Part III: MCMI-III In-Depth TM Pearson Assessments and the Institute for Advanced Studies in Personology and Psychopathology Learning Objectives… • Comprehensive theoretical understanding of MCMI-III personality scales • Contextual integration of personality patterns and presenting symptomology in MCMI-III profiles • Full synergistic integration of subtype and domain data from MCMI-III into routes to effective intervention TM TM TM Personality Scales of the MCMI-III : Basic and Severe… TM The basic “building blocks” of a comprehensive clinical profile Schizoid (Introversive) Prototype Millon Evolutionary Model; MCMI-III : 1 TM Pleasure TM Pain Weak on Polarity Passive Active Self Other Average on Polarity Strong on Polarity Salience of Personologic Domains: Schizoid Impassive Complacent Expressive Behavior Self-Image Mood/Temperament Interpersonal Conduct Meager Cognitive Style Regulatory Mechanism Apathetic Unengaged Impoverished Intellectualization Undifferentiated Object Representations Morphologic Organization Avoidant (Inhibited) Prototype Millon Evolutionary Model: MCMI-III : 2A TM Pleasure TM Pain Passive Active Self Other Weak on Polarity Average on Polarity Strong on Polarity Salience of Personologic Domains: Avoidant Fretful Expressive Behavior Distracted Cognitive Style Aversive Alienated Interpersonal Conduct Self-Image Fragile Morphologic Organization Fantasy Anguished Mood/Temperament Regulatory Mechanism Vexatious Object Representations Depressive (Dejected) Prototype Millon Evolutionary Model; MCMI-III : 2B TM Pleasure TM Pain Passive Active Self Other Weak on Polarity Average on Polarity Strong on Polarity Salience of Personologic Domains: Depressive Forsaken Depleted Object Representations Morphologic Organization Melancholic Pessimistic Mood/Temperament Cognitive Style Asceticism Regulatory Mechanism Worthless Disconsolate Self-Image Expressive Behavior Defenseless Interpersonal Conduct Dependent (Cooperative) Prototype Millon Evolutionary Model; MCMI-III : 3 TM Pleasure TM Pain Passive Active Self Other Weak on Polarity Average on Polarity Strong on Polarity Salience of Personologic Domains: Dependent Immature Object Representations Pacific Mood/Temperament Submissive Inept Interpersonal Conduct Self-Image Inchoate Morphologic Organization Naive Incompetent Expressive Behavior Cognitive Style Introjection Regulatory Mechanism Histrionic (Sociable) Prototype Millon Evolutionary Model; MCMI-III : 4 TM Pleasure TM Pain Passive Active Self Other Weak on Polarity Average on Polarity Strong on Polarity Salience of Personologic Domains: Histrionic Gregarious Dissociation Self-Image Dramatic Regulatory Mechanism Expressive Behavior Attention-Seeking Fickle Interpersonal Conduct Mood/Temperament Shallow Flighty Cognitive Style Object Representations Disjointed Morphologic Organization Narcissistic (Confident) Prototype Millon Evolutionary Model; MCMI-III : 5 TM Pleasure TM Pain Weak on Polarity Passive Active Self Other Average on Polarity Strong on Polarity Salience of Personologic Domains: Narcissistic Haughty Expressive Behavior Rationalization Insouciant Regulatory Mechanism Mood/Temperament Exploitive Admirable Interpersonal Conduct Self-Image Contrived Object Representations Expansive Cognitive Style Spurious Morphologic Organization Antisocial (Nonconforming) Prototype Millon Evolutionary Model; MCMI-III : 6A TM Pleasure TM Pain Weak on Polarity Passive Active Self Other Average on Polarity Strong on Polarity Salience of Personologic Domains: Antisocial Autonomous Self-Image Acting-Out Regulatory Mechanism Deviant Cognitive Style Debased Object