| Thematic Apperception Test | |
|---|---|
| MeSH | D013803 |
The Thematic Apperception Test (TAT) is a projective psychological test developed during the 1930s by Henry A. Murray and Christiana D. Morgan at Harvard University. Proponents of the technique assert that subjects' responses, in the narratives they make up about ambiguous pictures of people, reveal their underlying motives, concerns, and the way they see the social world. [1] Historically, the test has been among the most widely researched, taught, and used of such techniques. [2]
The TAT was developed by American psychologist Murray and lay psychoanalyst Morgan at the Harvard Clinic at Harvard University during the 1930s. Anecdotally, the idea for the TAT emerged from a question asked by one of Murray's undergraduate students, Cecilia Roberts. [3] She reported that when her son was ill, he spent the day making up stories about images in magazines and she asked Murray if pictures could be employed in a clinical setting to explore the underlying dynamics of personality.
Murray wanted to use a measure that would reveal information about the whole person but found the contemporary tests of his time lacking in this regard. Therefore, he created the TAT. The rationale behind the technique is that people tend to interpret ambiguous situations in accordance with their own past experiences and current motivations, which may be conscious or unconscious. Murray reasoned that by asking people to tell a story about a picture, their defenses to the examiner would be lowered as they would not realize the sensitive personal information they were divulging by creating the story. [4]
Murray and Morgan spent the 1930s selecting pictures from illustrative magazines and developing the test. After 3 versions of the test (Series A, Series B, and Series C), Morgan and Murray decided on the final set of pictures, Series D, which remains in use today. [3] Although she was given first authorship on the first published paper about the TAT in 1935, Morgan did not receive authorship credit on the final published instrument. Reportedly, her role in the creation of the TAT was primarily in the selection and editing of the images, but due to the primacy of the name on the original publication the majority of written inquiries about the TAT were addressed to her; since most of these letters included questions that she could not answer, she requested that her name be removed from future authorship. [5]
During the time Murray was developing the TAT he was also involved in Herman Melville studies. The therapeutic technique originally came to him from the "Doubloon chapter" in Moby Dick. [6] In this chapter, multiple characters inspect the same image (a Doubloon), but each character has vastly different interpretations of the imagery—Ahab sees symbols of himself in the coin, while the religiously devout Starbuck sees the Christian Trinity. Other characters provide interpretations of the image that give more insight into the characters themselves based on their interpretations of the imagery. Crew members, including Ahab, project their self perceptions onto the coin which was nailed to the mast. Murray, a lifelong Melvillist, often maintained that all of Melville's oeuvre was for him a TAT.
After World War II, the TAT was adopted more broadly by psychoanalysts and clinicians to evaluate emotionally disturbed patients. Later, in the 1970s, the Human Potential Movement encouraged psychologists to use the TAT to help their clients understand themselves better and stimulate personal growth. In the 1950s the TAT was widely used to support assessment of needs and motives. [7]
The TAT is popularly known as the picture interpretation technique because it uses a series of provocative yet ambiguous pictures about which the subject is asked to tell a story. The TAT manual provides the administration instructions used by Murray, [8] although these procedures are commonly altered. The subject is asked to tell as dramatic a story as they can for each picture presented, including the following:
If these elements are omitted, particularly for children or individuals of low cognitive abilities, the evaluator may ask the subject about them directly. Otherwise, the examiner is to avoid interjecting and should not answer questions about the content of the pictures. The examiner records stories verbatim for later interpretation.
The complete version of the test contains 32 picture cards. Some of the cards show male figures, some female, some both male and female figures, some of ambiguous gender, some adults, some children, and some show no human figures at all. One card is completely blank and is used to elicit both a scene and a story about the given scene from the storyteller. Although the cards were originally designed to be matched to the subject in terms of age and gender, any card may be used with any subject. Murray hypothesized that stories would yield better information about a client if the majority of cards administered featured a character similar in age and gender to the client. [8]
Although Murray recommended using 20 cards, most practitioners choose a set of between 8 and 12 selected cards, either using cards that they feel are generally useful, or that they believe will encourage the subject's expression of emotional conflicts relevant to their specific history and situation. [9] However, the examiner should aim to select a variety of cards in order to get a more global perspective of the storyteller and to avoid confirmation bias (i.e., finding only what you are looking for).
