MMPI Flashcards

(64 cards)

1
Q

VRIN Scale

A

Variable Responding

  • Compares questions with similar content that should be answered the same way.
  • Useful for interpreting F scale
  • If low with a high F, probably really abnormal.
  • If high with a high F, probably administration/clerical error
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2
Q

TRIN Scale

A
True Responding
Checks a bias to respond true
-Useful for interpreting F scale
-If low with high F, really abnormal
-If high with a high, probably administration/clerical error
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3
Q

F Scale

A

Faking bad

  • Catches random responding, keyed off by a question, miscoring by the clinician
  • Truly high pathology
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4
Q

High F

A

Less than 3% of population over 12, most should be 3-5
6-10: Neurotics and character disorders, maybe in-tact psychotics, good sealed-over paranoid
11-15: Very severe neurotic, psychotic individual
16-20: Totes psychotic
21+: The most psychotic or random/deviant response set.

“High Normals”: Critical, sarcastic, doubtful, intentionally unconventional, Bohemian/Progressive
-Most high normals score by answering unusual parental numbers.

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5
Q

L Scale

A

Lie Scale
-Presenting in a positive light
-1 or 2 may show perfectionism, 6+ pretty much lying
Mode = 0, 4 is high

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6
Q

High L

A
Highly conventional
Strict moral code
Slow, tense, passive, and insecure
Lacking insight or intelligence
Possibly living in poverty
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7
Q

Low L

A
Sarcastic
Cynical
Intelligent
Comfortable admitting common faults
Possibly exhibitionist
Likely test-wise or knowledgeable with psychology
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8
Q

K Scale

A

Attitude of denying psychiatric symptoms
Denial of schizophrenia, cynicism, euphoria, hostility, tendencies to worry, and family problems.
Scales that are easy to fake don’t add K

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9
Q

High K

A

High ego strength
Not necessarily faking
Actually believing you are wonderful
Lying and denying pathology

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10
Q

Low K

A

Poor self-concept

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11
Q

F-K Ratio

A

F-K=+10 to -15 (Valid)
Admitting to F is admitting to pathology
F of 10 would be admitting large amounts of unusual experiences (drug history)
F of 0 would be a little odd to have

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12
Q

K+ Profile

A
No clinical scale outside of 40-65 range.
K is elevated (20+)
Fake good profile potentially
-Shy
-Defensive
-Inhibited
-Withdrawn
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13
Q

? Scale

A

Leaving out questions

  • Psychopaths (Fuck these questions)
  • Patterned blanks (Avoiding a topic)
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14
Q

Neurotic Triad

A

1: (Hs) Hypochondriasis
2: (D) Depression
3: (Hy) Hysteria

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15
Q

Scale 1 (Hs)

A

Hypochondriasis
25 hypochrondriacal questions, 8 suppressor questions
Lots of false negatives (low scores common)
Rarely find Pure Hypochondriac in-patients
Kind of an Optimism/Pessimism scale

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16
Q

High 1

A

High Hypochondriasis
Raw score of 6 is considered high

70+:
Unambitious
Unsmiling
Insecure
Worries
Over concerned about health
Egocentric
Narcissistic
Immature

Moderately High 65-70:
Wide range of interests, but tendency toward introversion
Insomnia, general unhappiness
Complaints of tension

Correlated with real physical illness

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17
Q

1-2

A

Elevated Hypochrondriasis and Depression
May indicate real illness
Hypochondriacs are not depressed about fake illnesses
If 2 is /low/ it may mean expressing depression in somatic terms

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18
Q

1-2-3

A

Always interpret 1, 2, and 3 together

Elevation of all three (or just 1 & 2) can be someone covering depression with physical symptoms

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19
Q

1-2-7 (College Female)

A

Hypochondriasis, Depression, and Pyschasthenia

Typical of home-sickness

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20
Q

Low 1

A

Low Hypochondriasis
Females: Education majors
Persuasive personalities

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21
Q

Scale 2 (D)

A

Depression
Least stable of MMPI scores
Depresion scale is easy to make, because depressives talk about being depressed.
Linear scale, average depression and mania at 50
Very common second number

