*======= ROR-SCAN =======* V6.

05

INTERPRETIVE SCAN

Name: LPT LPT Sex: M Examiner: Paciente evaluacion

ID: LPLP1126.rw6 Ed: Universitari Age: 24 Date Tested: 19/11/2022

The following interpretive hypotheses are generated from statistical comparisons of the structural features of the person's
Rorschach test performance with that of groups of people with known personality characteristics. In addition, interactive clinical
reasoning is used to deduce some narrative statements. Because all statements are tentative hypotheses based on
generalizations, decisions and conclusions about this person can not be made solely from this limited resource. The clinician
must cross-validate, refine, and modify these hypotheses by using additional test data and other clinical information. Accurate
application of Comprehensive System administration and scoring procedures is essential to the use of this interpretive system.

Test Validity: The client's test performance and involvement indicate that there is a sufficient sampling of behavior. There is a
valid basis for interpretive inference. His limited involvement with the test may represent a basic personality style rather than a
defensive avoidance of the testing situation. The strongly controlled coping style can be used to minimize disruption by potential
stress or emotion. His restricted handling of affect may lower the reliability with which the test can assess emotional control.

QUICK-SCAN
The following hypotheses are listed solely to provide an initial orientation to some of the data in this record. A full analysis of the
data is required to confirm or reject their validity. No summary or synopsis is intended.

He is screening out aspects of his world, perceiving it as less complex and thereby more manageable. Problems with
interpersonal relationships or cognition are evident. There may be problems involving interpersonal closeness.

KEY VARIABLES
Some hypotheses generated from Rorschach data are much more important and pervasive than others, impacting upon the
entire personality organization and functioning. The hypotheses which carry the highest priority in this protocol are listed below as
Priority A, B, or C. Priority A is listed if certain scores suggest serious psychopathology such as a DSM Axis I clinical syndrome.
If the hypothesis is valid, all other features of the person's personality should be interpreted in the context of that disruption.
Priority B issues are stylistic. An underlying personality or response style influences much of the person's overall functioning and
other features should be considered in that light. Some Priority B issues may relate to Axis II disorders. Priority C issues are
influential personality features that contribute to a general understanding of the person, although they may not be of primary
concern. If no issues were found for a particular Priority, it is not listed.

Following each listed Priority is a suggested sequence for reading sections of this report. The first listed Priority determines the
"entry point" to start a sequential search of data clusters appropriate to the record. The order generally follows Exner's
interpretive strategies for assessing the validity and pervasiveness of the prioritized issues. If higher priority issues do not specify
a complete search of all data clusters, then lesser priority issues direct the remaining search strategy until all data clusters have
been reviewed.

Priority B: He is screening out aspects of his world, perceiving it as less complex and thereby more manageable. The
suggested interpretive search strategy for this record is as follows:

__ Information Processing
__ Cognitive Mediation
__ Ideational Functioning
__ Controls
__ Affective Functioning
__ Self Perception
__ Interpersonal Perception

The Situational Stress section is not part of this search routine.

IDEATIONAL FUNCTIONING
Perceptual Monitoring (Information Processing):

The client's style of dealing with reality and problems is to focus primarily on the simple and concrete. This is an immature
attempt to avoid recognizing or experiencing problems with emotions or interactions. This appears to be a stylistic approach to
the world rather than a defensive tactic being used specifically in the testing situation. It may lead to problems meeting social
expectations or applying creative processes.

He often attends to cues about what is socially correct or conventional. This may stem from a need for approval. The person
does not perceive even relatively obvious events in a socially conventional way. He tends to neglect cues about what is socially
correct.
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Motivation (Information Processing): He strives less than most to set and attain goals. If he has few resources, his limited
efforts to gather and integrate information are economical or cautious and insecure, but problems may remain unresolved.

Some of his efforts to integrate and synthesize information are simplistic and undeveloped. The cognitive immaturity leads to
faulty conclusions and can limit coping and adjustment. It may be due to a motivated avoidance of problems, limited intellect, or
neurological impairment. This type of diffuse synthesizing activity can occur with decompensation or a regressive deterioration
from higher levels of functioning. He has a somewhat more primitive or immature view of the environment than most.

Reality Testing and Conventionality (Cognitive Mediation): He tries hard to make sure that mediation is appropriate for the
situation, providing an essential ingredient for accurate reality testing. He shows no significant problems with distortion of reality,
perceiving the environment as accurately as do most people.

