Week 4 Flashcards
What scales do you use theHarris-lingoes subscales
Factorial scales: 2, 3, 4, 6, 8, 9
Elevation of a score is considered…
60 and 65 above
Why are some harris-lingoes sub-scales not reliable
Too few items
low internal consistency
low test-retest reliability
best to use them to understand clinical elevations, don’t stand well on their own
What scales have no subscales and why
scale 1 and 7, because they are homogeneous
What subscales do you use for scale 2?
Nichols subscales, or harris-lingoes
What subscales do you use for scale 5?
Martin-Finn Subscales
What subscales do you use for scale 0?
Use the Si subscales (Ben-Porath)
Scale 1
Hypochondriasis
Preoccupation with body and fear of disease, undue concern with health; possible seeking sympathy from others
Medical illness does cause moderate elevation but not above 65 (unless multi-systemic illness (AIDS, MS, Lupus)
No sub-scales because fairly homogenous
Scale 2
Depression
Poor morale, lack of hope, general dissatisfaction
Sensitive to current mood state (if feeling sad that day, will have elevated score)
Use Nichol’s subscales, but also can use harris-lingoes subsalces
Scale 3
Hysteria
denial of physical and or psychological problems
resistant to seeing problems
Use harris-lingoe subscales
Scale 4
Psychopathic Deviate
Difficulty incorporating values and standards of society, acting out, low frustration tolerance
Can be elevated solely from family conflict
- Harris-lingoes subscale Pd1: family discord
Exciter scale (elevation increases likelihood of acting out)
Scale 5
Masculinitity-femininity
A mixture of dimensions not all related to masculinity-femininity; not a good scale – don’t interpret the global score (super heterogeneous)
martin-finn subscales are essential
Reverse t-score for females:
- elevations for females suggest masculinity (active)
- elevations for males suggest femininity (passive)
Scale 6
Paranoia
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
Scale 7
Psychasthenia
Anxiety, worry, fearful, brooding, rumination, OCD
Good index of turmoil and discomfort
Inhibitor scale (acting out less likely)
NO subscales (homogeneous!)
Scale 8
Schizophrenia
Two main content areas:
- funny thinking
- social isolation
Can get elevations with only social isolation
harris-lingoes subscales are very important
ex. Sc6: bizarre sensory experiences
ex. Sc1: social alienation
Scale 9
Hypomania
elevated mood and energy
Enhancing scale – energizes elevations on 4, 6, 8
use harris-lingoes subscales
Scale 0 (10)
Social introversion
Tendency to withdraw from others
Two main areas:
- social participation
- self-deprecation
Highly heritable
Ben-Porath et al subscales
PRINCIPLE of building a profile on the MMPI
** The constellation of scales gives us more information than individual scales alone
Content scales, supplementary scales, PSY-5, critical items
Subscales, Content scales, Supplementary scales, etc. are useful to verify whether or not particular correlates of the clinical scales and code types apply
Organizing sections of the MMPI-2 Interpretations
- Test taking attitude (validity of profile)
- level of distress and disturbance (none, mild, moderate, severe)
- Major symptoms (what client would report in brief interview)
- Underlying personality (what personality traits)
- behavior in relationship (ex. how does client manage sexuality in relationships)
- implications for treatment (what difficulties would you expect? what treatment would be best)
- Impressions (what diagnoses suggested by the profile)
- Recommendations (only if profile leads to recommendations)
Welsh code for the MMPI-2
Italicized but said we should know what it is?
Step 1: List the numbers of the 10 Clinical scales from left to right in order of T-scores (if equal scores, list in ordinal sequence)
Step 2: Record the 3 Validity scales (L, F, K) in order of T-score to the right of and separate from the Clinical scales
Step 3: Underline adjacent scales whose T-scores are identical or differ by only one T-score point
Step 4: To indicate scale elevations, insert the following symbols after the Clinical Scales to which they apply:
Step 5: List symbol for any range not represented between scales that span it
Step 6: Similarly place symbols for the validity scales (sometimes done differently: list raw score for each validity scale)
Example: 8’3+91-27056/4: FK/L:
