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Klinik ve adli bağlamda ruhsal travmanın değerlendirilmesinde Minnesota Çok Yönlü Kişilik Envanteri, Tematik Algı Testi ve Rorschach Mürekkep Lekeleri Testi’nin kullanımı

Year 2022, , 232 - 248, 25.08.2022
https://doi.org/10.5455/kpd.26024438m000063

Abstract

Travma sonrası stres bozukluğu (TSSB) genel olarak kişinin ölüm ya da ciddi yaralanma tehdidine maruz kalmasına bağlı olarak ortaya çıkabilen bir ruh sağlığı problemidir. Belirtileri açısından farklı tanılarla karıştırılma olasılığı yüksek olan TSSB’nin klinik açıdan değerlendirilmesinde psikolojik ölçme araçlarına sıklıkla başvurulmaktadır. Adli konularda ise özellikle tazminat talepleri sebebiyle yapılan başvurularda ruh sağlığı alanında çalışan kişiler sıklıkla TSSB’nin varlığını değerlendirmek durumunda kalmaktadır. Bu çalışmada klinik ve adli psikolojik değerlendirmede sık kullanılan Minnesota Çok Yönlü Kişilik Envanteri (MMPI), Tematik Algı Testi (TAT) ve Rorschach Mürekkep Lekeleri Testi ile travma mağduru kişilerin değerlendirildiği çalışmalarda ortaya çıkan profil özelliklerinin incelenmesi amaçlanmaktadır. Bunun yanında alanyazındaki bilgilerin derlenerek sunulması da amaçlar arasındadır. Yapılan çalışmalar MMPI, TAT ve Rorschach Mürekkep Lekeleri Testi’nin travmanın değerlendirilmesinde başarıyla kullanılabilen araçlar olduğunu göstermekte ancak tanısal ya da adli karar verirken tek başına testlerden elde edilen bilgilerin yanıltıcı sonuçlar doğurabileceği de sıklıkla vurgulanmaktadır. Bu tür durumlarda psikolojik değerlendirme araçlarının kullanımı özellikle önemli olup bu değerlendirmeleri yapan kişilerin de konuyla ilgili alanyazın bilgisine hâkim olması ve güncel çalışmaları takip etmesi yapılan değerlendirmelerin daha doğru şekilde ele alınmasını sağlayacaktır.

References

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  • Archer, R.P., Buffington-Vollum, J.K., Stredny, R.V. ve Handel, R. W. (2006). A Survey of Psychological Test Use Patterns Among Forensic Psychologists. Journal of Personality Assessment, 87(1), 84-94.
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  • Armstrong, J.G. (2002). Deciphering the broken narrative of trauma: Signs of traumatic dissociation on the Rorschach. Rorschachiana, 25(1), 11–27.
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  • El-Shenawy, O.E. (2017). Traditional psychological tests usage in forensic assessment. Journal of Forensic Legal Investigative Science, 3(1), 1-5.
  • Engels, M.L., Moisan, D. ve Harris, D. (1994). MMPI indices of childhood trauma among 110 female outpatients. Journal of Personality Assesment, 63(1), 135-147.
  • Ephraim, D. (2002). Rorschach trauma assessment of survivors of torture and state violence. Rorschachiana, 25(1), 58–76.
  • Finn, S.E. (2012). Implications of recent research in neurobiology for psychological assessment. Journal of Personality Assessment, 94(5), 440-449.
  • Forbes, D., Creamer, M. ve McHugh, T. (1999). MMPI-2 data for Australian Vietnam Veterans with combat-related PTSD. Journal of Traumatic Stress, 12(2), 371–378.
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The use of Minnesota Multiphasic Personality Inventory (MMPI), Thematic Apperception Test (TAT) and Rorschach Inkblot Test in the evaluation of mental trauma in clinical and forensic context

Year 2022, , 232 - 248, 25.08.2022
https://doi.org/10.5455/kpd.26024438m000063

Abstract

Post-traumatic stress disorder (PTSD) is a mental health problem that can occur generally because of the threat of death or serious injury. Psychological assessment tools are often used in the clinical evaluation of PTSD, whose symptoms are likely to be confused with different diagnoses. In forensic areas, people working in the mental health field often have to evaluate the presence of PTSD, especially in applications with compensation claims. This study, it was aimed to examine the Minnesota Multiphasic Personality Inventory (MMPI), Thematic Apperception Test (TAT), and Rorschach Inkblot Test which are widely used in clinical and forensic psychological evaluation, and the profile characteristics that emerge in the studies where trauma victims are evaluated. Besides, the presentation of compiled information in the literature is also among the aims of this study. Studies showed that MMPI, TAT, and Rorschach Inkblot Test can be used successfully in the evaluation of trauma, but it is frequently emphasized that the information obtained from the tests alone can cause misleading results when deciding on diagnosis or forensic situations. In such cases, it is especially important to use psychological evaluation tools, and mental health professionals evaluating PTSD should have knowledge of the literature on this subject and follow current studies and so it could be ensured that the evaluations are handled more accurately.

References

  • American Psychiatric Association, (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.).
  • Arbisi, P. A., Ben-Porath, Y. S., & McNulty, J. (2006). The ability of the MMPI-2 to detect feigned PTSD within the context of compensation seeking. Psychological Services, 3(4), 249-261.
  • Archer, R.P., Buffington-Vollum, J.K., Stredny, R.V. ve Handel, R. W. (2006). A Survey of Psychological Test Use Patterns Among Forensic Psychologists. Journal of Personality Assessment, 87(1), 84-94.
  • Areh, I. (2020). Forensic assessment may be based on common sense assumptions rather than science. International Journal of Law and Psychiatry, 71, 1-10.
  • Armstrong, J.G. (2002). Deciphering the broken narrative of trauma: Signs of traumatic dissociation on the Rorschach. Rorschachiana, 25(1), 11–27.
  • Armstrong, J.G. ve Loewenstein, R.J. (1990). Characteristics of patients with multiple personality and dissociative disorders on pychological testing. The Journal of Nervous and Mental Disease, 178 (7), 448-454.
  • Armstrong, J.G. ve Kaser-Boyd, N. (2004). Projective assessment of psychological trauma. (M. Hilsenroth ve D. Segal (Ed.), Comprehensive handbook of psycholo gical assessment: Vol. 2. Personality assessment içinde (s. 500–512). NY: Wiley.
  • Arnon, Z., Maoz, G., Gazit, T. ve Klein, E. (2011). Rorschach indicators of PTSD: A retrospective study. Rorschachiana, 32(1), 5–26.
  • Asari, T., Konishi, S., Jimura, K., Chikazoe, J., Nakamura, N. ve Miyashita, Y. (2008). Right temporopolar activation associated with unique perception. NeuroImage, 41(1), 145-152.
  • Asari, T., Konishi, S., Jimura, K., Chikazoe, J., Nakamura, N. ve Miyashita, Y. (2010a). Amygdalar modulation of frontotemporal connectivity during the inkblot test. Psychiatry Research, 182(2), 103–110.
  • Asari, T., Konishi, S., Jimura, K., Chikazoe, J., Nakamura, N. ve Miyashita, Y. (2010b). Amygdalar enlargement associated with unique perception. Cortex, 46(1), 94–99.
  • Baillés, E., Pintor, L., Fernandez-Egea, E., Torres, X., Matrai, S., De Pablo, J. ve Arroyo, S. (2004). Psychiatric disorders, trauma, and MMPI profile in a Spanish sample of nonepileptic seizure patients. General Hospital Psychiatry, 26, 310-315.
  • Bedi, R., Muller, R.T. ve Thornback, K. (2013). Object relations and psychopathology among adult survivors of childhood abuse. Psychological Trauma: Theory, Research, Practice, and Policy, 5(3), 233–240.
  • Bornstein, R.F. (2002). A process dissociation approach to objective-projective test score interrelationships. Journal of Personality Assessment, 78(1), 47–68.
  • Brand, B.L., Armstrong, J.G. ve Loewenstein, R.J. (2006). Psychological assessment of patients with dissociative ıdentity disorder. Psychiatric Clinics of North America, 29, 145-168.
  • Brand, B.L., Armstrong, J.G., Loewenstein, R.J. ve McNary, S.W. (2009). Personality differences on the Rorschach of dissociative identity disorder, borderline personality disorder, and psychotic inpatients. Psychological Trauma: Theory, Research, Practice, and Policy, 1(3), 188–205.
  • Briere, J.N. ve Scott C. (2016). Travma terapisinin ilkeleri. (B.D. Genç, Çev.). İstanbul Bilgi Üniversitesi Yayınları (Orijinal çalışma basım tarihi 2014).
  • Cannon, D.S., Bell, W.E., Andrews, R.H. ve Finkelstein, A.S. (1987). Correspondence between MMPI PTSD measures and clinical diagnosis. Journal Of Personality Assessment, 51(4), 517–521.
