ABSTRACT
This chapter looks at the current state of the art with a look toward the future in terms of how the assessment of psychosis with the Rorschach can be improved and further developed. Efforts have been made to investigate psychotic phenomena in younger patients using the Thought Disorder Index (TDI) and comprehensive system (CS); however, more quality research in this critical, yet challenging, area is needed. The chapter attempts to suggest further possible second-order linkages between categories of disorganization, illogicality, and impoverishment and psychological, neurocognitive, developmental, and psychoanalytic concepts that might add subtle and more finely tuned understanding when we attempt to decipher a patient's disordered responses on the Rorschach. Rothschild-Yakar and colleagues have opened this important area of psychosis assessment to empirical study. Rorschach psychosis studies with adolescents and children are particularly thin. The chapter describes efforts have been made to investigate psychotic phenomena in younger patients using the TDI and CS.