There may be interferences with adapting to reality because he allows intense affect to predominate. He tries very hard to
conform to social expectations and demands. His preoccupation with what is "correct" is likely to limit originality and flexibility and
may reflect perfectionistic tendencies. An important motive in the strict attention to conventional reality appears to involve
tendencies toward obsessive-compulsive perfectionism. When conventional behavior is expected and easy to identify, he tends
to be atypical and unconventional, acting more in reference to his own needs or interests than to social expectations. Social
acceptability is not an important consideration to him.

Thinking Problems (Ideation): The following hypothesis is based on the Ego Impairment Index (EII), an index under
consideration for the Comprehensive System. If calculations or ranges for the EII are changed, this hypothesis may no longer
apply: There is no evidence of impairment or limitation in thinking as applied to problem solving and effectiveness in demanding
life situations. He prefers to consider various options before making decisions and taking action and to minimize the role of
feelings. However, in complex or ambiguous situations, considerations and concepts become too simplistic and feelings intrude.

Internal needs and situational demands are provoking the client less than most people. His composure may be temporary as a
result of his ignoring or minimizing subtle external cues or his own internal needs by intentionally thinking about them. However,
with his coping style, he may be very quick to relieve pressures from everyday needs and demands. If this is true, his actions
may lack the careful judgment and longer term planning that could result from less avoidance.

He is very exacting and detailed when describing events.

When stressed, he often fantasizes to escape or deny problems. His own thinking about them has been unproductive or has led
to emotionally negative consequences. He now hopes for others to intervene and resolve problems for him.

There is no evidence of cognitive problems that would adversely affect judgment or conceptualization.

He gives evidence of a serious type of cognitive dysfunction which fails to integrate thinking with feeling. The rarity of this finding
warrants verifying the Pure F Blend scoring. If the characteristics of any M response are particularly juvenile or primitive, his
thinking, at times, probably is less mature than is typical for his age.

Schizophrenia: Note: Although the SCZI is no longer used in the Comprehensive System, hypotheses based on SCZI variables
and clusters are included in the following section. Please attend to the stated caveats.

There is insufficient evidence of schizophrenic process.

CONTROLS
Emotional Constraint: Little evidence is seen that the client is internalizing feelings. However, he appears to be experiencing
very little affect to suppress.

Emotional Control: In a non-schizophrenic record with few responses or a high Lambda, measures of emotional control may
not be valid. Defensive concealment of dyscontrol is possible. His control of affect is hampered by either a defensive shutting
down of coping resources or a deficit in development.

This person currently has above-average coping resources available to direct and control affect and behavior, whether or not he
does it in a healthy way. Neither chronic nor intense situational stress tend to make him emotionally fragile and he may have
some options about controlling feelings. He probably can release emotional control for purposes of personal gain such as
manipulation, drama, or simple cathartic relief.

Because the person is dealing with affect in a very restricted way, statements about emotional control may be inaccurate.
Evidence from the test is too sparse to make reliable estimates. He may lack the capacity to express his feelings in a mature
way. This limits social interaction as a channel for emotional expression and creates a potential for emotional lability or other
disruption.

Affective involvement is minimized by his constricted coping style. His structured engagement of the world enables him to
maintain considerable distance from potential feelings.

If all Pure C responses contain intellectualized or other defensive content, the client may be able to apply those resources to
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control feelings. However, if some Pure C Content involves more immature or primitive content, those qualities probably
characterize the person's display of strong feelings.

His strong concern about being proper and conventional provides an additional measure of emotional control. There is little
evidence that he is trying to inhibit his feelings.

The client appears to lack drive and internal motivation. Alternatively, he may so quickly fulfill or ignore physiological and
psychological needs and wishes that they do not continue to press for gratification. In either case, what appears to be apathy,
mental dullness, or vacuousness attenuates potential problems with emotional control. If neuroleptic medication is being used, it
may have reduced his experience of psychological pressure stemming from internal needs.

Ego Strength: The following statements should be considered in the context of the very minimal ego resources being applied at
this time. Statements about his customary coping capacity may not be reliable, especially if there is evidence of greater potential.

