If one understands the projective hypothesis most simply as “the active structuring of the world according to inner requirements and outer demands” (Schafer, 1954, p. 37), then it is evident that a patient’s response to an ostensibly neuropsychological measure can provide significant insights beyond the typical neurocognitive yield. Indeed, the more ambiguous the instructions or stimuli, the greater the potential for projective elements to be introduced. The Wisconsin Card Sorting Test offers such an opportunity, particularly in its more recent computerized version. In this paper, a clinical vignette illuminates how bringing a psychoanalytic mindset to the administration and interpretation of this widely used measure can enrich its diagnostic utility. A distinction is made between a parameter (as applied to psychological testing) and testing the limits, with appreciation for how both can lead to vivid clinical moments that inform diagnostic questions—a “something more.” Such interventions maintain the essence of a standardized administration without allowing technical rigidity to obscure deeper contact with, and understanding of, the patient.

中文翻译：

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将精神分析心态引入神经心理学测试：从参数和测试限制到“更多”。

如果将投射假设最简单地理解为“根据内在要求和外在需求主动构建世界”（Schafer，1954，第 37 页），那么很明显，患者对表面上的神经心理学测量的反应可以提供重要的信息。超出典型神经认知产出的见解。事实上，指令或刺激越模糊，投射元素被引入的可能性就越大。威斯康星卡片分类测试提供了这样的机会，特别是在其最近的计算机化版本中。在本文中，一个临床小插曲阐明了如何将精神分析思维引入这一广泛使用的衡量标准的管理和解释中，可以丰富其诊断效用。区分参数（应用于心理测试）和测试极限，并赞赏两者如何导致为诊断问题提供信息的生动临床时刻——“更多”。这种干预保持了标准化管理的本质，而不会让技术僵化掩盖与患者的更深入的接触和理解。