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Reality–fantasy collapse in schizophrenia vs. neurocognitive impairment during Rorschach’s III card responding

Published online by Cambridge University Press:  13 August 2021

I. Gornushenkov ,
I. Pluzhnikov  and
S. Sorokin
I. Gornushenkov
Affiliation:
Department Of Endogenous Mental Disorders And Affective States, The Mental Health Research Center, Moscow, Russian Federation
I. Pluzhnikov*
Affiliation:
Department Of Adult Neuropsychology And Abnormal Psychology, Moscow Institute of Psychoanalysis, Moscow, Russian Federation Department Of Youth Psychiatry, The Mental Health Research Center, Moscow, Russian Federation
S. Sorokin
Affiliation:
Department Of Endogenous Mental Disorders And Affective States, The Mental Health Research Center, Moscow, Russian Federation
*
*Corresponding author.

Abstract

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Introduction

Adaptive thinking demands a balance between manifestations of intrapsychic activity and reliance on requirements of the outer reality. Features of responses to Rorschach’s III card could provide information about subject’s ability to preserve the dialectical tension between the two poles of external and internal realities during solving tasks related to interpersonal relationships.

Objectives

To compare reality-fantasy relations during Rorschach’s III card responding in patients with schizophrenia, neurocognitive impairment and normal subjects.

Methods

Participants were 12 young adult inpatients with schizophrenia, 14 students without mental disorders and 12 inpatients with neurodegenerative diseases of old age. Reality-Fantasy Scale (RFS) was applied to assess responses to Rorschach’s III card. RFS scale ranges from –5 (reality collapse into fantasy) to 5 (fantasy collapse into reality) (Tibon-Czopp et al., 2015).

Results

Patients with schizophrenia (M= –3,38, SD= 1,9) demonstrated tendency to fantasy domination (and reality collapse) if compared with the students (M= –1,47, SD= 2,0, p<0,05). Patients with neurodegenerative diseases (M= 0,75, SD= 2,1), conversely, had difficulties to apply fantasy during solving Rorschach task (p<0,01).

Conclusions

Express Rorschach testing using III card could be useful to provide screening data of thinking tendencies related to situations of social interaction. Also it provides a mental pabulum regarding role of cognitive impairment in schizophrenia in relation to significance of affective dependence of their thinking process.

Conflict of interest

The reported study was funded by RFBR, project number 20-013-00772

Keywords

Reality-Fantasy ScaleRorschachschizophréniaNeurodegenerative diseases
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S521
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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