| Holtzman Inkblot Test | |
|---|---|
| Diagnostics | |
| MeSH | D006698 |
The Holtzman Inkblot Test (here after referred to as HIT) was conceived by Wayne Holtzman and colleagues. It was first introduced in 1961 as a projective personality test similar to the Rorschach test, yet unlike the Rorschach, the HIT is a standardized measurement with clearly defined objective scoring criteria. The Holtzman Inkblot Test was invented as an attempt to address many, if not all, of the controversial issues surrounding the Rorschach Inkblot Test.[1]
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The Holtzman Inkblot Test has been used in both experimental and clinical applications. The HIT is a psychometric test requiring a clinically trained examiner, and should be interpreted by a credible psychologist, psychiatrist, or a trained mental health professional. Because some find projective tests to be less reliable than objective tests the examiner must be well trained in psychometric examinations; interpretations that are subjective may affect the test.[2]
The Holtzman Inkblot Test (HIT) was invented as an attempt to address many, if not all, of the controversial issues surrounding the Rorschach Inkblot Test. The HIT was used to assess the personal structure of the subject. The Holtzman Inkblot Test is used primarily with College students, average adults, 7th graders, elementary school children, 5-year olds, chronic schizophrenics, mental retardates, and depressed patients.[3]
Unlike the Rorschach, the Holtzman is a standardized measurement with clearly defined objective scoring criteria. The test consists of two alternative forms of forty-five inkblots, originally drawn from a pool of several thousand. Scoring is based on twenty-two items: reaction time, rejection, location, space, form definiteness, form appropriateness, color, shading, movement, pathognomonic verbalization, integration, content (human, animal, anatomy, sexual, or abstract), anxiety, hostility, barrier, penetration, balance, and popularity. Then has a stack of 47 cards with inkblots (45 test cards and 2 practice cards) are presented face down in front of the subject. The examiner then hands each card to the subject and asks the test subject what they see in the inkblot.[4] Requesting that only one response per inkblot is needed, yet, at times, the examiner may ask for the subject to elaborate on a response. The HIT usually takes about 50–80 minutes. The test can also be administered to a group of patients by projecting 35-45 inkblots onto a screen and having the patients write the responses to each inkblot. The typical cost of the examination is $58.35 an hour. This includes the test, scoring and interpretation, and reporting though many insurance plans cover a portion if not all of the cost of diagnostic psychological testing.[5]
The scoring includes 22 variables covering the aspects of the patient's response to the inkblot. Many different variables apply when scoring.
the time in seconds from the presentation of the inkblot to the beginning of the first response
score 1 when subject returns inkblot to examiner without giving a scorable response; otherwise score 0
tendency to break down blot into smaller fragments. score 0= use of whole blot, 1=large area, 2=smaller area
score 1=true figure-ground reversals; score 0 otherwise
the definiteness of the form of the concept reported, regardless of the goodness of fit to the inkblot. a 5 point scale with 0=very vague and 4=very specific
the goodness of fit of the form of the precept to the form of the inkblot. Score 0=poor 1=fair, 2=good
the apparent primacy of color, including black, gray and white, as a response-determinate. score 0=no use of color, 1=secondary to form, 2=primary determinant with some form present, 3=primary determinant
the apparent primacy of shading as response determinant. 0=no use of shading, 1=secondary to form, 2=used as primary determinant but some form is present, 3= primary determinant
The energy level of movement or potential movement ascribed to the percept, regardless of content.0=none, 1=static potential, 2=casual, 3=dynamic, 4=violent movement
degree of autistic, bizarre thinking evident in the response as rated on a five scale.
score 1=organization of 2 or more adequately perceived blot elements into a larger whole
degree of human quality in the content of response
degree of animal quality in the content
degree of "gut-like" quality in the content
degree of sexual quality in the content
degree of abstract quality in the content
degree of anxiety or fantasy content as indicated by emotions and attitudes, expressive behavior, symbolism, or cultural stereotypes of fear.
signs of hostility or fantasy content
reference to any proective covering, shell, membrane or skin that may be symbolically related to the perception of body image boundaries.
concept that may be symbolic of an individual's feeling that his body exterior is of little protective value and can be easily penetrated
overt concern for the symmetry-asymmetry feature of the inkblot.
percept occurred at least 14% of the time among normal subjects [7]
The test correlations ranged from .36 for Popular and .81 for normal adults. The most stable of the inkblot scores was Location in the United States and Mexico. Reaction,Time, Form Definiteness, Movement, and Human also scored relatively high in both cultures. however, these aspects test more of the cognitive-perceptual aspects rather than personality characteristics. Rejection,Form Appropratness, Shading, Pathognomic Verbalization, Barrier,and Penetration had lower stability coefficients while Space, Sex, Abstract and Balance proved to be extreamly infrequent in the children's samples. Test results generally became more stable with age. The children showed a much weaker stability of data than that of older patients and adults possessed the greatest stability of information.[8]
The technique is featured as part of a traveling exhibition entitled "Psychology: Understanding Ourselves, Understanding Each Other" and sponsored by the American Psychological Association in partnership with the Ontario Science Centre. It is housed permanently at the Smithsonian Institution.[9]
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