shopping cart
nothing in cart
browse by subject
new releases
best sellers
sale books
browse by author
browse by publisher
about us
upcoming events
Feb 3rd - Its a Beautiful Day in the Playborhood [Core Wellness]
Feb 9th - Interrupting the Vicious Cycle of Toxic Stories in Addictions and Trauma Treatment [Leading Edge Seminars]
Mar 6th - Playing and Becoming in Psychoanalysis [Toronto Institute for Contemporary Psychoanalysis (TICP)]
May 1st - American Psychiatric Association 174th annual meeting, Los Angeles [APA]
Jun 17th - IARPP Conference 2021 - Expanding Our Clinical Experiences: The Spoken, Unspoken and Unspeakable in Relational Psychoanalysis and Psychotherapy [IARPP]
schools agencies and other institutional orders (click here)
Due to Covid-19, we are now open only for deliveries and pickups. Still free shipping across Canada for orders over $50. Please read our Covid-19 statement here.
Join our mailing list! Click here to sign up.
Disordered Thinking and The Rorschach: Theory, Research, and Differential Diagnosis (1999)
Kleiger, James H.
Routledge / The Analytic Press / Softcover / 2014-08-01 / 1138009768
Psychological Testing
reg price: $82.50 our price: $ 74.25 (may be subject to change)
408 pages
Not in Stock, but usually ships within 2-3 weeks

In Disordered Thinking and the Rorschach, James Kleiger provides a thoroughly up-to-date text that covers the entire range of clinical and diagnostic issues associated with the phenomenon of disordered thinking as revealed on the Rorschach. Kleiger guides the reader through the history of psychiatric and psychoanalytic conceptualizations of the nature and significance of different kinds of disordered thinking and their relevance to understanding personality structure and differential diagnosis. He then moves on to thorough reviews of the respective contributions of David Rapaport, Robert Holt, Philip Holzman, and John Exner in conceptualizing and scoring disordered thinking on the Rorschach. These synopses are followed by an equally fascinating examination of less well known research conceptualizations, which, taken together, help clarify the basic interpretive conundrums besetting the major systems.

Finally, having brought the reader to a full understanding of systematic exploration to date, Kleiger enters into a detailed analysis of the phenomenological and psychodynamic aspects of disordered thinking per se. Even experienced clinicians will find themselves challenged to reconceptualize such familiar categories as confabulatory or combinative thinking in a manner that leads not only to new diagnostic precision, but also to a richer understanding of the varieties of thought disturbances with their equally variable therapeutic and prognostic implications.

With Disordered Thinking and the Rorschach, Kleiger has succeeded in summarizing a wealth of experience pertaining to the rigorous empirical detection and classification of disordered thinking. Equally impressive, he has taken full advantage of the Rorschach as an assessment instrument able to capture the richness of personality and thus capable of providing a unique clinical window into those crucially important differences in the quality of thought that patients may evince.


"Psychiatric disorders, however defined, affect thought organization. Indeed, the most severe of these conditions, the schizophrenias and the major affective disorders, can be recognized by tell-tale ways in which thinking is derailed and disorganized. The most powerful clues to differential diagnosis of psychoses, we have learned, lie in the nature of thought organization. Clinicians and researchers will treasure James Kleiger's thorough and dispassionately critical survey, which will provide them with a strategic perspective on diagnostic issues in this vitally important domain. Disordered Thinking and the Rorschach is a valuable and much-needed resource for clinical and research inquiries."
- Philip S. Holzman, Ph.D., Professor Emeritus of Psychology, Harvard University
"James Kleiger has produced a superb piece of scholarship that extends from thorough coverage of theory and research to useful guidelines for clinical practice. This clearly written and extensively referenced book provides a storehouse of information concerning the nature of disordered thinking, its manifestations in Rorschach responses, and the possible diagnostic implications of a thought-disordered Rorschach protocol. Rorschach researcher and practitioners alike will read it with pleasure and profit."
- Irving B. Weiner, Ph.D., University of South Florida


1. Conceptualizing Disordered Thought
2. The Rorschach Assessment of Disordered Thinking
II. Thought Disorder Scoring Systems
3. The Rapaport Method
4. Holt's Primary Process Scoring System
5. The Thought Disorder Index (TDI)
6. Exner's Special Scores and Schizophrenia Index (SCZI)
7. Secondary Thought Disorder Scoring Systems
III. Conceptual and Theoretical Underpinnings
8. Psychoanalytic Understanding of Thought Disorder Scores
9. Confabulatory Thinking
10. Combinative Thinking
11. Contaminated Thinking
12. Paleologic Thinking
IV. Differential Diagnosis of Rorschach Thought Disorder
13. Schizophrenia-Spectrum Disorders
14. Affective Disorders
15. Borderline Syndromes
16. Disordered Thinking Associated with Other Conditions
17. Creativity of Disordered Thinking?
18. Final Thoughts

About the Author:

Certified by the American Board of Professional Psychology in Clinical Psychology, James H. Kleiger, Psy.D., is Director of Postdoctoral Psychology Training at the Menninger Clinic and a Fellow of the Society for Personality Assessment. Dr. Kleiger is also a senior candidate and teaching associate at the Topeka Institute for Psychoanalysis.

Caversham Booksellers
98 Harbord St, Toronto, ON M5S 1G6 Canada
(click for map and directions)
All prices in $cdn
Copyright 2020

Phone toll-free (800) 361-6120
Tel (416) 944-0962 | Fax (416) 944-0963
E-mail [email protected]
Hours: 9-6 Mon-Sat / 12-5 Sun (EST)

Click here to read previous issues.
Kleiger, James H
other lists
Now in Paper - Routledge Reissues
Psychological Testing
Routledge Psychoanalysis
Taylor and Francis
The Analytic Press