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Objective > MCMI > Flashcards

MCMI Flashcards

1
Q

Theory behind it

A

Personality as “psychological immune system” so clinicians should focus on how well personality defends against “infection” and prevents “symptoms”

Personality has evolutionary basis to help us survive and reproduce

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2
Q

Purpose of test

A

Designed to provide diagnostic and treatment info to clinicians in the areas of personality disorders and clinical syndromes

Intended to complete the picture of who the person is and what complaints they are experiencing

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3
Q

Test captures …..

A

A range of functioning

Normal style (generally adaptive personality patterns)

Abnormal traits/type (moderately maladaptive personality attributes)

Clinical disorder (likelihood of greater personality dysfunction)

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4
Q

MCMI has a ….. foundation

A

Theoretical

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5
Q

MCMI better assesses ….

A

Long standing personality disorders

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6
Q

Evolutionary theory

A

Personality is an evolutionary adaptation

Personality disorders are a problem in adaptation

Three main motivating aims and people exist in various points of each continuum

Most people have a preferred strategy but can be flexible when needed

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7
Q

Motivating aims (3)

A

Survival strategy (pleasure seeking to pain avoiding)

Adaptation strategy (active modifying to passive accommodating)

Replication strategy (self propagating to other nurturing)

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8
Q

Problematic patterns in motivating aims

A

Manifest in single prototype or multiple scale elevations

Disbalance (strongly prefers one side of continuum over other)

Conflict (desire to avoid unwanted thoughts or feelings so much that they slip out of awareness and get expressed in undesirable ways)

Reversal (person experiences fulfillment through stimuli others find unpleasant)

Wavering (disintegration of motivating aims)

Unalterable (immovability on motivating aims)

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9
Q

Prototypes domains (8)

A

Expressive emotion
Interpersonal conduct
Self image
Cognitive style
Intrapsychic content
Intrapsychic dynamic
Intrapsychic architecture
Mood temperament

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10
Q

Reliability of test

A

Moderate to high

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11
Q

Validity of test

A

Good for personality disorders, not good for depression. Moderate generally

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12
Q

Base rates definition

A

Measures the probability a person has that characteristic within a psychiatric population (doesn’t measure amount of the characteristic)

High base rate means characteristics are present, low base rate does not have meaning

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13
Q

Base rate anchor points for personality scales

A

Style is 60
Type is 75
85 is disorder

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14
Q

Base rate anchor points for clinical syndrome scales

A

60 is median sample score
75 is presence
85 is prominence

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15
Q

Base rate anchor points for modifying index/facet scales

A

60 is interpretable
75 is presence
85 is disorder

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16
Q

Interpret BR of ____ as anchor point

A

85

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17
Q

BR 85+ means

A

Clinical personality disorder

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18
Q

BR 75-84 means

A

Problematic personality type

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19
Q

BR 60-74 means

A

Personality style

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20
Q

Interpretation steps (7)

A

Review collateral info
Review validity scales
Review noteworthy responses
Assess severe personality pathology
Assess clinical personality patterns
Integrate facet scales
Examine severe clinical syndrome and clinical syndrome scales

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21
Q

Scale V

A

Validity

3 items

Valid is 0
Questionable is 1
Invalid is 2 or 3

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22
Q

Scale W

A

Inconsistency index

Looks at random responding

Questionable if between 9-19, invalid is 20+

23
Q

Scale X

A

Disclosure index

Honest? Self disclosing?

Questionable if 7-20 or 61-114

Invalid if less than 6 or over 115

Low score suggest defensive, high score suggests self revealing

24
Q

Scale Y

A

Desirability scale

Above 74 suggests denial of problems, does not invalidate profile

Low scores not interpreted

25
Q

Scale Z

A

Debasement scale

Measure exaggeration of symptoms

Above 74 suggests exaggeration, cry for help, acute distress

Does not invalidate profile

26
Q

Severe personality pathology scales

A

S (schizotypal)
C (borderline)
P (paranoid)

27
Q

S scale

A

Schizotypal, under severe personality pathology

Emotional blandness with flat affect
Anxious wariness
Socially detached
Discomfort in social relationships
Loner
Self absorbed with own eccentric beliefs

28
Q

C scale

A

Borderline, severe personality pathology

Intense but unstable emotional relationships
Impulsive
Dependent
Fear of abandonment
Lacks personal identity
Seeks approval from others

