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ADVANCING THE SCIENCE OF PSYCHOLOGICAL ASSESSMENTALESSANDRO ZENNARO
Evidence-based Psychological Assessment (EPA)

PSYCHOLOGICAL ASSESSMENT
Purposes of psychological assessment
Description of psychopathology and differential diagnosis
Description and prediction of everyday behavior
Inform psychological treatment
Monitoring of treatment
Personality assessment as treatment
Types of assessment tests
Self-report
Performance-based
Behavior ratings
“Psychological assessment attempts to find out not only what a person does, but what
that person is like”

MAIN GOALS AND ACHIEVEMENTS
Investigating the empirical foundation of the Rorschach
Neuro-physiological research with the Rorschach
Development and validation of new Rorschach indexes
Testing the psychometric properties of the Rorschach
Advancing the techniques to detect feigned psychopathology
Testing the validity of and refining the IOP
Comparing different symptom validity measures (e.g., SIMS)
Validation of assessment tools for use within the Italian context
Cross-cultural validation of complex, personality inventories (e.g., PAI)
Cross-cultural adaptation of research tools (e.g., DERS, TMMS, ICQ)

RORSCHACH RESEARCH
What is the Rorschach? A set of 10 inkblot designs: “what might this be?”
“Projective” versus “Performance-based” measure
Scientific foundation Late ‘90s criticisms and moratorium
2013 Psychological Bulletin meta-analyses and withdrawal of moratorium
A set of 10 inkblot designs: “what might this be?”
“Projective” versus “Performance-based” measure
EPA research Neuro-physiological
Development and/or validation of specific indexes
Reliability and validity

RORSCHACH RESEARCH – NEUROPHYSIOL.
1) Human Movement (M) responses and mirroring activity

RORSCHACH RESEARCH – NEUROPHYSIOL.
[Selected publications]
Giromini, L., Viglione, D. J., Pineda, J., Porcelli, P., Hubbard, D., Zennaro, A., & Cauda, F. (2017). Human movement responses to the Rorschach and mirroring activity: an fMRI study. Assessment, in press.
Andò, A., Salatino, A., Giromini, L., Ricci, R., Pignolo, C., Cristofanelli, S., Ferro, L., Viglione, D. J., & Zennaro, A. (2015). Embodied simulation and ambiguous stimuli: The role of the mirror neuron system. Brain Research, 1629, 135-142.
Porcelli, P., Giromini, L., Parolin, L., Pineda, J. A., & Viglione, D. J. (2013). Mirroring Activity in the Brain and Movement Determinant in the Rorschach Test. Journal of Personality Assessment, 95 (5), 444-456
Pineda, J., Giromini, L., Porcelli, P., Parolin, L. & Viglione, D. (2011). Mu suppression and human movement responses to the Rorschach test. NeuroReport, 22 (5), 223-226.
Giromini, L., Porcelli, P., Viglione, D., Parolin, L. & Pineda, J. (2010). The feeling of movement: EEG evidence for mirroring activity during the observations of static, ambiguous stimuli in the Rorschach cards. Biological Psychology, 85, 233-241

RORSCHACH RESEARCH – NEUROPHYSIOL.
2) Neurological and psycho-physiological correlates
- fMRI map of brain activity during the Rorschach
- EDA and HRV research on Rorschach and stress

RORSCHACH RESEARCH – NEUROPHYSIOL.
[Selected publications]
Giromini, L., Viglione, D. J., Zennaro, A., & Cauda, F. (2017). Neural activity during production of rorschach responses: An fMRI study. Psychiatry Research – Neuroimaging, 262, 25-31.
Giromini, L., Ando', A., Morese, R., Salatino, A., Di Girolamo, M., Viglione, D.J., & Zennaro, A. (2016). Rorschach Performance Assessment System (R-PAS) and vulnerability to stress: A preliminary study on electrodermal activity during stress. Psychiatry Research, 246, 166-172.
Giromini, L., Viglione, D. J., Brusadelli, E., Zennaro, A., Di Girolamo, M., & Porcelli, P. (2016). The Effects of Neurological Priming on the Rorschach: A Pilot Experiment on the Human Movement Response. Rorschachiana, 37, 58-73

RORSCHACH RESEARCH – NEW INDEXES
Cross-cultural validation of the Developmental Index
The DI is a new, Rorschach measure that correlates with development and age
Development and initial validation of a Rorschach – Empathy index
Using self-report and performance-based measures as criterion variable, a new, Rorschach-based, empathy scale is being developed and tested
[Selected publication]
Giromini, L., Viglione, D. J., Brusadelli E., Lang, M., Reese, J., & Zennaro, A. (2015). Cross-Cultural Validation of the Rorschach Developmental Index. Journal of Personality Assessment, 97 (4), 348-353

