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-Brief -Easy Computer Scoring -Good reliability -Tied to Millon's theory -Reflects diagnostic criteria (DSM-IV) -Uses Bases Rates which increases diagnostic accuracy -Some research support |
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-Difficult to score by hand -Tied to Millon's personality theory -Descriptions and predictions are more theoretically than empirically based -Excessive items keyed true -Weak for minor personality pathology and psychosis -Poor convergent validity with other measures -Small and underrepresentative normal sample -Limited research |
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What is the base rate score breakdown? |
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60 Median for all patients 74 Minimum score for patient who met criteria of diagnosis 85 minimum for patients who had that disorder as primary diagnosis |
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What is the base rate score breakdown for PD scales? |
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75-85 = personality traits 85+ = personality disorder |
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List the three Validity scales: GO! |
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X - Disclosure Y - Desirability Z - Debasement |
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List the three Severe Personality Pathology scales! |
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(S) Schizotypal (C) Borderline (P) Paranoid |
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List the seven Clinical Syndrome Scales (Axis I Symptom Scales)! |
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Anxiety, Somatoform, Bipolar:Mania, Dysthymia, Alcohol dependence, Drug dependence, PTSD |
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List the three Severe Syndrome Syndromes scales! |
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(SS) Thought disorders (CC) Major depression (PP) Delusional disorder |
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What are base rates based on? |
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Three improbable statments. If two or more of these statements are endorsed, the test is not valid. If one answer is scored true, caution should be exercised in interpreting the remainder of the test. |
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- Asses the extent to which respondent attempts to present himself or herself in an overly favorable light, as morally virtuous, and emotionally stable. The higher the BR score, the more the patient is denying psychological or personal problems. Scoring adjustments are made on scales known to be affected by high score on Scale Y |
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When does cllinical interpretetion begin for Scale Y? |
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- Identifies patients who are unneccessarily secretive and defensive (low scores) or patients who are openly frank and self-revealing (high scores) |
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When does Scale X become invalidated? |
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- Detects exaggeration of psychological problems and symptoms and the tendency to report more problems than may be objectively present.
- May suggest a cry for help, acute emotional turmoil, or symptom exaggeration for personal gain.
- the MCMI makes scoring adjustments on scales affected by high scores on scale Z |
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Individuals seem "spacey", self-absorbed, idiosyncratic, eccentric, and cognitively confused |
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Individuals display a labile affect and erratic behavior. They are emotionally intense, often dissatisfied and depressed, and may become self-destructive |
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Individuals are rigid and defensive. They hold delusions of influence and persecution. They are mistrusting and may become angry and belligerent. |
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Individuals are anxious, tense, apprehensive, and physiologically overaroused. |
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Individuals are preoccupied with vague physical problems with no known organic cause. They tend to be hypocondriacal and somatocizing. |
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N. Bipolar: Manic Disorder |
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Individuals have excessive energy and are overactive, impulsive, unable to sleep, and are manic |
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Individuals are able to maintain day-to-day functions but are depressed, pessimistic, and dysphoric. They have low self-esteem and feel inadequate |
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Individuals admit to serious problems with alcohol and/or endorse personality traits often associate with abusing alcohol. |
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Individuals admit to serious problems with drugs and/or endorse personality traits often associated with abusing drugs |
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R. Posttraumatic Stress Disorder |
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Individuals report unwanted and intrusive memories and/or nightmares of a disturbing, traumatic event; they may have flashbacks |
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Individuals experience thought disorder of psychotic proportions; they often report hallucinations and delusions |
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Individuals are severely depressed to the extent that they are unable to function in day-to-day activities. They have vegetative signs of clinical depression (poor appetite and sleep, low energy, loss of interests) and feel hopeless and helpless. |
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Individuals are acutely paranoid with delusions and irrational thinking. They may become belligerent and act out their delusions. |
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Individuals are socially detached; prefer solitary activities; seem aloof, apathetic, and distant with difficulties in forming and maintaining relationships. |
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Individuals are socially anxious due to perceived expectations of rejection |
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Individuals are downcast and gloomy, even in the absence of clinical depression |
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Individuals are passive, submissive, and feel inadequate. They generally lack autonomy and initiative. |
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Individuals are gregarious, with a strong need to be at the center of attention. They can be highly manipulative. |
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Individuals are self-centered, exploitative, arrogant, and egotistical |
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List the 11 Clinical Personality Scales |
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Schizoid, Avoidant, Depressive, Dependent, Histrionic, Narcissistic, Antisocial, Aggressive (Sadistic), Compulsive, Passive-Aggressive (Negativistic), Self-defeating |
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Individuals seem to engage in behaviors that result in people taking advantage of an abusing them. They act like a martyr and are self-sacrificing. |
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8A. Passive-Aggressive (Negativistic) |
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Individuals are disgruntled, argumentative, petulant, oppositional, negativistic; they keep others on edge. |
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Individuals are orderly, organized, efficient and perfectionistic. They engage in these behaviors to avoid chastisement from authority. |
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6B. Aggressive (Sadistic) |
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Individuals are controlling and abusive; they enjoy humiliating others. |
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Individuals are irresponsible, vengeful, engage in criminal behavior, and are strongly independent. |
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