PY441-Week 4 - MMPI 2 MMPI Common Profiles Profile...

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Unformatted text preview: MMPI 2 MMPI Common Profiles Profile Interpretation Profile • 2 pt code types provide better info than pt single scale analyses single • Profile analysis focuses on • 1. Determine the validity of the profile • 2. Interpret two point code type • 3. Interpret other elevations • 4. Look at content or supplementary 4. scales scales Profile Interpretation Profile • Order is not important in interpreting two Order point code types (2-7 vs 7-2) point • A “well-defined” code type is where there “well-defined” is at least 5 T score pts difference between the lower of the 2 scales and the next highest scale next • Code types can be interpreted even if not Code significantly elevated (just not as well defined) defined) Profile Interpretation Profile • Significant elevations suggest symptoms Significant & personality characteristics personality • Less elevated code types may only Less suggest personality characteristics suggest • Few gender differences: 1-2 & 7-8 more Few common in men, 2-3 & Low 5 more in women women • No elevation profiles are most common No (36% of men; 26% of women) (36% Profiles Profiles • With no elevations: – Individual perceives themselves as generally Individual happy, healthy and contented happy, – Relationships are satisfying – If in a clinic setting, consider if this is If consistent with reason for seeking treatment consistent – If there are problems, they have become If chronically ingrained & he/she is accustomed to them to 2 pt code types pt 1-2/2-1 • • • • • • • React to stress with physical symptoms Resistant to emotional explanation Anxious, unsure of themselves Passive dependent in relationships May use alcohol excessively High strung, over react to minor stress Disgruntled medical patient 1-2/2-1 continued 1-2/2-1 • Feel weak, tired, anxious, depressed, Feel irritable, restless, worried irritable, • Typical feedback statements: – You probably feel overwhelmed by worry, You anxiety & tension anxiety – You may even confuse symptoms of anxiety You with symptoms of heart attacks or some other life threatening condition life 1-3/3-1 1-3/3-1 • Conversion V-see previous notes • Feedback: – Your profile suggests that you have grown Your accustomed to accepting a great deal of pain & discomfort discomfort – You value being cheerful & positive about You things so you try to live with pain & endure it things 2-3/3-2 2-3/3-2 • Mild to moderate depression, worrying, Mild anhedonia anhedonia • Feels inadequate, helpless • Easily hurt by criticism • Increase in depression & physical Increase symptoms in response to stress symptoms • Indirect expression of anger 2-3/3-2 cont 2-3/3-2 • • • • Introverted, socially uncomfortable Mild physical symptoms, sleep disturbance Passive, dependent, over controlled emotionally May be achievement oriented but uncomfortable May with excess pressure and competition with • Probably chronic, poor tx prognosis, not good Probably insight insight 2-4/4-2 2-4/4-2 • Seeking tx because of legal trouble or Seeking other circumstances where they have “been caught” “been • Angry, resentful, blame others • Distressed by current situation • Impulsive, acting out behavior, substance Impulsive, abuse abuse 2-4/4-2 cont 2-4/4-2 • Feel remorse after acting out, but short Feel lived lived • Hi elevations suggest suicide risk • Outgoing, but feel insecure & inadequate • Will terminate tx when distress diminishes • Often marital and family conflict; feels Often trapped and hopeless trapped • Poor work history 2-7/7-2 Codetype 2-7/7-2 • • • • • • • Worrier, tense, agitated Depression with ruminative thinking Suicidal ideation needs to be assessed “Neurotic”, dependent, guilty Pessimistic, hopeless, hard on themselves Vague physical complaints Anticipate problems, over react to stress 2-7/7-2 codetype 2-7/7-2 • Strong need for achievement, but feel Strong guilty when they fall short guilty • Rigid & perfectionistic in daily living • Docile and passive-dependent in Docile relationships relationships • Tend to be motivated for therapy and stay Tend in treatment in 2-8/8-2 codetype 2-8/8-2 • • • • • • • Anxious, depressed and agitated Disturbance in thinking, confusion Somatic complaints, irritable Withdrawal, flat affect Isolated, introverted, poor concentration