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Minnesota Multiphasic Personality Inventory
What is the MMPI test?
The Minnesota Multiphasic Personality Inventory (MMPI) is the most
widely used and researched clinical assessment tool utilized by mental health
professionals to help diagnose mental health disorders.
Originally developed in the late 1930s, the test has been revised and updated
several times to improve accuracy and validity. The MMPI-2 test questions
consist of 567 true-false and take approximately 60 to 90 minutes to complete;
the MMPI-2-RF has 338 true-false questions, taking 35 to 50 minutes to finish.
History of the MMPI
The Minnesota Multiphasic Personality Inventory (MMPI) was developed in 1937 by
clinical psychologist Starke R. Hathaway and neuropsychiatrist J. Charnley McKinley at
the University of Minnesota.
They originally developed the test to be used in the Department of Psychology at the
University of Minnesota. The goal was to develop an instrument that could be used as
an objective tool for assessing different psychiatric conditions and their severity.
The creators of the test felt that the self-report inventories of the time were too
transparent. Because respondents could easily guess the intent of these inventories,
they could also manipulate the results with ease.
Test items were originally developed by selecting questions that have been
endorsed by people diagnosed with different mental health conditions. The test
grew to become one of the most widely used psychological assessments. It was
utilized in psychology clinics, hospitals, correctional facilities, and pre-
employment screenings.
Today, it's the most frequently used clinical testing instrument and is one of the
most researched psychological tests in existence. While the MMPI is not a
perfect test, it remains a valuable tool in the diagnosis and treatment of mental
illness.
Types of MMPI Tests
• In the years after the test was first published, clinicians and researchers began to
question the accuracy of the MMPI. Critics pointed out that the original sample
group was inadequate. Others argued that the results indicated possible test bias,
while others felt the test itself contained sexist and racist questions.
• In response to these issues, the MMPI underwent a revision in the late 1980s. Many
questions were removed or reworded while a number of new questions were added.
Additionally, new validity scales were incorporated in the revised test.
1. MMPI-2: The revised edition of the test was released in 1989 as the MMPI-2.3 The test received revision
again in 2001 and updates in 2003 and 2009, and it's still in use today as the most frequently used clinical
assessment test.
2. MMPI-2-RF: Another edition of the test, published in 2008, is known as the Minnesota Multiphasic
Personality Inventory-2-Restructured Form (MMPI-2-RF), an alternative to the MMPI-2.
3. MMPI-A: There is also an MMPI, published in 1992, that's geared toward adolescents aged 14 to 18 years
old called the MMPI-A. With 478 questions, it takes about an hour to complete.
4. MMPI-A-RF: In 2016, the Minnesota Multiphasic Personality Inventory-Adolescent-Restructured Form
(MMPI-A-RF) was published. Like the MMPI-2-RF, it's shorter, with just 241 questions that take 25 to 45
minutes to answer.
5. MMPI-3: The latest version of the instrument, MMPI-3, was released in 2020. The test takes 25 to 50
minutes to complete and is available in English, Spanish, and French for Canada formats.
How the MMPI is used?
The MMPI is most commonly used by mental health professionals to assess and
diagnose mental illness, but it has also been utilized in other fields outside of clinical
psychology. The MMPI-2 is often used in legal cases, including criminal defense and
custody disputes.
The test has also been used as a screening instrument for certain professions, especially
high-risk jobs, although using it in this manner has been controversial. It's also used to
evaluate the effectiveness of treatment programs, including substance use programs.
Applied for
The Minnesota Multiphasic Personality Inventory (MMPI) is primarily used for
assessing personality and psychopathology, particularly in clinical and forensic settings.
It's not specifically designed to diagnose disorders but rather to provide information
about an individual's personality traits, psychological functioning, and potential for
psychopathology. The MMPI consists of a large number of true/false questions
covering various aspects of personality, mood, behavior, and attitudes. Its scales
measure different dimensions of personality and psychopathology, such as depression,
paranoia, schizophrenia, hypochondriasis, and psychopathic deviance. Clinicians use
the MMPI to help assess and diagnose a wide range of psychological disorders,
including but not limited to:
Depression: The MMPI assesses symptoms of depression through scales like the
Depression (D) scale and the Depression Content (Dc) scale
Anxiety: Scales such as the Anxiety (ANX) scale and the Psychasthenia (Pt) scale
measure symptoms related to anxiety disorders.
Psychotic Disorders: The Schizophrenia (Sc) scale assesses symptoms associated
with schizophrenia and other psychotic disorders.
Personality Disorders: Certain scales of the MMPI, like the Hypomania (Ma) scale
and the Psychopathic Deviate (Pd) scale, provide information relevant to diagnosing
personality disorders.
Somatization Disorders: The Hypochondriasis (Hs) scale evaluates
symptoms of somatization disorders and hypochondriasis
PTSD: Although not designed specifically for this purpose, the MMPI can
provide information relevant to diagnosing post-traumatic stress disorder
(PTSD) through various scales measuring emotional distress and somatic
symptoms.
Taking the MMPI Test
The MMPI-2 contains 567 test items and takes approximately 60 to 90 minutes to
complete.8 The MMPI-2-RF contains 338 questions and takes around 35 to 50
minutes to finish. The MMPI-3 contains 335 self-report items and takes 25 to 35
minutes to administer by computer and 35 to 40 minutes to administer by paper and
pencil.
