Main Deck Flashcards
MMPI 2 RF is newer edition, true or false
biggest component of the RF?
strengths of RF?
False, it is Restructured Format, alternative format still used today.
Restructured clinical scales are biggest component of the RF, clean up the clinical scales and reduce overlap btw/ scales, no new items or norms
shorter and more efficient and improved construct validity
MMPI history
Original development began in 1939 at the University of Minnesota by Starke R.
Hathaway and J. Charnley McKinley because they wanted an instrument that could serve
as an aid in assessing adult patients during routine psychiatric case work ups and could
accurately determine the severity of their disturbances.
In 1982 revision began, dropped many items and added more, added scales besides clinical scales
MMPI: The most important approach taken during construction was…
Empirical Criterion
Keying—the development, selection, and scoring of items within the scales based on
some external criterion reference
MMPI 2 age range
18-80
MMPI: a T score of __ or above is considered elevated
65, less than 40 may be considered positive aspects
MMPI: Scale 1 is…
Hypochondriasis (Hs): Preoccupation with the body and concomitant fears of illness or disease (vague/general physical complaints)
Also read:
Lack insight and resists psychological explanations of sx
• Often make others miserable
• Described by others as dull, unenthusiastic, and unambitious
• Are demanding and critical of others
• Communicate in a whiny manner
MMPI: Scale 2 is…
Depression (D): Depression, poor morale, lack of hope, general dissatisfaction with life
Also read: Elderly people, on average, score 5-10 higher
High scorers more likely than others to have attempted suicide
MMPI: Scale 3 is…
Hysteria (Hy): Reacts to stress and avoids responsibility by developing physical
symptoms, especially if T>80 (more specific physical complaints)
More common in women than men
Also read: May express very naïve beliefs about the world and have superficial and
immature personal relationships
Feel angry when not getting enough attention or affection
Other describe as psychologically immature, childish, and infantile
May express being a failure at work, school, marital unhappiness, lack of
acceptance, or problems with authority figures.
MMPI: Scale 4 is…
Psychopathic Deviate (Pd): May have difficulty incorporating values and standards of society
African Americans, Hispanic, and Native Americans average 5-10 points
higher than Caucasian and Asian Americans.
Younger and more educated people also tend to score higher
Also read: Tend to intellectualize and blame others
Impulsive, striving for immediate gratification, rebellious to authority
Ostentatious, exhibitionistic, narcissistic, self-centered, selfish
MMPI: Scale 5 is…
Masculinity-Femininity (Mf): Originally developed to differentiate between homosexual and
heterosexual men, but did not work in normative sample
Also read: Reverse scores for men and women
High scores for men:
• Lack stereotypical masculine interesting, have aesthetic and artistic
interests, likely to take part in housekeeping and child rearing more
often than most men.
Low scores for men:
• Present as extremely masculine with stereotypical masculine
preferences in work, hobbies, and other activities.
High scores for women:
• Rejecting of traditional female roles and have stereotypical
masculine interests such as sports, hobbies, and tend to be assertive
and competitive.
Low scores for women:
• Stereotypical feminine interests and likely to get satisfaction from
roles like being a wife or mother; more traditionally feminine or
androgynous.
MMPI: Scale 6 is…
Paranoia (Pa): Suspiciousness, interpersonal sensitivity, and moral self-righteousness
Also read: T>70 is extreme and T=60-70 is moderate
MMPI: Scale 7 is…
Psychasthenia (Pk): Experience psychological turmoil and discomfort
Feel anxious, tense, agitated, may have obsessive-compulsive sx
Worried, fearful, apprehensive, high-strung, jumpy
Also read: tend to be shy, perfectionistic, meticulous, hold high standards
MMPI: Scale 8 is…
Schizophrenia (Sc): May have a psychotic disorder, especially if T>75-90
African American, Hispanic, and Native American populations average 5
points higher than Caucasians
May be confused, disorganized, and disoriented
Also read: T>90 is often a cry for help and in acute psychological turmoil
Tend to have schizoid lifestyles, feeling as if they are not a part of their
social environments; feeling isolated, alienated, misunderstood, and
unaccepted by their peers.