Representations Irresponsible Impulsive Interpersonal Conduct Unruly Morphologic Organization Expressive Behavior Callous Mood/Temperament Sadistic (Aggressive) Prototype Millon Evolutionary Model; MCMI-III : 6B TM Pleasure TM Pain Weak on Polarity Passive Self Active Other Average on Polarity Strong on Polarity Reversal on Polarity Salience of Personologic Domains: Sadistic Precipitate Expressive Behavior Eruptive Combative Self-Image Morphologic Organization Abrasive Interpersonal Conduct Hostile Mood/Temperament Rationalization Regulatory Mechanism Dogmatic Cognitive Style Pernicious Object Representations Compulsive (Respectful) Prototype Millon Evolutionary Model; MCMI-III : 7 TM Pleasure TM Pain Weak on Polarity Passive Self Active Other Average on Polarity Strong on Polarity Conflict on Polarity Salience of Personologic Domains: Compulsive Conscientious Self-Image Constricted Reaction-Formation Cognitive Style Regulatory Mechanism Compartmentalized Morphologic Organization Respectful Interpersonal Conduct Disciplined Expressive Behavior Concealed Object Representations Solemn Mood/Temperament Negativistic/Passive Aggressive (Oppositional) Prototype Millon Evolutionary Model: MCMI-III : 8A TM Pleasure TM Pain Weak on Polarity Passive Self Active Other Average on Polarity Strong on Polarity Conflict on Polarity Salience of Personologic Domains: Negativistic Resentful Expressive Behavior Contrary Interpersonal Conduct Irritable Displacement Regulatory Mechanism Discontented Mood/Temperament Self-Image Divergent Vacillating Object Representations Skeptical Cognitive Style Morphologic Organization Masochistic/Self-Defeating (Denigrated) Prototype Millon Evolutionary Model; MCMI-III : 8B TM Pleasure TM Pain Weak on Polarity Passive Self Active Other Average on Polarity Strong on Polarity Reversal on Polarity Salience of Personologic Domains: Masochistic Deferential Abstinent Exaggeration Interpersonal Conduct Regulatory Mechanism Expressive Behavior Inverted Undeserving Morphologic Organization Self-Image Dysphoric Mood/Temperament Discredited Object Representations Diffident Cognitive Style Schizotypal (Eccentric) Prototype Millon Evolutionary Model; MCMI-III : S TM Pleasure TM Pain Weak on Polarity Passive Self Active Other Average on Polarity Strong on Polarity Wavering on Polarity Salience of Personologic Domains: Schizotypal Estranged Self-Image Distraught or Insentient Mood/Temperament Undoing Regulatory Mechanism Eccentric Autistic Expressive Behavior Cognitive Style Chaotic Object Representations Fragmented Morphologic Organization Secretive Interpersonal Conduct Borderline (Capricious) Prototype Millon Evolutionary Model; MCMI-III : C TM Pleasure TM Pain Weak on Polarity Passive Self Active Other Average on Polarity Strong on Polarity Conflict on Polarity Salience of Personologic Domains: Borderline Regression Regulatory Mechanism Incompatible Object Representations Paradoxical Interpersonal Conduct Uncertain Capricious Cognitive Style Self-Image Spasmodic Expressive Behavior Split Morphologic Organization Labile Mood/Temperament Paranoid (Suspicious) Prototype Millon Evolutionary Model; MCMI-III : P TM Pleasure TM Pain Weak on Polarity Passive Self Active Other Average on Polarity Strong on Polarity Unalterable Polarity Orientation Salience of Personologic Domains: Paranoid Irascible Mood/Temperament Inviolable Self-Image Projection Regulatory Mechanism Suspicious Cognitive Style Defensive Expressive Behavior Unalterable Object Representations Inelastic Morphologic Organization Provocative Interpersonal Conduct MCMI-III example profiles… TM Millon