Additionally, the MMPI is copyrighted by the University of Minnesota, which means
clinicians must pay to administer and utilize the test.
The MMPI should be administered, scored, and interpreted by a professional,
preferably a clinical psychologist or psychiatrist, who has received special training in
MMPI use.
The MMPI test should be used with other assessment tools as well. A diagnosis
should never be made solely on the results of the MMPI.
The MMPI can be administered individually or in groups and computerized
versions are available as well. Both the MMPI-2 and the MMPI-2-RF are
designed for individuals age 18 years and older.
The test can be scored by hand or by a computer, but the results should always
be interpreted by a qualified mental health professional that has had extensive
training in MMPI interpretation.
What the MMPI measures?
The MMPI-2 and MMPI-A have 10 clinical scales that are used to indicate
different psychological conditions, though the MMPI-2-RF and the MMPI-A-
RF use different scales.
Despite the names given to each scale, they are not a pure measure since many
conditions have overlapping symptoms. Because of this, most psychologists
simply refer to each scale by number.
Here's a brief overview of the clinical scales on the MMPI-2 and the MMPI-A.
Scale 1—Hypochondriasis
This scale was designed to assess a neurotic concern over bodily functioning. The
items on this scale concern physical symptoms and well-being. It was originally
developed to identify people displaying the symptoms of hypochondria, or a tendency
to believe that one has an undiagnosed medical condition.
Scale 2—Depression
This scale was originally designed to identify depression, characterized by poor
morale, lack of hope in the future, and general dissatisfaction with one's own life
situation. Very high scores may indicate depression, while moderate scores tend to
reveal a general dissatisfaction with one’s life.
Scale 3—Hysteria
The third scale was originally designed to identify those who display hysteria or physical
complaints in stressful situations. Those who are well-educated and of a high social class tend
to score higher on this scale. Women also tend to score higher than men on this scale.
Scale 4—Psychopathic Deviate
Originally developed to identify psychopathic individuals, this scale measures social deviation,
lack of acceptance of authority, and amorality (a disregard for morality). This scale can be
thought of as a measure of disobedience and antisocial behavior. High scorers tend to be more
rebellious, while low scorers are more accepting of authority. Despite the name of this scale,
high scorers are usually diagnosed with a personality disorder rather than a psychotic disorder.
Scale 5—Masculinity-Femininity
This scale was designed by the original authors to identify what they referred to as
"homosexual tendencies," for which it was largely ineffective. Today, it is used to assess
how much or how little a person identifies how rigidly an individual identifies with
stereotypical male and female gender roles.
Scale 6—Paranoia
This scale was originally developed to identify individuals with paranoid symptoms
such as suspiciousness, feelings of persecution, grandiose self-concepts, excessive
sensitivity, and rigid attitudes. Those who score high on this scale tend to have
paranoid or psychotic symptoms.
Scale 7—Psychasthenia
This diagnostic label is no longer used today and the symptoms described on this scale are
more reflective of anxiety, depression, and obsessive-compulsive disorder. This scale was
originally used to measure excessive doubts, compulsions, obsessions, and unreasonable fears.
Scale 8—Schizophrenia
This scale was originally developed to identify individuals with schizophrenia. It reflects a
wide variety of areas including bizarre thought processes and peculiar perceptions, social
alienation, poor familial relationships, difficulties in concentration and impulse control, lack of
deep interests, disturbing questions of self-worth and self-identity, and sexual difficulties .The
scale can also show potential substance abuse, emotional or social alienation, eccentricities, and
a limited interest in other people.
Scale 9—Hypomania
This scale was developed to identify characteristics of hypomania such as
elevated mood, hallucinations, delusions of grandeur, accelerated speech and
motor activity, irritability, flight of ideas, and brief periods of depression.
Scale 0—Social Introversion
This scale was developed later than the other nine scales. It's designed to assess
a person’s shyness and tendency to withdraw from social contacts and
responsibilities.
MMPI Test Validity Scales
All of the MMPI tests use validity scales of varying sorts to help assess the accuracy
of each individual's answers. Since these tests can be used for circumstances like
employment screenings and custody hearings, test takers may not be completely honest
in their answers.
Validity scales can show how accurate the test is, as well as to what degree answers may
have been distorted.10 The MMPI-2 uses the following scales.
The L Scale
Also referred to as the lie scale, this "uncommon virtues" validity scale was developed
to detect attempts by individuals to present themselves in a favorable light.
People who score high on this scale deliberately try to present themselves in the most positive way
possible, rejecting shortcomings or unfavorable characteristics.11
University of Minnesota. Interpretation of MMPI-2 Validity Scales. MMPI-2 Training Slides,
University of Minnesota Press; 2015.
The F Scale
This scale is used to detect attempts at overreporting. Essentially, people who score high on this
scale are trying to appear worse than they really are, they may be in severe psychological distress, or
they may be just randomly answering questions without paying attention to what the questions say.
This scale asks questions designed to determine if test-takers are contradicting themselves in their
responses.
