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MMPI-2-RF

MMPI-2-RF. History of the MMPI. J. C. McKinley, MD. Starke R. Hathaway, PhD. HISTORY 1939 MMPI Developed by Hathaway and McKinley as a measure of personality structure and psychopathology 1989 MMPI-2 567 items, 6 th -grade reading level, 18 & up

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MMPI-2-RF

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  1. MMPI-2-RF Created by Todd Lengnick, PsyD

  2. History of theMMPI J. C. McKinley, MD • Starke R. Hathaway, PhD HISTORY 1939 MMPI Developed by Hathaway and McKinley as a measure of personality structure and psychopathology 1989 MMPI-2 567 items, 6th-grade reading level, 18 & up 1992 MMPI-A 478 items, 5th-grade reading level, 14-18 years 2003 RC Scales for MMPI-2 – enhanced discriminant/convergent validity 2008 MMPI-2-RF 338 items, 5th-grade reading level, 18 & up Created by Todd Lengnick, PsyD

  3. How it works Empirical Keying • Develop a pool of items • Assign each to categories based on theoretical constructs • Test them with groups • Non-clinical • Various diagnoses • Identify most distinctive items Each clinical scale to predict one syndrome Created by Todd Lengnick, PsyD

  4. MMPI-2-RF • Shorter • Higher validity and reliability • Specialized substantive scales • Less intercorrelation • Comparable validities for Caucasians and African Americans • Validated for • mental health inpatient and outpatient clinics • substance abuse treatment centers • criminal court proceedings • personal injury and disability evaluations • public safety employment evaluations • expert testimony in forensic evaluations Created by Todd Lengnick, PsyD

  5. MMPI-2-RF Software • Software and report features • Audio on-screen administration of the MMPI-2-RF • Add comparative means and standard deviations for 18 different settings to your MMPI-2-RF Interpretive Report or MMPI-2-RF Score Report • Add annotation, end notes, and hover text to your MMPI-2-RF Interpretive Report Created by Todd Lengnick, PsyD

  6. Overview • 338 items • 51 scales (10 validity, 42 substantive) • Validity • CNS, VRIN-r, TRIN-r, F-r, Fp-r, Fs, FBS-r, RBS, L-r, & K-r • Substantive • 9 from MMPI-2 (RC Scales) • 33 new scales, including • 3 Higher-Order (emotional/internalizing, thought, behavioral/externalizing) • 23 specific problem scales • 2 interest scales • 5 revised personality psychopathology-5 scales Created by Todd Lengnick, PsyD

  7. Overview Validity (10)   Higher-Order (H-O) (3)   Restructured Clinical (RC) (9)  Somatic/Cognitive (5)   Internalizing (9)   Externalizing (4)   Interpersonal (5)   Interest (2)   Personality Psychopathology Five (PSY-5) (5) Created by Todd Lengnick, PsyD

  8. Validity Scales Revised version of 7 MMPI-2 Validity Indicators, 1 New Infrequency Scale (Fs) and 1 New Measure of Response Bias (RBS) VRIN-r - Variable Response Inconsistency  TRIN-r - True Response Inconsistency  F-r - Infrequent Responses  Fp-r - Infrequent Psychopathology Responses  Fs - Infrequent Somatic Responses FBS-r - Symptom Validity  RBS - Response Bias  L-r - Uncommon Virtues  K-r - Adjustment Validity Created by Todd Lengnick, PsyD

  9. Higher-Order (H-O) Scales Broad Dimensional Scales Measuring Emotional, Thought, and Behavioral Dysfunction • EID - Emotional / Internalizing Dysfunction • THD - Thought Dysfunction • BXD - Behavioral / Externalizing Dysfunction Created by Todd Lengnick, PsyD

  10. Restructured Clinical (RC) Scales Assessing the valuable descriptive and distinctive core features of the MMPI-2 CS RCd-(dem) - Demoralization  RC1-(som) - Somatic Complaints  RC2-(lpe) - Low Positive Emotions  RC3-(cyn) - Cynicism  RC4-(asb) - Antisocial Behavior  RC6-(per) - Ideas of Persecution  RC7-(dne) - Dysfunctional Negative Emotions  RC8-(abx) - Aberrant Experiences  RC9-(hpm) - Hypomanic Activation Created by Todd Lengnick, PsyD

  11. Somatic / Cognitive Scales MLS - Malaise  GIC - Gastro-Intestinal Complaints  HPC - Head Pain Complaints  NUC - Neurological Complaints  COG - Cognitive Complaints Created by Todd Lengnick, PsyD