Many of the TAT drawings consist of sets of themes such as: success and failure, competition and jealousy, feeling about relationships, aggression, and sexuality. [10] These are usually depicted through picture cards.
Thematic apperception tests are meant to evoke an involuntary display of one's subconscious. There is no standardization for evaluating one's TAT responses; each evaluation is completely subjective because each response is unique. Validity and reliability are, consequently, the largest question marks of the TAT. [11] There are trends and patterns, which help identify psychological traits, but there are no distinct responses to indicate different conditions a patient may or may not have. Medical professionals most commonly use it in the early stages of patient treatment. The TAT helps professionals identify a broad range of issues that their patients may suffer from. Even when individual scoring procedures are examined, the absence of standardization or norms make it difficult to compare the results of validity and reliability research across studies. Specifically, even studies using the same scoring system often use different cards, or a different number of cards. [12] Standardization is also absent amongst clinicians, who often alter the instructions and procedures. [13] Murstein [14] explained that different cards may be more or less useful for specific clinical questions and purposes, making the use of one set of cards for all clients impractical.
Internal consistency, a reliability estimate focusing on how highly test items correlate to each other, is often quite low for TAT scoring systems. Some authors have argued that internal consistency measures do not apply to the TAT. In contrast to traditional test items, which should all measure the same construct and be correlated to each other, each TAT card represents a different situation and should yield highly different response themes. [11] Lilienfeld and colleagues [12] countered this point by questioning the practice of compiling TAT responses to form scores. Both inter-rater reliability (the degree to which different raters score TAT responses the same) and test–retest reliability (the degree to which individuals receive the same scores over time) are highly variable across scoring techniques. [14] However, Murray asserted that TAT answers are highly related to internal states such that high test-retest reliability should not be expected. [12] Gruber and Kreuzpointner (2013) developed a new method for calculating internal consistency using categories instead of pictures. As they demonstrated in a mathematical proof, their method provides a better fit for the underlying construction principles of TAT, and also achieved adequate Cronbach's alpha scores up to .84 [15]
The validity of the TAT, or the degree to which it measures what it is supposed to measure, [16] is low. [12] Jenkins [17] has stated that "the phrase 'validity of the TAT' is meaningless, because validity is specific not to the pictures, but to the set of scores derived from the population, purpose, and circumstances involved in any given data collection." That is, the validity of the test would be ascertained by seeing how clinician's decisions were assisted based on the TAT. Evidence on this front suggests it is a weak guide at best. For example, one study indicated that clinicians classified individuals as clinical or non-clinical at close to chance levels (57% where 50% would be guessing) based on TAT data alone. The same study found that classifications were 88% correct based on MMPI data. Using TAT in addition to the MMPI reduced accuracy to 80%. [18]
Despite the conflicting information about the psychometric characteristics of the TAT, proponents have argued that the TAT should not be judged using traditional standards of reliability and validity. According to Holt, [19] "the TAT is a complex method of assessing people, which does not lend itself to the standard rules of thumb about test standards [. . .]" (p. 101). For example, it has been argued that the purpose of the TAT is to reveal a wide range of personality characteristics and complex, nuanced patterns, as opposed to traditional psychological tests that are designed to measure unitary and narrow constructs. [17] Hibbard and colleagues [20] examined several considerations about traditional views of reliability and validity as they apply to the TAT. First, they noted that traditional views of reliability may limit the validity of a measure (such as occurs with multi-faceted concepts in which characteristics are not necessarily related to each other, but are meaningful in combination). Further, Cronbach's alpha, a commonly used measure of internal consistency, is dependent on the number of items in scale. For the TAT, most scales use only a small number of cards (with each card treated like an item) so alphas would not be expected to be very high. Many clinicians also discount the importance of psychometrics, believing that generalizability of the findings to a given client's situation is more important than generalizing findings to the population. [17]
When he created the TAT, Murray also developed a scoring system based on his need-press theory of personality. Murray's system involved coding every sentence given for the presence of 28 needs and 20 presses (environmental influences), which were then scored from 1 to 5, based on intensity, frequency, duration, and importance to the plot. [8] However, implementing this scoring system is time-consuming and was not widely used. Rather, examiners have traditionally relied on their clinical intuition to come to conclusions about storytellers. [21]
Although not widely used in the clinical setting, several formal scoring systems have been developed for analyzing TAT stories systematically and consistently. Three common methods that are currently used in research are the: Defense mechanisms manual (DMM) [22]
Social cognition and object relations (SCOR) [23] scale
Personal problem-solving system—revised (PPSS-R) [24] [25]
Similar to other scoring systems, with the PPSS-R TAT cards are typically administered individually and examinees' responses are recorded verbatim. Unlike other scoring systems, the PPSS-R only uses six of the 31 TAT cards: 1, 2, 4, 7BM, 10, and 13MF. The PPSS-R provides information about four different areas related to problem solving ability: Story design, story orientation, story solutions, and story resolution. These four areas are assessed by the 13 scoring criteria, 12 of which are rated on a five-point scale that ranges from -1 to 3.
