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87 Cards in this Set

  • Front
  • Back
What was the normative sample for the MMPI-2 made up of?
-2600 subjects
-More women than men
-Included some married couples
Mostly White, some African-American, Hispanic/Native American Asian-American
If only the Standard Scales are going to be used at what point can the client stop taking the test and be fine?
Item 370
What are some strengths of the MMPI-2?
-Based on MMPI
-Strong validity indicators
-Ability to differentiate between groups
-Expanded norm sample
-Vast research
-Easy to administer/computer scoring
-Comprehensive data collection
-Strong interpretative guidelines
What are some of the weaknesses of the MMPI-2?
-Original criterion groups dated
-Overlap of items/scales
-Educational, SES, cultural influences
-Interpretive process quite detailed
Where are some places that you may use the MMPI-2?
-Inpatient
-Outpatient
-Personnel screening
-Criminal forensic settings
-Damages, compensation claims
-Determination of commitment
-Child custody
-Fitness for police, security duty
What are some things that the MMPI-2 help you find out?
-Assess self-presentation
-Severity, chronicity of distress
-Assessment of clinical disorders
-Assessment of symptom patterns
-Assessment of social functioning
-Assessment of capacity for change; suitability for therapy
What is content non-responsiveness?
Content-Nonresponsiveness – degree to which the test taker has responded to items without consideration of their content. Attempts to detect responses that are random in nature or follow a systematic approach (e.g., all true) that is not related to item content.
What does ?=30 mean?
? = 30 or more items left blank makes protocol highly suspect 
What is the VRIN and what does it do?
VRIN = Variable Response Inconsistency: Consists of 67 pairs of items which are of either similar or opposite content. Raw scores greater than 13/T=80 probably invalidates the profile.
What does High VRIN + High F = ?
The subject responding in a random manner.
What does Normal VRIN + High F =?
Severely disturbed subject.
Why was the TRIN created?
Because all true/all false responding can result in a normal VRIN + High F. Thus the TRIN scale was produced to help tease this out.
What is the TRIN and what does it do?
TRIN = True Response Inconsistency:23 item pairs that are opposite in content. Two true responses or two false responses would indicate inconsistent responding. Score ranges from 0-23. High score (raw = 13) may mean a “True” response set/Low scores (raw less than 5) may result in a “False” response set.
What/Who are high F scales associated with?
F = High F scale scores are usually associated with elevations are Scales 6 & 8. Adolescents, African Americans/American Indians/Hispanics score about 5 T-scale points higher than whites. (60-items) 
What is the L scale and who tends to score low on it?
L = Assesses for the tendency of people to present themselves in an unusually favorable light. People who are bright, higher SES, more sophisticated tend to score lower. (15-items) 
What is the K scale and who tends to score higher on it?
K = Items tend to be much more subtle than the L scale items and harder to fake. Better educated people tend to score higher, thus education level needs to be considered when interpreting K. Scores on the K scale determine the degree of K-correction that occurs on various Basic Scales (30-items)
What is the S scale and who tends to score high on it?
S = Superlative Self-Presentation Scale. Assesses tendency of some people to present themselves as highly virtuous, responsible individuals who are free of maladjustment, have few moral flaws and get along extremely well with others (50-items) 
What is the F-K Index?
F – K Index = the difference between F & K scales raw scores can be a useful indicator to detect individuals who are faking bad.
 
What is the Dissimulation Scale-Revised and what is it used for?
used to identify individuals who are simulating or exaggerating psychopathology.
What it the FP scale and what is it used for? How is it used?
Fp = Infrequent Psychopathology Scale. Items were answered infrequently by both psychiatric inpatients and normal controls. These items are far less likely to reflect true psychopathology and more likely to reflect someone trying to look very maladjusted.
What characterized a fake-bad profile?
Fake Bad Profiles = characterized by very elevated F-scale/low K-scale. VRIN/TRIN within the average range. If F(raw)-K(raw) = +11 or more, a fake bad profile should be considered. Fake bad profiles are also sometimes calls “cries for help” profiles. 
What characterizes a Fake-good profile?
Fake Good Profiles = L & K likely to be elevated. F well below 50. Consider L (raw) scores of 4 as being significant. Defensive Profiles
Name the scales 1-0?
