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Assessment (Spring) > MMPI 2 > Flashcards

MMPI 2 Flashcards

1
Q

OBS

A

OBS/Obsessiveness . Ruminates, difficulty with decision making, resistant to change, needless repetitive counting, may have compulsive behaviors such as counting or alphabetizing his or her experience; worried, sometimes overwhelmed by his or her own thoughts; others become easily impatient with the person. Persons with low scores are likely to be relaxed, secure, and unlikely to be depressed.

Groth-Marnat, Gary,Wright, A. Jordan. Handbook of Psychological Assessment (p. 307). Wiley. Kindle Edition.

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2
Q

MCMI Scale 7 Compulsive

A

Behaviorally rigid, constricted, meticulous
Respectful, polite, conscientious, over conforming, perfectionist, & organized
Intimidated and coerced into accepting the demands and judgments imposed on them by others
Suppress anger and resentment towards those whose approval they seek.
Fear of social disapproval results in their being a model of propriety
Strong sense of duty and strive to avoid criticism
Rely on achievement and accomplishment of personal goals to feel worthwhile

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3
Q

HEA

A

HEA/Health Concerns . Numerous physical complaints regarding gastrointestinal, neurological, sensory, skin, cardiovascular, and/or respiratory difficulties; problems of adjustment; worried and nervous; lacking in energy.

Groth-Marnat, Gary,Wright, A. Jordan. Handbook of Psychological Assessment (p. 308). Wiley. Kindle Edition.

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4
Q

Scale 0

A

Social Introversion (Si) Uncomfortable around people, withdrawn, lacks confidence, shy

69 items

Taps introversion-extroversion dimension

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5
Q

Scale 9 (High Scorers)

A

Hypomania

(T-scores above 85): may be suggestive of a manic disorder; however, manic client would be unexpected to be able to complete the assessment.

Clients medicated for manic episodes typically have T-scores between 70 and 85

Some non-psychotic patients obtain scores of 70-85

  • Restless, enthusiastic, impatient, energetic, gregarious, exaggerated sense of importance
  • Possibly competitive, irritable, and ready to anger at minor obstacles and irritations
  • Hypomania or adult attention disorders
  • Empty nest syndrome in women between 40 and 50
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6
Q

TRIN

A

[True Response Inconsistency] Measures number of items which should be measured in the same manner

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7
Q

F Scale

A

[Infrequency] Main Validity Scale. Measures extent to which person answer in a deviant manner; less than 10% of the population; can either be true pathology or “faking;” index of test taking attitudes, personality variables, and psychopathology measurements.

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8
Q

Scale 1

A

Hypochondriasis (Hs) - Concern w/illness, stubborn, narcissistic, manipulative

32 items
Direct measure of degree of concern about body functioning

Psychotherapy often difficult due to resistance of symptoms being psychologically based

Better prognosis of psychotherapy when Scale 7 is elevated

Need assurance that symptoms will not be ignored
Frame interventions with biomedical terminology

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9
Q

WIAT III Intro

A

2009

Ages 4 to 50

Standardized on a national sample of 2,775 students in the grade-based sample (pre-K to 12th) and 1,826 students in age-based sample (4:0 to 19:11)

Separate norms for fall, winter, spring

Internal-consistency reliability in .80s and .90s

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10
Q

CYN

A

CYN/Cynicism . Distrust of other people; fear of being used or that others will lie to and cheat them; belief that the only reason for others not lying or cheating is fear of being caught; negativity toward friends and associates, belief that people are friendly only for selfish reasons. Persons with low scores might be highly achievement oriented.

Groth-Marnat, Gary,Wright, A. Jordan. Handbook of Psychological Assessment (p. 308). Wiley. Kindle Edition.

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11
Q

K-scale

A

[Correction] Main Validity Scale Also measures overly positive responses; more effective with individuals who are more intelligent and psychologically sophisticated; measures ego defensiveness and guardedness also; high ego defensiveness in K is an indicator of false responses on other scales also.