29
Q

P scale

A

Paranoid, severe personality pathology

Rigid and disorganized thinking
Hyper vigilance
Over sensitivity to perceived social slights
Ideas of control or influence
Delusional beliefs

30
Q

Clinical personality patterns scales (12)

A

Schizoid 1
Avoidant 2A
Melancholic 2B
Dependent 3
Histrionic 4A
Turbulent 4V
Narcissistic 5
Antisocial 6A
Sadistic 6B
Compulsive 7
Negativistic 8A
Masochistic 8B

31
Q

Schizoid scale 1

A

Avoidance of relationships
Anxiety prone
Introverted, detached, emotionally bland
Flat affect

32
Q

Avoidant scale 2A

A

Insecure,
fear rejection or negative evaluation
Social avoidance
Sensitive to social disapproval
Strong desire to relate socially

33
Q

Melancholic scale 2B

A

Worthlessness
Pessimism
Gloomy
Quiet, passive, overly serious
Feelings of inadequacy
Poor self esteem
Brooding

34
Q

Dependent scale 3

A

Lean on others for support, security
Seek emotionally protective relationships
Submissive, passive, dependent
Lack confidence

35
Q

Histrionic scale 4A

A

Gregarious
Overly dramatic behavior
Strong need to be center of attention
Seductive
Seek constant stimulation
Easily excited, emotional outbursts

36
Q

Turbulent scale 4B

A

Vitality in engaging in the world
Sense of joy and other positives
Energy can be overwhelming or overbearing
Reckless, manically energetic

37
Q

Narcissistic scale 5

A

Self centered
Grandiosity
Require constant praise and admiration
Entitled demanding
Socially exploitative for self gain

38
Q

Antisocial scale 6A

A

Motivated to avoid control, domination
Antisocial traits and attitudes
Narcissistic
Angry and resentful
Kindness perceived as weakness

39
Q

Sadistic scale 6B

A

Abusive behavior
Dominating, hostile, intimidating
Fearless, aggressive
Hard headed
Antagonistic, arrogant
Excitable
Irritable

40
Q

Compulsive scale 7

A

Goes between hostility towards others and fear of social disapproval
Emotional construction, behavioral rigidity
Meticulous, respectful, polite,
Perfectionists
Suppress resentment towards authority figures whose approval is sought

41
Q

Negativistic scale 8A

A

Passive aggressive
Moody, irritable, negativism, hostility, anxiety
Feels unappreciated

42
Q

Masochistic scale 8B

A

Feels one deserves to suffer
Submissive
Inferior placement in relationships
Mild depression
Low self esteem

43
Q

Severe clinical syndrome scales (3)

A

Schizophrenic spectrum SS
Major depression CC
Delusional PP

44
Q

Clinical syndrome scales (7)

A

Generalized anxiety A
Somatic symptom H
Bipolar spectrum N
Persistent depression D
Alcohol use B
Drug use T
Post traumatic stress R

45
Q

Schizophrenic spectrum SS

A

Disorganized, confused, fragmented or bizarre thought content and process
Hallucinations and or delusions
Withdrawn or isolated

46
Q

Major depression CC

A

Difficulty in handling daily activities
Worthlessness
Emotionally detached, depressed
Suicide ideation
Vegetative symptoms

47
Q

Delusional PP

A

Persecutory or grandiose delusions
Hostile
Hyper vigilant
Suspicious of perceived threats

48
Q

Generalized anxiety A

A

Generalized anxiety symptoms
Nervous tension
Indecisive
Somatic complaints

49
Q

Somatic symptom H

A

Fatigue, tension, aches and pains, physical discomfort
Lack self confidence

50
Q

Persistent depression D

A

Chronic depressive symptoms
Sad, discouraged,
Worthless
Poor appetite and concentration

51
Q

Alcohol use B

A

Current drinking problem behavior
History of drinking

52
Q

Bipolar spectrum N

A

Restlessness, overactivity, elevated moods, impulsive, irritability
Attention seeking, outgoing

53
Q

Drug use T

A

History and recurrent pattern of drug misuse
Disruption in relationships
Impulse control problems
Distress in social, occupational, family, legal areas

54
Q

Post traumatic stress R

A

Painful memories, nightmares, flashbacks, distressing and intrusive thoughts
Emotional numbing

Objective (5 decks)

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