Part III: MCMI-IIITM In-Depth

1
Part III MCMI-IIITM In-Depth
Pearson Assessments and the Institute for
Advanced Studies in Personology and
Psychopathology
2
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

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Personality Scales of the MCMI-IIITM Basic and
Severe
The basic building blocks of a comprehensive
clinical profile
4
Schizoid (Introversive) Prototype
MillonTM Evolutionary Model MCMI-IIITM 1
Pleasure
Pain
Weak on Polarity
Average on Polarity
Active
Passive
Strong on Polarity
Self
Other
5
Salience of Personologic DomainsSchizoid
Impassive
Complacent
Intellectualization
Expressive Behavior
Self-Image
Regulatory Mechanism
Apathetic
Unengaged
Mood/Temperament
Interpersonal Conduct
Meager
Undifferentiated
Object Representations
Morphologic Organization
Impoverished
Cognitive Style
6
Avoidant (Inhibited) Prototype
Pleasure
Pain
Passive
Active
Self
Other
7
Salience of Personologic Domains Avoidant
Fretful
Distracted
Expressive Behavior
Cognitive Style
Alienated
Aversive
Fragile
Self-Image
Interpersonal Conduct
Morphologic Organization
Fantasy
Regulatory Mechanism
Anguished
Vexatious
Mood/Temperament
Object Representations
8
Depressive (Dejected) Prototype
Pleasure
Pain
Passive
Active
Self
Other
9
Salience of Personologic Domains Depressive
Forsaken
Depleted
Object Representations
Morphologic Organization
Melancholic
Pessimistic
Mood/Temperament
Cognitive Style
Disconsolate
Worthless
Expressive Behavior
Self-Image
Asceticism
Defenseless
Regulatory Mechanism
Interpersonal Conduct
10
Dependent (Cooperative) Prototype
Pleasure
Pain
Passive
Active
Self
Other
11
Salience of Personologic Domains Dependent
Immature
Object Representations
Pacific
Mood/Temperament
Submissive
Inept
Interpersonal Conduct
Self-Image
Inchoate
Morphologic Organization
Naive
Introjection
Regulatory Mechanism
Cognitive Style
Incompetent
Expressive Behavior
12
Histrionic (Sociable) Prototype
Pleasure
Pain
Passive
Active
Self
Other
13
Salience of Personologic Domains Histrionic
Gregarious
Dissociation
Self-Image
Regulatory Mechanism
Dramatic
Expressive Behavior
Attention-Seeking
Fickle
Interpersonal Conduct
Mood/Temperament
Shallow
Disjointed
Object Representations
Flighty
Morphologic Organization
Cognitive Style
14
Narcissistic (Confident) Prototype
MillonTM Evolutionary Model MCMI-IIITM 5
Pleasure
Pain
Weak on Polarity
Active
Passive
Average on Polarity
Strong on Polarity
Self
Other
15
Salience of Personologic Domains Narcissistic
Rationalization
Haughty
Insouciant
Regulatory Mechanism
Expressive Behavior
Mood/Temperament
Exploitive
Admirable
Interpersonal Conduct
Self-Image
Contrived
Spurious
Object Representations
Morphologic Organization
Expansive
Cognitive Style
16
Antisocial (Nonconforming) Prototype
MillonTM Evolutionary Model MCMI-IIITM 6A
Pleasure
Pain
Weak on Polarity
Passive
Active
Average on Polarity
Strong on Polarity
Self
Other
17
Salience of Personologic Domains Antisocial
Autonomous
Acting-Out
Self-Image
Regulatory Mechanism
Deviant
Cognitive Style
Debased
Object Representations
Irresponsible
Impulsive
Interpersonal Conduct
Expressive Behavior
Unruly
Callous
Morphologic Organization
Mood/Temperament
18
Sadistic (Aggressive) Prototype
MillonTM Evolutionary Model MCMI-IIITM 6B
Pleasure
Pain
Weak on Polarity
Passive
Active
Average on Polarity
Strong on Polarity
Reversal on Polarity
Self
Other
19
Salience of Personologic Domains Sadistic
Precipitate
Expressive Behavior
Eruptive
Combative
Self-Image
Morphologic Organization
Abrasive
Hostile