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12
Q

MMPI Intro

A

Standardized questionnaire that elicits a wide range of self-descriptions scored to give a quantitative measurement of an individual’s level of emotional adjustment and attitude towards test taking

An objective means of assessing psychopathology

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13
Q

MCMI Scale 2A Avoidant

A

Hypersensitive to rejection, both fearing and anticipating negative evaluations—feeling judged
Wary social detachment—fear of being around other people
Tend to withdraw from or reduce social contacts because they mistrust and fear others
Conflict between strong desire to relate socially and equally strong expectation of disapproval, depreciation and rejection
May use fantasy as their main defense—denial of feelings and keeps interpersonal distance

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14
Q

Scale 5

A

Masculine/Femine (MF) Stereotypes/relating to masaculine/feminine interests

56 items

Measures identification with culturally stereotypic masculine or feminine interest patterns/vocational choices, aethestic interests, and an activity-passivity dimension

Only scale scored differently for men and women

Need to consider culture of origin and current culture

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15
Q

MCMI Scale 8B Masochistic

A

Allow others to take advantage of them
Self sacrificing and martyr-like and seem to seek out relationships where they can acquire security and affection in return for allowing themselves to be dominated
Feel they deserve to be shamed and humbled
Look for evidence of victimization
Actively recall past misfortunes and expect problematic outcomes from otherwise fortunate circumstances

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16
Q

SOD

A

SOD/Social Discomfort . Shy, withdrawn, uneasy with others, introverted, dislikes social events, prefers to be alone. Persons with low scores are likely to be secure, relaxed, achievement oriented, assertive, and unlikely to be depressed or experience somatic symptoms.

Groth-Marnat, Gary,Wright, A. Jordan. Handbook of Psychological Assessment (p. 308). Wiley. Kindle Edition.

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17
Q

MCMI Scale S Schizotypal

A

Emotionally detached with flat affect or anxious wariness
Unaware of, or unconcerned that they appear odd or strange to others
Socially aloof w/ pervasive discomfort in social relationships
Will remain on the periphery of society with few or no personal attachments
Thought processes may be tangential, irrelevant, disorganized, or confused

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18
Q

MCMI Scale D Persistent Depression

A

Behaviorally apathetic, socially withdrawn, feel guilty, pessimistic, discouraged, and a preoccupied with feelings of personal inadequacy.
Low self esteem and utter self-deprecatory statements, & feel worthless
Persistently sad
Possible problems in concentration, poor appetite, and suicidal ideation

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19
Q

MCMI Desirability (Y)

A

Defensive responding

To what extent did the individual attempt to present his/herself in an overly favorable light, as morally virtuous, and emotionally stable

BR > 75: individual is denying psychological or personal problems

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20
Q

ASP

A

ASP/Antisocial Practices . Past legal and/or academic problem behaviors; expectation that others will lie; support of illegal behavior; enjoyment of criminal behavior of others; thought patterns that characterize criminal behavior, whether such behavior actually occurs or not. ASP has been found to be a better predictor (greater sensitivity and specificity) of antisocial personality disorder than Pd (Psychopathic Deviate; S. R. Smith, Hilsenroth, Castlebury, & Durham, 1999) with a recommended cutoff of 55 or 60. (rather than the suggested cutoff of 65 implied by the MMPI-2).

Groth-Marnat, Gary,Wright, A. Jordan. Handbook of Psychological Assessment (p. 308). Wiley. Kindle Edition.

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21
Q

Fp Scale

A

[Infrequency-Psychopathology] Measures items answered infrequently even by psychiatric population

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22
Q

ANX

A

Anxiety

Generalized anxiety, somatic difficulties, worries, insomnia, ambivalence, tension, a feeling that life is a strain, fear of losing his or her mind, pounding heart and shortness of breath, concentration problems, difficulties making decisions; symptoms clearly perceived and admitted to by the client.

Groth-Marnat, Gary,Wright, A. Jordan. Handbook of Psychological Assessment (p. 307). Wiley. Kindle Edition.

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23
Q

Specific Learning Disorder

A

In Reading, Math, Written Expression
Cognitive Score needs to be average or above AND Index scores and/or subtest scores < 70
It is NOT a SLD if an individual already has a cognitive impairment (FSIQ <80)
eg. TBI, Intellectual Disability
It is NOT a SLD if the subject is ESL

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24
Q

S-scale

A

[Superlative] Used with K/L to identify individuals who attempt to appear overly virtuous/good. Used in employment screenings; measures human goodness, denial of anger/irritability, patience, denial of moral flaws.

