ABSTRACT

Paranoid personality disorder (PPD) is one of the most difficult disorders to detect and treat. In part, this comes from the paranoid person's infrequent use of clinical services, as well as his or her inherent suspicion of the assessment and treatment process. Nevertheless, the assessment of individuals with PPD has yielded important information about this inner world, which allows clinicians to understand and interact betterwith such individuals. This chapter discusses what information the Rorschach can provide assessors about individuals with PPD and presents a real case of an individual with a diagnosis of PPD. This exemplar demonstrates how the Rorschach can elucidate the cognitive processing style of the person with PPD and provide meaningful information about the individual's interpersonal relatedness and other personality features.