The K Scale
Sometimes referred to as the "defensiveness scale," this scale is a more effective and less
obvious way of detecting attempts to present oneself in the best possible way by
underreporting.
People may underreport because they're worried about being judged or they may be minimizing
their problems or denying that they have any problems at all.
The ? Scale
Also known as the "cannot say" scale, this validity scale assesses the number of items left
unanswered. The MMPI manual recommends that any test with 30 or more unanswered
questions should be declared invalid.
TRIN Scale
The True Response Inconsistency (TRIN) scale was developed to detect people who use fixed
responding, a method of taking the test without regard to the question, such as marking ten
questions "true," the next ten as "false," and so on.
Fixed responding could be used due to not being able to read or comprehend the test material well
or being defiant about having to take the test. This section consists of 20 paired questions that are
the opposite of each other.
VRIN Scale
The Variable Response Inconsistency (VRIN) scale is another method developed to detect
inconsistent, random responses. Like fixed responding, this can be intentional or it can be due to not
understanding the material or not being able to read it.
The Fb Scale
This scale is designed to show changes in how a person responded in the first half of the test
versus how they responded in the second half by using questions that most normal
respondents didn't support.
High scores on this scale sometimes indicate that the respondent stopped paying attention and
began answering questions randomly. It can also be due to over or underreporting, fixed
responding, becoming tired, or being under severe stress.
The Fp Scale
This scale helps detect intentional overreporting in people who have a mental health disorder
of some sort or who were using random or fixed responding.
The FBS Scale
The "symptom validity" scale is used for people who are taking the test because they're
claiming that they had a personal injury or disability. This scale can help establish the
credibility of the test taker.
The S Scale
The "superlative self-presentation" scale was developed in 1995 to look for additional
underreporting. It also has sub-scales that assess the test taker's belief in human
goodness, serenity, contentment with life, patience/denial of irritability, and denial of
moral flaws.
How Accurate Is The MMPI Test?
The MMPI is considered reliable; however, it is just one tool of many to
diagnose mental health conditions.
Although the MMPI provides useful information, a health professional
shouldn't rely on just one tool in order to make a full diagnosis.
Diagnoses should be made by taking a number of things into account such as a
physical and psychological exam, a thorough health history, and, if necessary,
lab tests to rule out substance use and/or other illnesses that may produce
symptoms of mental health conditions.
Things To Consider When Taking The MMPI
Test
If you're taking the MMPI test, the following are some helpful tips to keep in mind:
It's not a pass/fail test: There is no way to get the test questions right or wrong. The
test is a tool used to assess personality and mental illnesses.
You can take an MMPI test online for free: Some sites offer a free practice test so
you can get comfortable with the types of questions.
You don't study for this test: Taking a practice test can help you feel more prepared
for when you take the real test; however, since there are no right or wrong answers, try
not to stress. You don't study for the MMPI like you would for a test in school, for
instance.
Personality disorder
Personality Disorder:
✓Personality Disorder are a group of 10 mental health conditions that involves long lasting ,
disruptive pattern of thinking, behavior, mood and relating to others .
✓ People with personality Disorder often don't realize their thoughts and behavior are
problematic Personality is vital to defining who we are as individuals.
✓ It involves a unique blend of traits including attitudes, thoughts , behaviors, and modes as
well as how we express these traits in our contact with other people and the world around us.
✓Some characteristics of an individual's personality are inherited, and some are shaped by life
events and experiences. A personality disorder can developed if certain personality traits
become too rigid and inflexible. People with personality disorder have long standing pattern of
thinking and acting that differ from what society considers usual or normal. People with
personality disorder generally are not aware that they have a problem and do not believe they
have anything to control.
Types
What are the types of personality disorders?
The diagnostic and Statistical Manual of Mental Disorder (DSM-5) , which is the standard
reference book for recognized mental illnesses, recognizes personality disorder into three main
categories, with several types of personality disorders in each category.
✓ Cluster A: Eccentric personality disorder
People with these disorder often appear odd or peculiar. The Eccentric personality disorder
include;
• Paranoid personality disorder
Paranoia is the hallmark of this disorder. People with paranoid personality disorder have a
constant mistrust and suspicion of other. They believe that others are trying to demean, harm,
and threaten them.
• Schizoid personality disorder
People with this disorder are distant, detached and indifferent to social
relationships. They generally are loners who prefer solitary activities and rarely
express strong emotion. •
Schizotypal personality disorder
People with this disorder display unusual thinking and behavior, as well as
appearances. People with Schizotypal personality disorder might have odd belief
and often are very superstitious.
 Cluster B: Dramatic personality disorder
People with these disorder have intense, unstable emotions and a distorted self
image. They also often tend to behave impulsively. These disorder include;
Antisocial personality disorder
People with this disorder are sometimes called "sociopaths" or "psychopaths". This
disorder is characterized by rash, irresponsible, and aggressive behavior, which often
is expressed by a disregard for others and an inability to abide by social rules.
Borderline personality disorder
This disorder is marked by unstable moods, poor self image, chaotic relationship,
and impulsive behavior such as ( such as sexual promiscuity, substance abuse, over
spending, and reckless driving).
Histrionic personality disorder
People with this disorder are shallow and constantly seek attention. They often
are very dramatic, possibly even childish, and overly emotional.