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25
Q

MMPI Acronym

A

Minnesota Multiphasic Personality Inventory

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26
Q

WAIS Normative strengths

A

14> or <6

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27
Q

MCMI Scale R Post-Traumatic Stress

A 
Reporting symptoms 
distressing and intrusive thoughts, 
flashbacks, 
startle responses, 
emotional numbing, 
problems in anger management
Difficulties with sleep or concentration
Psychological distress upon exposure to people, places, events that resemble traumatic event
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28
Q

Is this profile valid?

A
  • F > 21-22 or T > 90 (invalid)
  • VRIN > 13 (invalid)
  • TRIN < 5 or >13 (invalid)
  • Fb T>80 (invalid)
  • F-K scale >11-12 (invalid)
  • Cannot Say (?) >30 (invalid)

3 or more invalid
2 interpret with caution

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29
Q

MCMI Scale 1 - Schizoid

A

Severe relationship deficits
Appear aloof
Introverted
Emotionally bland and detached w/ flat affect
Low need for social contact
Difficulty forming and maintaining relationships and prefer solitary life
Require little affection
Lack warmth and emotional expression
Passive observers detached from rewards and affections and human relationships

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30
Q

MCMI Debasement (Z)

A

Exaggeration of psychological problems and symptoms and tendency to over-report problems

Cry for help, acute emotional turmoil, or symptom exaggeration for personal gain (esp. BR> 85)

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31
Q

FBS

A

[Fake Bad Scale] Used to detect personal injury claimants who exaggerate their difficulties

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32
Q

FSIQ writing

A

Is this a meaningful representation of the overall cognitive performance?

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33
Q

Scale 7 (High Scorers)

A

Psychasthenia

rigid, meticulous, moralistic, and intensely dissatisfied with life

Rely heavily on isolation, intellectualization, and rationalization as defenses

Often guilt-ridden and intropunitive

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34
Q

Scale 9

A

Hypomania (Ma) Euphoric, easily excited, irritable, cyclic behavior, denial

46 items

Direct measure of energy level, with higher elevations suggesting hypomanic symptoms

Continuum
-Low energy → optimal energy → high energy

Cognitive and physical

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35
Q

FRS

A

Fears.

Multiple specific fears (nuisance animals, blood, dirt, leaving home, natural disasters, mice, snakes, etc.).

Groth-Marnat, Gary,Wright, A. Jordan. Handbook of Psychological Assessment (p. 307). Wiley. Kindle Edition.

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36
Q

MCMI Inconsistency Index (W)

A

Indicate random or inconsistent responding

9-19: proceed with caution

20-25: invalid

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37
Q

TAT Acronym

A

Thematic Apperception Test

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38
Q

MCMI Scale 2B Melancholic

A

Enduring pattern of thoughts, attitudes, behaviors and self concepts related to depression
Generally gloomy, pessimistic & preoccupied with negative events
Find fault even with most joyous events
Down all the time and are hard to please
Overly serious, quiet, passive
Feel quite inadequate and have low self esteem
Brood and worry unnecessarily
Self-reproaching and self critical regardless of their level of accomplishments
Feel it is futile to try to make improvements in themselves or in relationships because their incessant pessimism leads them to a defeatist outlook
Depressive demeanor makes others feel guilty since they are overly dependent on others for support and acceptance

39
Q

ANG

A

ANG/Anger . Difficulties in controlling anger, irritable, impatient, annoyed, stubborn, may swear; episodes of loss of control, possibly breaking objects or actually being physically abusive. Persons scoring low are unlikely to be depressed or have significant family problems.

Groth-Marnat, Gary,Wright, A. Jordan. Handbook of Psychological Assessment (p. 308). Wiley. Kindle Edition.

40
Q

MCMI vs MMPI

A

Similarities

Both measure long-standing personality patterns & clinical symptomatology
Neither should be used alone for diagnosis

Differences

MMPI focuses on primary clinical disorders; MCMI designed to diagnose personality disorders

MCMI Advantages

Fewer items (195 vs. 567 items)
Shorter administration time (20-30 minutes)

MCMI Disadvantages

Smaller research base, validity base, interpretation options

41
Q

Scale 6A Antisocial

A

Intimidating, dominating, self-centered, fearless, daring, blunt, competitive, and argumentative
Vengeful and harbor resentments to perceived slights
Angry and hostile demeanor
Warmth, gentleness, and intimacy are viewed as sign of weakness
Provoke fear in others as way of controlling them
Acting out is main defense
Irresponsible and impulsive, but they believe those qualities are justified because they judge others as unreliable and disloyal