Hypochondriasis-1
Depression-2
Hysteria-3

Psychopathic Deviate-4
Masculinity-Femininity-5
Paranoia-6

Psychasthenia (anxiety)-7
Schizophrenia-8
Hypomania-9

Social Introversion-0
What are some problems with MMPI and Adolescents?
-Tended to overpathologize normal adolescents
-Underpathologize disturbed adolescents
-Many of the items were not pertinent to adolescents or needed extensive modifications.
On the MMPI-A, who is eligable to use it? How many questions are there? Does it have LFK and all the clinical scales?
Age: 14-18—can be used with 12-13; never used with 18 or older
478 items (350 abbreviated)
L, F, K, and all clinical scales
What are some key differences on the MMPI-A and the content and supplementary scales?
-Similar content scales, except:
Alienation; Low Aspiration; School Problems; Conduct Problems
-Similar supplementary except:
Immaturity; Alcohol/Drug Problems; Alcohol/Drug Acknowledgement
What is scale one designed to assess and what are some of the high and low indcators?
Designed to assess a neurotic concern over bodily functioning.
High scores: overly preoccupied with physical health
Low scores: healthy, self-aware, etc.
What is scale two designed to assess and what are some of the high and low indcators?
-Designed to assess symptomatic depression
-High scores: symptoms consistent with clinical depression
-Low scores: normal functioning
What is scale three designed to assess and what are some of the high and low indcators?
-Hysteria
-High scores: relational conflicts converted to physical symptoms, immature, self-centered, superficial
-Low scores: conventional, rigid, distrusting
What is scale four designed to assess and what are some of the high and low indcators?
-Psychopathic Deviance
-High scores: antisocial behaviors, problems with authority, relational conflicts, externalizes blame
-Low scores: conventional, conforming, passive, overly trusting
What is scale five designed to assess IN MEN and what are some of the high and low indcators?
-Masculinity/Femininity
-High scores for men: passive, artistic, intelligent, sensitive conflicted sexual identity, insecure in the masculine role
-Low scores (men): narrow range of interests, traditional male interests
What is scale five designed to assess IN WOMEN and what are some of the high and low indcators?
-Masculinity/Femininity
-High scores for women: rejects traditional female roles, masculine interests in work, hobbies
-Low scores (females): passive, submissive, sensitive
What is scale six designed to assess and what are some of the high and low indcators?
-Paranoia
-High scores: psychotic behavior, suspicious, disturbed thinking
-Low scores: defensive, shy, insensitive
What is scale seven designed to assess and what are some of the high and low indcators?
-Anxiety
-High score: tense, agitated, high-strung, perfectionist
-Low scores: well adjusted, anxiety free, wide interest range, self-confident
What is scale eight designed to assess and what are some of the high and low indcators?
-Schizophrenia
=High scores: psychotic behavior, confused, disorganized, disoriented, delusions, hallucinations
-Low scores: friendly, practical, conventional
What is scale nine designed to assess and what are some of the high and low indcators?
-Hypomania
-High scores: hyperactive, impulsive, difficulty delaying gratification, may have delusions of grandeur
-Low scores: low energy, fatigue, depression, withdrawn
What is scale 0 designed to assess and what are some of the high and low indcators?
-Social Introversion
-High scores: socially introverted, timid shy, overly sensitive, rigid, cautious
-Low scores: socially extroverted, talkative, energetic, competitive, superficial, manipulative, may have narcissistic tendencies
What are the highs and lows of the Anxiety scale (Content scale)?
-High scores: excessive worry
-Low scores: absence of a normal amount of worry
What are the highs and lows of the fears scale?
-High scores: excessive fearfulness
-Low scores: fearless
-Content Components: Generalized Fearfulness, Multiple Fears
What are the highs and lows of the obsessions scale?
-High: overly busy but inefficient
-Low: normal functioning, unless extremely low scores—
What are the highs and lows of the depression scale (Content)?
-High: despair,
-Low: may indicate denial of normal emotional responses
-Content Components: Lack of Drive, Dysphoria, Self-Deprecation, Suicidal Ideation
What are the highs and lows of the health concerns scale?
-High: numerous physical, neurological symptoms
-Low: lack of concern about health
-Content Components: Gastrointestinal, Neurological, General Health Concerns
What are the highs and lows of the bizzare mentation scale?