Each of these scoring categories attempts to measure the following information:
Examiners are encouraged to explore information obtained from the TAT stories as hypotheses for testing rather than concrete facts.
Interpretation of the responses varies depending on the examiner and the type of scoring used. It is common that the standard scoring systems are used more in research settings than clinical settings. Individuals can select certain scoring systems if they have the goal to evaluate a specific variable such as motivation, defense mechanisms, achievement, problem-solving skills, etc. If a clinician selects not to use a scoring system, there are some general guidelines that can be utilized. For example, the stories created by the individuals in response to the TAT cards are a combination of three things: the card stimulus, the testing environment, and the personality of the examinee. For each card, the individual must subjectively interpret the pictures which involves the individual taking their own experiences and feelings to create a story. Therefore, it is beneficial to look at the common themes in the stories' content and structure to help make conclusions. [13] Murray states that in the stories built by the person being evaluated there is a hero with whom the subject identifies and to whom he attributes his own motivations. However, there are the characters that interact with this hero, and represent the real social and family environment of the person. [26]
With interpretation of the responses, it is important for the clinician to consider some cautions to verify the information is as accurate as possible. First, the examiner should always be conservative when interpreting responses. It is important to always err on the side of caution instead of making bold conclusions. The examiner should also consider all the data when using the TAT in a testing or evaluative setting. One response should not be given more importance over the other responses. Additionally, the examiner should take the individual's developmental status and cultural background into consideration when examining responses. All of these cautions should be considered when an examiner is using the TAT. [13]
Like other projective techniques, the TAT has been criticized on the basis of poor psychometric properties (see above). [12] Criticisms include that the TAT is unscientific because it cannot be proved to be valid (that it actually measures what it claims to measure), or reliable (that it gives consistent results over time). As stories about the cards are a reflection of both the conscious and unconscious motives of the storyteller, it is difficult to disprove the conclusions of the examiner and to find appropriate behavioral measures that would represent the personality traits under examination. Characteristics of the TAT that make conclusions based on the stories yielded from TAT cards hard to be disproved have been termed "immunizing tactics." [12] These characteristics include the Walter Mitty effect (i.e., the assertion that individuals will exhibit high levels of a given trait in TAT stories that do not match their overt behavior because TAT responses may represent how a person wishes they were, not how they truly are) and the inhibition effect (i.e., the assertion that individuals will not exhibit high levels of a trait in TAT responses because they are repressing that trait). In addition, as the present needs of the storyteller change over time, it is not expected that later stories will produce the same results.[ citation needed ]
The lack of standardization of the cards given and scoring systems applied is problematic because it makes comparing research on the TAT very difficult. With a dearth of sound evidence and normative samples, it is tough to determine how much useful information can be gathered in this manner.
Some critics of the TAT cards have observed that the characters and environments are dated, even "old-fashioned", creating a "cultural or psycho-social distance" between the patients and the stimuli that makes identifying with them less likely. [27] In specific situations it is even hard to identify with people of opposite gender. [28] Also, in researching the responses of subjects given photographs versus the TAT, researchers found that the TAT cards evoked more "deviant" stories (i.e., more negative) than photographs, leading researchers to conclude that the difference was due to the differences in the characteristics of the images used as stimuli.[ citation needed ]
In a 2005 dissertation, [29] Matthew Narron, Psy.D. attempted to address these issues by reproducing a Leopold Bellak [30] 10 card set photographically and performing an outcome study. The results concluded that the old TAT elicited answers that included many more specific time references than the new TAT.
