Practical Guide to TAT
Transcription
Practical Guide to TAT
A PRACTICAL GUIDE TO THE THEMATIC APPERCEPTION TEST Copyrighted Material Copyrighted Material A PRACTICAL GUIDE TO THE THEMATIC APPERCEPTION TEST The TAT in Clinical Practice Edward Aronow, Ph.D. Montclair State University Kim Altman Weiss, Ph.D. New York Presbyterian Hospital Marvin Reznikoff, Ph.D. Fordham University Copyrighted Material USA Publishing Office: BRUNNER-ROUTLEDGE A member oj the Taylor & Francis Group 325 Chestn ut Street Philadelphia, PA 19106 Tel: (2 15) 625-8900 Fax: (2 15) 625-2940 Distribution Center: BRUNNER-ROUTLEDGE A member oj the Taylor & Francis Group 7625 Empire Drive Florence, KY 4 1042 Tel: 1-800-634-7064 Fax: 1-800-248 -4724 UK BRUNNER-ROUTLEDGE A member oj the Taylor & Francis Group 27 Church Road Hove E. Sussex, BN3 2FA Tel: +44 (0) 1273 2074 11 Fax: +44 (0) 12732056 12 A PRACTICAL GUIDE TO THE THEMATIC APPERCEPTION TEST: The TAT in Clinical Practice Copyrigh t © 200 I Taylor & Franc is. All ri ghts reserved. Printed in th e United Sta tes of America. Excep t as permitted under the United States Copyright Act of 1976, no part o f this publication may be reproduced or distributed in an y form or by any means, o r stored in a database or retrieval system, w ith out prior written permiss ion of the publisher. 234 5 6 7 890 Printed by Sh erid an Books, Ann Arbor, M l. Cover design by Nancy Abbol!. A CIP ca talog record for thi s book is avai lable from the British Library. @ The paper in thi s publication meets the requirements of the ANSI Standard Z39.48 -1 984 (Perma nence of Paper). Library of Congress Cataloging-in-Publication Data Aronow, Edwa rd. A practical gu id e to the thematic appercep ti on test: th e T.A.T. in clinical practice / Edwa rd Aronow, Kim A ltm an Weiss, Marvin Reznikofr. p. cm. Includes ind ex. ISBN 0-87630-944-9 (a lk. pape r ) l. Thematic Apperception Test. I. Weiss, Kim Altman. !T. Reznikoff, Marvin. III. Title. BF698.8 .T5 A7 2001 I 55.2'844-dc2 1 2001027392 I SBN 0-87630-944-9 Copyrighted Material To Drs. Lon Gieser and Wes Morgantwo dedicated TAT historians. To Christiana Morgan-an early TA T pioneer. Copyrighted Material Copyrighted Material CONTENTS ix Introduction A History of Apperception Techniques Test Administration 5 When to Use the TAT Materials Setting Rappo rt Which Ca rd s to G ive In stru ct io ns Reco rdin g the Responses Inquiry Testing Children Im pact of Race o n the Exa min er 5 5 9 11 12 12 Interpretation 13 Th eo ry Scori ng Systems Main Themes Technique Nomothetic and Idiograp hi c Interpretat io n Areas of Interpretati o n Rules and Ca ution s in Interp retat ion 13 6 6 6 8 14 15 16 17 25 vii Copyrighted Material viii Contents Stimulus Characteristics of the TAT Cards 31 Research Findings 51 Need for Ac hi evement H osti lity and Aggress ion Scor in g of Defense Mec h ~1 ni sms Interpe rso nal Ob ject RelJtions 51 Diversity Issues in TAT Use and Alternatives to the TAT 59 Alternatives to the TAT Which Test to Use? Cons id er in g Indi vidu al Differences in Assessment 61 69 70 The TAT in Psychotherapy 73 Pmtocol # 1 Protocol # 2 76 80 Integrating the TAT into a Test Report 83 Outline of a Psychologi ca l I\eport Additional Suggestions for Effec tive Repmt Writing 84 89 Sample Protocols 95 Protocol Protocol Protocol Protoco l # # # # 1 53 55 56 95 98 102 104 2 3 4 References Index 107 115 Copyrighted Material INTRODUCTION The purpose of the present text, as its name implies, is to provide the student with a short, manageable, but also reasonably comprehensive guide to the Thematic Apperception Test (TAT) and other apperceptive techniques. As the present authors have stated elsewhere (Aronow, Reznikoff, & Moreland, 1994), the TAT, like the Rorschach, provides essentially idiographic rather than nomothetic information. Thus, it is quite effective in telling the clinician how the subject views the self and the world in his or her own unique way. It is less effective as a psychometric procedure, providing a nomothetic measure of traits. For this reason, we prefer the term technique when dealing with projective devices, reserving the term test for those instruments that are primarily nomothetic (e.g., Millon Adolescent Personality Inventory-2, MMPI-2). Rossini and Moretti (1997) have correspondingly remarked on the resulting tendency of TAT applications in clinical practice to abandon both any psychometric approach or scoring system. The present text will cover both the well-known TAT and the Children's Apperception Test (CAT), and will also foray into the somewhat lesser known cousins of these techniques that have come into the testing arena in recent years. Subject