PPT 3 Flashcards

1
Q

Overview of Major Scale Sets

A

Clinical or Basic scales
- Harris-Lingoes sub-scales
- Martin-Finn sub-scales
- Si Scales
Validity scales
Content scales
- Content Component scales
Supplementary scales
PSY-5 scales
RC scales
AND Critical Items

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2
Q

K Scale

A

“Social desirability scale”

Subtle index of attempt to deny and down-play socially undesirable traits

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3
Q

Fb Scale

A

“Back page infrequency scale”

Similar to F scale but covering the last part of the test (after item 370)

If T-score > 80, be cautious in interpretation of those scales with items near the end of the test

If T-score > 120, clearly invalid back page

If F is valid but Fb is invalid, the person likely quit paying attention

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4
Q

S Scale

A

Superlative Scale

Detects presentation as highly virtuous, responsible, psychologically healthy

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5
Q

Fp Scale

A

Infrequency Psychopathology Scale

Arbisi & ben Porath, 1995

Useful in identifying conscious faking bad
- Useful in forensic cases

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6
Q

Mp Scale

A

Positive Malingering Scale

(Baer, Wetter, & Berry, 1992) (Cofer, Chance, & Judson, 1949)

Useful in detecting attempts to present in a favorable light

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7
Q

K Correction

A

Paul Meehl’s dissertation
- Meehl’s effort to adjust some scales susceptible to test defensiveness to a more accurate level

A way to adjust for excessive effort to downplay problems

Take an empirically determined proportion of K scale score and add it to clinical scales susceptible to the influence of social desirability

Nifty way to make clinical scale scores more realistic in light of one’s effort to look good

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8
Q

K Correction (cont)

A

Accomplished by adding a percentage of K scale raw score

Notice the table on the left of the profile sheet

Adopted early in the life of the MMPI, so much research has been done with K-corrected scores

BUT not without its problems - primarily, that it can distort interpretation
- E.g., a score on Scale 8 can be elevated almost exclusively from the added K and not from anything related to what the scale measures
- Thus, the uniformed can draw faulty conclusions (e.g., the person has a thinking disorder)
- BC careful in interpretation

In computer printouts, you often see non-K-corrected scores in addition to the K-corrected scores

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9
Q

Collaboration

A

Although the validity indicators are useful, there is no substitute for active, willing participation of the client

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10
Q

Principle of Profile on the MMPI

A

** The constellation of scales gives us more information than individual scales alone

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11
Q

Sample Validity Profiles

A

See handout

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12
Q

The Clinical Scales

A

Scale 1 - Hypochondriasis scale
Scale 2 - Depression scale
Scale 3 - Hysteria scale
Scale 4 - Psychopathic Deviate scale
Scale 5 - Masculinity-Femininity scale (added after original development)
Scale 6 - Paranoia scale
Scale 7 - Psychasthenia scale
Scale 8 - Schizophrenia scale
Scale 9 - Hypomania scale
Scale 0 - Social Introversion scale (added after original development)

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13
Q

Fundamentals of MMPI Interpretation: The Eight Basic Clinical Scales – Alex Caldwell

A

Video

https://www.caldwellreports.com/wp-content/uploads/2018/09/Caldwell_Reports_Master_Lecture_What_Do_the_MMPI_Scales.pdf

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14
Q

Harris-Lingoes Subscales

A

Factorial scales (Scales 2, 3, 4, 6, 8, 9)

Elevation considered 60 to 65 and above

Some subscales are not reliable:
1. Too few items
2. Low internal consistency
3. Low test-retest reliability

Best to use them to understand Clinical elevations, don’t stand well on their own

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15
Q

Cont.

A

Scale 1 and Scale 7 have no sub-scales because they are fairly homogenous scales

Scale 2: Use the Nichols sub-scales (or the Harris-Lingoes)

Scale 5: Use the Martin-Finn Sub-scales

Scale 0: Use the Si Sub-scales (Ben-Portath et al.)

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16
Q

Scale 1 (Hypochondriasis)

A

Preoccupation with body and fear of disease, undue concern with health; possibly seeking sympathy from others through physical complaints

Medical illness does cause moderate elevation, but not above 65T UNLESS it is a multi-systemic illness (AIDS, MS, Lupus)

No sub-scales because fairly homogenous

How do you adapt to “health nightmares”?

17
Q

Scale 2 (Depression)

A

Poor morale, lack of hope, general dissatisfaction

Sensitive to current mood state

Harris-Lingoes sub-scales (5)

BUT perhaps better are Nichols’ subscales

Tragic loss

18
Q

Scale 3 (Hysteria)

A

Denial of physical &/or psychological problems

Resistant to seeing problems

Adaptation to overwhelming pain and suffering

19
Q

Scale 4 (Psychopathic Deviate)

A

Difficulty incorporating values and standards of society, acting out, low frustration tolerance

Can be elevated solely from family conflict

Exciter scale (elevation increases likelihood of acting out)

Genetic component
Long history of petty crimes
Adaptation to not being wanted
Strife in the family home

20
Q

Scale 4 Harris-Lingoes

A

Pd1 Familial Discord

21
Q

Scale 5 (Masculinity-Femininity)

A

A mixture of dimensions not all related to masculinity-feminity; Not a good scale - don’t interpret the global scale (very heterogeneous)

Martin-Finn Sub-scales are essential

Reverse t-score for females:
- Elevations for females suggest masculinity (active)
- Elevations for males suggest femininity (passive)

22
Q

Scale 6 (Paranoia)

A

Reflects both:
1. Psychosis (ideas of references, delusions)
and/or
2. Personality (suspicious, distrustful, interpersonal sensitivity)

Both high and very low scores suggest paranoia

Exciter scale, related to acting out

Adaptation to one being attacked (verbally, physically, etc.)

23
Q

Scale 7 (Psychasthenia)

A

Anxiety, worry, fearful, brooding, rumination, o-c

Good index of turmoil and discomfort

Inhibitor scale (elevation suggest acting out less likely)

No Sub-scales (fairly homogeneous)

24
Q

Scale 8 (Schizophrenia)

A

Two main content areas:
- Funny thinking
- Social isolation

Can get elevations with only social isolation

Harris-Lingoes subscales are important

25
Q

Scale 8 Harris-Lingoes

A

Sc6 Bizarre Sensory Experiences

26
Q

Scale 9 (Hypomania)

A

Elevated mood and energy

Enhancing scale - energizes elevations on scales 4, 6, 8

Harris-Lingoes subscales

Adaptation to crushing devaluation

27
Q

Scale 0 (Social Introversion)

A

Tendency to withdraw from others

Two main areas:
- Social participation
- Self- deprecation

Highly heritable (30 year retest ~.80!)

Ben-Porath et al subscales