Narcissistic personality disorder
This disorder is characterized by an exaggerated sense of superiority, and
preoccupation with success and power. However, this preoccupation is fueled
by a fragile self-esteem. People with this disorder are very self centered, tend to
lack empathy, and require constant attention and admiration.
Cluster C personality disorders: Cluster C personality disorders involve severe
anxiety and fear. They include:
Avoidant personality disorder: People with this condition have chronic feelings of
inadequacy and are highly sensitive to being negatively judged by others. Though they
would like to interact with others, they tend to avoid with others, they tend
Dependent personality disorder: This condition is marked by a constant and excessive
need to be cared for by someone else. It also involves submissiveness, a need for
constant reassurance and the inability to make decisions to avoid social interaction due
to the intense fear of being rejected.
People with dependent personality disorder often become very close to another
person and spend great effort trying to please that person. They tend to display passive
and clinging behavior and have a fear of separation.
Obsessive-compulsive personality disorder (OCPD): This condition is marked by a
consistent and extreme need for orderliness, perfectionism and control (with no room
for flexibility) that ultimately slows or interferes with completing a task. It can also
interfere with relationships. This is a separate condition from obsessive-compulsive
disorder (OCD), which is classified as an anxiety disorder. While people usually are
aware that OCD is causing their behavior and accept they need to change, people with
OCPD usually have little, if any, self-awareness of their behaviors.
People might have mixed symptoms of more than one personality disorder. Who do
personality disorders affect? Anyone can have a personality disorder. But different
types of personality disorders affect people differently. Most personality disorders
begin in the teen years when your personality further develops and matures. As a
result, almost all people diagnosed with personality disorders are above the age of 18.
One exception to this is antisocial personality disorder approximately 80% of people
with this disorder will have started to show symptoms by the age of 11.
Antisocial personality disorders are more likely to affect people assigned male at birth.
Borderline, histrionic and dependent personality disorders are more likely to affect
people assigned female at birth.
How common are personality disorders?
Approximately 9% of adults in the U.S. have some type of personality disorder,
and about 6% of the global population has a personality disorder. Borderline
personality disorder (BPD) and antisocial personality disorder are the most
frequently diagnosed personality disorders.
Symptoms
Some general signs of people with a personality disorder include:
1-Their behavior is inconsistent, frustrating and confusing to loved ones and other people they
interact with
.2-They may have issues understanding realistic and acceptable ways to treat others and behave
around them.
3-They may be unaware of how their behaviors cause problems for themselves and/or others.
4-If they’re a parent, their parenting style may be detached, overemotional, abusive or
irresponsible. This can sometimes lead to physical, emotional or mental issues in their children.
Diagnostic criteria
According to DSM 5 a person must meet the following criteria to be diagnosed with
personality disorder:
1- Chronic and pervasive patterns of behavior that affect social functioning, work,
school,and close relationships
2-Symptoms that affect two or more of the following four areas: thoughts, emotions,
interpersonal functioning, impulse control3-Onset of patterns of behavior that can be
traced back to adolescence or early adulthood4- Patterns of behaviors that cannot be
explained by any other mental disorders, substance use, or medical conditions
Causes
Personality disorders typically arise from a combination of genetic, environmental, and
developmental factors. Some common causes are
Genetics: Certain personality traits and disorders may have a genetic
predisposition, meaning they can run in families
Childhood experiences: Traumatic or dysfunctional experiences during
childhood, such as abuse, neglect, or inconsistent parenting, can contribute to the
development of personality disorders
Biological factors: Brain chemistry and structure may play a role in personality
development, although the exact mechanisms are not fully understood.
Environmental influences: Cultural, societal, and environmental factors can
impact the development of personality, including societal expectations, peer influences,
and socio-economic status
Temperament: Inborn temperament, such as being highly sensitive or impulsive,
can influence the development of personality traits that may contribute to certain
disorders.
Interactions between factors: Often, it's the interaction between genetic
predispositions and environmental factors that ultimately shape the development of
personality disorders.
Management and Treatment
The management and treatment of personality disorders typically involve a combination of
psychotherapy, medication, and support services. Here are some common approaches:
1. Psychotherapy: Various forms of psychotherapy, such as cognitive-behavioral therapy
(CBT), dialectical behavior therapy (DBT), schema-focused therapy, and psychodynamic
therapy, are commonly used to help individuals with personality disorders. These therapies
focus on improving insight, coping skills, and interpersonal functioning
2. Medication: While medication alone is not usually sufficient for treating personality
disorders, it can help alleviate specific symptoms such as depression, anxiety, or
impulsivity. Antidepressants, mood stabilizers, and antipsychotic medications may be
prescribed based on individual symptoms and needs.
• 3. Group therapy: Group therapy can provide a supportive environment for
individuals with personality disorders to learn from others, practice social skills, and
receive feedback on their behavior.
• 4. Supportive services: Case management, vocational rehabilitation, and housing
assistance can help individuals with personality disorders address practical needs and
improve their overall functioning.
• 5. Family involvement: Involving family members in therapy can be beneficial for
both the individual with the personality disorder and their loved ones, as it can
improve communication, reduce conflict, and provide support.
