tm part iii: mcmi-iii tm in-depth pearson assessments and the institute for advanced studies in...
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Part III: MCMI-IIITMTM In-Depth
Pearson Assessments
and the Institute for Advanced Studies
in Personology and Psychopathology
Learning Objectives…
• Comprehensive theoretical understanding of MCMI-IIITM personality scales
• Contextual integration of personality patterns and presenting symptomology in MCMI-IIITM profiles
• Full synergistic integration of subtype and domain data from MCMI-IIITM into routes to effective intervention
Personality Scales of the MCMI-IIITM: Basic and Severe…
The basic “building blocks” of a comprehensive clinical
profile
MillonMillonTM Evolutionary Model; MCMI-III Evolutionary Model; MCMI-IIITMTM: 1: 1
Weak on PolarityWeak on Polarity
Average on PolarityAverage on PolarityStrong on PolarityStrong on Polarity
Pleasure Pain
Active
Self Other
Passive
Schizoid (Introversive) Prototype
ImpassiveExpressive Behavior
UnengagedInterpersonal Conduct
ImpoverishedCognitive Style
ComplacentSelf-Image
ApatheticMood/Temperament
MeagerObject Representations
IntellectualizationRegulatory Mechanism
UndifferentiatedMorphologic Organization
Salience of Personologic Domains:Schizoid
MillonMillonTMTM Evolutionary Model: MCMI-III Evolutionary Model: MCMI-IIITMTM: 2A: 2A
Weak on PolarityWeak on Polarity
Average on PolarityAverage on PolarityStrong on PolarityStrong on Polarity
Pleasure
Passive
Self Other
Pain
Active
Avoidant (Inhibited) Prototype
AversiveAversiveInterpersonal ConductInterpersonal Conduct
AlienatedAlienatedSelf-ImageSelf-Image
VexatiousVexatiousObject RepresentationsObject Representations
AnguishedAnguishedMood/TemperamentMood/Temperament
FretfulFretful DistractedDistractedCognitive StyleCognitive Style
FragileFragileMorphologic OrganizationMorphologic Organization
FantasyFantasyRegulatory MechanismRegulatory Mechanism
Salience of Personologic Domains: Avoidant
Expressive BehaviorExpressive Behavior
Pleasure Pain
Passive Active
Self Other
Depressive (Dejected) Prototype MillonMillonTMTM Evolutionary Model; Evolutionary Model; MCMI-IIIMCMI-IIITMTM: 2B: 2B
Weak on PolarityWeak on Polarity
Average on PolarityAverage on PolarityStrong on PolarityStrong on Polarity
Expressive Behavior
Interpersonal Conduct
PessimisticCognitive Style
WorthlessSelf-Image
MelancholicMood/Temperament
ForsakenObject Representations
Regulatory Mechanism
Morphologic OrganizationDepleted
Disconsolate
DefenselessAsceticism
Salience of Personologic Domains: Depressive
Pleasure Pain
Passive Active
Self Other
MillonMillonTMTM Evolutionary Model; Evolutionary Model; MCMI-IIIMCMI-IIITMTM: 3: 3
Weak on PolarityWeak on Polarity
Average on PolarityAverage on PolarityStrong on PolarityStrong on Polarity
Dependent (Cooperative) Prototype
IncompetentIncompetentExpressive BehaviorExpressive Behavior
SubmissiveSubmissiveInterpersonal ConductInterpersonal Conduct
NaiveNaiveCognitive StyleCognitive Style
IneptIneptSelf-ImageSelf-Image
ImmatureImmature
IntrojectionIntrojectionRegulatory MechanismRegulatory Mechanism
InchoateInchoateMorphologic OrganizationMorphologic Organization
Salience of Personologic Domains: Dependent
Object RepresentationsObject Representations
Mood/TemperamentMood/TemperamentPacificPacific
