Week 4

Question 1

What scales do you use theHarris-lingoes subscales

Answer 1

Factorial scales: 2, 3, 4, 6, 8, 9

Question 2

Elevation of a score is considered…

Answer 2

60 and 65 above

Question 3

Why are some harris-lingoes sub-scales not reliable

Answer 3

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

Question 4

What scales have no subscales and why

Answer 4

scale 1 and 7, because they are homogeneous

Question 5

What subscales do you use for scale 2?

Answer 5

Nichols subscales, or harris-lingoes

Question 6

What subscales do you use for scale 5?

Answer 6

Martin-Finn Subscales

Question 7

What subscales do you use for scale 0?

Answer 7

Use the Si subscales (Ben-Porath)

Question 8

Scale 1

Answer 8

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

Question 9

Scale 2

Answer 9

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

Question 10

Scale 3

Answer 10

Hysteria

denial of physical and or psychological problems

resistant to seeing problems

Use harris-lingoe subscales

Question 11

Scale 4

Answer 11

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)

Question 12

Scale 5

Answer 12

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)

Question 13

Scale 6

Answer 13

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

Question 14

Scale 7

Answer 14

Psychasthenia

Anxiety, worry, fearful, brooding, rumination, OCD

Good index of turmoil and discomfort

Inhibitor scale (acting out less likely)

NO subscales (homogeneous!)

Question 15

Scale 8

Answer 15

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

Question 16

Scale 9

Answer 16

Hypomania

elevated mood and energy

Enhancing scale – energizes elevations on 4, 6, 8

use harris-lingoes subscales

Question 17

Scale 0 (10)

Answer 17

Social introversion

Tendency to withdraw from others

Two main areas:
- social participation
- self-deprecation

Highly heritable

Ben-Porath et al subscales

Question 18

PRINCIPLE of building a profile on the MMPI

Answer 18

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

Question 19

Content scales, supplementary scales, PSY-5, critical items

Answer 19

Subscales, Content scales, Supplementary scales, etc. are useful to verify whether or not particular correlates of the clinical scales and code types apply

Question 20

Organizing sections of the MMPI-2 Interpretations

Answer 20

1. Test taking attitude (validity of profile)
2. level of distress and disturbance (none, mild, moderate, severe)
3. Major symptoms (what client would report in brief interview)
4. Underlying personality (what personality traits)
5. behavior in relationship (ex. how does client manage sexuality in relationships)
6. implications for treatment (what difficulties would you expect? what treatment would be best)
7. Impressions (what diagnoses suggested by the profile)
8. Recommendations (only if profile leads to recommendations)

Question 21

Welsh code for the MMPI-2

Answer 21

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: