PAI Flashcards
Theoretical considerations
Based on a construct validation framework
Articulate the constructs to be measured, then use empirical approaches to establish validity
PAI purpose
To screen and measure personality and psychopathology
Clinical syndromes, interpersonal style, treatment considerations
PAI unique features
Attempts to measure a continuum of pathology and positive attributes
Provides comparison with sample groups
Treatment considerations
Interpersonal scales
Validity scales (4)
Inconsistency
Infrequency
Negative impression
Positive impression
Clinical scales (11)
Somatic complaints
Anxiety
Anxiety related disorders
Depression
Mania
Paranoia
Schizophrenia
Borderline features
Antisocial features
Alcohol problems
Drug problems
Treatment consideration scales (4 but technically 6)
Aggression
Suicidal ideation
Perception of environment (stress v nonsupport)
Treatment rejection
Interpersonal scales (2)
Dominance
Warmth
Level of T score significant interpretation
70+
The skyline
Reference point for scores that are considered unusual in a clinical setting
Construction norms (3)
General community
Clinical
College
Interpretation process
Assessment of profile distortion (validity scales)
Determine frame of reference
Interpret individual scales
Interpret profile configuration
ICN scale
Inconsistency
Deviation from conscientious responding, measures consistency of responses
73+ invalid
INF scale
Infrequency
Deviation from conscientious responding
Random responding, careless, confusion, reading problems
Below 60 is good to go
Above 86 is invalid
NIM
Negative impression
Impression management, suggests exaggerated or unfavorable impression
70-84 potential exaggeration of symptoms
85-92 cry for help or extreme negative view of self
Above 92 intentionality or possible malingering
PIM
Positive impression
Impression management, presentation of favorable impression or relevance to admit minor flaws
Above 75 uncommon, desire to appear with no flaws
Close to or at 70 is quite normal
SOM and sub scales
Somatic complaints
Sub:
Conversion
Somatization
Health concerns
Significant concerns about health, preoccupations with health
ANX and sub scales
Anxiety
Sub:
Cognitive
Affective
Physiological
Stress, tense, low funtioning
ARD and sub scales
Anxiety related disorders
Sub:
Obsessive-compulsive
Phobias
Traumatic stress
Maladaptive patterns to manage anxiety, impairment assoc with stress or fear
DEP and subs
Depression
Sub:
Cognitive
Affective
Physiological
Unhappy, sensitive, self doubt, major depressive symptoms
MAN and subs
Mania
Sub:
Activity level
Grandiosity
Irritability
Active, outgoing, restless, high energy, impulsive, flight of ideas
PAR and subs
Paranoia
Sub:
Hyper vigilance
Persecution
Resentment
Sensitive, skeptical, cautious, suspicious, hostile, delusional
SCZ and subs
Schizophrenia
Sub:
Psychotic experiences
Social detachment
Thought disorder
Withdrawn, unconventional, cautious, isolated, alienated, concentration, reality testing
BOR and subs
Borderline features
Sub:
Affective instability
Identity problems
Negative relationships
Self harm
Moody, sensitive, relationship dysfunction, emotional, anxious, hostile, angry, depressed, borderline functioning
ANT and subs
Antisocial features
Sub:
Antisocial behaviors
Egocentricity
Stimulus seeking
Self centered, risk taking, impulsive, hostile, history of behaviors, unreliable, little work success, self serving