Running head: TEST ADMINISTRATION 1 1 Test Administration 1 Sarah Brothwell CEP 586: Assessment in Mental Health Counseling Spring 2014 Introduction/Rationale- To complete this assignment, I chose my friend and classmate Ashley to act as a mock client. Two well-renowned personality tests were administered, including: the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) and the Big Five Personality Inventory. These measurements were chosen for self-exploratory purposes, intended to help the “client” gain insight into her own personality characteristics and patterns of interacting with the world. This assignment will assist me with becoming familiar with the basics of interviewing, test administration, scoring, and interpretation, before administering assessment to actual clients at my internship site. Client Demographic Information- Ashley is a 24 year old, Caucasian, female, who is currently attending graduate school for her Masters degree in Mental Health Counseling, at The University at Buffalo. Ashley is a bright student and is excelling in her program. She does not hold a disability status. Ashley is not employed outside of her occupation as a student, but currently apprentices as a jewelry artisan. In the past, Ashley has struggled with issues of depression and social anxiety. Ashley has developed ways to manage these issues successfully. Behavioral Observations- Ashley freely volunteered to participate as a mock client in this assignment, which indicated that she was willing, if not eager, to take the assessments. While taking the MMPI, she expressed that it felt as if many of the items in the assessment were ambiguous or confusing. The client would often ask for clarification or interpretation from the administrator and then deeply reflect on the question. In the case that the client could not come to a decision, she would circle the question for later viewing. The client took the assessment over a few different sittings, due to time constrains and fatigue. This is understandable due to the length and nature of this questionnaire. The client appeared to be slightly overwhelmed by the density and length of the questionnaire. The Big Five Personality Inventory was administered to Ashley in a separate sitting, three days after the MMPI-2 was given. This test was significantly shorter and completed in a single, 20 minute sitting. Ashley did not ask for clarification on any of the items, indicating that the questions were more straightforward. Behaviorally, Ashley did not exhibit any indications of being overwhelmed or stressed by taking the assessment. Description of the Assessment- The MMPI-2 is a broad-band test (an instrument designed to assess a variety of attributes at once) developed to examine major patterns of personality and psychological disorders. The MMPI-2 consists of 567 self-reported, true or false statements and participants are assessed using nine clinical scales. Hypochondriasis (Hs) assesses excessive concern for health or the presentation of a variety of somatic complaints. Depression (D) measures subjective perceptions of depression, including: psychomotor retardation, physical malfunctioning, mental dullness and brooding. Hysteria (Hy) scores reflect specific physical complaints, as well as the denial of problems in one’s life and denial of social anxiety. Psychopathic deviate (Pd) assesses willingness to acknowledge difficulties in school and/or with the law and lack of concern about most social and moral standards of conduct. Masculinity- TEST ADMINISTRATION 1 2 femininity (Mf) assesses concerns with sexuality as well as other topics that are not sexual in nature such as recreational interests, worries, fears, excessive sensitivity, and family relationships. Paranoia (Pa) measures the degree to which persecutory ideas, poignancy (feeling lonely and misunderstood), and naivete (unrealistically optimistic attitudes about other people). Psychathenia (Pt) assesses for obsessive thoughts, feelings of fear and/or anxiety, and doubts about one’s own ability. It also assess for physical complaints, and difficulties with concentrating. Schizophrenia (Sc) measures psychotic symptoms such as bizarre mentation, peculiarities of perception, delusions of persecution and hallucinations. Hypomania (Ma) assesses typical features of hypomania such as activity level, excitability and grandiosity. Scores are also reported in terms of their content and include: anxiety, fears, obsessiveness, depression, health concerns, bizarre mentation, anger, cynicism, antisocial practices, Type A personality, low self-esteem, social discomfort, family problems, work interference and negative treatment indicators. After the assessment is completed, a report on the validity of the test taker’s responses is offered. In addition, a T-score is generated for each scale, with higher scores indicating greater psychopathology. Generally, a T-score under 65 is considered “normal” (Butcher, Graham, Ben-Porath, Tellegen, & Dahlstrom, 2001). The Big Five Personality Inventory is a self-reported, 50-item questionnaire that is based on the Five Factor Model (FFM). The FFM postulates that there are five broad domains or dimensions of personality, including: openness, conscientiousness, extraversion, agreeableness and neuroticism. Each factor exists on a scale, ranging from low to high. Openness refers to the degree of intellectual curiosity, creativity and desire for varied experiences. Conscientiousness is a tendency to be well organized, dependable, and to demonstrate self-discipline. Those who are less conscientious are often viewed as easy-going or careless. Extraversion is the degree to which an individual has a tendency to seek stimulation in the company of others, or conversely, the tendency to value solitude and internal reflection. Agreeableness signifies a propensity to be compassionate, cooperative, and trustful towards others rather than being difficult or antagonizing. Neuroticism is the tendency to experience unpleasant emotions easily, such as anger, anxiety, and depression. These five domains account for a majority of variance in personality traits without overlapping. Participants are asked to read a list of self-descripted sentences and rate the degree to which they agree with the following sentence from a low of 1 (Strongly Disagree) to a high of 5 (Strongly Agree). A raw score and a percentile score is provided for each of the 5 dimensions in order to allow a comparison to others who have completed the questionnaire. Psychometric Properties of the Assessment- The MMPI-2 is the most widely used measure of adult psychopathology in the world and is commonly employed in mental health, medical and employment settings. It has been validated using a normative sample of 2600 adults. The testretest coefficients for a one-week interval