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assessment 2 > MCMI-III > Flashcards

MCMI-III Flashcards

1
Q

Based on

A

Millon’s(1990) evolutionary theory of personality disorders

- DIMENSIONAL model

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2
Q

Millon believed that personality disorders

A
  • regard the entire matrix of the person
  • are intrinsically multioperational phenomena
  • are expressed across domains or perspectives
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3
Q

MCMI items validated

A
    • rationally, internally, and externally
  • consistent with theory
  • homogeneous, internal validity
  • predictive and clinical validity
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4
Q

Base rates

A
  • diagnoses number of individuals equal to number that actually have disorder in normative sample
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5
Q

MCMI-III scales standardized as base rates (BR) scores

A

range from 0 to 115

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6
Q

BR scores =/> 75

A

indicate presence of clinically significant personality style or syndrome, i.e., met criteria for disorder

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7
Q

BR scores =/> 85 indicate

A

particular personality style or syndrome is prominent for the individual; i.e., primary problem

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8
Q

BR score of 60

A

represents the median for all patients

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9
Q

Scale categories

A
  1. Modifying indices
  2. Clinical personality patterns
  3. Severe personality patterns
  4. Clinical syndromes
  5. Severe syndromes
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10
Q

Modifying indices

A

Provide a validity indicator and clues to test taking attitudes including careless responding, over-reporting, under-reporting, and social desirability

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11
Q

Clinical personality patterns

A

Corresponds to 11 DSM-IV personality disorder diagnosis and assess dimensions of construct as defined by Million’s theory of personality

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12
Q

Severe personality problems

A

Represents more severe levels of pathology

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13
Q

Clinical syndromes

A

Axis I syndromes viewed as distortions of client’s basis personality patterns.
- Seen as reactive and often precipitated by external events and are of more brief duration than the personality disorders

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14
Q

Severe clinical syndromes

A

More severe syndromes than the clinical syndromes

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15
Q

Steps to interpretation

A
  1. Determine profile validity
  2. Interpret the Personality Disorder Scales
  3. Interpret Clinical Syndrome Scales
  4. Review noteworthy responses
  5. Provide diagnostic impressions
  6. Write a personality description
  7. Treatment implications and
  8. Recommendations
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16
Q

Determine profile validity

A 
Scale V (Validity Index)
Scale X (Disclosure Index)
Scale Y - (Desirability Index)
Scale Z (Debasement Index)
17
Q

Scale V

A

Validity index
Items 65, 110, 157
2 or more true responses - invalid profile
1 true response - “questionable validity”

18
Q

Scale X

A

Disclosure index
Validity
If raw score is below 34 - invalid and defensive underreporting
If raw score is above 178 - invalid and exaggeration of symptoms

19
Q

Scale Y

A

Defensiveness index

  • Measure of defensive responding
  • BR above 75 (not necessarily invalid) indicates presenting self in an overly positive, moral, emotionally stable, gregarious manner – “faking good”
  • the higher the score, the more the person is concealing
20
Q

Scale Z

A

Debasement index

  • Opposite from Desirability Index
  • BR above 75 - self description is negative, pathological
  • Above 85 - could be a cry for help
21
Q

Severe personality patterns scales (3)

A
  1. Scale S (Schizotypal)
  2. Scale C (Borderline)
  3. Scale P (paranoid)
22
Q

Severe personality pathology

A

personality styles reflect deeply etched and pervasive characteristics of functioning that perpetuate and aggravate everyday difficulties

23
Q

Clinical personality patterns (11)

A
  • Axis II prototypes
    1. Scale 1 (Schizoid)
    2. Scale 2A: Avoidant
    3. Scale 2B: Depressive
    4. Scale 3 (Dependent)
    5. Scale 4 (Histrionic)
    6. Scale 5 (Narcissistic)
    7. Scale 6A (Antisocial)
    8. Scale 6B (Aggressive-Sadistic)
    9. Scale 7 (Compulsive)
    10. Scale 8A (Passive- Aggressive- Negativistic)
    11. Scale 8B (Self-Defeating-Masochistic)
24
Q

Clinical syndromes

A 
- Axis I
Scale A (Anxiety)
Scale H (Somatoform)
Scale N (Bipolar – Manic)
Scale D (Dysthmia)
Scale B (Alcohol Dependence)
Scale T (Drug Dependence)
Scale R (PTSD)
25
Q

Severe clinical syndromes

A

SS (Thought disorder)
CC (Major depression)
PP (Delusional disorder)

26
Q

Grossman-facet scales

A

provide more fine-grained view of constructs measured by the 11 clinical personality patterns and three severe personality pathology patterns

27
Q

Grossman-facet scales - interpret ONLY

A

only personality scale w BR > 65

28
Q

Scale 6B

A

Aggressive-sadistic

  • Gets pleasure by humiliating and violating others’ rights
  • Hostile and combative
29
Q

Scale 7

A

Compulsive

- Coincides with DSM IV Obsessive-compulsive personality disorder

30
Q

Scale 8A

A

Negativistic

Passive-Aggressive personality disorder

31
Q

Scale 8B

A

Self-defeating masochistic
Like DSM III-R self defeating –masochistic personality disorder
- Place themselves in the victim role

32
Q

Scale SS

A

Thought disorder
- disorganized
(SS = Similar to Sz)

33
Q

Scale CC

A

major depression

- MDD

34
Q

Scale PP

A
  • Delusional D/o

PP = Paranoid Person

assessment 2 (3 decks)

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