Pleasure Pain
Passive Active
Self Other
MillonMillonTMTM Evolutionary Model; Evolutionary Model; MCMI-IIIMCMI-IIITMTM: 4: 4
Weak on PolarityWeak on Polarity
Average on PolarityAverage on PolarityStrong on PolarityStrong on Polarity
Histrionic (Sociable) Prototype
Attention-SeekingInterpersonal Conduct
FlightyCognitive Style
GregariousSelf-Image
FickleMood/Temperament
ShallowObject Representations
DissociationRegulatory Mechanism
DisjointedMorphologic Organization
Salience of Personologic Domains: Histrionic
DramaticExpressive Behavior
MillonMillonTMTM Evolutionary Model; Evolutionary Model; MCMI-IIIMCMI-IIITMTM: 5: 5
Weak on PolarityWeak on Polarity
Average on PolarityAverage on PolarityStrong on PolarityStrong on Polarity
Pleasure Pain
Passive
Active
Self Other
Narcissistic (Confident) Prototype
HaughtyExpressive Behavior
ExploitiveInterpersonal Conduct
ExpansiveCognitive Style
AdmirableSelf-Image
InsouciantMood/Temperament
ContrivedObject Representations
RationalizationRegulatory Mechanism
Salience of Personologic Domains: Narcissistic
SpuriousMorphologic Organization
MillonMillonTMTM Evolutionary Model; MCMI-III Evolutionary Model; MCMI-IIITMTM: 6A: 6A
Weak on PolarityWeak on Polarity
Average on PolarityAverage on PolarityStrong on PolarityStrong on Polarity
Pleasure Pain
Passive Active
Self Other
Antisocial (Nonconforming) Prototype
ImpulsiveExpressive Behavior
IrresponsibleInterpersonal Conduct
DeviantCognitive Style
AutonomousSelf-Image
CallousMood/Temperament
DebasedObject Representations
Acting-OutRegulatory Mechanism
UnrulyMorphologic Organization
Salience of Personologic Domains: Antisocial
MillonMillonTMTM Evolutionary Model; Evolutionary Model; MCMI-IIIMCMI-IIITMTM: 6B: 6B
Weak on PolarityWeak on Polarity
Average on PolarityAverage on PolarityStrong on PolarityStrong on Polarity
Pleasure Pain
Passive Active
Self Other
Sadistic (Aggressive) Prototype
Reversal on PolarityReversal on Polarity
PrecipitateExpressive Behavior
AbrasiveInterpersonal Conduct
DogmaticCognitive Style
CombativeSelf-Image
HostileMood/Temperament
PerniciousObject Representations
EruptiveMorphologic Organization
Salience of Personologic Domains: Sadistic
RationalizationRegulatory Mechanism
MillonMillonTMTM Evolutionary Model; Evolutionary Model; MCMI-IIIMCMI-IIITMTM: 7: 7
Weak on PolarityWeak on Polarity
Average on PolarityAverage on PolarityStrong on PolarityStrong on Polarity
Pleasure Pain
Passive Active
Self OtherConflict on PolarityConflict on Polarity
Compulsive (Respectful) Prototype
DisciplinedExpressive Behavior
RespectfulInterpersonal Conduct
ConstrictedCognitive Style
ConscientiousSelf-Image
SolemnMood/Temperament
ConcealedObject Representations
Reaction-FormationRegulatory Mechanism
CompartmentalizedMorphologic Organization
Salience of Personologic Domains: Compulsive
MillonMillonTMTM Evolutionary Model: Evolutionary Model: MCMI-IIIMCMI-IIITMTM: 8A: 8A
Weak on PolarityWeak on Polarity
Average on PolarityAverage on PolarityStrong on PolarityStrong on Polarity
Pleasure Pain
Active
Conflict on PolarityConflict on Polarity
Negativistic/Passive Aggressive (Oppositional) Prototype
Passive
Self Other
ResentfulExpressive Behavior
ContraryInterpersonal Conduct
SkepticalCognitive Style
DiscontentedSelf-Image
IrritableMood/Temperament
