Dismissal from CSPP's PsyD program

[aequitasveritas]

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But have you seen a spiked 8, spiked f-scales, and high Wsum6/f-%? Unfortunately, I see this in about half of the cases where r/o psychosis is part of the referral question. The MMPI-2 would always be an easier way to reach a diagnosis if it weren't questionably valid a lot of the time.

The MMPI-2 also can't be given in every instance. People have remarkably low reading levels.

Oh I agree, and I have seen that often. In fact, an invalid MMPI is not-not meaningful in dx of psychosis as the F reflects a lack of organization among other thigns.

My point is really that the purpose of the Ror is to access perceptual experiences, not only to assess subtle psychosis. I could go on about how the Ror provides evidence that other tests cannot; for any client.

 

[erg923]

I'm coming to this from an outpatient perspective mostly, but think it also boils down to a disagreement about what constitutes "psychosis," I guess. I need more evidence. If I don't pick up anything on a clinical interview, the history, or an MMPI, I wouldn't really consider an inside out elephant and some blood to be 'psychosis." Unusual, and would make me think and review the record some more, but its not something I would consider "treating", I guess. If the person is not distressed, has few problems, or the problems they do have are in no way related to other possible psychotic symptomology, then I don't see what there is to treat? I certainly wouldn't advocate for antipsychotics "just in case."

 

[aequitasveritas]

I'm coming to this from an outpatient perspective mostly, but think it also boils down to a disagreement about what constitutes "psychosis," I guess. I need more evidence. If I don't pick up anything on a clinical interview, the history, or an MMPI, I wouldn't really consider an inside out elephant and some blood to be 'psychosis." Unusual, and would make me think and review the record some more, but its not something I would consider "treating", I guess. If the person is not distressed, has few problems, or the problems they do have are in no way related to other possible psychotic symptomology, then I don't see what there is to treat? I certainly wouldn't advocate for antipsychotics "just in case."

This is not how the Rorschach works under the Exner or Viglione/Meyer system.
U have to understand more about determinants and form quality and the structural dimensions of scoring them. Certain perceptual constellations and also thematic codes are associated with certain diagnoses just like every other psychological test. It is not a gestalt clinical opinion of someones' answer like your comment suggests.

 

[AlaskanJustin]

I'm coming to this from an outpatient perspective mostly, but think it also boils down to a disagreement about what constitutes "psychosis," I guess. I need more evidence. If I don't pick up anything on a clinical interview, the history, or an MMPI, I wouldn't really consider an inside out elephant and some blood to be 'psychosis." Unusual, and would make me think and review the record some more, but its not something I would consider "treating", I guess. If the person is not distressed, has few problems, or the problems they do have are in no way related to other possible psychotic symptomology, then I don't see what there is to treat? I certainly wouldn't advocate for antipsychotics "just in case."

I would also add that at least at where I am, we wouldnt just "do one" without any reason, it would be a waste of time and energy. There would have to be some evidence of possible psychosis, remember this is not black and white as you suggest in your posts but rather is on a spectrum of severity and presentation.