MMPI-2 William P. Wattles, Ph.D. Francis Marion University 1 ? (Cannot Say) • Omitted items • Encourage person to complete them • Up to 10 may still be valid above that a concern. • Scales are additive. 2 Infrequency Scale (F) • 60 items answered in the significant direction by less than 10% • High scores suggest – – – – Not cooperating Reading difficulty Exaggerating Over 90 invalid, 70-90 questionable 3 Infrequency Scale (F) • • • • 60 items My sex life is satisfactory (F) I have a cough most of the time (T) Most anytime I would rather sit and daydream than anything else (T) 4 Lie Scale (L) • Minor flaws that most people are willing to acknowledge. • High scores – Resistant confused • Moderate scores – Overly moralistic • Low scores – Normal or exaggerating 5 Lie Scale (L) • 15 items • At times I feel like swearing (F) • I do not always tell the truth (F) 6 Correction Scale (K) Characteristics many people prefer to deny • High Scores – Defensive, lack of insight • Moderate – Adaptive, self-reliant • Low – Fake bad, plea for help 7 Correction Scale (K) • 30 items • Often I can’t understand why I have been so irritable and grouchy. (F) • At times my thoughts have raced ahead faster than I could speak them. (F) 8 VRIN • Items have similar or opposite content. • Inconsistent responding. May have answered items indiscriminately. 9 VRIN • 67 pairs • I wake up fresh and rested most mornings • My sleep is fitful and disturbed 10 TRIN • Made up of pairs opposite in content. • High suggests answering all true • Low suggests answering all false 11 TRIN • 23 pairs • My daily life is full of things that keep me interested. • I wish I could be as happy as others seem to be. 12 Invalid protocols • • • • • • Cannot say >30 VRIN or TRIN ≥80 F or F(p) ≥100 Fb ≥ 110 L ≥ 80 K ≥ 75 13 Clinical scales • Scale labels can be misleading. • Labels also outdated (i.e. psychasthenia) 14 Scale 1 Hypochondriasis • See themselves as physically ill and seek medical explanations • Stubborn, pessimistic, narcissistic, egocentric • Unhappy, whinny 15 Scale 1 Items • I am troubled by attacks of nausea and vomiting (T) • I have a good appetite (F) • I wake up fresh and rested most mornings (F) • I seldom worry about my health (not on this scale or 3!) 16 Scale 2 Depression • Depressive symptoms, apathy, lethargy, brooding • Pessimism • Low energy 17 Scale 2 Items • I am easily awakened by noise (T) • I am troubled by attacks of nausea and vomiting (T) • I have never vomited blood or coughed up blood. (T) • I enjoy many different kinds of play and recreation (F) 18 Scale 3 Hysteria • Denial of emotional or interpersonal problems • Lack of insight • Physical symptoms as an excuse • Need for acceptance and affection • Seek simplistic, naïve, concrete solutions to problems 19 Scale 3 Items • I am troubled by attacks of nausea and vomiting (T) • I am almost never bothered by pains over my heart or in my chest (F) • I think a great many people exaggerate their misfortunes in order to gain sympathy and help of others. (F) 20 Scale 4 Psychopathic Deviate • Difficulty incorporating the values of society • Alienation and relationship problems • Authority problems • Poor tolerance for boredom • Rebellious and blaming 21 Scale 4 Items • I wish I could be as happy as others seem t be (T) • I have not lived the right kind of life (T) • I am easily downed in an argument (F) 22 Scale 5 Masculinity-Femininity • Highs scoring males: aesthetic interests, wide range of interests, passivity • Low Scoring males, often domineering and impersonal. Narrow interests lack originality 23 Scale 5 Items • Female – I have never engaged in any unusual sex practices (T) – I like to talk about sex (F) • Both – I enjoy reading love stories (T) – I like poetry (T) – My feelings are not easily hurt (F) • Male – I have never engaged in any unusual sex practices (F) – I like to talk about sex (T) 24 Scale 5 Masculinity-Femininity • High scoring females: rejection of traditional female role • Low Scoring females: stereotypically feminine interests and roles. May adopt passive, modest, constricted emotions. 25 Scale 6 Paranoia • Suspicious, vengeful, angry • Feels mistreated • High scores may indicate psychotic thinking 26 Scale 6 Items • I believe I am a condemned person (T) • I am sure I am being talked about (T) • I do not often notice my ears ringing or buzzing (F) 27 Scale 7 Psychastenia • Anxiety ruminative self-doubt • Psychological turmoil and discomfort • Anxious, tense, agitated 28 Scale 7 Items • Once a week or oftener I become very excited (T) • Life is a strain for me much of the time (T) • I like to study and read about things that I am working at. (F) • My memory seems to be all right (F) 29 Scale 8 Schizophrenia • • • • Confusion, disorganization Unusual thoughts Alienated, misunderstood In psychological turmoil 30 Scale 8 Items • I am afraid of losing my mind (T) • I am worried about sex (T) • My hands have not become clumsy or awkward. (F) • I have had no difficulty in keeping my balance in walking (F) 31 Scale 9 Hypomania • • • • Manic, excessive purposeless activity Overactive Energetic and talkative Risk taking, impulsive • Low scores • Low energy and activity levels 32 Scale 9 Items • When I get bored I like to stir up some excitement (T) • It wouldn’t make me nervous if any members of my family got into trouble with the law (T) • I am afraid when I look down from a high place (F) 33 Scale 0 Social Introversion • • • • Socially introverted Uncomfortable in group interactions Possible Poor social skills She, insecure • Low scores: sociable and extroverted 34 Scale 0 Items • I frequently have to fight against showing that I am bashful (T) • I wish I were not shy. (T) • I do not have spells of hay fever or asthma (F) • I like to flirt (F) 35 Code-type interpretation • Often more accurate and useful than individual scales. • Most appropriate when scales are above T=65 36 Supplementary Scales • Over 450 supplementary scales developed using factor analysis and intuitive procedures. 37 A (Anxiety) High scores • reflect distress, anxiety, discomfort and general emotional upset. • Indecisive, conforming, easily upset in social situations Low scores • Energetic, competitive, socially outgoing 38 A (Anxiety) Items • When in a group of people I have trouble thinking of the right things to talk about. (T) • I have often felt that strangers were looking at me critically (T) • I very seldom have spells of the blues (F) 39 R (Repression) High Scores • Conventional, submissive people Low scores • Expressive, uninhibited 40 Es (Ego Strength) • To assess ability to benefit from therapy High Scores • Adaptability, resiliency, effective functioning Low Scores • Inhibition, physical aliments, poor selfconcept 41 MAC-R (MacAndrew Alcoholism) • 49 items no obvious content relating to alcohol . Over 28 strong suggestion High scores • General addiction proneness, • Extroverted, exhibitionistic, risk taking Low scores • Shy, lacking in self-confidence 42 Content Scales • • • • Analysis of content More face validity Single dimension Use to refine interpretations of clinical scales 43 Harris Lingoes subscales • Homogeneous content • Help clarify clinical scale observations • Constructed rationally by grouping items that seemed similar. 44 Harris Lingoes subscales • Small number of items • Should only be used for scales above 65 • Should be used to explain elevations in elevated clinical scales 45 Critical Items • Face validity • Low reliability 46 The End 47