• 6. Self-help strategies: Encouraging individuals to engage in self-help
activities such as journaling, mindfulness, relaxation techniques, and healthy
lifestyle choices can complement formal treatment and promote overall well-
being.

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  • 1.
  • 2. Minnesota Multiphasic Personality Inventory What is the MMPI test? The Minnesota Multiphasic Personality Inventory (MMPI) is the most widely used and researched clinical assessment tool utilized by mental health professionals to help diagnose mental health disorders. Originally developed in the late 1930s, the test has been revised and updated several times to improve accuracy and validity. The MMPI-2 test questions consist of 567 true-false and take approximately 60 to 90 minutes to complete; the MMPI-2-RF has 338 true-false questions, taking 35 to 50 minutes to finish.
  • 3. History of the MMPI The Minnesota Multiphasic Personality Inventory (MMPI) was developed in 1937 by clinical psychologist Starke R. Hathaway and neuropsychiatrist J. Charnley McKinley at the University of Minnesota. They originally developed the test to be used in the Department of Psychology at the University of Minnesota. The goal was to develop an instrument that could be used as an objective tool for assessing different psychiatric conditions and their severity. The creators of the test felt that the self-report inventories of the time were too transparent. Because respondents could easily guess the intent of these inventories, they could also manipulate the results with ease.
  • 4. Test items were originally developed by selecting questions that have been endorsed by people diagnosed with different mental health conditions. The test grew to become one of the most widely used psychological assessments. It was utilized in psychology clinics, hospitals, correctional facilities, and pre- employment screenings. Today, it's the most frequently used clinical testing instrument and is one of the most researched psychological tests in existence. While the MMPI is not a perfect test, it remains a valuable tool in the diagnosis and treatment of mental illness.
  • 5. Types of MMPI Tests • In the years after the test was first published, clinicians and researchers began to question the accuracy of the MMPI. Critics pointed out that the original sample group was inadequate. Others argued that the results indicated possible test bias, while others felt the test itself contained sexist and racist questions. • In response to these issues, the MMPI underwent a revision in the late 1980s. Many questions were removed or reworded while a number of new questions were added. Additionally, new validity scales were incorporated in the revised test.
  • 6. 1. MMPI-2: The revised edition of the test was released in 1989 as the MMPI-2.3 The test received revision again in 2001 and updates in 2003 and 2009, and it's still in use today as the most frequently used clinical assessment test. 2. MMPI-2-RF: Another edition of the test, published in 2008, is known as the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF), an alternative to the MMPI-2. 3. MMPI-A: There is also an MMPI, published in 1992, that's geared toward adolescents aged 14 to 18 years old called the MMPI-A. With 478 questions, it takes about an hour to complete. 4. MMPI-A-RF: In 2016, the Minnesota Multiphasic Personality Inventory-Adolescent-Restructured Form (MMPI-A-RF) was published. Like the MMPI-2-RF, it's shorter, with just 241 questions that take 25 to 45 minutes to answer. 5. MMPI-3: The latest version of the instrument, MMPI-3, was released in 2020. The test takes 25 to 50 minutes to complete and is available in English, Spanish, and French for Canada formats.
  • 7. How the MMPI is used? The MMPI is most commonly used by mental health professionals to assess and diagnose mental illness, but it has also been utilized in other fields outside of clinical psychology. The MMPI-2 is often used in legal cases, including criminal defense and custody disputes. The test has also been used as a screening instrument for certain professions, especially high-risk jobs, although using it in this manner has been controversial. It's also used to evaluate the effectiveness of treatment programs, including substance use programs.
  • 8. Applied for The Minnesota Multiphasic Personality Inventory (MMPI) is primarily used for assessing personality and psychopathology, particularly in clinical and forensic settings. It's not specifically designed to diagnose disorders but rather to provide information about an individual's personality traits, psychological functioning, and potential for psychopathology. The MMPI consists of a large number of true/false questions covering various aspects of personality, mood, behavior, and attitudes. Its scales measure different dimensions of personality and psychopathology, such as depression, paranoia, schizophrenia, hypochondriasis, and psychopathic deviance. Clinicians use the MMPI to help assess and diagnose a wide range of psychological disorders, including but not limited to:
  • 9. Depression: The MMPI assesses symptoms of depression through scales like the Depression (D) scale and the Depression Content (Dc) scale Anxiety: Scales such as the Anxiety (ANX) scale and the Psychasthenia (Pt) scale measure symptoms related to anxiety disorders. Psychotic Disorders: The Schizophrenia (Sc) scale assesses symptoms associated with schizophrenia and other psychotic disorders. Personality Disorders: Certain scales of the MMPI, like the Hypomania (Ma) scale and the Psychopathic Deviate (Pd) scale, provide information relevant to diagnosing personality disorders.
  • 10. Somatization Disorders: The Hypochondriasis (Hs) scale evaluates symptoms of somatization disorders and hypochondriasis PTSD: Although not designed specifically for this purpose, the MMPI can provide information relevant to diagnosing post-traumatic stress disorder (PTSD) through various scales measuring emotional distress and somatic symptoms.