-High: overtly psychotic symptoms
-Low: not reporting any unusual experiences
-Content Components: Psychotic Symptomatology , Schizotypal Characteristics
What are the highs and lows of the anger scale?
-High: irritable, volatile, physically aggressive
-Low: capable of feeling angry
-Content Components: Explosive Behavior, Irritability
What are the highs and lows of the cynicism scale?
-High: others not to be trusted
-Low: overly trust others
-Content Components: Misanthropic Beliefs, Interpersonal Suspiciousness
What are the highs and lows of the antisocial practices scale?
-High: disregard for social norms
-Low: abide by the rules, trusting, conventional
-Content Components: Antisocial Attitudes, and Behaviors
What are the highs and lows of the type A scale?
-High: urgency to get things done
-Low: more relaxed—lower scores may indicate some dysphoria
-Content Components: Impatience, Competitive Drive
What are the highs and lows of the low self esteem scale?
-High: feel inadequate, unattractive
-Low: feel capable, adequate—very low scores may indicate narcissistic tendencies
-Content Components: Self-Doubt, Submissiveness
What are the highs and lows of the social discomfort scale?
-High: uneasy around others
-Low: gregarious, outgoing
-Content Components: Introversion, Shyness
What are the highs and lows of the family problems scale?
-High: feel deprived, mistreated by their family
-Low: see their family as free from discord
-Content Components: Family Discord, Alienation
What are the highs and lows of the work interference scale?
-High: variety of work problems,
-Low: adequate energy, capability, capacity for cooperative interactions
What are the highs and lows of the negative treatment indicators scale?
-High: helpless, hopeless,
-Low: no emotional distress, confident in abilities,-Content Components: Low Motivation, Inability to Disclose
What are the highs and lows and other details of the repression scale? R
-Content: health/physical symptoms, emotionality, violence, family/relationship problems, social dominance, personal/vocational pursuits
-High: suppression, unwillingness to disclose,
-Low: open, willing to disclose
-Age impacts: older = scores increase
What are the highs and lows and other details of the Ego strength scale? ES
-Predictive of psychotherapy outcome?
-High: few physical symptoms, little emotional distress,
-Low: significant emotional distress,-Age and education impact: scores decrease slightly
What are the highs and lows and other details of the MacAndrew Alcoholism-revised scale? MAC-R
-Caution against using with nonwhite ethnic groups
-High: impulsive, risk-taking
-Low: depressed, inhibited,
-Gender and education impact: males score higher, more education = lower scores
What are the highs and lows and other details of the Overcontrolled hostility Scale? OH
-High: excessive hostility
-Low: acknowledge nervousness and worry
What are the highs and lows and other details of the dominance scale? DO
-High: poised, self-assured,
-Low: reliance on others, dependency needs
-Education impacts: more education = higher scores
What are the highs and lows and other details for the anxiety scale (supplementary scale)? A
-Captures problems with attention/concentration, negative emotional tone/dysphoria, lack of energy, pessimism, negative self-evaluation, hypersensitivity, obsessions, and ruminations
-High scores: emotional distress, anxiety
-Low scores: well adjusted,
-Education impacts: more education, less anxiety
What are the highs and lows and other details for the social responsibility scale? Re
-High: concern for social/moral issues
-Low: antisocial attitudes
-Age and education impact: older = higher scores, more education = higher scores
What are the highs and lows and other details for the college maladjustment scale? Mt
-High: emotionally distressed, anxious, lacking confidence
-Low: well adjusted, not overly anxious, may be impulsive, but their behaviors are not upsetting
-Education impacts: more education = lower maladjustment
What are the highs and lows and other details for the gender roles scale in terms of MEN? GM
-High scores: self-confident, stereotypical masculine interests
-Low: significant emotional distress, non-traditional masculine interests
What are the highs and lows and other details for the gender roles scale in terms of WOMEN? GF
-Feminine (GF)—high: stereotypical feminine interests, socially responsible
-Low: non-traditional feminine activities
What are the highs and lows and other details for the Post Traumatic Stress Disorder Scales? PK & PS?
