Quiz 8 PAI Flashcards

1
Q

What are the 4 scales

A

1) validity
2) clinical
3) treatment
4) interpersonal

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2
Q

What are the 4 Validity Scales

A

ICN 🡪 inconsistency
INF 🡪 infrequency
NIM 🡪 negative impression
PIM 🡪 positive impression

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3
Q

How many clinical scales are there

A

11

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4
Q

What are the first 4 clinical scales

A

SOM 🡪 somatic complaints
ANX 🡪 anxiety
ARD 🡪 anxiety-related disorders
DEP 🡪 depression

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5
Q

What are the next 4 clinical scales

A

MAN 🡪 mania
PAR 🡪 paranoia
SCZ 🡪 schizophrenia
BOR 🡪 borderline features

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6
Q

what are the last three clinical scales

A

ANT 🡪 antisocial features
ALC 🡪 alcohol problems
DRG 🡪 drug problems

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7
Q

What are the 5 treatment scales

A

AGG 🡪 aggression
SUI 🡪 suicidal ideation
STR 🡪 stress
NON 🡪 nonsupport
RXR 🡪 treatment rejection

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8
Q

What are the 2 interpersonal scales

A

DOM 🡪 dominance
WRM 🡪 warmth

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9
Q

What does ICN determine

A

whether the client is answering consistently throughout the assessment

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10
Q

What does INF determine

A

whether the client is responding carelessly, randomly, or idiosyncratically

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11
Q

What does NIM determine

A

Suggests an exaggerated unfavorable impression or malingering

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12
Q

What does PIM determine

A

Suggests the presentation of a very favorable impression or reluctance to admit minor flaws

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13
Q

What does SOM determine

A

the preoccupation with health matters & somatic complaints associated with somatization or conversion disorders

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14
Q

What does ANX determine

A

Phenomenology & observable signs of anxiety, with an emphasis on assessment across different response modalities

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15
Q

What does ARD determine

A

symptoms & behaviors related to specific anxiety disorders
(think phobias, trauma, or obsession)

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16
Q

What does DEP determine

A

symptoms & phenomenology of depressive disorders

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17
Q

What does MAN determine

A

affective, cognitive, & behavioral symptoms of mania & hypomania

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18
Q

What does PAR determine

A

symptoms of paranoid disorders & more enduring characteristics of paranoid personality

19
Q

What does SCZ determine

A

symptoms relevant to the broad spectrum of schizophrenic disorders

20
Q

What does BOR determine

A

attributes indicative of a borderline level of personality functioning
(“as-if”, stably unstable, impulsivity, lability, anger)

21
Q

What does ANT determine

A

history of illegal acts & authority problems, egocentrism, lack of empathy & loyalty, instability, & excitement-seeking

22
Q

What does ALC determine

A

the problematic consequences of alcohol use and features of alcohol dependence

23
Q

What does DRG determine

A

the problematic consequences of drug use & features of drug dependence

24
Q

What does AGG determine

A

characteristics & attitudes related to anger, assertiveness, & aggression

25
What does SUI determine
suicidal ideation, ranging from hopelessness to thoughts & plans for the suicidal act
26
What does STR determine
Measures the impact of recent stressors in major life areas
27
What does NON determine
a lack of perceived social support, considering both the level & quality of available support
28
What does RXR determine
the attributes & attitudes indicating a lack of interest & motivation in making personal changes of a psychological or emotional nature
29
What does DOM determine
the extent to which a person is controlling & independent in personal relationships
30
What does WRM determine
the extent to which a person is interested in supportive & empathic personal relationships
31
How many total items are there in the PAI
344
32
How many items can be left unansered before review
18
33
What are the 4 steps of Interpretation
Step 1: assessment of potential profile distortion Step 2: determination of appropriate reference comparison Step 3: interpretation of individual scales Step 4: interpreting profile configuration
34
What does the graph illustrate
reference points for scores that are unusual in clinical settings
35
t score of 60
84th percentile in terms of experiencing symptoms
36
t score of 70
96th percentile - thus, indicated by a reference line on the PAI profile. Represents a degree of problems and symptoms that is very unusual in the general population
37
clinically significant score
70t
38
initial focus of interpretation should be on...
full scales that obtain scores of 70t or higher
39
After the most prominent scale elevations have been identified...
the next step in scale interpretation involves the evaluation of the subscales
40
PAI interpretation can take four different forms
1) profile code types 2) mean profile comparisons 3) conceptual indexes 4) actuarial decisions
41
Validity scale ICN low and high scores
Low scores 64t = respondent did respond consistently High scores 73t = respondent did not attend consistently or appropriately to item content
42
Validity scale INF low and high scores
Low scores 60t = respondent did attend appropriately to item content High scores 75t = did not attend appropriately
43
Validity scale NIM low and high scores
Low 73t = little distortion in a negative direction High 84t-92t = cutoff is 84t = attempt to portray in a negative manner
44
Validity scale PIM low and high
low 44t = indicative of honest responding moderate 57t-68t = relatively free of common shortcomings high 68t = exceptionally free of common shortcomings