  • 11. Taking the MMPI Test The MMPI-2 contains 567 test items and takes approximately 60 to 90 minutes to complete.8 The MMPI-2-RF contains 338 questions and takes around 35 to 50 minutes to finish. The MMPI-3 contains 335 self-report items and takes 25 to 35 minutes to administer by computer and 35 to 40 minutes to administer by paper and pencil. Additionally, the MMPI is copyrighted by the University of Minnesota, which means clinicians must pay to administer and utilize the test. The MMPI should be administered, scored, and interpreted by a professional, preferably a clinical psychologist or psychiatrist, who has received special training in MMPI use.
  • 12. The MMPI test should be used with other assessment tools as well. A diagnosis should never be made solely on the results of the MMPI. The MMPI can be administered individually or in groups and computerized versions are available as well. Both the MMPI-2 and the MMPI-2-RF are designed for individuals age 18 years and older. The test can be scored by hand or by a computer, but the results should always be interpreted by a qualified mental health professional that has had extensive training in MMPI interpretation.
  • 13. What the MMPI measures? The MMPI-2 and MMPI-A have 10 clinical scales that are used to indicate different psychological conditions, though the MMPI-2-RF and the MMPI-A- RF use different scales. Despite the names given to each scale, they are not a pure measure since many conditions have overlapping symptoms. Because of this, most psychologists simply refer to each scale by number. Here's a brief overview of the clinical scales on the MMPI-2 and the MMPI-A.
  • 14. Scale 1—Hypochondriasis This scale was designed to assess a neurotic concern over bodily functioning. The items on this scale concern physical symptoms and well-being. It was originally developed to identify people displaying the symptoms of hypochondria, or a tendency to believe that one has an undiagnosed medical condition. Scale 2—Depression This scale was originally designed to identify depression, characterized by poor morale, lack of hope in the future, and general dissatisfaction with one's own life situation. Very high scores may indicate depression, while moderate scores tend to reveal a general dissatisfaction with one’s life.
  • 15. Scale 3—Hysteria The third scale was originally designed to identify those who display hysteria or physical complaints in stressful situations. Those who are well-educated and of a high social class tend to score higher on this scale. Women also tend to score higher than men on this scale. Scale 4—Psychopathic Deviate Originally developed to identify psychopathic individuals, this scale measures social deviation, lack of acceptance of authority, and amorality (a disregard for morality). This scale can be thought of as a measure of disobedience and antisocial behavior. High scorers tend to be more rebellious, while low scorers are more accepting of authority. Despite the name of this scale, high scorers are usually diagnosed with a personality disorder rather than a psychotic disorder.
  • 16. Scale 5—Masculinity-Femininity This scale was designed by the original authors to identify what they referred to as "homosexual tendencies," for which it was largely ineffective. Today, it is used to assess how much or how little a person identifies how rigidly an individual identifies with stereotypical male and female gender roles. Scale 6—Paranoia This scale was originally developed to identify individuals with paranoid symptoms such as suspiciousness, feelings of persecution, grandiose self-concepts, excessive sensitivity, and rigid attitudes. Those who score high on this scale tend to have paranoid or psychotic symptoms.
  • 17. Scale 7—Psychasthenia This diagnostic label is no longer used today and the symptoms described on this scale are more reflective of anxiety, depression, and obsessive-compulsive disorder. This scale was originally used to measure excessive doubts, compulsions, obsessions, and unreasonable fears. Scale 8—Schizophrenia This scale was originally developed to identify individuals with schizophrenia. It reflects a wide variety of areas including bizarre thought processes and peculiar perceptions, social alienation, poor familial relationships, difficulties in concentration and impulse control, lack of deep interests, disturbing questions of self-worth and self-identity, and sexual difficulties .The scale can also show potential substance abuse, emotional or social alienation, eccentricities, and a limited interest in other people.
  • 18. Scale 9—Hypomania This scale was developed to identify characteristics of hypomania such as elevated mood, hallucinations, delusions of grandeur, accelerated speech and motor activity, irritability, flight of ideas, and brief periods of depression. Scale 0—Social Introversion This scale was developed later than the other nine scales. It's designed to assess a person’s shyness and tendency to withdraw from social contacts and responsibilities.
  • 19. MMPI Test Validity Scales All of the MMPI tests use validity scales of varying sorts to help assess the accuracy of each individual's answers. Since these tests can be used for circumstances like employment screenings and custody hearings, test takers may not be completely honest in their answers. Validity scales can show how accurate the test is, as well as to what degree answers may have been distorted.10 The MMPI-2 uses the following scales. The L Scale Also referred to as the lie scale, this "uncommon virtues" validity scale was developed to detect attempts by individuals to present themselves in a favorable light.
  • 20. People who score high on this scale deliberately try to present themselves in the most positive way possible, rejecting shortcomings or unfavorable characteristics.11 University of Minnesota. Interpretation of MMPI-2 Validity Scales. MMPI-2 Training Slides, University of Minnesota Press; 2015. The F Scale This scale is used to detect attempts at overreporting. Essentially, people who score high on this scale are trying to appear worse than they really are, they may be in severe psychological distress, or they may be just randomly answering questions without paying attention to what the questions say. This scale asks questions designed to determine if test-takers are contradicting themselves in their responses.