VacillatingObject Representations
DisplacementRegulatory Mechanism
DivergentMorphologic Organization
Salience of Personologic Domains: Negativistic
MillonMillonTMTM Evolutionary Model; Evolutionary Model; MCMI-IIIMCMI-IIITMTM: 8B: 8B
Weak on PolarityWeak on Polarity
Average on PolarityAverage on PolarityStrong on PolarityStrong on Polarity
Pleasure Pain
Passive Active
Self OtherReversal on PolarityReversal on Polarity
Masochistic/Self-Defeating (Denigrated) Prototype
AbstinentExpressive Behavior
DeferentialInterpersonal Conduct
DiffidentCognitive Style
UndeservingSelf-Image
DysphoricMood/Temperament
DiscreditedObject Representations
ExaggerationRegulatory Mechanism
InvertedMorphologic Organization
Salience of Personologic Domains: Masochistic
Schizotypal (Eccentric) Prototype MillonMillonTMTM Evolutionary Model; Evolutionary Model; MCMI-IIIMCMI-IIITMTM: S: S
Weak on PolarityWeak on Polarity
Average on PolarityAverage on PolarityStrong on PolarityStrong on Polarity
Pleasure Pain
Active
Self Other
Passive
Wavering on PolarityWavering on Polarity
EccentricExpressive Behavior
SecretiveInterpersonal Conduct
AutisticCognitive Style
EstrangedSelf-Image
Distraught or InsentientMood/Temperament
ChaoticObject Representations
UndoingRegulatory Mechanism
FragmentedMorphologic Organization
Salience of Personologic Domains: Schizotypal
MillonMillonTMTM Evolutionary Model; Evolutionary Model; MCMI-IIIMCMI-IIITMTM: C: C
Weak on PolarityWeak on Polarity
Average on PolarityAverage on PolarityStrong on PolarityStrong on Polarity
Pleasure Pain
Active
Conflict on PolarityConflict on Polarity
Passive
Self Other
Borderline (Capricious) Prototype
SpasmodicExpressive Behavior
ParadoxicalInterpersonal Conduct Capricious
Cognitive StyleUncertainSelf-Image
LabileMood/Temperament
IncompatibleObject Representations
RegressionRegulatory Mechanism
SplitMorphologic Organization
Salience of Personologic Domains: Borderline
Pleasure Pain
Passive Active
Self OtherUnalterable PolarityUnalterable PolarityOrientationOrientation
Paranoid (Suspicious) Prototype
MillonMillonTMTM Evolutionary Model; Evolutionary Model; MCMI-IIIMCMI-IIITMTM: P: P
Weak on PolarityWeak on Polarity
Average on PolarityAverage on PolarityStrong on PolarityStrong on Polarity
DefensiveExpressive Behavior
ProvocativeInterpersonal Conduct
SuspiciousCognitive Style
InviolableSelf-ImageIrascible
Mood/Temperament
UnalterableObject Representations
ProjectionRegulatory Mechanism
InelasticMorphologic Organization
Salience of Personologic Domains: Paranoid
Modifying Indices
X 45 DISCLOSURE
Y 70 DESIRABILITY
Z 27 DEBASEMENT
Millon Clinical Multiaxial Inventory - IIITM
SCORE PROFILE OF BR SCORES DIAGNOSTIC SCALE
RAW BR 0 60 75 85 115
1 33 SCHIZOID
2A 37 AVOIDANT
ID: A (1) Valid Profile
Severe Personality Pathology
S 20 SCHIZOTYPAL
C 35 BORDERLINE
P 60 PARANOID
SCORE PROFILE OF BR SCORES DIAGNOSTIC SCALE
RAW BR 0 60 75 85 115
A 25 ANXIETY
8B 29 MASOCHISTIC
Clinical Personality Patterns
1 33 SCHIZOID
2A 22 AVOIDANT
2B 29 DEPRESSIVE
3 64 DEPENDENT
4 87 HISTRIONIC
5 95 NARCISSISTIC
6A 45 ANTISOCIAL
6B 45 SADISTIC
7 92 COMPULSIVE
8A 27 NEGATIVISTIC
8B 29 MASOCHISTIC
SCORE PROFILE OF BR SCORES DIAGNOSTIC SCALE RAW BR 0 60 75 85 115
S 20 SCHIZOTYPAL
Severe Clinical Syndromes
SS 21 THOUGHT DISOR.