RORSCHACH RESEARCH – PSYCHOMETRICS
Reliability of R-PAS scores
Do different examiners code the same Rorschach similarly?
Accuracy and applicability of Rorschach norms
What is the accuracy and applicability of current Rorschach norms? What can we do to further improve them?
[Selected publications] Pignolo, C., Giromini, L., Ando’, A.Ghirardello, D., Di Girolamo, M., Ales, F., & Zennaro, A.
(2017). An inter-rater reliability study of Rorschach Performance Assessment System (R-PAS) raw and complexity-adjusted scores. Journal of Personality Assessment, in press.
Viglione, D. J., & Giromini, L. (2016). The effects of using International versus Comprehensive System Rorschach norms for children, adolescents, and adults. Journal of Personality Assessment, 98 (4), 391-397
Giromini, L., Viglione, D. J., & McCullaugh (2015). Introducing a Bayesian approach to determining degree of fit with existing Rorschach norms. Journal of Personality Assessment, 97 (4), 354-363

MALINGERING RESEARCH
What does the term “malingering” refer to?
Deliberate fabrication of symptoms of mental or physical disorders
Typically associated with secondary gain motives (e.g., criminal, civil)
Assessment
Symptom validity tests (SVTs) versus malingering measures
Complex, personality inventories (e.g., MMPI, PAI) or interviews (e.g., SIRS)
Stand-alone, SVTs such as the SIMS or TOMM
EPA research
Development and validation of the Inventory of Problems (IOP)
Comparison between various SVTs and feigning scales (e.g., SIMS, PAI, etc.)

MALINGERING RESEARCH – IOP
Development of the IOP and IOP-29
Originally developed in the late ‘90s, in California
Refined and revised through the years, and published in 2016
Key features of the IOP instruments
“Doesn’t make sense”, in addition to classic True-False options
Items addressing testing-related behaviors
Mixture of mental and cognitive/neuropsychological symptoms
Easy-to-use, probability score

MALINGERING RESEARCH – IOP (U.S.)

MALINGERING RESEARCH – IOP (ITALY)
SIMS Total IOP-29 –FDS Z p r
Diff.Entire Sample (N = 452) .57 .69 -4.57 <.01 .21Psychotic Spectrum Subgroup (n = 214) .47 .67 -4.91 <.01 .29Anxiety, Depression, and/or Trauma Related Subgroup (n = 238) .64 .72 -2.05 .04 .14

CROSS-CULTURAL ADAPTATION STUDIES
Cross-cultural adaptation of complex, personality inventories Millon Clinical Multiaxial Inventory-III (MCMI-III; Millon et al., 2006, 2015)
Personality Assessment Inventory (PAI; Morey, 1991, 1996, 2007)
Personality Assessment Screener (PAS; Morey, 1997)
Brief, self-report measures, mainly used for research purposes Difficulties in Emotion Regulation Scale (DERS; Gratz & Roemer, 2004)
Questionnaire of Cognitive and Affective Empathy (QCAE; Reniers et al., 2011)
Interpersonal Competence Questionnaire (ICQ; Buhrmester et al. 1988)
Trait Meta-Mood Scale (TMMS; Salovey et al., 1995)
EPA research Development and validation of Italian versions
Contribution to developing normative data
Collaboration with foreign research groups (e.g., development of a Brazilian version of the DERS)

CROSS-CULTURAL ADAPTATION STUDIES -VALIDATION OF ITALIAN VERSIONS

CROSS-CULTURAL ADAPTATION STUDIES -VALIDATION OF ITALIAN VERSIONS
THE CONVERGENT VALIDITY BETWEEN THE PAI AND MCMI-III SCORES BY USING CANONICAL CORRELATION ANALYSIS (CCA)
MCMI-III
PAI
ALC DOM
COMPULSIVE PD
PARANOIDPD
ALC DRG

CROSS-CULTURAL ADAPTATION STUDIES -CONTRIBUTION TO DEVELOPING NORMATIVE DATA

OTHER CROSS-CULTURAL VALIDATION STUDIES
[Selected publications]
Miguel, F. K., Giromini, L., Colombarolli, M.S., Zuanazzi, A.C., & Zennaro, A. (2017). A Brazilian investigation of the 36- and 16-item Difficulties in Emotion Regulation Scales. Journal of Clinical Psychology, in press
Giromini, L., Ales, F., de Campora, G., Zennaro, A., & Pignolo, C. (2017). Developing age and gender adjusted normative reference values for the Difficulties in Emotion Regulation Scale (DERS). Journal of Psychopathology and Behavioral Assessment, in press
Giromini, L., Colombarolli, M. S., Brusadelli, E., & Zennaro, A. (2017). An Italian contribution to the study of the validity and reliability of the Trait Meta-Mood Scale. Journal of Mental Health, in press
Giromini, L., de Campora, G., Brusadelli, E., D’Onofrio, E., Zennaro, A., Zavattini, G. C., & Lang, M. (2016). Validity and reliability of the Interpersonal Competence Questionnaire: Empirical evidence from an Italian study. Journal of Psychopathology and Behavioral Assessment, 38, 113-123
Giromini, L., Velotti, P., de Campora, G., Bonalume, L., & Zavattini, G. C. (2012). Cultural Adaptation of the Difficulties in Emotion Regulation Scale: Reliability and Validity of an Italian Version. Journal of Clinical Psychology, 68 (9), 989–1007