Deals with discouragement, brooding, feelings of dullness

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22
Q

High D

A

High Depression
70+
Gets in the way of what you are trying to do
80+
Worried about rash actions, nothing can get done
90+
Psychotic depression (guilt-ridden, withdrawn)
Hard to treat because depressed about delusional thinking

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23
Q

Low D

A

Low Depression

Possibly manic

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24
Q

2-4

A

Depression and Psychopath

  • Common in prison populations
  • Could be a secondary psychopath
  • Reactive depression
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25
Scale 1 (D) Harris Lingo
D1: Subjective Depression (Feeling down, feeling blue) D2: Psychomotor Retardation (Feeling slow) D3: Physical Malfunctioning (Aches and pains) D4: Mental Dullness (poor memory, difficulty concentrating) D5: Brooding or Rumination
26
High 1, Low 2, High 3
High Hypochrondriasis, Low Depression, High Hysteria Converting depression into physical symptoms Physical sensations allow them to escape
27
1-2-3
Failed Somaticizing | Patient attempting to make it into physical symptoms, but still experiencing the depression
28
Scale 3 (Hy)
Hysteria One of the best scales on the MMPI Divided into physical complaints and hysterical personality, getting 65+ requires endorsing both areas Originally tested conversion reaction which is much rarer. Also identifies hysterical personality (called Borderline these days)
29
Discriminating Hysteria from Hypochondriasis & Psychosomatics
Hypochondriasis & Hysteria Hysteria has more concrete symptoms Example: Back pain, if just pain, hypochondriacal. If you can't move, it's hysterical. Hysteria & Psychosomatics Real physical problems that stem from psychological factors
30
High Hy
High Hysteria At 60: Can be acquired by endorsing one or the other of the two scales 70+ Conversion hysterics and hysterical personality Infantile Self-centered Complaining Passive aggressive Views self as mature, easy to get along with, and generous to a fault Immature
31
Low Hy
``` Low Hysteria Demanding Cold Obsessively get stuff done Roll over people Lack of compassion ```
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Low 1, 2=50+, 3=60+
Virtue Claimer Hysterical Personality May have a high K
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1=70, 2=50, 3=58
Complainer | May have a high K
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Scale 3 (Hy) Harris Lingo
Hy1: Denial of Social Anxiety Hy2: Need for affection and reinforcement from others Hy3: Lassitude Malaise (can't enjoy life despite things being great) Hy4: Somatic complaints Hy5: Inhibition of aggression
35
Scale 4 (Pd)
Psychopathic Deviant | Good scale, except that standization group was young (almost a juvenile delinquency group)
36
Low 4
``` Low Psychopathic Deviant Passivity Unable to take risks Passive sexually Conventional ```
37
High 4
I Do What I Want Scale Poor planners Low frustration tolerance Acting out Primary Psychopaths: No anxiety Secondary Psychopaths: Anxiety occurs too late for it to change their behavior
38
4-Low 5-6 (Women)
Bitch Valley Also called Pistol in the Petticoat which is approximately 250% more Noir and fucking awesome. Uses femininity in a manipulative, controlling way Ultrafeminine psychopath Passive aggressive, not openly expressed Please don't hate me for this one, totally not my fault.
39
4-5-6 (Men)
``` Male Bitch Valley Feminine Passivity Doesn't express aggression openly, expressive passively Manipulative and passive aggressive Again with the don't hate me for this. ```
40
Hostility Indicators
4 (Psychopathic Deviant) and 6 (Paranoia) 4: More aggressive when people are in the way 6: Disliking or fearing specific people
41
4-7
Secondary Psychopath | Shows grief and remorse over their psychopathic urges
42
4-8
Psychopathy & Schizophrenia Very dangerous and acting out Quiet, not acting out, blargrable stab! Suddenly kills someone Inability to relate to other people (due to schizophrenia) Think Lee Harvey Oswald
43
7-2
Depressed, in-prison psychopath Can't do what I want to do Wants to do horrible stuff, but guards
44
3-4