Described by others as shy, aloof, and uninvolved
imaginative, fantasy, unusual thoughts or delusions/hallucinations
MMPI: Scale 9 is…
Hypomania (Ma): Psychological and physical energy, egocentricity, and irritability
African American, Hispanic, and Native American populations average 5
points higher than Caucasians
Younger people have an average score of 50-60; <50 common for elderly
populations
May be in a manic episode (especially if T>80)
Also read: Low frustration tolerance, likely to get into legal trouble, attempt to
dominate others
MMPI: Scale 0 is…
Introversion (Si): Tendency to withdraw from social contacts and responsibilities
High scores indicate people who:
• Feel very insecure and uncomfortable in social situations
Low scores indicate people who:
• Are sociable and extroverted
MMPI Strengths
validity scales, lots of data
MMPI Limitations
some scales overlap, some cultural relevance issues
MMPI Code type descrepancies, need __ point difference for code type to be interpretable
5
MMPI Code type: Conversion valley
1,2,3 code type (“1-2-3, there’s something physically wrong
with me”); part of the Neurotic Triad; High on 1 and 3, low on 2; likely to have a
very defensive style and translate stressors into somatic symptoms; the more
pronounced the “valley,” the more resistant to treatment and higher number of
problems; if 1 is lower than 3, there’s a better prognosis for treatment
MMPI Code type: Inverted V
2,1,3, where 2 is high and 1 and 3 are lower, but all above 65;
typically present as depressed with some somatic complaints
MMPI Code type: Passive-Aggressive
7,4,2 code type (“7-4-2, I’ll be nice in a mean way cuz I
don’t like you”)
MMPI Code type: Psychotic valley
6,8,7 code type (“6-8-7, I’m crazy and someone’s watching
me from heaven”); scales 6 and 8 are above 70, and scale 7 is above 65; typical of
paranoid schizophrenics; if scales 2 and 0 are above 60, more indicative of a
thought disorder, if less than 55, more likely a mood disorder with psychotic
features.
MMPI Code type: Borderline
“2-4-6-8, who do you split and hate?”
MMPI Code type reading: Scales should only be interpreted if the parent Clinical scale is significantly
elevated (T>65)
o These subscales can be used to help explain why a person received elevated
scores on the Clinical scale when it was not expected based on historical data; and
to interpret Clinical scales that are only marginally elevated (T=65-70)
Scale 2: Depression (D)— Subjective Depression (D1) Psychomotor Retardation (D2) Physical Malfunctioning (D3) Mental Dullness (D4) Brooding (D5) o Scale 3: Hysteria (Hy)— Denial of Social Anxiety (Hy1) Need for Affection (Hy2) Lassitude-Malaise (Hy3) Somatic Complaints (Hy4) Inhibition of Aggression (Hy5) o Scale 4: Psychopathic Deviate (Pd)— Familial Disorder (Pd1) Authority Problems (Pd2) Social Imperturbability (Pd3) Social Alienation (Pd4) Self-Alienation (Pd5) o Scale 6: Paranoia (Pa)— Persecutory Ideas (Pa1) Poignancy (Pa2) Naïveté (Pa3) o Scale 8: Schizophrenia (Sc)— Social Alienation (Sc1) Emotional Alienation (Sc2) Lack of Ego Mastery, Cognitive (Sc3) Lack of Ego Mastery, Conative (Sc4) Lack of Ego Mastery, Defective Inhibition (Sc5) Bizarre Sensory Experiences (Sc6) o Scale 9: Hypomania (Ma)— Amorality (Ma1) Psychomotor Acceleration (Ma2) Imperturbability (Ma3) Ego Inflation (Ma4)
MMPI: Content Scales: Developed to…
define clinically relevant content areas across the entire test. Each
content scale, like Clinical scales, has a subscale for 12 of the 15 Content scales
for those that are elevated about 65.