42
Q

MCMI Scale 3 Dependent

A

Lean on others for security, guidance, support and direction
Seek out relationships that provide them with emotional protection
Strong need to be nurtured and seek out relationships to take care of them.
Passive, submissive, conforming, dependent, self conscious, obliging, placating
Lack initiative, confidence, and autonomy
Try to avoid conflict
Fear abandonment so they are overly compliant in order to ensure protection

43
Q

WIAT Acronym

A

Wechsler Individual Achievement Test - Third Edition

44
Q

MCMI Scale C Borderline

A

Attachment disorders with patterns of intense but unstable relationships, labile emotions, impulsive behavior, and strong dependency needs with fears of abandonment
Preoccupied with seeking emotional support
Lack a clear sense of their own identity and therefore they constantly seek approval, attention and reaffirmation
Use splitting and devaluation as their main defenses
Prone towards brief psychotic reactions and suicidal gestures

45
Q

MCMI Scale 4B Turbulent

A

Cheerfully buoyant and animated, extremely fun-loving
Irritates others with their persistent high-spirited behavior, Intrusiveness, and temperament
Gets bored easily and lack ability to complete goals and plans
Reckless, erratic, and manically energetic
Unpredictable behavior, scattered thinking, and brash actions and mood
Engage in the world with 100% energy which could deplete them physically and emotionally, thus resulting in despair and depression

46
Q

LSE

A

LSE/Low Self-Esteem . Low self-confidence, feeling of insignificance, negative beliefs regarding self (clumsy, inept, unattractive), acutely aware of faults, feeling of being disliked by others, sometimes overwhelmed by his or her own faults, difficulty accepting compliments from others. Conversely, low scores suggest the person is secure, relaxed, and unlikely to be depressed.

Groth-Marnat, Gary,Wright, A. Jordan. Handbook of Psychological Assessment (p. 308). Wiley. Kindle Edition.

47
Q

DEP

A

DEP/Depression . High number of depressive thoughts, uninterested in life; feeling of emptiness; feeling of having committed unpardonable sins; cries easily; unhappy; possible suicidal ideation; sense that other people are not sufficiently supportive; sensitive to rejection, tense, passive feeling of hopelessness; helplessness about the future.

Groth-Marnat, Gary,Wright, A. Jordan. Handbook of Psychological Assessment (pp. 307-308). Wiley. Kindle Edition.

48
Q

MCMI Scale P Paranoid

A

Vigilantly mistrustful and often perceive that people are trying to control or influence them
Abrasive, irritable, hostile, argumentative, and petulant
May become belligerent if provoked
Thinking is rigid
May present with delusions of grandeur or persecution and/or ideas of reference
Use projection as main defense

49
Q

Scale 3

A

Hysteria (Hy) - Extraverted, immature, somatic complaints, low insight

60 items

Taps two broad areas:
Specific somatic complaints
– AND –
Denial of psychological or emotional problems and of discomfort in social situations

Initial response to therapy is positive, desire to be liked

Slow to gain insight due to denial and repression

May try to manipulate therapist into supportive, non-confrontational role

Core conflicts tend to be on dependence vs independence

Direct suggestion focusing on short-term goals is most effective

50
Q

Scale 4

A

Psycho Deviate (Pd) Problems w/ authority, rules, shallow relationships, antisocial

50 items

General social maladjustment and the absence of strongly pleasant experiences

Reflects a dimension ranging from constricted social conformity to antisocial acting-out impulses

Characterological scale

Psychotherapy typically unsuccessful

Little fear or anxiety

Projection is classic defense mechanism

51
Q

MCMI Intro

A 
What is the MCMI?
Based on Millon’s personality theory
Standardized self-report questionnaire 
195 True/False questions
Assesses personality, emotional adjustment, test-taking attitude
18+ with 8th grade reading level
Tied to DSM-5 diagnoses
3 revisions-latest version is the MCMI-IV
52
Q

Scale 4 (High Scorers)

A

Psychopathic Devaite

angry disidentification with recognized conventions and norms

Impulse control problems are prevalent

Tend to project blame

Adolescents tend to score high or low moderate range due to individuation

53
Q

Scale 2 (High Scorers)