Interpersonal Conduct
Mood/Temperament
Rationalization
Regulatory Mechanism
Dogmatic
Pernicious
Cognitive Style
Object Representations
20
Compulsive (Respectful) Prototype
MillonTM Evolutionary Model MCMI-IIITM 7
Pleasure
Pain
Weak on Polarity
Passive
Active
Average on Polarity
Strong on Polarity
Conflict on Polarity
Self
Other
21
Salience of Personologic Domains Compulsive
Conscientious
Self-Image
Constricted
Reaction-Formation
Cognitive Style
Regulatory Mechanism
Compartmentalized
Morphologic Organization
Respectful
Interpersonal Conduct
Disciplined
Expressive Behavior
Concealed
Solemn
Object Representations
Mood/Temperament
22
Negativistic/Passive Aggressive (Oppositional)
Prototype
MillonTM Evolutionary Model MCMI-IIITM 8A
Pleasure
Pain
Weak on Polarity
Active
Passive
Average on Polarity
Strong on Polarity
Conflict on Polarity
Self
Other
23
Salience of Personologic Domains Negativistic
Resentful
Contrary
Displacement
Expressive Behavior
Interpersonal Conduct
Regulatory Mechanism
Irritable
Discontented
Mood/Temperament
Self-Image
Divergent
Vacillating
Morphologic Organization
Skeptical
Object Representations
Cognitive Style
24
Masochistic/Self-Defeating (Denigrated) Prototype
MillonTM Evolutionary Model MCMI-IIITM 8B
Pleasure
Pain
Weak on Polarity
Passive
Active
Average on Polarity
Strong on Polarity
Reversal on Polarity
Self
Other
25
Salience of Personologic Domains Masochistic
Deferential
Exaggeration
Interpersonal Conduct
Abstinent
Regulatory Mechanism
Expressive Behavior
Inverted
Undeserving
Morphologic Organization
Self-Image
Dysphoric
Mood/Temperament
Discredited
Object Representations
Diffident
Cognitive Style
26
Schizotypal (Eccentric) Prototype
MillonTM Evolutionary Model MCMI-IIITM S
Pleasure
Pain
Weak on Polarity
Average on Polarity
Active
Passive
Strong on Polarity
Wavering on Polarity
Self
Other
27
Salience of Personologic Domains Schizotypal
Estranged
Self-Image
Distraught or Insentient
Mood/Temperament
Undoing
Regulatory Mechanism
Eccentric
Autistic
Expressive Behavior
Cognitive Style
Chaotic
Object Representations
Secretive
Fragmented
Interpersonal Conduct
Morphologic Organization
28
Borderline (Capricious) Prototype
MillonTM Evolutionary Model MCMI-IIITM C
Pleasure
Pain
Weak on Polarity
Active
Passive
Average on Polarity
Strong on Polarity
Conflict on Polarity
Self
Other
29
Salience of Personologic Domains Borderline
Regression
Regulatory Mechanism
Incompatible
Object Representations
Paradoxical
Capricious
Uncertain
Interpersonal Conduct
Cognitive Style
Self-Image
Spasmodic
Labile
Split
Expressive Behavior
Mood/Temperament
Morphologic Organization
30
Paranoid (Suspicious) Prototype
MillonTM Evolutionary Model MCMI-IIITM P
Pleasure
Pain
Weak on Polarity
Passive
Active
Average on Polarity
Strong on Polarity
Unalterable Polarity Orientation
Self
Other
31
Salience of Personologic Domains Paranoid
Inviolable
Irascible
Self-Image
Projection
Mood/Temperament
Regulatory Mechanism
Defensive
Suspicious
Expressive Behavior
Cognitive Style
Unalterable
Object Representations
Provocative
Inelastic
Interpersonal Conduct
Morphologic Organization
32
MCMI-IIITM example profiles
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Modifying Indices
Millon Clinical Multiaxial Inventory - IIITM
ID A (1) Valid Profile
SCORE PROFILE
OF BR SCORES DIAGNOSTIC
SCALE
RAW BR 0 60
75 85 115

• X 45 DISCLOSURE
• Y 70 DESIRABILITY
• Z 27 DEBASEMENT

1 33 SCHIZOID 2A
37
AVOIDANT
34
Severe Personality Pathology
SCORE
PROFILE OF BR SCORES DIAGNOSTIC
SCALE
RAW BR 0 60
75 85 115
8B 29 MASOCHISTIC

