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Flashcards in MMPI-2 Deck (37)
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1

What are all the MMPI-2 Clinical Scales, in order?

Hs, D, Hy, Pd, Mf, Pa, Pt, Sc, Ma, Si

Hypochondriasis
Depression
Hysteria
Psychopathic Deviate
Masculine/Feminine
Paranoia
Psychasthenia
Schizophrenia
Hypomania
Social Introversion

2

Minimum reading level for the MMPI-2?

6th grade

3

Describe the T-Scores on the MMPI-2 Clinical Scales (i.e. what kind of T-Scores are used?)

Uniform, with the exception of Mf and Si, which are linear.

4

Describe MMPI-2 Scale 1 (Hs)

Somatic/Physical issues
-Mild elevation-> actual physical problems
-High elevation-> vague, dramatic, bizarre somatic concerns

5

Describe MMPI-2 Scale 2 (D)

Distress/Dysphoria
-Mild elevation-> distress, dissatisfaction in life, mild depression
-Significant elevations-> more serious/clinical depression

6

Describe MMPI-2 Scale 3 (Hy)

Denial+Physical symptoms
-Mild elevation-> medical patients; patients with mild tendencies to avoid feelings; express emotions through physical ailments
-Higher elevations-> denial of emotional problems; major tendency to express feelings through physical symptoms; lack of insight; conforming, naive, immature psychologically

7

Describe MMPI-2 Scale 4 (Pd)

Rebelliousness, Antisocial Behavior
-Mild elevation-> socially-acceptable rebellion; dislike of authority
-High elevation-> tendency to engage in antisocial/criminal behaviors; serious disregard for authority; angry, impulsive behavior

8

Describe MMPI-2 Scale 5 (Mf)

Gender conformity
-High scores-> ID with opposite sex gender roles
-Lower scores-> ID with traditional roles

9

Describe MMPI-2 Scale 6 (Pa)

Paranoia
-Mild elevations-> suspicious; rationalizing; blaming others
-Higher elevations-> frank paranoia; hostility towards others; persecution anxiety

10

Describe MMPI-2 Scale 7 (Pt)

Anxiety
-Mild elevations-> obsessive thoughts; generalized anxiety; self-doubt
-Higher elevations-> anxiety disorder

11

Describe MMPI-2 Scale 8 (Sc)

Unusual, bizarre experiences; Social alienation; Severe stress reaction
-High elevations (>75) -may- suggest psychosis; head injury; schizoid personality; acute distress; cry for help; substance abuse

12

Describe MMPI-2 Scale 9 (Ma)

Activity Level
-Mild elevation-> distractibility, high energy, occasional grandiosity, suspiciousness, irritability
-Higher elevation-> hypomanic to manic symptoms

13

Describe MMPI-2 Scale 0 (Si)

Social Participation/Withdrawal
-Low scores (T extroverted
-Moderate scores-> more introverted
-Elevations (T>65)-> social withdrawal; avoidance; insecurity; aloofness; schizoid?

14

Six steps to interpretation of MMPI-2

1. Validity
2. ID all code types >65T and look at all combinations
3. ID spike if present
4. Identify significant configurations
5. Look at Content, Harris-Lingoes, etc.
6. Look at Critical Items: 303, 506, 520, 524

***

Validity-Combos-Spikes-Configs
Additional-Critical

15

Critical items

303, 506, 520, 524

16

Conversion V

1 and 3 (Hs and Hy) >65
and higher than 2 (D) by 8+ points

-Physical complaints
-Repressed pain/express through
physical problems
-Looks for social approval
-Sees physical issues as legitimate way to get attention
-Depressed (but maybe not reporting)
-Rigid personality
-Passive-dependent in relationships
-Sexual problems



* * 70


* 60
Hy D Hs

17

Scarlet O'Hara V

4 and 6 (Pd and Pa) >65 and 5 (Mf) < 50

-Angry, externalizing, blaming; passive in relationships and so passive-aggressive, manipulative
-Demanding, dependent
-Provoke others, then feel sorry for themselves if mistreated

* * 70




* 45
Pd Mf Pa

18

Identify these V's on the MMPI-2
a) 123
b) 456
c) 678

a) Conversion V
b) Scarlett O'Hara V
c) Psychotic V

19

Psychotic V

6 and 8 (Pa and Sc) both >65 and higher than 7 (Pt) by 8+
-suspicious, distrustful, irritable
-poor relationships, emotionally
distant
-difficulties with thought
process, maybe delusions
-inferiority, guilt
-paranoia/psychosis likely



* * 70


* 60
Pa Pt Sc



20

Nonpsychotic 678 configuration

7 (Pt) is >65 and higher than 6 and 8 (Pa and Sc)

-Anxiety is prominent
-Tense, concerned with failure, worried about judgment
-Broodingly resentful (if 6^)
or ruminative/confused (if 8^)

21

Spike definition on MMPI-2

When any scale is >65 and higher than all other scales by at least 8T

22

Psychotic vs. Neurotic Slope on the MMPI-2

Psychotic: when most of the scales to the RIGHT of scale 5 are ^

Neurotic: when most of the scales to the LEFT are ^

***

Helps with a very quick, general determination of the testee's disposition

23

K+ Profile on the MMPI-2

-No clinical scales ^65
-Six scales at or below 56
-L and K > F by at least 5T
-K > 60

***

48% of patients with this pattern were found psychotic. May indicate denial esp. with inpatient

24

What are three cases where MMPI-2 can be invalid due to a single validity scale?

Cannot Say > 30
VRIN > 16
TRIN 13

25

What is the purpose of Fb on the MMPI-2?

-Functions like the F scale in that items were endorsed in deviant direction by <10% of normative sample.

-Purpose: to analyze test-taking behavior- specifically, to compare reporting in the two halves of the test. This can help detect faking-good/faking-bad, fatigue, or tendency to become provoked.

26

What is Fp on the MMPI-2 and why is it important?

-Designed to understand F scale elevations.

-Items reflect infrequent [<20%] endorsement by two *psychiatric* populations.

-May be elevated by random response, poor reading comp., actual psychopathology, or faking bad.

-Does NOT invalidate clinical profile, as many items do not load on clinical scales. Can affect content scales, though.

27

What is a floating profile on the MMPI-2?

-Very high F (>80T)
-All or most clinical scales >65T

28

What are the nine validity scales on the MMPI-2?

?, L, F, K, VRIN, TRIN, Fb, F(p), S

Cannot Say
Lie
Infrequency
Correction
Variable Response Inconsistency
True Response Inconsistency
F-Back
Infrequency-Psychopathology
Superlative

29

Define and compare VRIN and TRIN on the MMPI-2

VRIN: Designed to detect inconsistent or
contradictory responding.
-High scores can indicate poor comprehension
or lack of cooperation.
-Complements L, F, K.
+F, +VRIN = carelessness;
+F, -VRIN = psychopathology or faking bad

TRIN: Also detects inconsistent/contradictory
responses, but only opposite pairs are used in
the scale.
-High TRIN (>13) suggests indiscriminate True answers, <5 suggests the opposite.

30

Describe the Infrequency scale (F) on the MMPI-2

-60 items; 90% of normals responded in the same direction (therefore only 10% deviant responses)

-Controls typically have 55T or under (Raw score of 6)

-Main theme is psychoticism. Can be poor comprehension, random response, severe psychosis, or malingering.