CC 19 MAJ. DEPRESSION
PP 30 DELUSIONAL
SCORE PROFILE OF BR SCORES DIAGNOSTIC SCALE
RAW BR 0 60 75 85 115
T 35 DRUG
R 20 P T S D
Clinical Syndromes
A 25 ANXIETY
H 21 SOMATOFORM
N 57 BIPOLAR
D 26 DYSTHYMIC
B 32 ALCOHOL
T 35 DRUG
R 20 P T S D
SCORE PROFILE OF BR SCORES DIAGNOSTIC SCALE RAW BR 0 60 75 85 115
SS 21 THOUGHT D/O
P 60 PARANOID
Modifying Indices
X 62 DISCLOSURE
Y 45 DESIRABILITY
Z 65 DEBASEMENT
Millon Clinical Multiaxial Inventory - IIITM
SCORE PROFILE OF BR SCORES DIAGNOSTIC SCALE
RAW BR 0 60 75 85 115
1 72 SCHIZOID
2A 79 AVOIDANT
ID: C (1) Valid Profile
Severe Personality Pathology
S 94 SCHIZOTYPAL
C 77 BORDERLINE
P 65 PARANOID
SCORE PROFILE OF BR SCORES DIAGNOSTIC SCALE
RAW BR 0 60 75 85 115
A 81 ANXIETY
8B 72 MASOCHISTIC
Clinical Personality Patterns
1 72 SCHIZOID
2A 79 AVOIDANT
2B 75 DEPRESSIVE
3 65 DEPENDENT
4 30 HISTRIONIC
5 30 NARCISSISTIC
6A 25 ANTISOCIAL
6B 40 SADISTIC
7 40 COMPULSIVE
8A 55 NEGATIVISTIC
8B 72 MASOCHISTIC
SCORE PROFILE OF BR SCORES DIAGNOSTIC SCALE RAW BR 0 60 75 85 115
S 94 SCHIZOTYPAL
Severe Clinical Syndromes
SS 93 THOUGHT DISOR.
CC 65 MAJ. DEPRESSION
PP 78 DELUSIONAL
SCORE PROFILE OF BR SCORES DIAGNOSTIC SCALE
RAW BR 0 60 75 85 115
T 38 DRUG
R 81 P T S D
Clinical Syndromes
A 81 ANXIETY
H 45 SOMATOFORM
N 32 BIPOLAR
D 96 DYSTHYMIC
B 56 ALCOHOL
T 38 DRUG
R 81 P T S D
SCORE PROFILE OF BR SCORES DIAGNOSTIC SCALE RAW BR 0 60 75 85 115
SS 93 THOUGHT D/O
P 65 PARANOID
Pleasure PainActive Passive
Self Other
Evolutionary polarities
Functional/Structural DomainsBehavioral… Intrapsychic…
Expressive Acts (F)Interpersonal Conduct (F)
Phenomenological…Cognitive Style (F)Self-Image (S)Object Representations (S)
Regulatory Mechanisms (S) Morphologic Organization (S)
Biophysical…Mood/Temperament (S)
Millon’s Taxonomy:Dimensional level
Domain by Disorder Matrix
Schizoid
Avoidant
Depressive
Dependent
Histrionic
Narcissistic
Antisocial
Sadistic
Compulsive
Negativistic
Masochistic
Schizotypal
Borderline
Paranoid
BehavioralActs
InterpersonalConduct
CognitiveStyle
ObjectRepresentations
Self-Image RegulatoryMechanisms
MorphologicOrganization
Mood/Temperament
Abstinent Deferential Diffident Undeserving
Impassive Unengaged Impoverished Complacent Meager Intellectualization Undifferentiated Apathetic
Fretful Aversive Distracted Alienated Vexatious Fantasy Fragile Anguished
Disconsolate Defenseless Pessimistic Worthless Forsaken Asceticism Depleted Melancholic
Incompetent Submissive Naive Inept Immature Introjection Inchoate Pacific
DramaticAttention-Seeking Flighty Gregarious Shallow Dissociation Disjointed Fickle
Haughty Exploitive Expansive Admirable Contrived Rationalization Spurious Insouciant
Impulsive Irresponsible Deviant Autonomous Debased Acting-Out Unruly Callous
Precipitate Abrasive Dogmatic Combative Pernicious Isolation Eruptive Hostile
Disciplined Respectful Constricted Conscientious ConcealedReactionFormation Compartmentalized Solemn
Resentful Contrary Skeptical Discontented Vacillating Displacement Divergent Irritable
Discredited Exaggeration Inverted Dysphoric
Eccentric Secretive Autistic Estranged Chaotic Undoing FragmentedDistraught
or Insentient
Spasmodic Paradoxical Capricious Uncertain Incompatible Regression Split Labile