Wants to be involved in craziness and fun, but is too afraid to DO the awful stuff Often seen in social workers (4 in the 70s)
45
Low 3-High 4
Low 3s are organized and effective, good haters Could be dangerous psychopaths that want to get back at you Vicious and organized
46
4-9
``` Typical prison repeaters Delinquent pattern Manics, psychotics Higher 4: More destructive and vicious Higher 9: More charming and psychopathic You're a psych person, so this is probably you. ```
47
Scale 4 (Pd) Harris Lingo
``` Pd1: Family Discord Pd2: Authority Conflict Pd3: Social Imperturbability Pt4a: Alienation from Everyone Else Pt4b: Alienation from Self ```
48
Scale 5 (M/F)
Masculinity/Femininity "Abnormal" to score feminine for male, masculine for female Small sample size of only people who fully wanted to change sex and had no "other" psychopathology Identification with traditional male and female norms/actions
49
4-5 (into 85 range on 5)
Correlated with homosexual acting out | 4 says they'll act out with whatever they do, so apparently they bang against social morays?
50
Scale 6 (Pa)
Paranoia Gives very few false positives, but some false negatives Paranoia begins with realistic persecution Higher in minority groups High scores more frequent in females than in males Women in the 20s (especially Orthodox Jews and other conservative religious groups) often show high 6s. Curvilinear: Optimal score 40-60
51
High 6
High Paranoia Demonstrates black and white thinking: Good guys, Bad guys, and Too Stupid to get it Tend to have friends (2-3 people) 60-70: Soft Paranoid Oversensitive, wears feelings on sleeve, touchy, self-critical. Lacks viciousness or hostility, more vulnerable 70-85: Righteous paranoid- Persecutory feelings, people out to get them. Claim excessive moral virtue, overly rational. Mr. Spock Syndrome, intellectualize and can be dangerous. 85+ Not just believing people out to get them, pt will get them first. Truly dangerous.
52
Low 6
Low 40s Paranoid in a stupid way Think people don't like them, they're right Poor social skills, turn people off. Often close-talkers Less interesting, cohesive or sophisticated delusional systems
53
2-4-6-8
Most dangerous profile 4 tells people to act out 6 & 8 are big hostility indicators
54
2-6
Anger turned inward Negative judgments toward the self Often prone to alcoholism
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4-6
Delinquency Psychopaths not really vicious, they just see you as an obstacle, it isn't personal. Paranoids... THOSE are personal
56
Scale 6 (Pa) Harris Lingo
Pa1: Ideas of External Influence Pa2: Poignancy (feelings of being special, unique, different) Pa3: Moral Virtue ("I'm smarter, more rational, excessively generous" Yeah, bullshit. You're hostile and pissy.)
57
Scale 7 (Pt)
Psychasthenia Anxiety/Obsessive-Compulsiveness Sometimes grouped with the neurotic triad Doesn't necessarily pick up PTSD or specific phobia the way that it is supposed to O-Dawg doesn't like it, calls it the worst scale on the MMPI -Face valid -Easily faked -Sometimes misses people who are highly severe -Overlaps with scale 8 also
58
Scale 8 (Sc)
Schizophrenia Kind of surprised there isn't more information here It would be kind of nice if there was. Umm... Schizophrenic or creative? Let's move on to the High/Lows
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High 8
``` Slight increase: Creativity 75-90 Schizophrenic 90+: People who think they are going fucking crazy and are scared to death about it. ```
60
Low 8
Dull Overcontrolled Unimaginative
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Scale 8 (Sc) Harris Lingo
``` Sc1: Social Alienation Sc2: Emotional Alienation Sc3: Lack of Ego Mastery, Cognitive Sc4: Lack of Ego Mastery, Conative Sc5: Lack of Ego Mastery, Defective Inhibition Sc6: Bizarre Sensory Experiences ```
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Scale 9 (Ma)
Mania Energy thermometer High scores more common with youth Often moves down with aging
63
High 9
``` 50-60 Normal 60-70 Still pretty normal, especially with college kids 70-80 Distracted by how much energy 80 Really having an effect on people around you as well ```
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Scale 0 (Si)
Social Introversion Not Pathology Added later and may not belong on MMPI High 0 indicates more socially introverted