ABSTRACT

This chapter begins with disordered thinking in borderline personality organization, a broader category than the contemporary DSM definition of Borderline Personality Disorder (BPD). It reviews relevant Rorschach characteristics of trauma and dissociative disorders, which are among the clinical syndromes that may share features of psychotic-like phenomena and disordered thinking. The chapter discusses the psychotic features and disordered forms of thought that one might encounter in individuals with severe Obsessive-Compulsive-spectrum disorders. It is reasonable to say that borderline-level individuals will probably struggle more with the ambiguity of the Rorschach than with the familiarity and conventionality of the Wechsler tests. According to the collective studies of Brand and Armstrong, dissociative disorders patients with trauma histories present a unique composite of Rorschach features accompanying their disturbances in reality testing and traumatic thought disorders. The chapter examines the presence of an encapsulated delusion may not be associated with signs of disorganization or illogicality on the Rorschach.