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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
Scale Z
Debasement scale Measure exaggeration of symptoms Above 74 suggests exaggeration, cry for help, acute distress Does not invalidate profile
26
Severe personality pathology scales
S (schizotypal) C (borderline) P (paranoid)
27
S scale
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
C scale
Borderline, severe personality pathology Intense but unstable emotional relationships Impulsive Dependent Fear of abandonment Lacks personal identity Seeks approval from others
29
P scale
Paranoid, severe personality pathology Rigid and disorganized thinking Hyper vigilance Over sensitivity to perceived social slights Ideas of control or influence Delusional beliefs
30
Clinical personality patterns scales (12)
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
Schizoid scale 1
Avoidance of relationships Anxiety prone Introverted, detached, emotionally bland Flat affect
32
Avoidant scale 2A
Insecure, fear rejection or negative evaluation Social avoidance Sensitive to social disapproval Strong desire to relate socially
33
Melancholic scale 2B
Worthlessness Pessimism Gloomy Quiet, passive, overly serious Feelings of inadequacy Poor self esteem Brooding
34
Dependent scale 3
Lean on others for support, security Seek emotionally protective relationships Submissive, passive, dependent Lack confidence
35
Histrionic scale 4A
Gregarious Overly dramatic behavior Strong need to be center of attention Seductive Seek constant stimulation Easily excited, emotional outbursts
36
Turbulent scale 4B
Vitality in engaging in the world Sense of joy and other positives Energy can be overwhelming or overbearing Reckless, manically energetic
37
Narcissistic scale 5
Self centered Grandiosity Require constant praise and admiration Entitled demanding Socially exploitative for self gain
38
Antisocial scale 6A
Motivated to avoid control, domination Antisocial traits and attitudes Narcissistic Angry and resentful Kindness perceived as weakness
39
Sadistic scale 6B
Abusive behavior Dominating, hostile, intimidating Fearless, aggressive Hard headed Antagonistic, arrogant Excitable Irritable
40
Compulsive scale 7
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
Negativistic scale 8A
Passive aggressive Moody, irritable, negativism, hostility, anxiety Feels unappreciated
42
Masochistic scale 8B
Feels one deserves to suffer Submissive Inferior placement in relationships Mild depression Low self esteem
43
Severe clinical syndrome scales (3)
Schizophrenic spectrum SS Major depression CC Delusional PP
44
Clinical syndrome scales (7)
Generalized anxiety A Somatic symptom H Bipolar spectrum N Persistent depression D Alcohol use B Drug use T Post traumatic stress R
45
Schizophrenic spectrum SS
Disorganized, confused, fragmented or bizarre thought content and process Hallucinations and or delusions Withdrawn or isolated
46
Major depression CC
Difficulty in handling daily activities Worthlessness Emotionally detached, depressed Suicide ideation Vegetative symptoms
47
Delusional PP
Persecutory or grandiose delusions Hostile Hyper vigilant Suspicious of perceived threats
48
Generalized anxiety A
Generalized anxiety symptoms Nervous tension Indecisive Somatic complaints
49
Somatic symptom H
Fatigue, tension, aches and pains, physical discomfort Lack self confidence
50
Persistent depression D
Chronic depressive symptoms Sad, discouraged, Worthless Poor appetite and concentration
51
Alcohol use B
Current drinking problem behavior History of drinking
52
Bipolar spectrum N
Restlessness, overactivity, elevated moods, impulsive, irritability Attention seeking, outgoing
53
Drug use T
History and recurrent pattern of drug misuse Disruption in relationships Impulse control problems Distress in social, occupational, family, legal areas
54
Post traumatic stress R
Painful memories, nightmares, flashbacks, distressing and intrusive thoughts Emotional numbing

Objective (5 decks)

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