range from .70 to .93 for a sample of 82 men, and from .54 to .92 for a sample of 111 women. Internal consistency coefficients of the clinical scales are moderately variable, ranging from .34 to .85 for men and from .37 to .87 for women. This finding is desirable when taking into consideration the variation in the content of the scales (Butcher, Graham, Ben-Porath, Tellegen, & Dahlstrom, 2001). Research has shown that the five factors of personality proposed by the Five Factor Model are fundamental dimensions of personality in children, adolescence, college students, and older adults. In addition, it has been normalized for English, Dutch, German and Japanese populations (as cited in, McCrae and Oliver, 1992). All five factors were shown to have TEST ADMINISTRATION 1 3 convergent and discriminant validity and observations were shown to endure across decades in adults. Furthermore, the Five Factor Model has been used to develop various assessments. Examples include the Big Five Personality Inventory, NEO Five-Factor Inventory, and the Trait Descriptive Adjectives, which all propose to measure the five factors of personality. Internal consistency has been demonstrated between these measures with correlation coefficients ranging from .75 to .87. The average convergent validity correlations across measures demonstrated a mean of .80. Discriminant correlations were low, with values averaging .19 overall. The alpha reliabilities were normalized to United States and Canadian samples, ranging from .75 to .90, and averaged above .80. Three-month test-retest reliabilities ranged from .80 to .90. (John, Naumann, & Soto, 2008). Results and Interpretation- Ashley’s results on the MMPI-2 were suggested to be valid, however, her scores may be lower than expected due to the omission of 6-items. Findings also suggested that she might attempt to portray herself in an overly positive manner, while minimizing her personal faults. Ashley demonstrated elevated scores on the Hysteria (Hy) clinical scale (T-score =70), Masculinity-femininity (Mf) clinical scale (T-score = 67) and Psychathenia (Pt) clinical scale (T-score = 66). The elevated scores on the Hy and the Pt may indicate a tendency to be over reactive to minor problems, which are then expressed through physical symptoms. Ashley may approach life rigidly, in a moralistic and perfectionistic manner, which may cause her to deny problems and “look on the bright side.” Pronounced scores on the Mf clinical scale suggests that Ashley has diverse interests and enjoys partaking in activities that are not associated with her gender. In terms of her interpersonal relations, she demonstrates good social skills, but may deny that she has trouble with social anxiety. She may also attempt to ignore interpersonal problems rather than confront them. Ashley’s scores, with a peak in the clinical Hy scores were found in 10.5% of the normative sample of women. However, only 3.7% of the sample had Hy scores at or above a T-score of 65. Due to the instability of her profile, if she is re-tested at a different time, Ashley may show a shift in peak scores, with higher scores on emotional alienation, unusual thinking, bizarre perceptions of other and a tendency to engage in extreme fantasy. Results on the Big Five Personality Inventory demonstrated that Ashley was in the 92th percentile for Extroversion, indicating that she takes a great deal of pleasure from interacting with others. Ashley fell in the 28th percentile for Conscientiousness, which suggests that she may not pay close attention to details or is disorganized. An average score for Neuroticism was obtained, which means that she is as likely as half the population to experience negative emotions. Ashley was in the 97nd percentile for agreeableness, indicating that she enjoys pleasing others and is easy to get along with. She also demonstrated a high level of Openness, with a score in the 71st percentile, reflecting her willingness to seek out new experiences. Issues and Limitations- The comparison of these two assessments generates considerable discussion. Both indices converge on the notion that Ashley is sociable and extraverted. However, the MMPI-2 indicates that she has difficulty acknowledging that she has issues with social anxiety. We can conclude from the introduction of the paper that Ashley is fairly open with herself, as well as others about her challenges with social anxiety. This result may need to be discussed with the client to achieve a better understanding of how she views her issues with social anxiety. Results from the Big Five Personality Inventory suggests that Ashley displays an average amount of neuroticism, where as her elevated scores on Hy and Pt from the MMPI-2 TEST ADMINISTRATION 1 4 suggests that she may experience more serious issues with physical complaints, obsessive thinking, and social anxiety than the general population. It is possible that the Big Five Personality Inventory was not able to acquire an accurate gauge on levels of neuroticism due to her tendency to deny problems, as indicated by the MMPI-2. In addition, the assessments reported conflicting findings in terms her interpersonal relations with others. In The Big Five Personality Inventory, Ashley’s reported scores on agreeableness suggested that she is easy to interact with and enjoys pleasing others, whereas the MMPI-2 indicates that she may be ridged and moralistic in her interpersonal relations with others. It seems as though the MMPI-2 is inclined to portray client characteristics as pathological or disordered, where as the Big Five Personality Inventory depicts a more positivistic and health orientated perspective. My interactions with Ashley lend support for the interpretation of Ashley’s personality characteristics as provided by the Big Five Personality Inventory. Ashley is a creative individual, who is accepting and open to others. She is able to acknowledge her personal obstacles and works very hard towards resolving them. She is also able to confront interpersonal issues if needed and holds her close relationships in high esteem. 5 TEST ADMINISTRATION 1 References Butcher, J. N., Graham, J., Ben-Porath, Y., Tellegen, A., & Dahlstrom, G. (2001). MMPI-2: Minnesota Multiphasic Personality Inventory-2: manual for administration, scoring, and interpretation (Rev. ed.). Minneapolis: University of Minnesota Press. John, O. P., Naumann, L. P., & Soto, C. J. (2008). Paradigm shift to the integrative Big Five trait taxonomy: History, measurement, and conceptual issues. In O. P. John, R. W. Robins, L. A. Pervin (Eds.), Handbook of personality: Theory and research (3rd ed.) (pp. 114-158). New York, NY US: Guilford Press. McCrae, R. R., & John, O. P. (1992). An Introduction to the Five-Factor Model and its Applications. Journal Of Personality, 60(2), 175-215.