  • Carlson, E. B. ve Dalenberg, C. J. (2000). A conceptual framework for the impact of traumatic experiences. Trauma, Violence, & Abuse, 1(1), 4–28.
  • Carlson, E. B., Furby, L., Armstrong, J. ve Shlaes, J. (1997). A conceptual framework for the the long-term psychological effects of traumatic childhood abuse. Child Maltreatment, 2(3), 272–295.
  • Cashel, M. L., Ovaert, L. ve Holliman, N. G. (2000). Evaluating PTSD in incarcerated male juveniles with the MMPI-A: An exploratory analysis. Journal of Clinical Psychology, 56(12), 1535–1549.
  • Çolak, B., Kokurcan, A. ve Özsan, H.H. (2010). DSM’ler boyunca travma kavramının seyri. Kriz Dergisi, 18 (3), 19-25.
  • Efendov, A.A., Sellbom, M. ve Bagby, R.M. (2008). The utility and comparative incremental validity of the MMPI-2 and Trauma symptom Inventory validity scales in the detection of feigned PTSD. Psychological Assessment, 20(4), 317–326.
  • Elhai, J.D., Frueh, B.C., Gold, P.B., Hamner, M.B. ve Gold, S.N. (2003). posttraumatic stress, depression and dissociation as predictors of MMPI-2 scale 8 scores in combat veterans with PTSD, Journal of Trauma &Dissociation, 4(1), 51-64.
  • El-Shenawy, O.E. (2017). Traditional psychological tests usage in forensic assessment. Journal of Forensic Legal Investigative Science, 3(1), 1-5.
  • Engels, M.L., Moisan, D. ve Harris, D. (1994). MMPI indices of childhood trauma among 110 female outpatients. Journal of Personality Assesment, 63(1), 135-147.
  • Ephraim, D. (2002). Rorschach trauma assessment of survivors of torture and state violence. Rorschachiana, 25(1), 58–76.
  • Finn, S.E. (2012). Implications of recent research in neurobiology for psychological assessment. Journal of Personality Assessment, 94(5), 440-449.
  • Forbes, D., Creamer, M. ve McHugh, T. (1999). MMPI-2 data for Australian Vietnam Veterans with combat-related PTSD. Journal of Traumatic Stress, 12(2), 371–378.
  • Franklin, C.L., Repasky, S.A., Thompson, K.E., Shelton, S.A. ve Uddo, M. (2002). Differentiating overreporting and extreme distress: MMPI-2 use with compensation-seeking veterans with PTSD. Journal of Personality Assessment, 79(2), 274–285.
  • Freedenfeld, R.N., Ornduff, S. R. ve Kelsey, R.M. (1995). Object relations and physical abuse: A TAT analysis. Journal of Personality Assessment, 64(3), 552–568.
  • Frueh, B. C., Leverett, J. P. ve Kinder, B. N. (1995). Interrelationship between MMPI-2 and Rorschach variables in a sample of Vietnam veterans with PTSD. Journal of Personality Assessment, 64(2), 312–318.
  • Garb, H.N., Wood, J.M. ve Nezworski, M.T. (2000). Projective techniques and the detection of child sexual abuse. Child Maltreatment, 5(2), 161–168.
  • Goldfinger, D.A., Amdur, R.L. ve Liberzon, I. (1998). Psychophysiologic responses to the Rorschach in PTSD patients, noncombat and combat controls. Depression and Anxiety, 8(3), 112–120.
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There are 81 citations in total.

Details

Primary Language Turkish
Subjects Clinical Psychology
Journal Section Reviews
Authors

Burcu Kahveci Öncü This is me 0000-0001-5052-2841

Bahar Baştuğ This is me 0000-0002-8317-7711

Publication Date August 25, 2022
Submission Date April 22, 2021
Published in Issue Year 2022

Cite

APA Kahveci Öncü, B., & Baştuğ, B. (2022). Klinik ve adli bağlamda ruhsal travmanın değerlendirilmesinde Minnesota Çok Yönlü Kişilik Envanteri, Tematik Algı Testi ve Rorschach Mürekkep Lekeleri Testi’nin kullanımı. Journal of Clinical Psychology Research, 6(2), 232-248. https://doi.org/10.5455/kpd.26024438m000063