityUSA

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