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MCMI-III
Millon
44
Psychology
Graduate
12/06/2015

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Cards

Term
MCMI Strengths
Definition
-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
Term
MCMI Limitations
Definition
-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
Term
What is the base rate score breakdown?
Definition
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
Term
What is the base rate score breakdown for PD scales?
Definition
75-85 = personality traits
85+ = personality disorder
Term
List the three Validity scales: GO!
Definition
X - Disclosure
Y - Desirability
Z - Debasement
Term
List the three Severe Personality Pathology scales!
Definition
(S) Schizotypal
(C) Borderline
(P) Paranoid
Term
List the seven Clinical Syndrome Scales (Axis I Symptom Scales)!
Definition
Anxiety, Somatoform, Bipolar:Mania, Dysthymia, Alcohol dependence, Drug dependence, PTSD
Term
List the three Severe Syndrome Syndromes scales!
Definition
(SS) Thought disorders
(CC) Major depression
(PP) Delusional disorder
Term
What are base rates based on?
Definition
Prevalence rates
Term
What is Scale V?
Definition
Validity Index
Term
What is Scale X?
Definition
Disclosure
Term
What us Scale Y?
Definition
Desirability
Term
What is Scale Z?
Definition
Debasement
Term
Scale V (Validity Index)
Definition
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.
Term
Desirability (Scale Y)
Definition
- 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
Term
When does cllinical interpretetion begin for Scale Y?
Definition
- BR above 74
Term
Disclosure (Scale X)
Definition
- Identifies patients who are unneccessarily secretive and defensive (low scores) or patients who are openly frank and self-revealing (high scores)
Term
When does Scale X become invalidated?
Definition
BR < 34 and BR > 178
Term
Debasement (Scale Z)
Definition
- 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
Term
S. Schizotypal
Definition
Individuals seem "spacey", self-absorbed, idiosyncratic, eccentric, and cognitively confused
Term
C. Borderline
Definition
Individuals display a labile affect and erratic behavior. They are emotionally intense, often dissatisfied and depressed, and may become self-destructive
Term
P. Paranoid
Definition
Individuals are rigid and defensive. They hold delusions of influence and persecution. They are mistrusting and may become angry and belligerent.
Term
A. Anxiety Disorder
Definition
Individuals are anxious, tense, apprehensive, and physiologically overaroused.
Term
H. Somatoform
Definition
Individuals are preoccupied with vague physical problems with no known organic cause. They tend to be hypocondriacal and somatocizing.
Term
N. Bipolar: Manic Disorder
Definition
Individuals have excessive energy and are overactive, impulsive, unable to sleep, and are manic
Term
D. Dysthymic Disorder
Definition
Individuals are able to maintain day-to-day functions but are depressed, pessimistic, and dysphoric. They have low self-esteem and feel inadequate
Term
B. Alcohol Dependence
Definition
Individuals admit to serious problems with alcohol and/or endorse personality traits often associate with abusing alcohol.
Term
T. Drug Dependence
Definition
Individuals admit to serious problems with drugs and/or endorse personality traits often associated with abusing drugs
Term
R. Posttraumatic Stress Disorder
Definition
Individuals report unwanted and intrusive memories and/or nightmares of a disturbing, traumatic event; they may have flashbacks
Term
SS. Thought Disorder
Definition
Individuals experience thought disorder of psychotic proportions; they often report hallucinations and delusions
Term
CC. Major Depression
Definition
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.
Term
PP. Delusional Disorder
Definition
Individuals are acutely paranoid with delusions and irrational thinking. They may become belligerent and act out their delusions.
Term
Schizoid
Definition
Individuals are socially detached; prefer solitary activities; seem aloof, apathetic, and distant with difficulties in forming and maintaining relationships.
Term
Avoidant
Definition
Individuals are socially anxious due to perceived expectations of rejection
Term
Depressive
Definition
Individuals are downcast and gloomy, even in the absence of clinical depression
Term
Dependent
Definition
Individuals are passive, submissive, and feel inadequate. They generally lack autonomy and initiative.
Term
Histrionic
Definition
Individuals are gregarious, with a strong need to be at the center of attention. They can be highly manipulative.
Term
Narcissitic
Definition
Individuals are self-centered, exploitative, arrogant, and egotistical
Term
List the 11 Clinical Personality Scales
Definition
Schizoid, Avoidant, Depressive, Dependent, Histrionic, Narcissistic, Antisocial, Aggressive (Sadistic), Compulsive, Passive-Aggressive (Negativistic), Self-defeating
Term
8B. Self-Defeating
Definition
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.
Term
8A. Passive-Aggressive (Negativistic)
Definition
Individuals are disgruntled, argumentative, petulant, oppositional, negativistic; they keep others on edge.
Term
7. Compulsive
Definition
Individuals are orderly, organized, efficient and perfectionistic. They engage in these behaviors to avoid chastisement from authority.
Term
6B. Aggressive (Sadistic)
Definition
Individuals are controlling and abusive; they enjoy humiliating others.
Term
6A. Antisocial
Definition
Individuals are irresponsible, vengeful, engage in criminal behavior, and are strongly independent.
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