A

Depression

High scorers tend to be depressed, worried, pessimistic, moody, and likely to show a great deal of indecision, doubt, and vacillation, as well as social withdrawal

Scores on Scale 2 tend to decrease with treatment

54
Q

WAIS IV Acronym

A

Wechsler Adult Intelligence Scale-Fourth Edition

55
Q

MCMI Scale 4A Histrionic

A

Overly dramatic with strong needs to be the center of attention.
Seductive in thought, speech, style, dress or manner
Seek constant stimulation, excitement, praise and attention.
Emotionally labile, easily excited, and show frequent emotional outbursts
Outwardly gregarious but manipulate people to receive attention and approval
Relationships are often shallow and strained due to repeated dramatic and emotional outbursts and self centeredness
Fear of genuine autonomy and need for acceptance and near-constant approval

56
Q

MCMI Scale N Bipolar Spectrum

A

Labile emotions and frequent mood swings
Exaggerated sense of self, overly optimistic
Symptoms include flight of ideas, pressured speech, over-activity, unrealistic and expansive goals, impulsive behavior
Demanding quality in interpersonal relationships

57
Q

Scale 6

A

Paranoia (Pa) Trust, suspiciousness, vengeful, argumentative, life is unfair

40 items

Ranges from frankly psychotic content to interpersonal sensitivity, suspiciousness, and moral righteousness

58
Q

L-scale

A

[Lie] Main Validity Scale. Extent to which a client is trying to describe himself in an unrealistic positive manner; individuals lie about even minor flaws (i.e. never get angry, never dislike anyone, etc.); overly favorable

59
Q

MCMI Scale T Drug Use

A

Person has, or had a problem, with drug abuse
And has personality traits associated with the problems
Hedonism, self-indulgence, impulsivity, exploitiveness, narcissistic personality traits
Likely to be in distress in social, occupational, familial and legal areas

60
Q

MCMI Invalidity Index (V)

A

1 - proceed with caution

2-3 - invalid

61
Q

MCMI Disclosure (X)

A

Responses were open and revealing (high scores) or defensive and secretive (low scores)
(only index that is interpreted high or low)
Raw score <7  Invalid
Raw score < 21 
defensive underreporting
hesitant, reserved, and over-concerned with seeking social approval
Raw score > 60 
exaggerated symptoms—exceeds disturbed psychiatric populations
Raw score >114  invalid

62
Q

FAM

A

FAM/Family Problems . Family discord, unhappy childhood, difficult and unhappy marriages, families that do not express much love but are rather quarrelsome and unpleasant, possibly an abusive childhood.

Groth-Marnat, Gary,Wright, A. Jordan. Handbook of Psychological Assessment (p. 308). Wiley. Kindle Edition.

63
Q

MCMI Scale CC Major Depression

A

Severely depressed
feelings of worthlessness,
vegetative symptoms of depression
Loss of energy, appetite and weight, sleep disturbances, fatigue, and loss of sexual drive/desire
Suicidal ideation may be present
May be unable to manage their day-to-day activities

64
Q

If no scale is elevated it’s called?

A

Within normal limits codetype

65
Q

TPA

A

TPA/Type A . Driven, hardworking, competitive, hostile, irritable with time constraints, overbearing, annoyed with interruptions, tries to do more and more in less and less time, blunt and direct, petty regarding minor details. This scale is a better construct for use with males than females.

66
Q

Fb Scale

A

[F-Back] Identifies “faking bad” items for the last 197 items; indicates true pathology or effort to fake symptoms; may indicate a change in approach to answering; not as effective as F-Scale

67
Q

Scale 7

A

Psychasthenia (Pt) Worry, anxiety, tension, doubts, obsessions, fears, overreacts

48 items

Reflects chronic or trait anxiety, general dissatisfaction with life, indecisiveness, diffiuculty with concentration, self-doubt, rumination, and agitated concern about self.