MMPI: Restructed Clinical (RC) Scales: Designed to…
reduce intercorrelation among Clinical scales and to improve
discriminant validity.
o A common factor was found to have elicited elevations on multiple scales related
to anxiety, general maladjustment, or emotional distress.
MMPI: RC Scale: Demoralization (RCd)
It was anticipated that this scale would remove the general factor of
distress from Clinical scales and be able to therefore identify items that
reflect the core construct of each scale
High scorers are likely to have high scores on other RC, Clinical, and
Content scales, especially those with strong affective components.
MMPI: RC Scales Read
Dysfunctional Negative Emotions (RC6)—
Negative emotional experiences (anxiety, fear, irritability)
Excessive worry
Feeling sad and unhappy; are self-critical and guilt-prone
Experience intruding ideation
Ruminate and brood about perceived failures
o Aberrant Experiences (RC8)—
Tends to be a more focused measure of sensory, perceptual, cognitive, and
motor disturbances suggestive of psychotic disorders than Scale 8
Reports unusual sensory, motor, etc., experiences
May experience hallucinations/delusions
May experience bizarre sensory experiences; have impaired reality testing
Feeling anxious or depressed
Impaired occupational or interpersonal functioning
o Hypomanic Activation (RC9)—
Experience racing thoughts, high energy, and heightened mood
Irritable and aggressive; poor impulse control
May abuse substances; engage in antisocial behaviors
Sensation seeking and risk taking
MMPI Personality Psychopathology Five (PSY5) Scales: Constructed to…
assess personality traits relevant to normal functioning and clinical
problems; Similar to the five-factor model of personality;
MMPI PSY5 Scales read
Aggressiveness (AGGR)—
Offensive and instrumental aggression, may enjoy intimidating others to
accomplish own goals; reacts aggressively to provocation; may have a
history of behavioral problems and violence
Low scores indicate passiveness, submissiveness, and not aggressive in
interactions
o Psychoticism (PSYC)—
Disconnection from reality, including unshared beliefs and unusual
sensory and perceptual experiences, feeling alienated, and having an
unrealistic expectation of harm
o Disconstraint (DISC)—
Risk taking, impulsivity, ignoring traditional moral beliefs and behaviors,
easily bored, seeks out excitement, may have history of violence and
substance abuse
Low scores may indicate self-control, following rules and laws, and high
tolerance for boredom
o Negative Emotionality/Neuroticism (NEGE)—
Predisposition to experience negatively valenced emotions
Focuses on problematic features of new information; tends to worry, feel
guilty, and be self-critical; concocting worst-case scenarios
o Introversion/Low Positive Emotional (INTR)—
Limited capacity to experience joy and positive engagement; socially
introverted
Low scores indicate a capacity to experience pleasure and joy, are often
sociable, have lots of energy, and may have Hypomania.
MMPI Supplementary Scales: Requires…
all 567 items to be administered
o Not intended to replace or break down Clinical scales, but are separate scales
o Interpret when T>65, and some when T<40.
MMPI validity scales, non content based threats
Cannot say (?)