Ordinarily, unburdened by any current stressors, he has above-average psychological resources available to cope with stress.
Even under high stress conditions, he seldom becomes emotionally or cognitively disrupted or disorganized. The fact that he has
abundant options for coping does not imply that they are adaptive nor healthy. Both well-functioning people and people with
personality disorders and other psychopathology show this degree of resourcefulness to preserve the ego. However, the
unusually low level of stress and demands which the person experiences suggests that this description overestimates the
adequacy of his ego resources. The fact that some cognitive resources are being employed problematically reduces their
effectiveness in coping with the real-world. Some emotional resources may be too poorly controlled to contribute positively to
adjustment in ordinary circumstances.

At this time, he is functioning at his typical level of stress tolerance.

AFFECTIVE FUNCTIONING
Suicide Potential: There is insufficient evidence of suicide potential seen in the Rorschach data at this time. This finding should
not be construed as indicating that there is no risk of suicide.

Endogenous Depression: There is insufficient evidence of endogenous depression, although these findings cannot rule out the
diagnosis. If depressive symptoms are seen clinically, they may be reactions to external situations rather than from severe and
chronic endogenous or biochemical factors.

Reactive Depression: There is insufficient evidence of reactive depression but it cannot be ruled out by the Rorschach data
alone.

Bipolar characteristics: There is insufficient evidence of bipolar characteristics, although these findings cannot rule out the
diagnosis.

Coping Style:

He is using a constricted style of coping with problems, the world, and himself. He objectifies, oversimplifies, and may deny or
ignore complexity and ambiguity, construing life as structured, factual, and largely non-interactional. This pragmatic and logical
approach suggests a history of emotional involvements with negative or unsuccessful consequences. Other people's needs and
feelings are not fully considered. Because he is less aware of the more subtle implications and effects of his behavior, his desire
to be in control may lead to exploitive or manipulative behavior. Failure to access his own feelings may lead to somatization.
Consider the possibility of a personality disorder. Problems that require interpersonal sensitivity and empathy are poorly handled
due to his objective, overly controlled style. He prefers to simplify or disengage from complex issues.

If his current test performance is reliable and there is no contradicting history of prior accomplishment, he has fewer coping
resources available than most. His social immaturity or inadequacy increases his vulnerability to pathology.

Emotional Receptivity: He shows average willingness or ability to respond to or be affected by complex or intense emotions.
This moderate level of sensitivity to feelings is an ongoing trait for him. In most coping situations, he disregards the emotional
context and considers only the facts of the matter. His constriction results from his inability or unwillingness to perceive and deal
with emotional complexity.

SELF PERCEPTION
Self Esteem: He is involved with himself to about the same degree as most people, neither devaluing nor overestimating his
self-worth.

Unless he has real physical problems, he has a sense of vulnerability or fragility or an unusual preoccupation with somatic
functioning. If the An Content includes skeletal features, he is more likely to have a sense of being personally fragile. There may
be additional clues about self-image in projected M, FM, and m content that is repeated and unusual. Evaluate these hypotheses
conservatively.

Introspection: Unless his intelligence level is low or he is not very psychological-minded, he may be avoiding self-inspection at
this time or is undesirably naive about himself. He shows some potential and flexibility to view himself differently and to adopt new
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attitudes about himself. He may not apply insight in the hope that others will solve his problems. The client holds beliefs about
himself that are founded on actual past experiences and relationships rather than having a self-concept based primarily on
imagined or fantasized qualities.

INTERPERSONAL PERCEPTION
Suspiciousness: He does not appear to be extremely suspicious.

Defensiveness: Fantasy or avoidance may be used to defend against confronting and dealing with real problems. Further, he
may rely too much on others' interventions.

Emotional overcontrol may be employed to defend against affective confrontation. To avoid social interaction, he stays
interpersonally distant and superficial.

Interpersonal Relationships: He is likely to have a history of effective, adaptive, and conflict-free interpersonal relationships.
Consequently, others may regard him positively. The more GHR responses exceed PHR responses, the more likely this is true.
He has an average degree of interest in people and probably sees them in a realistic way. Views of others appear positive and
realistic. His relationships are characterized by strong affective interaction.

Due to his conservative style of coping, he is not very sensitive to others' feelings and reactions.

His relationships may be immature and fantasy-laden, perhaps reflected in A and H Content and Pair responses. Rather than
engaging people for who they are, his interactions may be more of an attempt to materialize his own wishes, needs, or
projections.

He is more detached and socially inactive than most. This reflects either less social interest or a reluctance to become more
socially involved. There is a possibility that lack of contact with others may not matter much to him.

There are features which may lead to social or legal problems stemming from irresponsible behavior, poor judgment, or impaired
coping. The constellation of coping deficiencies seen in this record more closely matches that of people with antisocial personality
disorder who are found guilty of a criminal offense than of antisocials who do not go to trial and are not convicted.