Obsessive-compulsive tendencies

Good index of psychological turmoil

68
Q

MCMI Base Rates

A

Base Rates

The percentage of patients who, in a given population, exhibit a particular personality style or syndrome
BR 60-74: No interpretation unless primary elevation “Style”
BR>75: Interpretation required
BR 75-84: “Type” Presence of trait (middle descriptor)
BR > 85: “Disorder” Prominence of a disorder or syndrome (final and pathological descriptor)

69
Q

Scale 5 (Low Scorers)

A

Masculinity-Femininity

Low scoring males: cultural stereotype of masculinity
Crude, reactive

Low scoring females: passive, submissive, yielding, demure, highly constricted, self-pitying

70
Q

Scale 0 (High Scorers)

A

Social Introversion

introverted, shy, socially inept, tendency to withdraw

Lack self-confidence and feel extremely uncomfortable socially around opposite sex

Elevations above 70 may reflect a schizoid withdrawal, especially with elevated 8

71
Q

Scale 3 (High Scorers)

A

Hysteria

High scorers tend to be immature, egocentric, and demanding with histrionic characteristics and repressive and denial defenses; tend to develop physical symptoms under stress

72
Q

MCMI Scale SS Schizophrenic Spectrum

A

Thought disorder of a psychotic nature
Admitting to thinking that is disorganized, confused, fragmented, or bizarre
Hallucinations and/or delusions may be present
Behavior is often withdrawn or seclusive
Inappropriate affect and appear confused and regressed.

73
Q

MCMI Strengths

A

Good indicator of personality disorders/styles
Correlates with the DSM-V diagnostic criteria
Useful in determining diagnoses
Use with clinical populations
Not normal populations
Time efficient (20-30 min vs. 1 ½ hrs)
Separate norms for males and females

74
Q

MCMI Scale 8A Negativistic

A

Struggle between the rewards offered by others and those they desire themselves
Passively compliant and obedient at one moment and negativistic and oppositional the next
Pattern of explosive anger or stubbornness intermingled with periods of guilt and shame
Moody, irritable, negativistic, hostile, grumbling, pessimistic, disgruntled
Constantly disillusioned
Feel unappreciated and sulk over feelings that they have been treated unfairly
Problems with authority, co-workers, friends, and family

75
Q

VRIN

A

[Variable Response Inconsistency] Indiscriminate responding; measures number of similar items which should be answered in the same direction. Answers in opposite directions indicate inconsistent responses; if F is high w/ high VRIN, test likely invalid

76
Q

??/Cs

A

[Cannot Say] Main Validity Scale. Number of items unanswered; 30 or more test is invalid; due to reading, language difficulties, retardation, indecision, confusion, paranoia

77
Q

MCMI Weaknesses

A

Normed on clinical population not normal population
Does not perform well on normal or mildly disturbed populations

If there are no elevations, there is no interpretation

Assessment of personality disorders is not standardized

Many different theories on personality disorders

Moderately hard to identify due to low agreement amongst clinicians

Some of items are DSM-V related and others are based on Millon’s theory of personality

Possible to over-diagnose based on results of this test

Representative sample included a lower than national average of African-American and Latino individuals

78
Q

RISB

A

Rotter Incomplete Sentences Blank

79
Q

BIZ

A

BIZ/Bizarre Mentation . Psychotic thought processes, hallucinations (auditory, visual, olfactory), paranoid beliefs, strange thoughts, delusions.

Groth-Marnat, Gary,Wright, A. Jordan. Handbook of Psychological Assessment (p. 308). Wiley. Kindle Edition.

80
Q

Scale 6 (High Scorers)

A

Paranoia

2 groups

60-70 or 75: heightened sensitivity to criticism, a basic mistrust, a tendency to brood, feelings of discrimination, use of rationalization and projection as defenses, and considerable anger and hostility

> 70 or 75: possibility of psychosis increases, ideas of reference, feelings of external influence and persecution, and delusions of anger

Examination of F scale is helpful in distinguishing the two groups

Also consider critical items

81
Q

TRT

A

TRT/Negative Treatment Indicators.

Dislike or distrust of helping professionals, discomfort in discussing difficulties, low level of disclosure, resistance to change, disbelief in the possibility of change, belief that no one can really understand or help him or her, preference for giving up rather than facing a crisis.

Groth-Marnat, Gary,Wright, A. Jordan. Handbook of Psychological Assessment (p. 309). Wiley. Kindle Edition.