(VRIN)
(TRIN)
Cannot say (?) skipped/double answered, 10 and 30 raw score cutoffs
Variable Response Inconsitency (VRIN) inconsistent responding with paired resps, random! 13 raw score/T80 cutoffs
True Response Inconsistency (TRIN) inconsistent responding, all true or false/fixed responding, T80 in either direction cutoff
MMPI Validity scales, content based threats, over reporting (F) (Fb) (Fp) (FBS)
Infrequency (F) atypical responses that suggest randomness or pathology, different population cutoffs
Back Infrequency (Fb) similar to F but back half, change in responding
Infrequency Psychopathology (Fp) atypical psychopathology responses (fake pathology)
Symptom Validity Scale (FBS) Fake Bad Scale, historically not credible
MMPI Validity scales, content based threats, under reporting
(L)
(K)
(S)
Lie (L) unsophisticated way to show goodness (fake good)
Correction (K) more sophisticated way to show goodness (fake good (high) or fake bad (low))
Superlative Self-Representation (S) present self as virtuous, without problems, gets along well with everyone, morally good, may be defensive
MMPI Clinical Subscales synonym…
Harris-Lingoes subscales
Other MMPI 2 RF differences…
3 higher order scales
10 RC scales including RCd which is…
Note: several Specific Problem Scales and Interests Scales (replace clinical scale 5)
Validity scales similar EID (Emotional/Internalizing Dysfunction): problems associated with mood and affect (similar to 27/72 code type) o THD (Thought Dysfunction): problems associated with disordered thinking (68/86 code type) o BXD (Behavioral/Externalizing Dysfunction): problems associated with undercontrolled behavior (49/94 code type)
RCd is demoralization
MMPI A and MMPI A RF
similar to MMPI in validity scales, clinical scales, subscales but for adolescents
MCMI purpose not T scores but... cut offs read: clinical personality pattern scales, clinical syndrome scales, severe syndrome scales
personality disorders and some other clinical syndromes
base rates, prevalence of diagnoses for patients in the normative sample
60 median, 75-84 prominence, 85+ dx likely
MCMI read:
MCMI Modifying Indices
o Validity Index (Scale V)—
Three items which are improbably, if 2 of them are endorsed the profile is
invalid; if 1 endorsed then use caution in interpretation.
• Desirability does not contribute to validity, only response style;
only Debasement and Disclosure contribute to validity
o Consistency (Scale W)—
25 item pairs expected to answer consistently (like MMPI)
A raw score above 19 is considered invalid.
o Disclosure (Scale X)—
Signifies problem response behaviors whether a patient was inclined to be
openly frank and self-revealing (high BR) or be more secretive and
reticent (low BR)
If raw score is less than 7, or higher than 114, the protocol is invalid.
o Desirability (Scale Y)—
Degree to which the results may be affected by the individual’s inclination
to appear socially attractive, morally virtuous, and emotionally wellcomposed (similar to the L scale of MMPI; “faking good”)
o Debasement (Scale Z)—
Inclinations to depreciate or devalue oneself by presenting emotional and
personal difficulties in stronger terms than are likely to be uncovered upon
objective review (“faking bad”)
May show a distressing degree of emotional turmoil (similar to MMPI F
scale)
Interpret Y and Z if BR is above 74, but not low scores; no scores on the Y or Z make the
profile invalid due to scoring adjustments made for extremes
o Protocol can be invalidated based on V, W, or X.
MACI:
purpose and population
notes on scales?
Used for individuals age 13-19
o Uses same BR as MCMI-IV (below 60, do not interpret; above 74, clinically significant
presence of personality traits; above 85, personality d/o)
Personality scales are similar, and have different names to reflect personality patterns as
still developing rather than conceptualizing them as disorders (no equivalent to
Turbulent, Schizotypal, or Paranoid)
Personality Pattern Scales, Clinical Syndrome Scales, Expressed Concern scales
Read: M-PACI: Millon Pre-Adolescent Clinical Inventory
Personality Assessment Inventory (PAI)
uses and unique features
in-depth personality inventory, like the MCMI, widely used, uses likert type scale not T/F
Behavioral Assessments: Achenbach scales
CBCL
TRF
YSR
Connors-3 purpose
advantages
CBCL: Child Behavior Checklist Parent Report ages
TRF: Teacher Self Report
(Separate forms for 6-18 vs. younger kids) (last two)
YSR: Youth Self Report
Connors-3 attention measurement, parent, teacher, self report
cross analysis - multiple reporters teachers, kids, parents
What do the TAT, CAT, Roberts-2, and TEMAS have in common?
story-telling cards, validity highly iffy, projective measures!
TAT limitations
racial bias, blurry? outdated
TAT: Murray’s Needs Press Theory: Define Needs, Press, Thema, and Conflicts
Needs > drives within the person to influence motivation
o Press > forces in the person’s environment
o Thema> small unity of behavior that results from the interaction of needs and
press.
o Conflicts in personality are a constant struggle between needs and press and how
to mediate them
TAT: Define aperception
interpreting the environment and perceiving meaning of a situation.