Despite criticisms, the TAT continues to be used as a tool for research into areas of psychology such as dreams, fantasies, mate selection and what motivates people to choose their occupation. Sometimes it is used in a psychiatric or psychological context to assess personality disorders, thought disorders, in forensic examinations to evaluate crime suspects, or to screen candidates for high-stress occupations. It is also commonly used in routine psychological evaluations, typically without a formal scoring system, as a way to explore emotional conflicts and object relations. [31]
TAT is widely used in France and Argentina using a psychodynamic approach.[ citation needed ]
David McClelland and Ruth Jacobs conducted a 12-year longitudinal study of leadership using TAT and found no gender differences in motivational predictors of attained management level. The content analysis, however, "revealed 2 distinct styles of power-related themes that distinguished the successful men from the successful women. The successful male managers were more likely to use reactive power [that is, aggressive [32] ] themes while the successful female managers were more likely to use resourceful [that is, nurturing [32] ] power themes. Differences between the sexes in the power themes were less pronounced among the managers who had remained in lower levels of management." [33]
Due to the test's earlier popularity within psychology, the TAT has appeared in a wide variety of media. For example, the Thomas Harris novel Red Dragon (1981) includes a scene where the imprisoned psychiatrist and serial killer Dr. Hannibal Lecter mocks a previous attempt to administer the test to him. Michael Crichton included the TAT in the battery of tests given to the disturbed main character Harry Benson in his novel The Terminal Man (1972). The test is also given to the main characters in two widely differing tales about the human mind: A Clockwork Orange (1962) and Daniel Keyes's Flowers for Algernon (1958–1966). Italian poet Edoardo Sanguineti wrote a collection of poetry called T.A.T (1966–1968) that refers to the Test.
Psychometrics is a field of study within psychology concerned with the theory and technique of measurement. Psychometrics generally covers specialized fields within psychology and education devoted to testing, measurement, assessment, and related activities. Psychometrics is concerned with the objective measurement of latent constructs that cannot be directly observed. Examples of latent constructs include intelligence, introversion, mental disorders, and educational achievement. The levels of individuals on nonobservable latent variables are inferred through mathematical modeling based on what is observed from individuals' responses to items on tests and scales.
Psychological testing refers to the administration of psychological tests. Psychological tests are administered or scored by trained evaluators. A person's responses are evaluated according to carefully prescribed guidelines. Scores are thought to reflect individual or group differences in the construct the test purports to measure. The science behind psychological testing is psychometrics.
The Rorschach test is a projective psychological test in which subjects' perceptions of inkblots are recorded and then analyzed using psychological interpretation, complex algorithms, or both. Some psychologists use this test to examine a person's personality characteristics and emotional functioning. It has been employed to detect underlying thought disorder, especially in cases where patients are reluctant to describe their thinking processes openly. The test is named after its creator, Swiss psychologist Hermann Rorschach. The Rorschach can be thought of as a psychometric examination of pareidolia, the active pattern of perceiving objects, shapes, or scenery as meaningful things to the observer's experience, the most common being faces or other pattern of forms that are not present at the time of the observation. In the 1960s, the Rorschach was the most widely used projective test.
Need for power (nPow) is a term that was popularized by renowned psychologist David McClelland in 1961. McClelland's thinking was influenced by the pioneering work of Henry Murray, who first identified underlying psychological human needs and motivational processes (1938). It was Murray who set out a taxonomy of needs, including needs for achievement, power, and affiliation—and placed these in the context of an integrated motivational model. McClelland was inspired by Murray's research, and he continued to further develop Murray's theory by focusing on this theory in regard to the human population. In McClelland's book The Achieving Society, nPow helps explain an individual's imperative to be in charge. According to his work there are two kinds of power, social and personal.
