Flashcards in MMPI-2 Deck (37)
What are all the MMPI-2 Clinical Scales, in order?
Hs, D, Hy, Pd, Mf, Pa, Pt, Sc, Ma, Si
Minimum reading level for the MMPI-2?
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.
Describe MMPI-2 Scale 1 (Hs)
-Mild elevation-> actual physical problems
-High elevation-> vague, dramatic, bizarre somatic concerns
Describe MMPI-2 Scale 2 (D)
-Mild elevation-> distress, dissatisfaction in life, mild depression
-Significant elevations-> more serious/clinical depression
Describe MMPI-2 Scale 3 (Hy)
-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
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
Describe MMPI-2 Scale 5 (Mf)
-High scores-> ID with opposite sex gender roles
-Lower scores-> ID with traditional roles
Describe MMPI-2 Scale 6 (Pa)
-Mild elevations-> suspicious; rationalizing; blaming others
-Higher elevations-> frank paranoia; hostility towards others; persecution anxiety
Describe MMPI-2 Scale 7 (Pt)
-Mild elevations-> obsessive thoughts; generalized anxiety; self-doubt
-Higher elevations-> anxiety disorder
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
Describe MMPI-2 Scale 9 (Ma)
-Mild elevation-> distractibility, high energy, occasional grandiosity, suspiciousness, irritability
-Higher elevation-> hypomanic to manic symptoms
Describe MMPI-2 Scale 0 (Si)
-Low scores (T extroverted
-Moderate scores-> more introverted
-Elevations (T>65)-> social withdrawal; avoidance; insecurity; aloofness; schizoid?
Six steps to interpretation of MMPI-2
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
303, 506, 520, 524
1 and 3 (Hs and Hy) >65
and higher than 2 (D) by 8+ points
-Repressed pain/express through
-Looks for social approval
-Sees physical issues as legitimate way to get attention
-Depressed (but maybe not reporting)
-Passive-dependent in relationships
* * 70
Hy D Hs
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
-Provoke others, then feel sorry for themselves if mistreated
* * 70
Pd Mf Pa
Identify these V's on the MMPI-2
a) Conversion V
b) Scarlett O'Hara V
c) Psychotic V
6 and 8 (Pa and Sc) both >65 and higher than 7 (Pt) by 8+
-suspicious, distrustful, irritable
-poor relationships, emotionally
-difficulties with thought
process, maybe delusions
* * 70
Pa Pt Sc
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^)
Spike definition on MMPI-2
When any scale is >65 and higher than all other scales by at least 8T
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
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
What are three cases where MMPI-2 can be invalid due to a single validity scale?
Cannot Say > 30
VRIN > 16
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.
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.
What is a floating profile on the MMPI-2?
-Very high F (>80T)
-All or most clinical scales >65T
What are the nine validity scales on the MMPI-2?
?, L, F, K, VRIN, TRIN, Fb, F(p), S
Variable Response Inconsistency
True Response Inconsistency
Define and compare VRIN and TRIN on the MMPI-2
VRIN: Designed to detect inconsistent or
-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
-High TRIN (>13) suggests indiscriminate True answers, <5 suggests the opposite.