TAT Read
Scoring system developed by Bellak, and includes 10 categories: o Main theme o Self-functioning of the hero o Main needs and drives of the hero o Conception of the world o Interpersonal object relations o Main conflicts o Nature of fears, anxieties, and insecurities o Main defense and coping mechanisms o Superego functioning o General ego functions o Most useful for assessing interpe
TAT Most useful for…
assessing interpersonal relationships and how the individual views their
world…
Read: including aggression and hostility, motivations and perceptions, and coping
mechanisms and abilities.
Children’s Apperception Test (CAT) what is it and what pop
Basically the same as the TAT, but is for use with children age 3-10 and can use 10 cards
with images of either humans or animals
Senior Apperception Technique (SAT) what is it and what pop
More of the same as TAT or CAT, but used with individual’s age 65 and older.
o Uses 16 different cards that often look for themes of loneliness, uselessness, and death
Tell Me A Story (TEMAS) unique features and pop
Projective test, Used for individuals age 5-18
o Standard form for Caucasians and one for minorities (in general)
o Depicts urban scenes that children are more likely to relate to
o 23 images in total, with cards for males, females, and both
Roberts-2 what is it and unique features
Another story telling assessment, presenting youths with images of either African
American, Latino, or Caucasian children in social interactions.
o All 16 cards are administered to adolescents
o Most use subjective interpretation based on themes, but there is a standardized scoring
system.
Drawing Tasks (what remember about them) and read
Used with children and adults
• Aims to assess unconscious material by interpretation of content, omission of details,
added detail, quality of drawing, coloring/shading, size of drawing, process of drawing,
and location on the paper.
• Are non-verbal means of assessing personality; often lack validity and reliability due to
the subjective nature of interpretations.
• EX: House-Tree-Person, Kinetic Family Drawing
z-evidence based issues
What is the Rotter Incomplete Sentence Blank (RISB)?
Writing task: Individual completes 40 sentence prompts
o There is a scoring system but pulling themes out subjectively is often used
o A good measure in conjunction with other projective tests
o Four different forms for Child, High School, College, and Adult
R-PAS vs. CS
both systems currently function and are used, R-PAS newer and more normative evidence based data, more reliable and valid, less variables in R-PAS
R-PAS: Critical Content Responses (7 in total)
(MOR, MAP, AGM, Sx, Ex, Fi, An, Bl)
May be indicative of borderline or antisocial PD
Read Study Guide re: R-PAS
pps. 36-45
What are the five domains of R-PAS variables? (get most of them)
Admin Behaviors and Observation, Engagement and Cog Complexity, Perception and Thinking, Stress and Distress, and Self and Other Rep
IQ testing was first conducted by…
Sir Francis Galton in England (1869). He believed that tests of
sensory discrimination and motor coordination were related to intelligence (he was also a pioneer
of eugenics). Considered the Father of Psychometrically-based testing
Early testing was interested in giftedness and/or a way to distinguish normal from “retarded”
individuals.
In France, Binet and Simon developed the first IQ Test in 1908, for who?
children
Read: Lewis Terman (1916), a Stanford Psychologist, used Binet’s original test and
standardized it using a sample of American participants, and was published in 1916 as the
Stanford-Binet Intelligence Scale and became the standard intelligence test for the United
States. Uses mental age divided by chronological age x 100.
In World War I, __ provided group testing for placement and fitness for duty of
soldiers
Robert Yerkes
Read: Army Alpha: verbal tasks (like Stanford-Binet)
• Army Beta: new set of nonverbal tasks
• These tests were inappropriate to use after the war to screen individuals such as
immigrants
Wechsler began developing IQ Tests when?
1930s
IQ Definitions: Elements
abstract thinking/reasoning, problem-solving, capacity to acquire knowledge,
memory, adaptations to environment, mental speed, linguistic competence.
IQ Definitions: Spearman’s Two-Factor Theory
involves two factors; general (g) and specific (s);
Every mental ability involves a “g,” which it shares with all other mental activities and
“s,” which is shared with none
o “g” is largely innate
o “s” is essentially learned