A personality test is a method of assessing human personality constructs. Most personality assessment instruments are in fact introspective self-report questionnaire measures or reports from life records (L-data) such as rating scales. Attempts to construct actual performance tests of personality have been very limited even though Raymond Cattell with his colleague Frank Warburton compiled a list of over 2000 separate objective tests that could be used in constructing objective personality tests. One exception, however, was the Objective-Analytic Test Battery, a performance test designed to quantitatively measure 10 factor-analytically discerned personality trait dimensions. A major problem with both L-data and Q-data methods is that because of item transparency, rating scales, and self-report questionnaires are highly susceptible to motivational and response distortion ranging from lack of adequate self-insight to downright dissimulation depending on the reason/motivation for the assessment being undertaken.
In psychology, a projective test is a personality test designed to let a person respond to ambiguous stimuli, presumably revealing hidden emotions and internal conflicts projected by the person into the test. This is sometimes contrasted with a so-called "objective test" / "self-report test", which adopt a "structured" approach as responses are analyzed according to a presumed universal standard, and are limited to the content of the test. The responses to projective tests are content analyzed for meaning rather than being based on presuppositions about meaning, as is the case with objective tests. Projective tests have their origins in psychoanalysis, which argues that humans have conscious and unconscious attitudes and motivations that are beyond or hidden from conscious awareness.
The Holtzman Inkblot Technique (HIT), also known as the Holtzman Inkblot Test, is an ink blot test aimed at detecting personality and was conceived by Wayne H. Holtzman and colleagues. It was first introduced in 1961 as a projective personality test similar to the Rorschach test. The HIT is a standardized measurement. The Holtzman Inkblot Test was developed as an attempt to address some controversial issues surrounding the Rorschach test.
Henry Alexander Murray was an American psychologist at Harvard University. From 1959 to 1962, he conducted a series of psychologically damaging and purposefully abusive experiments on minors and undergraduate students. One of those students was Ted Kaczynski, later known as the Unabomber.
The Shedler-Westen Assessment Procedure (SWAP-200) is a psychological test for personality diagnosis and clinical case formulation, developed by psychologists Jonathan Shedler and Drew Westen. SWAP-200 is completed by a mental health professional based on their observations and knowledge of a patient, client, or assessment subject. The person being assessed does not interact with the test. Because SWAP-200 is completed by the clinician, diagnostic findings do not depend on the accuracy of information people disclose about themselves and test results can not be faked. The SWAP instruments are based on over two decades of empirical research described in more than 100 articles in peer-reviewed scientific journals. SWAP-200 has been translated into fifteen languages. Other SWAP instruments include the revised SWAP-II and the SWAP-II-A for adolescents.
Developed by psychologist and University of Washington professor Allen L. Edwards, the Edwards Personal Preference Schedule (EPPS) is a forced choice, objective, non-projective personality inventory. The target audience in between the ages of 16-85 and takes about 45 minutes to complete. Edwards derived the test content from the human needs system theory proposed by Henry Alexander Murray, which measures the rating of individuals in fifteen normal needs or motives. The EPPS was designed to illustrate relative importance to the individual of several significant needs and motives. It is useful in counseling situations when responses are reviewed with the examinee.
The Bender Visual-Motor Gestalt Test is a psychological test used by mental health practitioners that assesses visual-motor functioning, developmental disorders, and neurological impairments in children ages 3 and older and adults. The test consists of nine index cards picturing different geometric designs. The cards are presented individually and test subjects are asked to copy the design before the next card is shown. Test results are scored based on the accuracy and organization of the reproductions.
Western Aphasia Battery (WAB) is an instrument for assessing the language function of adults with suspected aphasia as a result of a stroke, head injury, or dementia. The updated version is the Western Aphasia Battery-Revised (WAB-R). The battery helps discern the presence, degree, and type of aphasia. It can provide a baseline for monitoring changes during therapy. It is useful for determining what to treat. It can provide indications of the location of the lesion that caused the aphasia. The Western Aphasia Battery was introduced in 1980.
An ink blot test is a personality test that involves the evaluation of a subject's response to ambiguous ink blots. This test was published in 1921 by Swiss psychiatrist Hermann Rorschach. The interpretation of people's responses to the Rorschach Inkblot Test was originally based on psychoanalytical theory but investigators have used it in an empirical fashion. When this test is used empirically, the quality of the responses is related to the measurements of personality.