He may not expect nor experience comfort or nurturance from interpersonal closeness in ways that others do. He is conservative
about intimacy and sharing personal space. With some people, this stems from lost hope of receiving comfort or support from
intimate relationships or a lack of or inadequate nurturance or attachment early in his life. Conversely, it may be hard for such
people to provide nurturance. However, the preceding statement may be an artifact of his having articulated no shading or
achromatic determinants in the entire record (especially if R is low). The history may help clarify whether the hypothesis applies.
People with antisocial personality disorder most often have this absence of interpersonal attachment but many additional criteria
are needed to make the diagnosis. He tends not to expect positive and reciprocal social relationships and is often uncomfortable
interacting with others in this way. He probably is not sought out by people and he may be socially uninvolved or ineffective.

SITUATIONAL STRESS
Although information about current stress is not part of the suggested search strategy for this record, this section is included for
reference.

Whatever situational or temporary stressors may be present, they do not appear to significantly detract from the person's usual
capacity to cope with stress. The person currently seems to have very little awareness of threat from external situations. In
addition, the testing situation may not have been consciously stressful to him. If he were less disregarding of his environment, he
probably would be aware of more demands and stressors than he is now. There is little evidence that current problems and
demands are bothering him emotionally. Thus, feelings of distress, inadequacy, or helplessness may be outside of his
awareness. Sufficient resources appear to be available for him to cope with the stress in some manner.

DIAGNOSTIC FEATURES
Structural aspects of the Rorschach may provide some diagnostic clues but they cannot be definitive. Additional sources of
information must be used to formulate a diagnosis. This protocol suggests consideration of the following:

discomfort with emotion intellectual impairment

immaturity social avoidance
strong emotional control personality constriction
hostile or antisocial tendencies

TREATMENT CONSIDERATIONS
The following issues may become therapy concerns or may affect the course of treatment:

need to control
emotional inhibition avoidance of feelings
somatization simplistic thinking
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possible decompensation lack of drive
low motivation social avoidance
social isolation antisocial tendencies
imperturbability uninvolvement

If the client presents depressive clinical symptoms, they may not respond to antidepressant medication but should decrease with
less subjective stress.

Treatment should help him learn how to appropriately express feelings with others.

His tendency to avoid self-inspection, if continued, limits his ability to make and sustain therapeutic improvement.
Psychotherapists tend to prefer this type of client less than clients who are more insightful. Behavioral methods may be more
effective if he resists introspection. His more flexible attitudes and values may facilitate better processing and integration of new
ideas and viewpoints. The therapist may not be able to rely on much self-initiated application of insights, but more directive or
behavioral techniques may be welcomed.

He may benefit from help with integrating, organizing, and breaking down complex tasks into manageable parts.

He needs help understanding the emotional implications and consequences of his behavior. Interventions should take into
account motivations for his avoidance of emotionality and complex thinking.

Established maladaptive or pathological coping skills may be difficult to change in treatment because they are usually effective in
preserving the ego. Because they reduce anxiety and decrease motivation for change, pathological defenses may need to be
rendered less effective. Cognitive therapy and constructive confrontation may be more effective than insight therapy to instill
such motivation.

At this time, structure, predictability, support, and assistance are needed when new or difficult problems arise. Additional and
more effective coping skills should be developed to combat his sense of helplessness. To avoid frustration, psychotherapy goals
should be set to what is readily achievable. However, stronger motivation should be established and reinforced to ensure
persistence of effort.

His interest in people contributes to the treatment prognosis. Treatment should stress establishment of a strong, supportive social
network. His participation may be limited and should be encouraged. In initial therapy sessions, he will have difficulty trusting and
making close contact. Persistence is needed to break through his distancing and detachment. If treatment has lasted more than
five to seven months, interpersonal closeness and trust should have developed but it may not have been established. The
therapist-client relationship should be consistent and largely nurturant.

If the person is currently engaged in treatment, some issues remain unresolved and should be addressed. For him to more
adequately manage stress, he needs to develop new or more effective coping skills. He needs to experience himself and his
environment more thoroughly, openly, accurately, and consistently in order to cope better. To use his ideational resources more
effectively, his thinking needs to become more logical, conventional, and applied to reality. There are problems with being
comfortable and interested in seeking and sustaining close relationships with others.

- End of Report -