  • 21. The K Scale Sometimes referred to as the "defensiveness scale," this scale is a more effective and less obvious way of detecting attempts to present oneself in the best possible way by underreporting. People may underreport because they're worried about being judged or they may be minimizing their problems or denying that they have any problems at all. The ? Scale Also known as the "cannot say" scale, this validity scale assesses the number of items left unanswered. The MMPI manual recommends that any test with 30 or more unanswered questions should be declared invalid.
  • 22. TRIN Scale The True Response Inconsistency (TRIN) scale was developed to detect people who use fixed responding, a method of taking the test without regard to the question, such as marking ten questions "true," the next ten as "false," and so on. Fixed responding could be used due to not being able to read or comprehend the test material well or being defiant about having to take the test. This section consists of 20 paired questions that are the opposite of each other. VRIN Scale The Variable Response Inconsistency (VRIN) scale is another method developed to detect inconsistent, random responses. Like fixed responding, this can be intentional or it can be due to not understanding the material or not being able to read it.
  • 23. The Fb Scale This scale is designed to show changes in how a person responded in the first half of the test versus how they responded in the second half by using questions that most normal respondents didn't support. High scores on this scale sometimes indicate that the respondent stopped paying attention and began answering questions randomly. It can also be due to over or underreporting, fixed responding, becoming tired, or being under severe stress. The Fp Scale This scale helps detect intentional overreporting in people who have a mental health disorder of some sort or who were using random or fixed responding.
  • 24. The FBS Scale The "symptom validity" scale is used for people who are taking the test because they're claiming that they had a personal injury or disability. This scale can help establish the credibility of the test taker. The S Scale The "superlative self-presentation" scale was developed in 1995 to look for additional underreporting. It also has sub-scales that assess the test taker's belief in human goodness, serenity, contentment with life, patience/denial of irritability, and denial of moral flaws.
  • 25. How Accurate Is The MMPI Test? The MMPI is considered reliable; however, it is just one tool of many to diagnose mental health conditions. Although the MMPI provides useful information, a health professional shouldn't rely on just one tool in order to make a full diagnosis. Diagnoses should be made by taking a number of things into account such as a physical and psychological exam, a thorough health history, and, if necessary, lab tests to rule out substance use and/or other illnesses that may produce symptoms of mental health conditions.
  • 26. Things To Consider When Taking The MMPI Test If you're taking the MMPI test, the following are some helpful tips to keep in mind: It's not a pass/fail test: There is no way to get the test questions right or wrong. The test is a tool used to assess personality and mental illnesses. You can take an MMPI test online for free: Some sites offer a free practice test so you can get comfortable with the types of questions. You don't study for this test: Taking a practice test can help you feel more prepared for when you take the real test; however, since there are no right or wrong answers, try not to stress. You don't study for the MMPI like you would for a test in school, for instance.
  • 27.
  • 28. Personality disorder Personality Disorder: ✓Personality Disorder are a group of 10 mental health conditions that involves long lasting , disruptive pattern of thinking, behavior, mood and relating to others . ✓ People with personality Disorder often don't realize their thoughts and behavior are problematic Personality is vital to defining who we are as individuals. ✓ It involves a unique blend of traits including attitudes, thoughts , behaviors, and modes as well as how we express these traits in our contact with other people and the world around us. ✓Some characteristics of an individual's personality are inherited, and some are shaped by life events and experiences. A personality disorder can developed if certain personality traits become too rigid and inflexible. People with personality disorder have long standing pattern of thinking and acting that differ from what society considers usual or normal. People with personality disorder generally are not aware that they have a problem and do not believe they have anything to control.
  • 29. Types What are the types of personality disorders? The diagnostic and Statistical Manual of Mental Disorder (DSM-5) , which is the standard reference book for recognized mental illnesses, recognizes personality disorder into three main categories, with several types of personality disorders in each category. ✓ Cluster A: Eccentric personality disorder People with these disorder often appear odd or peculiar. The Eccentric personality disorder include; • Paranoid personality disorder Paranoia is the hallmark of this disorder. People with paranoid personality disorder have a constant mistrust and suspicion of other. They believe that others are trying to demean, harm, and threaten them.
  • 30. • Schizoid personality disorder People with this disorder are distant, detached and indifferent to social relationships. They generally are loners who prefer solitary activities and rarely express strong emotion. • Schizotypal personality disorder People with this disorder display unusual thinking and behavior, as well as appearances. People with Schizotypal personality disorder might have odd belief and often are very superstitious.
  • 31.  Cluster B: Dramatic personality disorder People with these disorder have intense, unstable emotions and a distorted self image. They also often tend to behave impulsively. These disorder include; Antisocial personality disorder People with this disorder are sometimes called "sociopaths" or "psychopaths". This disorder is characterized by rash, irresponsible, and aggressive behavior, which often is expressed by a disregard for others and an inability to abide by social rules. Borderline personality disorder This disorder is marked by unstable moods, poor self image, chaotic relationship, and impulsive behavior such as ( such as sexual promiscuity, substance abuse, over spending, and reckless driving).