The Millon Clinical Multiaxial Inventory – Fourth Edition (MCMI-IV) is the most recent edition of the Millon Clinical Multiaxial Inventory. The MCMI is a psychological assessment tool intended to provide information on personality traits and psychopathology, including specific mental disorders outlined in the DSM-5. It is intended for adults with at least a 5th grade reading level who are currently seeking mental health services. The MCMI was developed and standardized specifically on clinical populations, and the authors are very specific that it should not be used with the general population or adolescents. However, there is evidence base that shows that it may still retain validity on non-clinical populations, and so psychologists will sometimes administer the test to members of the general population, with caution. The concepts involved in the questions and their presentation make it unsuitable for those with below average intelligence or reading ability.
The Blacky pictures test was a projective test, employing a series of twelve picture cards, used by psychoanalysts in mid-20th century America and elsewhere, to investigate the extent to which children's personalities were shaped by Freudian psychosexual development.
Sentence completion tests are a class of semi-structured projective techniques. Sentence completion tests typically provide respondents with beginnings of sentences, referred to as "stems", and respondents then complete the sentences in ways that are meaningful to them. The responses are believed to provide indications of attitudes, beliefs, motivations, or other mental states. Therefore, sentence completion technique, with such advantage, promotes the respondents to disclose their concealed feelings. Notwithstanding, there is debate over whether or not sentence completion tests elicit responses from conscious thought rather than unconscious states. This debate would affect whether sentence completion tests can be strictly categorized as projective tests.
Psychological evaluation is a method to assess an individual's behavior, personality, cognitive abilities, and several other domains. A common reason for a psychological evaluation is to identify psychological factors that may be inhibiting a person's ability to think, behave, or regulate emotion functionally or constructively. It is the mental equivalent of physical examination. Other psychological evaluations seek to better understand the individual's unique characteristics or personality to predict things like workplace performance or customer relationship management.
In 1938, Henry Murray developed a system of needs as part of his theory of personality, which he named personology. He argued that everyone had a set of universal basic needs, with individual differences on these needs leading to the uniqueness of personality through varying dispositional tendencies for each need; in other words, a specific need is more important to some than to others. In his theory, Murray argues that needs and presses acted together to create an internal state of disequilibrium; the individual is then driven to engage in some sort of behavior to reduce the tension. Murray believed that the study of personality should look at the entire person over the course of their lifespan – that people needed to be analysed in terms of complex interactions and whole systems rather than individual parts – and an individual's behaviors, needs and their levels, etc. are all part of that understanding. Murray also argued that there was a biological basis for personality and behavior.
Computer-based test interpretation (CBTI) programs are technological tools that have been commonly used to interpret data in psychological assessments since the 1960s. CBTI programs are used for a myriad of psychological tests, like clinical interviews or problem rating, but are most frequently exercised in psychological and neuropsychological assessments. CBTI programs are either empirically based or clinically based. The empirically based programs, or actuarial assessment programs, use statistical analyses to interpret the data, while the clinically based programs, or automated assessment programs, rely on information from expert clinicians and research. Although CBTI programs are successful in test-retest reliability, there have been major concerns and criticisms regarding the programs' ability to assess inter-rater and internal consistency reliability. Research has shown that the validity of CBTI programs has not been confirmed, due to the varying reports of individual programs. CBTI programs are very efficient in that they save time, reduce human error, are cost effective, and are objective/reliable, yet limited in that they are not always used by adequately trained evaluators or are not integrated with multiple sources of data. As technology continues to transform our modern society, computer-based interpretation programs have the possibility to expand their software and even alleviate some of the current concerns with the programs' methodology.
The Rorschach Performance Assessment System (R-PAS) is a scoring and interpretive method to be used with the Rorschach inkblot test. This system is being developed by several members of the Rorschach Research Council, a group established by John Exner to advance the research on the Comprehensive System, the most widely used scoring system for the Rorschach. Following Exner's death, the council admitted that the current Comprehensive System scoring was in need of revision. R-PAS was developed as an empirically based revision of the Exner Comprehensive System.