-High: emotionally distressed
-Low: well adjusted,
-Education impacts: more education = less distress
What are the highs and lows and other details for the Addiction Admission Scale? AAS
-High: acknowledging widespread use/abuse of substances
-Low: no report of substance abuse/use
-Age and education impacts: older = lower scores, more education = less abuse/use
What are the highs and lows and other details for the Addiction Potential Scale? APS
-High: distressed, upset, angry, resentful, concerned about what others think, prone to abuse
-Low: not distressed, not angry, not reporting use/abuse
-Age and education impact: older = lower scores, more education = lower scores
What are the highs and lows and other details for the Marital Distress Scale? MDS
-High: significant distress in romantic relationships, alienated from others
-Low: absence of general distress and romantic relationship distress
-Age and education impacts: older = lower scores, more education = less distress
What are the highs and lows and other details for the Hostility Scale? Ho
-High: (Men) hotheaded, bossy, demanding, argumentative
-(Women) nervous, fearful, depressed, paranoid tendencies
-Low: conventional, relate easily to others, trusting, naïve
-Education impacts: more education = less hostility
What does AGGR stand for and what does that scale assess?
Aggressiveness (AGGR): assesses offensive aggression
What scales are the Personality Psychopathology Five?
-AGGR
-PSYC
-DISC
-NEGE
-INTR
What does PSYC stand for and what does it assess?
Psychoticism (PSYC): ability to model the external, objective world
What does DISC stand for and what does it assess?
Disconstraint (DISC): rule following vs. rule breaking
What are the critical items and what are they used for?
-Normal individuals endorse a moderate number of critical items
-Purpose is to provide additional information about specific experiences/symptoms represented by the clinical, content, and supplementary scales
-Suicide items should be examined and verified
What does NEGE stand for and what does it assess?
Negative Emotionality/Neuroticism (NEGE): disposition to experience negative emotions
What does INTR stand for and what does it assess?
Introversion/Low Positive Emotionality(INTR): disposition to experience positive affects, enjoy social experiences
What are the most common codetypes?
-1-3/3-1
-2-3/3-2
-2-4/4-2
-2-7/7-2
-4-9/9-4
-6-8/8-6
What are the most rare codetypes?
-1-0/0-1
-2-9/9-2
-3-0/0-3
-5-0/0-5
-9-0/0-9
Which codetypes are most common with men?
- 1-2/2-1
- 7-8/8-7
What are some codetypes that are most common with women?
2-3/3-2 and spike 5
What is the most common codetype overall?
WNL
Which codetypes were studied for stability?
2-3, 2-4, 4-8, 4-9, 6-8, 7-8, 8-9
Which codetypes are very consistent with diagnoses?
6-8/8-6 , 2-7/7-2, 6-9/9-6
What is something very important to remember about MMPI-2 Results?
A substantial percentage of common code types are not accurate reflections; rather result from inconsistent responding and overreporting
Any time scales 5 and 0 are highest elevations what do you do?
look to other scales to improve accuracy of interpretation
What is something important to remember about WNL profiles?
WNL profiles can actually reflect chronically ingrained symptomatology
What are the ten steps to attaining results?
-Interpretative steps
Well-defined vs. not well-defined codetypes
1st Step: Codetype serves as basis of interpretation
-Requires at least one or two scales to be elevated above a T score of 65
-Criterion group comparison
-Profile elevation: In general, the higher the elevation, the more distress, more ingrained, and resistant to change
2nd Step: Examine the factor scales (Welsh Anxiety & Repression represent how much distress and level of coping)
3rd Step: Configural analysis of Validity and Clinical Scales (L, F, K, & 1, 2, 3, & 6, 7, 8, 9)
Remember: It’s not the behaviors/symptoms, but rather whether they are distressing
Slopes: Zero, positive, negative
4th Step: Scores on Validity, Clinical Scales
5th Step: Low-point scales
What is important to remember about demographic information?
-Age: Scales assessing physical symptoms—scores increase; Scales assessing psychopathology decrease
-Gender: Women more willing to report; Men more likely to have higher raw scores on alcohol/drug, antisocial, and hostility scales
-Education: Greatest impact—more education, fewer symptoms, more positive attributes
-Marital Status: No impact
More info about demographics?
Occupation and income: Consistent with education
Race/Ethnicity: No viable differences between African Americans and Whites; Differences between Hispanic & white adolescents; Native Americans score higher than whites; less acculturated Asian Americans more differences than whites
All demographic variables together account for about 10% of the variance in any MMPI-2 scale.
Finally, impact of setting should be considered.