EII-2 = Ego Impairment Index
Viglione, D. J., Perry, W., & Meyer, G. (2003). Refinements in the Rorschach Ego Impairment Index: Incorporating the Human Representational Variable. Journal of Personality Assessment, 81(1), 149–156.
Calculating the EII–2
EII-2 = (No. of FQ– responses) × 0.140+ (WSum6) × 0.05+ (Critical Contents) × 0.07+ (M–) × 0.2+ PHR × 0.1 GHR × (–0.1) + R × (–0.07)
Note: * Critical Contents = Sum of An, Bl, Ex, Fi, Fd, Sx, Xy, AG, MOR
** The number of responses (R) is included to minimize its effects on the EII–2.
Critical Contents 0.07
PHR (Poor HR) 0.1
GHR (Good HR) (–0.1)
Calculating the EII–2 – An Example
Note: for actual calculations, the example values underlined would be replaced by patient-specific values.
Step 1 Step 2 Subcomponent
List Raw Values Multiply by Coefficients Contributions
No. of FQ– responses 3 × 0.14 = 0.42
WSum6 7 × 0.05 = 0.35
Critical Contents 4 × 0.07 = 0.28
M– 2 × 0.2 = 0.4
PHR 2 × 0.1 = 0.2
GHR 9 × (–0.1) = –0.9
R 19 × (–0.07) = –1.33
Step 3: Calculate the total EII–2 by summing all the subcomponent values:
0.42 + 0.35 + 0.28 + 0.4 + 0.2 – 0.9 – 1.33 = –0.58
The five EII subcomponent variables:
1. Distorted Form Quality (FQ–) - measures perceptual inaccuracy or poor reality testing.
2. The weighted sum of the six cognitive Special Scores (WSum6) - measures thought disturbance in various forms.
3. Critical Contents (formerly referred to as “Derepressed” contents) are images associated with needs and urges that are typically inhibited, minimized, or indirectly expressed in adaptive thinking, Rorschach responses, and social discourse. They include anatomy, blood, explosions, fire, food, sex, X-ray contents, and both aggressive and morbid Special Scores.1
4. Distorted Human Movement responses (M–) are another measure of thought disturbance but unlike WSum6 capture distortions in interpersonal perception or object representations.
5. The Good-to-Poor Human Experience variable (HEV) measures positive/intact versus negative/problematic aspects of Human Representational responses (Viglione, Perry, Jansak, Meyer, & Exner, in press). It incorporates the following dimensions:
(a) accurate and conventional versus distorted, (b) benevolent versus malevolent and aggressive, (c) intact versus damaged, and (d) realistic and logical versus confused and illogical. The HEV was designed to improve on the conceptual and psychometric weaknesses of similar Rorschach measures. In a recent article (Viglione et al., in press), the HEV was modified in an attempt to enhance its validity and psychometric properties. It was renamed the Human Representational variable (HRV).
Suggested Overlapping Interpretive Ranges for the EII–2
Range EII–2 Interpretation
< –0.3 Optimal range—No impairment evident
–0.4 to +0.2 Typical range for nonpatients—No impairment evident
+0.0 to +0.6 Minimum impairment
+0.4 to +0.8 Mild to moderate impairment
+0.7 to +1.5 Moderate to severe impairment
> 1.3 Significant impairment evident