MMPI2 Clinical Scales Flashcards by Sydney Hoag

Clinical scales general purpose

Identifying psychopathology
Not helpful for describing normal functioning
Way to identify a persons reinforcers or strategies, how someone responds to a situation
Response to treatment

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Scale 1 Hs

Hypochondriasis

Somatic complaints/concerns

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Scale 1 Hs marks

Greater than 75 means extreme and sometimes bizarre somatic concerns

65-74 means somatic complaints, may develop somatic symptoms in times of stress

55-64 somatic complaints, medical concerns, medical concerns along with depression perhaps

Less than 55 no interpretation

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Scale 2 D

Depression

Depression, suicidal ideation, unworthiness, worry, dissatisfaction

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Scale 2 D marks

Greater than 75 seriously clinical depression, suicidal ideation, feelings of unworthiness and inadequacy

65-74 moderate depression, worried, somatic complaints

50-64 maybe some life dissatisfaction, serious, thoughtful

Less than 50 generally optimistic and positive, steady energy

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Strengths with Hs elevation

Health conscious, determined, avoids health risks

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Strengths with D elevation

Thoughtful, conscientious, responsible, cautious

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Scale 3 Hy

Hysteria

Somatic complaints, chronic pain,

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Hy marks

Greater than 75 somatic complaints, consider conversion disorder, reacts to stress by developing somatic symptoms

65-74 somatic symptoms, chronic pain, may lack insight into cause of symptoms

50-64 somatic complaints, denial, self centered, immature, demanding

Less than 54 no interpretation

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Strengths with Hy

Positive, cheerful, considerate, conflict avoidant, agreeable, sentimental

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Scale 4 Pd

Psychopathic deviate

Antisocial behaviors

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Pd marks

Greater than 75 Asocial or antisocial behavior, may have legal issues

65-74 rebellious, impulsive, angry, irritable

55-64 unconventional, superficial relationships, immature

Less than 55 no interpretation

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Pd strengths

Charming, adventurous, assertive, independent

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Scale 6 Pa

Paranoia

Psychotic, suspicious, argumentative, angry, distrustful

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Pa marks

Greater than 75 consider psychotic symptoms

65-74 suspicious, may feel mistreated, may blame others, may be argumentative/resentful/angry

55-64 may be overly sensitive or distrustful

Less than 55 no interpretation

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Pa strength

Fair, analytical, values loyalty, sensitive

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Scale 7 Pt

Psychoasthenia

Fear, anxiety, intrusive thoughts, obsessive compulsive, depression, perfectionism

Pt marks

Greater than 75 extreme fear, anxiety, intruding thoughts, unable to concentrate, obsessive compulsive symptoms, self criticism

65-74 moderate anxiety, depression, bad dreams, guilt, perfectionism, indecisive, feels unaccepted

55-64 anxious, tense

Less than 55 no interpretation

Pt strengths

Conscientious, methodical, organized, thoughtful, analytical

Scale 8 Sc

Schizophrenia

Sc marks

Greater than 75 consider schizophrenia diagnosis, rule out medical conditions, substance use, confusion/disorganized thinking, hallucinations and or delusions

65-74 unusual beliefs, eccentric behaviors, social withdrawal, daydreaming

55-64 limited interest in other people, insecurity

Less than 55 no interpretation

Sc strengths

Creative, sensitive

Scale 9 Ma

Hypomania

Ma marks

Greater than 75 symptoms of mania, hallucinations, flight of ideas

65-74 excessive energy, lacks direction, unrealistic self appraisal, impulsive, low frustration tolerance

55-64 active, energetic, extraverted, creative, rebellious

Less than 55 no interpretation

Ma strengths

Upbeat, positive, energetic, ambitious, engaging

Scale 0 Si

Social introversion

Si marks

Greater than 75 extreme social withdrawal/avoidance 60-75 shy, timid, depressed, lacks self confidence 40-59 within normal limits Less than 40 extraverted, gregarious, self reliant, energetic, competitive, under controlled

Si strengths

Dependable, resourceful, self reliant, independent, makes friends easily

How to determine code type exists

Take highest scaled scores at or above 65. Then they must have at least a 5 point difference between these and the next scales 75 73 72 55 Would be 3 point code type

Code types do not include which scales

Scales 5 and 0

What code types exist

Spike or 1 pt 2 pt 3 pt

If a profile doesn’t have a code type

Interpret individual scales above 65

Spike 4

Psychopathic deviate Angry, rebellious, trouble with authority, poor frustration tolerance High percentage of sex offenders have this

1-3/3-1 code type

“Conversion V” Includes scales hypochondriasis-hysteria Physical complaints, medical explanations help, difficult to consider alt explanations

2-7/7-2 code type

Scales depression-psychasthenia Preoccupied with personal deficits, hard on self, others interpretations of self become too important, feelings of inadequacy and guilt, anxious, worrying, slow speech Wants advice and reassurance

6-8/8-6 code type

Scales paranoia-schizophrenia Personal distress, unpredictable, apathetic, preoccupation with abstract issues, impulsive, unsatisfying relationships, a loner, insecurity

1-2/2-1 code type

Scales hypochondriasis-depression Anxious, irritable, loss of initiative, unhappy, somatic discomfort and pain, presents self as physically ill, lacking insight, typically has trouble accepting responsibility for difficulties

7-8/8-7 code type

Scales psychasthenia-schizophrenia Worried, tense, agitated, difficulty with close relationships

2-6/6-2 code type

Scales depression-paranoia Hostile, depressed, difficulty expressing anger

4-6/6-4 code type

Scales psychopathic deviate-paranoia Angry, resentful, difficult to interact with socially, blaming, suspicious, immature, self indulgent

2-8/8-2 code type

Scales depression-schizophrenia Relationship issues, difficulty with anger

4-9/9-4 code type

Scales psychopathic deviate-hypomania Disregard for social standards and values, narcissistic, self-indulgent, impulsive, doesn’t accept responsibility for actions, anger/hostility, energetic, emotionally unstable, keeps others at distance, interpersonally engaging but immature/insecure