  • 32. Histrionic personality disorder People with this disorder are shallow and constantly seek attention. They often are very dramatic, possibly even childish, and overly emotional. Narcissistic personality disorder This disorder is characterized by an exaggerated sense of superiority, and preoccupation with success and power. However, this preoccupation is fueled by a fragile self-esteem. People with this disorder are very self centered, tend to lack empathy, and require constant attention and admiration.
  • 33. Cluster C personality disorders: Cluster C personality disorders involve severe anxiety and fear. They include: Avoidant personality disorder: People with this condition have chronic feelings of inadequacy and are highly sensitive to being negatively judged by others. Though they would like to interact with others, they tend to avoid with others, they tend Dependent personality disorder: This condition is marked by a constant and excessive need to be cared for by someone else. It also involves submissiveness, a need for constant reassurance and the inability to make decisions to avoid social interaction due to the intense fear of being rejected.
  • 34. People with dependent personality disorder often become very close to another person and spend great effort trying to please that person. They tend to display passive and clinging behavior and have a fear of separation. Obsessive-compulsive personality disorder (OCPD): This condition is marked by a consistent and extreme need for orderliness, perfectionism and control (with no room for flexibility) that ultimately slows or interferes with completing a task. It can also interfere with relationships. This is a separate condition from obsessive-compulsive disorder (OCD), which is classified as an anxiety disorder. While people usually are aware that OCD is causing their behavior and accept they need to change, people with OCPD usually have little, if any, self-awareness of their behaviors.
  • 35. People might have mixed symptoms of more than one personality disorder. Who do personality disorders affect? Anyone can have a personality disorder. But different types of personality disorders affect people differently. Most personality disorders begin in the teen years when your personality further develops and matures. As a result, almost all people diagnosed with personality disorders are above the age of 18. One exception to this is antisocial personality disorder approximately 80% of people with this disorder will have started to show symptoms by the age of 11. Antisocial personality disorders are more likely to affect people assigned male at birth. Borderline, histrionic and dependent personality disorders are more likely to affect people assigned female at birth.
  • 36. How common are personality disorders? Approximately 9% of adults in the U.S. have some type of personality disorder, and about 6% of the global population has a personality disorder. Borderline personality disorder (BPD) and antisocial personality disorder are the most frequently diagnosed personality disorders.
  • 37. Symptoms Some general signs of people with a personality disorder include: 1-Their behavior is inconsistent, frustrating and confusing to loved ones and other people they interact with .2-They may have issues understanding realistic and acceptable ways to treat others and behave around them. 3-They may be unaware of how their behaviors cause problems for themselves and/or others. 4-If they’re a parent, their parenting style may be detached, overemotional, abusive or irresponsible. This can sometimes lead to physical, emotional or mental issues in their children.
  • 38. Diagnostic criteria According to DSM 5 a person must meet the following criteria to be diagnosed with personality disorder: 1- Chronic and pervasive patterns of behavior that affect social functioning, work, school,and close relationships 2-Symptoms that affect two or more of the following four areas: thoughts, emotions, interpersonal functioning, impulse control3-Onset of patterns of behavior that can be traced back to adolescence or early adulthood4- Patterns of behaviors that cannot be explained by any other mental disorders, substance use, or medical conditions
  • 39. Causes Personality disorders typically arise from a combination of genetic, environmental, and developmental factors. Some common causes are Genetics: Certain personality traits and disorders may have a genetic predisposition, meaning they can run in families Childhood experiences: Traumatic or dysfunctional experiences during childhood, such as abuse, neglect, or inconsistent parenting, can contribute to the development of personality disorders Biological factors: Brain chemistry and structure may play a role in personality development, although the exact mechanisms are not fully understood.
  • 40. Environmental influences: Cultural, societal, and environmental factors can impact the development of personality, including societal expectations, peer influences, and socio-economic status Temperament: Inborn temperament, such as being highly sensitive or impulsive, can influence the development of personality traits that may contribute to certain disorders. Interactions between factors: Often, it's the interaction between genetic predispositions and environmental factors that ultimately shape the development of personality disorders.
  • 41. Management and Treatment The management and treatment of personality disorders typically involve a combination of psychotherapy, medication, and support services. Here are some common approaches: 1. Psychotherapy: Various forms of psychotherapy, such as cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), schema-focused therapy, and psychodynamic therapy, are commonly used to help individuals with personality disorders. These therapies focus on improving insight, coping skills, and interpersonal functioning 2. Medication: While medication alone is not usually sufficient for treating personality disorders, it can help alleviate specific symptoms such as depression, anxiety, or impulsivity. Antidepressants, mood stabilizers, and antipsychotic medications may be prescribed based on individual symptoms and needs.
  • 42. • 3. Group therapy: Group therapy can provide a supportive environment for individuals with personality disorders to learn from others, practice social skills, and receive feedback on their behavior. • 4. Supportive services: Case management, vocational rehabilitation, and housing assistance can help individuals with personality disorders address practical needs and improve their overall functioning. • 5. Family involvement: Involving family members in therapy can be beneficial for both the individual with the personality disorder and their loved ones, as it can improve communication, reduce conflict, and provide support.
  • 43. • 6. Self-help strategies: Encouraging individuals to engage in self-help activities such as journaling, mindfulness, relaxation techniques, and healthy lifestyle choices can complement formal treatment and promote overall well- being.