Identifying Externalizing and Internalizing Behavior Problems in Children and Adolescents Using the Rorschach Inkblot Test

Externalizing and internalizing behavior problems in children and adolescents have been an area of concern among caretakers and other adults, as early behavior problems can extend to difficulty with adjustment and growth or indicate possible pathology. Previous research is extensive on identification and interventions for externalizing and internalizing behavior problems in children and adolescents; however, few studies have used performance-based personality measures such as the Rorschach to help identify these behavior problems. The goal of this study was to construct and cross-validate Rorschach multivariate composite indices that measure externalizing and internalizing, processing-related, behavior problems observed in children and adolescents. Results from this study indicate that the utility of constructing and validating a multivariate composite measure of externalizing behavior problems related to rule-breaking and aggressive behavior appears more promising, although limited. More research is suggested on constructing and validating a multivariate composite measure of internalizing behavior problems with a focus on children and adolescents who display problems with anxiety or depression.