Defensive Provocative Suspicious Inviolable Unalterable Projection Inelastic Irascible
Grossman Subscale Domains are highlightedGrossman Subscale Domains are highlighted
MILLON CLINICAL MULTIAXIAL INVENTORY - IIITMTM
COMPLETE LISTING OF MCMI-III GROSSMAN FACET SCALE SCORES
1 Schizoid1.1 Temperamentally Apathetic1.2 Interpersonally Unengaged1.3 Expressively Impassive
2A Avoidant2A.1 Interpersonally Aversive2A.2 Alienated Self-Image2A.3 Vexatious Representations
2B Depressive2B.1 Temperamentally Woeful2B.2 Worthless Self-Image2B.3 Cognitively Fatalistic
3 Dependent3.1 Inept Self-Image3.2 Interpersonally Submissive3.3 Immature Representations
4 Histrionic4.1 Gregarious Self-Image4.2 Interpersonally Attention-Seeking4.3 Expressively Dramatic
5 Narcissistic5.1 Admirable Self-Image5.2 Cognitively Expansive5.3 Interpersonally Exploitive
6A Antisocial6A.1 Expressively Impulsive6A.2 Acting-Out Mechanism6A.3 Interpersonally Irresponsible
6B Sadistic6B.1 Temperamentally Hostile6B.2 Eruptive Organization6B 3 Pernicious Representations
7 Compulsive7.1 Cognitively Constricted7.2 Interpersonally Respectful7.3 Reliable Self-Image
8A Negativistic8A.1 Temperamentally Irritable8A.2 Expressively Resentful8A.3 Discontented Self-Image
8B Masochistic8B.1 Discredited Representations8B.2 Cognitively Diffident8B.3 Undeserving Self-Image
S SchizotypalS.1 Estranged Self-ImageS.2 Cognitively AutisticS.3 Chaotic Representations
C BorderlineC.1 Temperamentally LabileC.2 Interpersonally ParadoxicalC.3 Uncertain Self-Image
P ParanoidP.1 Cognitively MistrustfulP.2 Expressively DefensiveP.3 Projection Mechanism
Avoidant Facet Subscales:Sample Items
1: Interpersonally aversive 146 T I always wonder what the real reason is when someone is acting especially nice to me. 48 T A long time ago, I decided it's best to have little to do with people.
2: Alienated self-image 47 T I tend to always blame myself when things go wrong. 40 T I guess I'm a fearful and inhibited person.
3: Vexatious representations 99 T In social groups I am almost always very self-conscious and tense. 174 T Although I'm afraid to make friendships, I wish I had more than I do.
1: Admirable self-image 141 F I feel that most people think poorly of me. 94 F People can easily change my ideas, even if I thought my mind was made up.
2: Cognitively Expansive 26 T Other people envy my abilities. 67 T I have many ideas that are ahead of the times.
3: Interpersonally Exploitive 38 T I do what I want without worrying about its effect on others. 5 T I know I'm a superior person, so I don't care what people think.
Narcissistic Facet Subscales:Sample Items
MILLON CLINICAL MULTIAXIAL INVENTORY - IIITM
FACET SCORES FOR THREE HIGHEST PERSONALITY SCALES BR65 OR HIGHER
CODE SCORE PROFILE OF BR SCORES FACET SCALES
RAW BR 0 60 70 80 90 100
8B.1 2 43 Discredited Representations
8B.2 1 10 Cognitively Diffident
8B.3 5 69 Undeserving Self-Image
CODE SCORE PROFILE OF BR SCORES FACET SCALES
RAW BR 0 60 70 80 90 100
C.1 4 62 Temperamentally Labile
C.2 4 67 Interpersonally Paradoxical
C.3 6 75 Uncertain Self-Image
CODE SCORE PROFILE OF BR SCORES FACET SCALES
RAW BR 0 60 70 80 90 100
5.1 6 53 Admirable Self-Image
5.2 2 45 Cognitively Expansive
5.3 6 92 Interpersonally Exploitive