Clinical Multiaxial Inventory - III Modifying Indices ID: A (1) Valid Profile SCORE PROFILE OF BR SCORES RAW BR 0 X Y Z 45 70 27 TM 60 75 85 DIAGNOSTIC SCALE 115 DISCLOSURE DESIRABILITY DEBASEMENT 1 33 SCHIZOID 2A 37 AVOIDANT Severe Personality Pathology SCORE RAW BR 0 8B 29 PROFILE OF BR SCORES 60 75 85 DIAGNOSTIC SCALE 115 MASOCHISTIC S C P 35 60 SCHIZOTYPAL BORDERLINE PARANOID A 25 ANXIETY 20 SCORE RAW BR 0 1 2A 2B 3 4 5 6A 6B 7 8A 8B S Clinical Personality Patterns PROFILE OF BR SCORES 60 75 85 DIAGNOSTIC SCALE 115 33 SCHIZOID 22 AVOIDANT 29 DEPRESSIVE 64 DEPENDENT 87 HISTRIONIC 95 NARCISSISTIC 45 ANTISOCIAL 45 SADISTIC 92 COMPULSIVE 27 NEGATIVISTIC 29 MASOCHISTIC 20 SCHIZOTYPAL Severe Clinical Syndromes SCORE RAW BR 0 PROFILE OF BR SCORES 60 75 85 DIAGNOSTIC SCALE 115 T 35 DRUG R 20 PTSD SS CC PP 21 19 30 THOUGHT DISOR. MAJ. DEPRESSION DELUSIONAL Clinical Syndromes SCORE RAW BR 0 P 60 A H N D B T R 20 SS 21 25 21 57 26 32 35 PROFILE OF BR SCORES 60 75 85 115 DIAGNOSTIC SCALE PARANOID ANXIETY SOMATOFORM BIPOLAR DYSTHYMIC ALCOHOL DRUG PTS D THOUGHT D/O Millon Clinical Multiaxial Inventory - III Modifying Indices ID: C (1) Valid Profile SCORE RAW BR 0 PROFILE OF BR SCORES 60 75 85 DIAGNOSTIC SCALE 115 X Y Z 62 65 DISCLOSURE DESIRABILITY DEBASEMENT 1 72 SCHIZOID 2A 79 AVOIDANT 45 TM Severe Personality Pathology SCORE RAW BR 0 PROFILE OF BR SCORES 60 75 85 DIAGNOSTIC SCALE 115 8B 72 MASOCHISTIC S C P 94 77 SCHIZOTYPAL BORDERLINE PARANOID A 81 65 ANXIETY Clinical Personality Patterns SCORE RAW BR 0 1 2A 2B 3 4 5 6A 6B 7 8A 8B S PROFILE OF BR SCORES 60 75 85 DIAGNOSTIC SCALE 115 72 SCHIZOID 79 AVOIDANT 75 DEPRESSIVE 65 DEPENDENT 30 HISTRIONIC 30 NARCISSISTIC 25 ANTISOCIAL 40 SADISTIC 40 COMPULSIVE 55 NEGATIVISTIC 72 MASOCHISTIC 94 SCHIZOTYPAL Severe Clinical Syndromes SCORE RAW BR 0 PROFILE OF BR SCORES 60 75 85 DIAGNOSTIC SCALE 115 T 38 DRUG R 81 PTSD SS CC PP 93 65 78 THOUGHT DISOR. MAJ. DEPRESSION DELUSIONAL Clinical Syndromes SCORE RAW BR 0 P A H N D B T R SS PROFILE OF BR SCORES 60 75 85 115 DIAGNOSTIC SCALE 81 PARANOID ANXIETY SOMATOFORM BIPOLAR DYSTHYMIC ALCOHOL DRUG PTS D 93 THOUGHT D/O 65 81 45 32 96 56 38 The Grossman Facet Subscales of the MCMI-III … TM Millon’s Taxonomy: Dimensional level Evolutionary polarities Pleasure Active Pain Passive Self Other Functional/Structural Domains Behavioral… Expressive Acts (F) Interpersonal Conduct (F) Phenomenological… Cognitive Style (F) Self-Image (S) Object Representations (S) Intrapsychic… Regulatory Mechanisms (S) Morphologic Organization (S) Biophysical… Mood/Temperament (S) Domain by Disorder Matrix Behavioral Acts Interpersonal Conduct Cognitive Style Self-Image Schizoid Impassive Unengaged Impoverished Avoidant Fretful Aversive Depressive Disconsolate Defenseless Dependent Incompetent Histrionic Narcissistic Dramatic Representations Object Regulatory Mechanisms Morphologic Organization Mood/ Temperament Complacent Meager Intellectualization Undifferentiated Apathetic Distracted Alienated Vexatious Fantasy Fragile Anguished Pessimistic Worthless Forsaken Asceticism Depleted Melancholic Submissive Naive Inept Immature Introjection Inchoate Pacific AttentionSeeking Flighty Gregarious Shallow Dissociation Disjointed Fickle Admirable Contrived Rationalization Spurious Insouciant Acting-Out Unruly Callous Haughty Exploitive Expansive Antisocial Impulsive Irresponsible Deviant Autonomous Debased Sadistic Precipitate Dogmatic Combative Pernicious Isolation Eruptive Hostile Concealed Reaction Formation Compartmentalized Solemn Abrasive Compulsive Disciplined Respectful Constricted Conscientious Negativistic