MCMI

Question 1

Ommisions

Answer 1

12+ invalidates

Question 2

Scale V

Answer 2

random or deviant- 3 highly improbable items

Question 3

Scale X- BR 0-34

Answer 3

disclosure- tend twd defensiveness

Question 4

Scale X BR 35-74

Answer 4

disclosure, avg disclosure

Question 5

Scale X BR 75-100

Answer 5

disclosure, tend twd guileless self revelation

Question 6

Scale X BR 101+

Answer 6

disclosure, invalid

Question 7

Scale Y BR 75-84

Answer 7

desirability, Tendency to present in a favorable light; attempt to seem morally virtuous; inclination to appear psychologically healthy

Question 8

Scale Y, BR 85+

Answer 8

Desirability, Probable denial of psychological difficulties; possible faulty psychological insight; potentially a fake-good response set
Extremely elevated scores do not invalidate a profile, but limit its interpretation!

Question 9

Scale Z BR 75-84

Answer 9

Debasement index, Inclined to devalue and deprecate oneself; exaggeration of psychological sxs; possible indication of anxiety or depression

Question 10

Scale Z, BR 85+

Answer 10

debasement, Possible indication of extreme emotional turmoil; perhaps a ―cry for help‖; potentially a fake-bad response set
Extremely elevated scores do not invalidate a profile, but limit its interpretation!

Question 11

S

Answer 11

Schizotypal, prominent beheccentricities; discomfort in rel‘s; detach from soc affairs. Soc A w/ paranoid twist. Cog confusion; affect either flat or changing w/ changes in thought content. Thought cont mbsimilar to pos sxsof schizophrenia, but no delus/hall‘s.

Question 12

C

Answer 12

Borderline, disruptive, unstable, superficial rel‘s. Unstable self-image. Intense, labile emo. Constantly seek attachments. Idealization/devaluation. SI possible.

Question 13

P

Answer 13

Paranoid, suspiciousness, mistrust. Can be constricted & apprehensive, or aggressive and megalomanical. Vigilant. Rigid, inflexible thinking.

Question 14

1

Answer 14

Schizoid; indifference to soc rel‘s, lack of emowarmth. But: inner sensitivity and emoneedy. A when close in rel‘s. Restricted affect. Ambiguous thought processes. (One theory: childhood Asperger‘ssimilar to schizoid).

Question 15

2A

Answer 15

Avoidant, pattern of w/d, self-inadequacy, hypersensitive to criticism. Socially inhibited, but the w/d is b/c of fear of rejection. If uncertain of another‘s acceptance, avoid contact. Fear of embarrassment.

Question 16

2B

Answer 16

Depressive, Negself-thoughts and emo. ―Sad‖, pessimistic, lack of pleasure. Self-denial. Unlike dysthymia, more sustained and continuous (dysthymiamore severe).

Question 17

3

Answer 17

Dependent, submissive, clinging beh‘s; passive, nonassertive, compliant. Search for a ―magic helper‖ (security, nurturance). Submit willingly to others‘ wishes to maintain being protected. Decision-making difficulties, fear being alone. Mb dominant–submissive rel‘s.

Question 18

4

Answer 18

Histrionic, seductive, excess. emotionality, attn-seeking. Outside: socially artful, self-assured, confident; beneath: fear autonomy, need repeated signs of acceptance/approval, mirroring wanted-validation-something in their mirroring maybe didn’t go right, sense of huge inadequacy underneath. ―Theatrical‖ emo; ―impressionistic‖ cognition

Question 19

5

Answer 19

Narcissisitic, self-centered grandiosity, lack of empathy. Need for attn/admiration; (often excessive) pleasure in achiev‘ts; may seem arrogant. Respond w/ H to negreactions. Mood variability, intensity. Inside: self-esteem instability, feelings of inferiority.

Question 20

6A

Answer 20

Antisocial, blatant disregard for society & others‘ rights. Often belligerent, intimidating, domineering, and hostile. Illegal/unethical activities w/ ―I don‘t care‖. Acting out beh‘s.

Question 21

6B

Answer 21

Sadistic (Agressive) more pathological variant of the ASP. Aggressive, highly abusive, seemingly derive pleasure from humiliating others. Domination, control, (sexual) sadism. Review item content: mb a form of Type A personality.

Question 22

7

Answer 22

Compulsive, OCPD, notOCD. Preoccupied w/orderliness, perfectionism, control. Rigid, constricted, organized in beh& thinking. Mechanical, effortful, as though in the service of an external directive. May lack in emo; ―devoted‖ to duty, work, obligation.

Question 23

8A

Answer 23

Negativistic (pass-agress) pervasive distrust of world. Vacillate btw dep& indep; angry & contrite; compliant & opposit. Conflict: satisfy own needs vscomply w/ others‘ desires. Turmoil, ambivalence. Rapid mood/behshift.

Question 24

8B

Answer 24

Masochistic (self-defeating) more patholvariant of 8A. Devaluate/denigr self; martyr-like complex. LSE, D, can‘t enjoy success/life. Sacrifice self for ―good‖ of the other. Sensitive to others, not self. Difficulty trusting, depend. Fear, A re: being unloved, abandoned.

Question 25

SS

Answer 25

Thought Disorder, psychotic sxs? (esp>85): schizophrenic? schizophreniform? brief psychotic?; disorg, inappropbehs; bizarre, fragmented thinking; poor concentration

Question 26

CC

Answer 26

Major Depression, diminished pleasure; guilt, hopelessness, worthlessness; psycho-motor retardation; attn/concentration difficulties; appetite/weight changes

Question 27

PP

Answer 27

Delusional Disorder, paranoid/hypervigilant; hostile; disturbances in thinking; ideas of reference; thought control.
 Remember the DSM-IV delusion types:erotomanic, grandiose, jealous, persecutory, somatic, mixed.

Question 28

A

Answer 28

Anxiety disorder, general A, mb phobia or social A; chronic, exaggerated worry abt everyday functioning; excessive sweating, physical discomfort, nausea, insomnia, excessive somatic complaints (sometimes w/ accompanying depression)

Question 29

H

Answer 29

Somataform Disorder, unexplained somatic sxs; may express psy stress thru vague somc omplaints (e.g., weakness, ailing health, non-specific fatigue); often seek medical care for symptoms; mbhypocondriasis

Question 30

N

Answer 30

Bipolar: Manic Disorder, labile emo, elation, excitement, ē, exagg accomplish; inflated self-esteem; high scores: mb psychotic processes, delusions, grandiose ideas

Question 31

D

Answer 31

Dysthymic Disorder, mild-moderate chronic D, dysphoricmood; sense of hopelessness, futility, pessimism; low ē, fatigue

Question 32

B

Answer 32

Alcohol Dependence, traits/beh‟sconsistent w/ alcohol ab/dep; NB link btwndrugs & PDs

Question 33

T

Answer 33

Drug dependence, recent/recurrent drug ab/dephx; impulse control diff; difficulties managing conseq‟sof beh; unconventionality

Question 34

R

Answer 34

PTSD, exposure to a traumatic life-/safety-threatening event, w/ resulting hopelessness or intense fear. Variety of sxs: hypervigilance, irritability; trauma memories intrusion; emonumbing