populations that will be considered include children, adolescents, and adults. Some scoring systems that have been put forward will be discussed but, as we will state, we do not view scoring systems for apperceptive techniques as time-effective. Their usefulness is, thus, principally limited to research on apperceptive techniques. This book will also give special attention to cross-cultural issues and the application of apperceptive techniques to minority populations. The text is organized as follows: Chapter 1 will discuss the history of apperception techniques, with Chapter 2 devoted to test administration. ix Copyrighted Material x Introd ucti on Th e thi rd ch a p ter w ill prese nt tes t int erp rc ta tion , in cl udin g th e li se o f th e onc -se n tence s u m m ary tcc hni q u e th a t we find ve ry h e lpful. Sco rin g sys te m s w ill be bri efly prese nt e d ill th e cont ex t or th is ch a pt e r. C h a pt e r 4 w ill prese nt data o n t h e stimulu s va lu e of th e TAT ca rd s. Th e fifth ch a pt er w ill s u ccin Cl ly d escr ibe resea rc h findin gs pertainin g 10 a pp e rcept ive techniqu es, w hile C h a pt e r 6 w ill d ea l w ith di ve rsit y iss u es a nd a lte rn a tive a pperce pti ve m e thod s. Th e seve nth ch a pt er w ill cove r th e TAT a n d psyc h ot h e ra py, w hile C hapt er 8 w ill d escr ibe ho w a ppe rcepti ve fin d in gs shoul d be integ ra te d in a psyc hologica l re p o rt. Th e fin a l ch a p te r, C h a pter 9 , w ill prese nt sa mp le prolOcol s. Copyrighted Material A History of Apperception Techniques Th e pre hi story of projective techniqu es goes back quite far, including works of th e ancient Greeks on st imulu s a mbiguit y, comments by Oa Vin ci on the a rti sti c u se fuln ess of di sce rning obj ects in th e Illud or the e mbers of J fire, and Shakespeare's co mm e nts on "cloud int e rpre ta tion ." For in sta n ce, in th e 15rh ce nlUry, Leonardo Oa Vin ci quoted Botlicelli as stat in g that when a spo nge full of various colors is thrown aga in st a wall, a blot is produ ced in which figures of people, various animals, a nd so on , may be pe rce ive d. Oa Vinci sugges te d th e use of pe rce ption s such as th ese lor a rti sti c in spira tion (cited in Zubin , Emn , & Schumer, 1965) . He sta te d : Don't take Ill y a d vice li g htl y w h e n 1 adv ise yo u , eve n though it m ay a ppear bo rin g to stop a nd gaze a t wa ll spo ts, or a t th e ashes in th e fire , in the cloud s, or in th e Illud a nd a t similar things; yo u will, if yo u consider it caref ull y, discove r in it Jllany wo nd e rful thin gs. For th e pa inter's spirit is a rou sed to n ew thin gs b y it, be it in compositioll of batt les, of animals a nd m e n , or in th e va ri o u s co mpo sition s of la nd scapes a nd of unu sual thin gs su ch as d ev il s, a nd t h e ir lik e, w hi ch are ca lcul a te d to bring yo u hon or. Through th e ind escribab le a nd indefinit e thin gs, the spirit becomes awa ken e d to new discoveri es. (Da Vinci, quo ted in Zubin et a I. , 1965, p. 167) Copyrighted Material 2 A Prac ti cal Guid e to the TAT Binet aJl(] Henri, the founders of modern intelligence testing, are usually given credit as the originators of the scielllific approach to projective te chniques, using inkblots in the study of visual imagination (Binet & Henri, 1896). Binet and Henri also lI sed children's reaction s to pi ctures as m ea sures of int e ll ect. The TAT was first de veloped by Murray and hi s covvorkers at the Harvard Ps yc hological Clin ic, having first been described by Morgan and Murray (1935). The term apperception was chosen in view of th e fact that subjects don't just perceive, rather, the y construct stories about the cards in accordance with their persona lit y characteristics and th e ir experiences (Anderson, 1999). As contrasted with the Rorschach, the TAT ha s usually been regarded as providing Illore structure to the subject. As Murra y noted in th e test m a nual, the original procedure required two on e- hour sessions with 10 ca rd s used in eac h session. Those cards used in the second session were chosen to be mort' unusual, with subjects asked to give free pla y to t hei r imagi nat ions. Th e re ha s been controversy about the eMIl' history of the TAT in that Christiana Morgan was, at the initial stages, given the first authorship on the TAT. Th e controversy \vas magnified beca use of the long, conlliClual relation s hip between Morgatl and Murray. Douglas (199 3 ) has suggested that the downgra ding of Christiana Morgan in the authorship of til l' TAT is anexampic of male chau v inislll, though ll10st current authors view Murray as lhe prim <lry lorce behind the TAT (c .g., M()rgall , 1995). There is gCllcra l agreem e n r that the id e il lor t he TAT l'merged from a n in -class quest ion asked b y on e of Murray's undergra duatt' students. The stud e nt reported th a t h e r son, when ill, had spent the d ,lY making up stories about pi ctures in maga zincs. This mother w()nliered if pictures might be used in a clini ca l se lling to re lease fama sy material (Douglas, 1993). The TAT quickly becam e one ()f the most popular a nd so m et imt's tile most popular proj ective technique in the clilli cian's armamentariulll. Obrzut and Bol ick (1986) describe thematic picture techniques as "lhe 1llost widespread projectiv e technique s use d with children and adolescents" (p. 176). Similarly, Piotrowski and Keller (1984) lound that clini ca l progrilill directors Illost often cited [he TAT as the projective test with which tra ined psychologists should be familiar. Lubin , Larsen, and Matara zzo (1984) and Watkin s, Ca mbell, Ni e berding, and Hallm a rk ( 1995) have likewise re ported the instrument's continuing popularit y among projecti ve rec hniqu es in a variety of situations and populations. The TAT and simi lar themaric instruillents have been round to be frequent ly used for ilssessmenl in crosscu ltura l resea rch (Ret ieL 1987) . A good grounding in the interpretarion of a pperce ption techniques thu s appears highly desirable . Th eTAT a ppea rs to ha Vt' rccei vell be t t er a ccep ta nce in t h e scient i fic comIllunit y than, lor example, the Rorsc hach. It s hould a lso be noted lhat the Copyrighted Material A Hi story ot Apperceptioll Techniques 3 TAT is known for its nonclinical contributions as well, bcing an important technique used in various areas of personalit y research; as for example, McCklland's work s on the need for achievement (e.g., McClelland, 1958, 1961 a, 196 I b) . These more strictly sc ien ti fic applications of t hc TAT ha vc probably facilitat ed its acceptance by res ea rch-ori e nt ed ps ychologists. A numbe r of mh e r proj ectivt' story tec hniques have been put forward su bseq uent to the TAT. These ha ve included till' CAT dt'signt'd by Bella k (Bt'llak & Abrams, 1997 ); tht' CAT-H , using hum a n figure s [or older children (l3ellak & Hurvich , 1966); th e Robe rts Apperception Test for Children (RATC; McA rthur & Robe rts, 1982); tht' Blacky Pi ctures Tt'st (Blum, 1950); tht' Make-A-Picture Story Tt'st (MAPS; Shlll'idman, 1952); th e School Apperct'ption Me thod (SAM; Soloman & Starr, 1968); the Michigan Pi ctures Test Revised (MPTR; Hutl. 198 0); th e Gerontological Apperception Test (GAT; Wolk & Wolk , 1971); th e Senior Apperception Tt'chniqut' (SAT; 13t'liak & Abrams) ; the Tcll-Mc-A-Story (TEMAS; Con stantino, Malgad y & Va zquc z, 198 1); and the Southern Mi ss iss ippi TAT (SM-TAT; Ritzkr, Sharkey, &- Chud y. 1980). In addition, the TAT itst'lf has bet'n adapted a t tim es lor certain special purposes by modifying the original set of picturt's, such as in altitude survt'ys evalu a ting tilt' attitudes toward iss uc s such as labor probkms and authority (e.g., Ha rrison, 1(65). Another type of TAT modification invol ves till' int e nsive measurenwnt of a single characteristic such as sex or agg rcssion. The STudies by McCklland and hi s associaTes (m e ntioncd earlier) on nced lor ac hicve ment (nAch), utili zing two of the TAT cards along with two other pictures, rt'present an es pecia ll y impress ivt' bod y or research. Series D of thc TAT lIas bt't' n in ust' for m a n y years; prev iou s Serics A, 13, and C were dcsign ed to be ust'd by gluing pictures onto a cardboard background. Murstt' in (1963) has dt'scrib ed the se lection of cards for Series D, with cards being choscn on the basis of their contribution to es tablishing diagnoses lor various clients . Man y peopl e associated with the Harvard Psychological Clini c arc rcportt'd to have contributed pictures, with artistic work bt'ing donc by Christian a Morgan and Samuel Thai (Morgan, 1995). Morgan has also noted that the ll1odification s of original images and earlicr TAT rq)I'cst'ntat ions were ge nerally in the direction of removing detail and complexity and incrcasing ambigllity-thereby preslImably increa sing the lik e lihood or proj ect ion. Froll1 its ince ption, the TAT has steadfastly ITll1ain ed a widely uSt'd tcst in clinical se ttings. It has spawncd man y variations having resea rch a nd clinical applications. From the standpoint of both its historical a nte cede nts and current lIsage, it is very likely that it will continue 10 be an important instrull1ent in tht' area of perso na lity assessmcnt. Copyrighted Material