Resentful Contrary Skeptical Discontented Vacillating Displacement Divergent Irritable Masochistic Abstinent Deferential Diffident Undeserving Discredited Exaggeration Inverted Dysphoric Schizotypal Eccentric Secretive Autistic Estranged Chaotic Undoing Fragmented Distraught or Insentient Borderline Spasmodic Paradoxical Capricious Uncertain Incompatible Regression Split Labile Paranoid Defensive Provocative Suspicious Inviolable Unalterable Projection Inelastic Irascible Grossman Subscale Domains are highlighted MILLON CLINICAL MULTIAXIAL INVENTORY - IIITM COMPLETE LISTING OF MCMI-III GROSSMAN FACET SCALE SCORES 1 Schizoid 6B Sadistic 1.1 Temperamentally Apathetic 1.2 Interpersonally Unengaged 1.3 Expressively Impassive 2A Avoidant 6B.1 Temperamentally Hostile 6B.2 Eruptive Organization 6B 3 Pernicious Representations 7 2A.1 Interpersonally Aversive 2A.2 Alienated Self-Image 2A.3 Vexatious Representations 2B Depressive 7.1 Cognitively Constricted 7.2 Interpersonally Respectful 7.3 Reliable Self-Image 8A Negativistic 2B.1 Temperamentally Woeful 2B.2 Worthless Self-Image 2B.3 Cognitively Fatalistic 3 Dependent 8A.1 Temperamentally Irritable 8A.2 Expressively Resentful 8A.3 Discontented Self-Image 8B Masochistic 3.1 Inept Self-Image 3.2 Interpersonally Submissive 3.3 Immature Representations 4 Histrionic 8B.1 Discredited Representations 8B.2 Cognitively Diffident 8B.3 Undeserving Self-Image S 4.1 Gregarious Self-Image 4.2 Interpersonally Attention-Seeking 4.3 Expressively Dramatic 5 Narcissistic C 5.1 Admirable Self-Image 5.2 Cognitively Expansive 5.3 Interpersonally Exploitive 6A Antisocial 6A.1 Expressively Impulsive 6A.2 Acting-Out Mechanism 6A.3 Interpersonally Irresponsible Compulsive Schizotypal S.1 Estranged Self-Image S.2 Cognitively Autistic S.3 Chaotic Representations Borderline C.1 Temperamentally Labile C.2 Interpersonally Paradoxical C.3 Uncertain Self-Image P Paranoid P.1 Cognitively Mistrustful P.2 Expressively Defensive P.3 Projection Mechanism Avoidant Facet Subscales: Sample Items 1: Interpersonally aversive 146 T I always wonder what the real reason is when someone is acting especially nice to me. 48 T A long time ago, I decided it's best to have little to do with people. 2: Alienated self-image 47 T I tend to always blame myself when things go wrong. 40 T I guess I'm a fearful and inhibited person. 3: Vexatious representations 99 T In social groups I am almost always very self-conscious and tense. 174 T Although I'm afraid to make friendships, I wish I had more than I do. Narcissistic Facet Subscales: Sample Items 1: Admirable self-image 141 F I feel that most people think poorly of me. 94 F People can easily change my ideas, even if I thought my mind was made up. 2: Cognitively Expansive 26 T Other people envy my abilities. 67 T I have many ideas that are ahead of the times. 3: Interpersonally Exploitive 38 T I do what I want without worrying about its effect on others. 5 T I know I'm a superior person, so I don't care what people think. MILLON CLINICAL MULTIAXIAL INVENTORY - III TM FACET SCORES FOR THREE HIGHEST PERSONALITY SCALES BR65 OR HIGHER CODE SCORE PROFILE OF BR SCORES RAW BR 5.1 6 53 Admirable Self-Image 5.2 2 45 Cognitively Expansive 5.3 6 92 Interpersonally Exploitive CODE 0 SCORE 60 70 FACET SCALES 80 90 100 PROFILE OF BR SCORES RAW BR 8B.1 2 43 Discredited Representations 8B.2 1 10 Cognitively Diffident 8B.3 5 69 Undeserving Self-Image CODE 0 SCORE 60 70 FACET SCALES 80 90 100 PROFILE OF BR SCORES 0 60 70 80 FACET SCALES RAW BR 90 100 C.1 4 62 C.2 4 67 Interpersonally Paradoxical C.3 6 75 Uncertain Self-Image Temperamentally Labile