82
Q

MCMI Scale PP Delusional

A

Delusional thinking usually associated with paranoid disorder
Persecutory and/or grandiose delusions
Maintain a hostile, hypervigilant and suspicious wariness for anticipated or perceived threat
May be belligerent , ideas of reference, thought influence, or thought control

83
Q

WRK

A

WRK/Work Interference . Personal difficulties that interfere with work; tension, worry, obsessiveness, difficulty concentrating, career indecision and/or dissatisfaction, poor concentration, dislike of coworkers; difficulty initiating work-related activities; little family support for career choice; easily defeated by difficulties.

Groth-Marnat, Gary,Wright, A. Jordan. Handbook of Psychological Assessment (pp. 308-309). Wiley. Kindle Edition.

84
Q

MCMI Scale A Generalized Anxiety

A

Symptoms include insomnia, muscle tightness, headaches, nausea, cold sweats, undue perspiration, clammy hands, and palpitations
High scorers may meet criteria for GAD or other anxiety disorders

85
Q

Scale 1 (High Scorers)

A

Hypochondriasis

High scorers endorse an excessively large number of somatic complaints and show prominent concern with body functions

Evaluate for possible prescription medication abuse

86
Q

MCMI Acronym

A

Millon Clinical Multiaxial Inventory

87
Q

MCMI Scale 6B Sadistic

A

Seek personal pleasure and satisfaction that would humiliate others and isolate rights and feelings
Behave abusively towards others
Dominating, hostile, intimidating, antagonistic, arrogant, touchy, frequent persecutory ideas
Irritable, disagreeable, and angry
Explosive outbursts are common and may react with brutal force when angered or provoked
May cloak their more malicious and power-oriented tendencies in publicly approved roles and vocations
Prone to experience legal and marital problems

88
Q

Scale 8 (High Scorers)

A

Schizophrenia

2 groups

Disturbances in thought marked by alterations in concept formation, loose associations, poor judgment with ambivalent or constricted or inappropriate emotional responsiveness
-Almost always diagnosed with schizophrenia

Not psychotic, but tend to feel lonely, alienated, misunderstood, not part of a social group
-Reflects a schizoid life

Look for the elevation of F scale
F > 70: psychotic or bizarre thinking process
F < 70: much more likely schizoid

Examine the critical items

Also examine the K contribution to scale 8

89
Q

Scale 8

A

Schizophrenia (Sc) Distorted, social/emotional alientation, shy, aloof, confused

78 items
-24-125% more items than any other clinical scale

Taps dimensions of schizoid mentation, feelings of being different, feelings of isolation, bizarre thought processes and peculiar perceptions, poor family relationships, sexual identity concerns, tendency to withdraw into wish-fulfilling fantasy
-Taps a dimension of ego intactness to ego deterioration

90
Q

Scale 5 (High Scorers)

A

Masculinity-Femininity

High scoring males:

  • rather passive, dependent, sensitive, interest in cultural/aesthetic pursuits
  • Brighter, educated males tend to score higher

High scoring females:

-assertive, aggressive, competitive, uninhibited, domineering

91
Q

MCMI Scale B Alcohol Use

A

Reporting a history of, or current problematic drinking
Impulsivity, rationalization, lack of adherence to societal standards, selfishness, and aggressiveness towards family members
Social, family, and occupational distress
Or personality traits frequently seen in alcoholics

92
Q

Scale 2

A

Depression (D) - Depression, pessimistic, sensitive to criticism, worries often

57 items

Measures: 
Symptomatic depressions
A general attitude of  poor morale
Lack of hope for the future 
A general dissatisfaction with life

Reflects situational depression

Extremely important to carefully assess suicidal risk:
150, 506, 520, and 524

93
Q

MCMI Scale H Somatic Symptoms

A

Persistent pursuit of medical care even in the face of evidence that there is little, if any, physical cause to their symptoms
Symptoms may be developed unconsciously to gain sympathy, attention, and reassurance
Whiny, complaining, restless, & worried
Antagonize those closest to them with chronic complaints of discomfort and pain
Tend to not respond to interventions

94
Q

MCMI Scale 5 Narcissistic

A

Extremely self centered, expect others to recognize them for their special qualities
Require constant praise and admiration
Feel excessive entitled and demand social favors simply on the basis of who they are
Appear arrogant, haughty, conceited, boastful, snobbish, pretentious, and supercilious
Exploit relationships for personal gain
Will depreciate others to make themselves look good
If the narcissistic bubble bursts, they are at risk of depression and substance use

Assessment (Spring) (2 decks)

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