PY 441-Week 3, Part 1 - The MMPI-2 Scales: Clinical Scales...

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The MMPI-2 Scales: Clinical Scales and Sub-Scales PY441-Week 3, Part 1
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Over time, the MMPI-2 developed into major scales and sub-scales: Major Scales Clinical Content Supplementary Subscales Harris-Lingoes (Clinical) Content Component (Content)
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MMPI-2 Clinical Scales High scores-T>65, sometimes focus only on highest one (elevations) or two point or three point scales Low scores-Meaning varies by scale Some low scales may mean absence of problem Some low scales also represent pathology 5 & 0 have interpretation for low scores
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Harris-Lingoes Subscales Many scales are heterogeneous Harris-Lingoes based on rational analysis of items into groups There is item overlap in the subscales No H-L for Scales 1, 5 & 7 Two schools of thought: Should only be interpreted if whole scale is elevated Interpret if there are any H-L elevations (in the Structural Summary)
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Scale 1: (Hs)-Hypochondriasis Identify patients with excessive somatic concerns All items relate to physical concerns Elderly and those with actual health problems only slight elevations (60s) Women tend to endorse more scale 1 items than men
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Scale 1 T=55-65: Respondent may actually be physically ill Will endorse those items dealing with real symptoms T>65: Negative outlook, pessimistic Demand attention Poor insight, passive aggressive Not good psychotherapy patient Excessive worries about health, lacks energy, headaches, stomach aches, poor sleep (hypochondriacal presentation)
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Scale 1 T=60-70s: Whiny, self-centered, narcissistic Frustrated with doctors T>80: conversion disorder, somatic delusion or extreme complaining
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Scale 2 (D)-Depression Measures symptoms of depression: Poor morale Hopelessness/helplessness General dissatisfaction with life Lack of interest in activities Low energy Social withdrawal Somatic symptoms
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Scale 2 T<45: Alert, outgoing, active Rare score T=45-59: “normal” Some “blue moods” and bad days Not chronic
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Scale 2 T=60-65: Dissatisfaction with life, stress, elderly, or some physical problem T>65 (more like 70): Depressed, hopeless, lack of energy Irritable, worrying, insecure Withdrawn, overwhelmed The higher the T score, the more chronic and pervasive the symptoms.
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H-L Subscales for Scale 2 (D) Helps to assess symptomatic depression Subjective Depression Psychomotor Retardation Physical Malfunctioning Mental Dullness Brooding
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Scale 3: (Hy)-Hysteria Originally normed on conversion reaction patients-involuntary psychogenic loss of physical functioning Overlaps with Scale 1, (denial of good health), but also denial of emotional problems or social discomfort Higher scores more likely in women and associated with intellectual scores
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This note was uploaded on 05/26/2011 for the course PSY PY437, PY taught by Professor Rogers during the Spring '11 term at The Chicago School of Prof. Psychology.

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PY 441-Week 3, Part 1 - The MMPI-2 Scales: Clinical Scales...

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