Suicide risk Hi-may have psychotic symptoms 2-9/9-2 codetype 2-9/9-2 • • • • • • • Narcissistic; ruminate about self worth Agitated, depressed Ruminative, tense, moody Impulsive, excitable Irritable, aggressive Substance abuse possible Frustration in lack of accomplishment Frustration 3-4/4-3 codetype 3-4/4-3 • • • • • • • Passive-aggressive Angry, but resort to somatization Lack insight, blame others Demand attention, hostile when criticized Extroverted and sociable Little emotional distress; poor insight Substance abuse potential 3-4/4-3 codetype 3-4/4-3 • • • • • • • Harbor chronic intense anger If 3 higher, indirect expression of anger If 4 higher, overcontrolled most of time, with If periodic outbursts periodic Blame others for their difficulties May have difficult family history Chronic poor relationships with others Likely a personality disorder diagnosis 3-6/6-3 Codetype 3-6/6-3 • • • • • • Tension, anxiety, headaches Chronic interpersonal problems Afraid of being criticized or judged Uncooperative, hard to get along with Suspicious, projecting Resentful and lacking in insight 4-6/6-4 Codetype 4-6/6-4 • • • • • • • Immature, narcissistic, manipulative Adversarial relationships with opposite sex Family and relationship conflict Mistrusting of others Good memory, never forgets a slight Deny problems, externalizes blame See Scarlet O’Hara 4-8/8-4 codetype 4-8/8-4 • • • • • • • Nonconforming; resentful of authority Very disturbed; bizarre or violent crimes Most common code type of rapists Distrusting of others, lack social skills Angry, bizarre thinking, sexual obsessions Suicide risk Substance abuse risk 4-9/9-4 codetype 4-9/9-4 • • • • • • • Charming, outgoing, manipulative Makes initial good impression Lack of regard for societal norms Acting out, impulsive, easily frustrated Narcissistic, self centered Shallow, superficial relationships Minimal distress, easily bored 4-9/9-4 continued 4-9/9-4 • Problems following rules, authority • Poor judgment, doesn’t learn from Poor mistakes mistakes • Self-indulgent • Ambitious, energetic • Uninhibited, extroverted, self-confident • Substance abuse risk 6-8/8-6 Codetype 6-8/8-6 • • • • • Severe emotional distress, seen as odd Emotional withdrawal, mistrusting Anxiety, depression, poor social skills Preoccupied with abstract ideas Difficulties in concentrating, unusual Difficulties thinking thinking • Blunted affect, odd speech, poor social Blunted skills skills 6-8/8-6 • • • • • Resentful of others, holds grudges Likely to be psychotic under stress Dx likely paranoid schizophrenia Poor judgment, poor work history Difficulty in differentiating reality and Difficulty fantasy fantasy • May need consult for medication 7-8/8-7 codetype 7-8/8-7 • Significant emotional turmoil, confusion • Indecisive, withdraw from social Indecisive, interaction interaction • Obsessive, ruminative • Sexual fantasies • Passive dependent relations • Elevation and order important-hi 8 more Elevation suggestive of psychosis suggestive 3 point code types point • 1-2-3-somatiform disorder-depression, 1-2-3-somatiform dependency, somatic complaints dependency, • 1-3-8-bizarre somatic symptoms/delusions • Agitated, restless, disturbed thinking • 2-4-7-passive aggressive personality, 2-4-7-passive anger worry, depression; family & marital problems, overreact to stress, poor impulse control impulse 3 Pt code types Pt • 2-7-8-distressed, schizoid, problems with 2-7-8-distressed, concentration, moody, sad, pessimistic,lack social skills, socially withdrawn withdrawn • 4-6-8 (plus 2) acute psychological 4-6-8 disturbance, borderline characteristics, suicidal behavior, alienation, angry, antisocial antisocial Additional interpretation rules (codetypes) (codetypes) • 1,3 ten pts >2, suggests denial & 1,3 repression repression • 2 = or > than 1 & 3 suggests emotional or turmoil turmoil • 4 > 3 suggests poor anger control • 3 > 4 suggests adequate anger control • 3 & 4 even & >65 suggests overcontrolled even anger which may occasionally erupt anger Rules (codetypes) Rules • Higher 5’s for males indicate anger control • 4 & 6 above average suggests passiveaggressive expression of anger • 7 higher than 8 suggests acute distress, higher thought disorder not likely thought • 8 higher than 7 more suggestive of higher chronic, psychotic disturbance chronic, ...
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