  12. Internalizing Scales SUI - Suicidal/Death Ideation  HLP - Helplessness/Hopelessness  SFD - Self-Doubt  NFC - Inefficacy  STW - Stress / Worry   AXY - Anxiety  ANP - Anger Proneness  BRF - Behavior-Restricting Fears  MSF - Multiple Specific Fears Created by Todd Lengnick, PsyD

  13. Externalizing Scales JCP - Juvenile Conduct Problems  SUB - Substance Abuse  AGG - Aggression  ACT - Activation Created by Todd Lengnick, PsyD

  14. Interpersonal Scales FML - Family Problems  IPP - Interpersonal Passivity  SAV - Social Avoidance  SHY - Shyness  DSF - Disaffiliativeness Created by Todd Lengnick, PsyD

  15. Interest Scales AES - Aesthetic-Literary InterestsMEC - Mechanical-Physical Interests Created by Todd Lengnick, PsyD

  16. PSY-5 Personality Psychopathology AGGR-r - Aggressiveness-Revised  PSYC-r - Psychoticism-Revised  DISC-r - Disconstraint-Revised  NEGE-r - Negative Emotionality / Neuroticism-RINTR-r - Introversion / Low Positive Emotionality-R Aggr Psych Disc Nege Intr Created by Todd Lengnick, PsyD

  17. Interpreting • Cautionary note on re-administering • Always consider extra-test data when interpreting • Start with Validity Scales • Content Non-Responsiveness (VRIN-r, TRIN-r, CNS) • Over-Reporting (F-r, Fp-r, Fs, FBS-r) • F-r—psychological, cognitive, and somatic symptoms • Fp-r—rarely endorsed by those with severe psychopathology • High F-r but low Fp-r could reflect genuine psychopathology • Fs—rarely endorsed somatic complaints • FBS—rarely endorsed somatic and cognitive complaints • RBS—unusual responses related to memory complaints • L-r—Uncommon virtues • K-r—when presenting as well-adjusted (defensiveness) Created by Todd Lengnick, PsyD

  18. Sample Protocol • Review Sample • Is it valid? • Any concerns? • What is this person experiencing? Created by Todd Lengnick, PsyD

  19. Sample Protocol • EID = 83 • Considerable emotional distress/crisis Created by Todd Lengnick, PsyD

  20. Sample Protocol • RCd = 81 • Experiencing significant emotional turmoil • Feeling overwhelmed • Extremely unhappy/dissatisfied with life Created by Todd Lengnick, PsyD

  21. Sample Protocol • RC1 = 70 • Multiple somatic complaints, including head pain and neurological and gastrointestinal symptoms Created by Todd Lengnick, PsyD

  22. Sample Protocol • RC2 = 70 • Lack of positive emotional experiences • Significant anhedonia Created by Todd Lengnick, PsyD

  23. Sample Protocol • RC7 = 86 • Negative emotions (anxiety, anger, fear) Created by Todd Lengnick, PsyD

  24. Sample Protocol • Additional scales • If time permits Created by Todd Lengnick, PsyD

  25. Somatic / Cognitive Scales MLS - Malaise  GIC - Gastro-Intestinal Complaints  HPC - Head Pain Complaints  NUC - Neurological Complaints  COG - Cognitive Complaints Created by Todd Lengnick, PsyD

  26. Internalizing Scales SUI - Suicidal/Death Ideation  HLP - Helplessness/Hopelessness  SFD - Self-Doubt  NFC - Inefficacy  STW - Stress / Worry   AXY - Anxiety  ANP - Anger Proneness  BRF - Behavior-Restricting Fears  MSF - Multiple Specific Fears Created by Todd Lengnick, PsyD

  27. Externalizing Scales JCP - Juvenile Conduct Problems  SUB - Substance Abuse  AGG - Aggression  ACT - Activation Created by Todd Lengnick, PsyD

  28. Interpersonal Scales FML - Family Problems  IPP - Interpersonal Passivity  SAV - Social Avoidance  SHY - Shyness  DSF - Disaffiliativeness Created by Todd Lengnick, PsyD

  29. Interest Scales AES - Aesthetic-Literary InterestsMEC - Mechanical-Physical Interests Created by Todd Lengnick, PsyD

  30. PSY-5 Personality Psychopathology AGGR-r - Aggressiveness-Revised  PSYC-r - Psychoticism-Revised  DISC-r - Disconstraint-Revised  NEGE-r - Negative Emotionality / Neuroticism-RINTR-r - Introversion / Low Positive Emotionality-R Aggr Psych Disc Nege Intr Created by Todd Lengnick, PsyD

  31. Summary of MMPI-2-RF • Validated for a number of settings • Shorter • More Valid • More reliable • More sensitive to different cultural bg’s • Superior software = more options Created by Todd Lengnick, PsyD

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