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SHORT FORM
LAK T A T and © A F BLANK
For Recording and Anslyzing Thematic Apperception Test and Children’
's Apperception Test
Meme = Sen. Age
(cieele
Educatio: Occupation jms.
Referred by. Analvsis by. - =
‘After having obtained the stories anslyze each story by using the “arinbles on the left of Page 2. Nor
jeference to helt
tory wih ert iMiormaation regnidiog coch variable: the variables are prevented ns frame of
overlooking some dimension.
Wines al ten stories have been anelyzed itis cary to check ench variable from left to right for all teh
and rec eS, SO SF inary ou Page 4 unider the appropriate headings. That’ way # finel picture i of
almost immediately.
| Then, keeping Page 4 folded out, the Final Report: Diagnostic Impressions ‘and Recommendations can be
on Pose PES Hie te Page 4. Page 5 tives wvailable epece for any other notations. The storice then cna be |
oa oy sees Page 5, For hrther inttrictione rec Menual for TAT Interpretation, Poychojogicel Corps
inde ee Balak or Manual for the CAT, GP-S. Company, or The TAT and CAT én Clinical Use, pn. 282.
wg Suetton, 1954, N. Y. C. by Leopold Bellek:
FINAL REPORT: Diagnostic Inopressions and Recommendations
By arrangement with CPS. Ioc.,
Coprrisht, CPS. Ie, P.O. Box 83, Larchmont, New York, USA. MANASAYAN,
Subbasa Bag, New | 1. Main Theme:
| 2. Main here:
(aus
f T
| 3. Main, needs 0 fhero:
4. Conception of environment (world) as:
5.8) Parental figures (m _,
| amd subject's reaction’ to aly
2) Comtemp. figures fm
1d subject's reaction’ toa
| epdunior igures
conflicts and
9. Severity of superego as manifested by:
‘egration of the ego, manifesting itself i
Hero: adequate inadequate. |
outcome: happy. unhappy. |
realistic__unrealistie.
drive control |
thought processes as revealed by plot being i
Stereotyped:___criginal appropriate
complete incomplete inappropriate
Lsyneretic conerete__ contaminated, ‘Story No. 8
Swey Nog
su
Story No.3 SUMMARY
1-8. Unconscious structure and drive of subject (basedon variable 1-3) _
! | . =
4. Conception of world: —
5 Relationship w others
i | i
| |
| 5
t @ Significant wads
|
| |
7. Nature of anxieties:
8. Main defensi
9. Superego structure: =
10. Integration and strength of e