• S 20 SCHIZOTYPAL
• C 35 BORDERLINE
• P 60 PARANOID

A 25 ANXIETY
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Clinical Personality Patterns
SCORE PROFILE OF BR
SCORES DIAGNOSTIC SCALE
RAW BR 0 60
75 85 115
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
S 20 SCHIZOTYPAL
36
Severe Clinical Syndromes
SCORE
PROFILE OF BR SCORES DIAGNOSTIC
SCALE
RAW BR 0 60
75 85 115
T 35 DRUG R
20
P T S D

• SS 21 THOUGHT DISOR.
• CC 19 MAJ. DEPRESSION
• PP 30 DELUSIONAL

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Clinical Syndromes
SCORE
PROFILE OF BR SCORES DIAGNOSTIC
SCALE
RAW BR 0 60
75 85 115
P 60 PARANOID
A 25 ANXIETY H
21 SOMATOFORM N
57 BIPOLAR D
26 DYSTHYMIC B
32 ALCOHOL T 35
DRUG R 20 P T
S D
SS 21 THOUGHT D/O
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Modifying Indices
Millon Clinical Multiaxial Inventory - IIITM
ID C (1) Valid Profile
SCORE
PROFILE OF BR SCORES DIAGNOSTIC
SCALE
RAW BR 0 60
75 85 115

• X 62 DISCLOSURE
• Y 45 DESIRABILITY
• Z 65 DEBASEMENT

1 72 SCHIZOID 2A
79
AVOIDANT
39
Severe Personality Pathology
SCORE
PROFILE OF BR SCORES DIAGNOSTIC
SCALE
RAW BR 0 60
75 85 115
8B 72 MASOCHISTIC

• S 94 SCHIZOTYPAL
• C 77 BORDERLINE
• P 65 PARANOID

A 81 ANXIETY
40
Clinical Personality Patterns
SCORE PROFILE OF BR
SCORES DIAGNOSTIC SCALE
RAW BR 0 60
75 85 115
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
S 94 SCHIZOTYPAL
41
Severe Clinical Syndromes
SCORE
PROFILE OF BR SCORES DIAGNOSTIC
SCALE
RAW BR 0 60
75 85 115
T 38 DRUG R
81
P T S D

• SS 93 THOUGHT DISOR.
• CC 65 MAJ. DEPRESSION
• PP 78 DELUSIONAL

42
Clinical Syndromes
SCORE PROFILE OF BR SCORES
DIAGNOSTIC SCALE
RAW BR 0 60
75 85 115
P 65 PARANOID
A 81 ANXIETY H
45 SOMATOFORM N
32 BIPOLAR D
96 DYSTHYMIC B
56 ALCOHOL T 38
DRUG R 81
P T S D
SS 93 THOUGHT D/O
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The Grossman Facet Subscales of the MCMI-IIITM
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Millons TaxonomyDimensional level
Evolutionary polarities
Pleasure
Pain Active
Passive Self
Other
Functional/Structural Domains
Behavioral
Intrapsychic

• Expressive Acts (F)
• Interpersonal Conduct (F)

• Regulatory Mechanisms (S)
• Morphologic Organization (S)

Phenomenological
Biophysical

• Cognitive Style (F)
• Self-Image (S)
• Object Representations (S)

• Mood/Temperament (S)

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Domain by Disorder Matrix
Behavioral Acts
Interpersonal Conduct
Cognitive Style
Object Representations
Regulatory Mechanisms
Morphologic Organization
Mood/ Temperament
Self-Image
Schizoid
Impassive
Unengaged
Impoverished
Complacent
Meager
Apathetic
Intellectualization
Undifferentiated
Avoidant
Fretful
Aversive
Distracted
Alienated
Vexatious
Fantasy
Fragile
Anguished
Depressive
Disconsolate
Defenseless
Pessimistic
Worthless
Forsaken
Asceticism
Depleted
Melancholic
Dependent
Incompetent
Submissive
Naive
Inept
Immature
Introjection
Inchoate
Pacific
Attention- Seeking
Histrionic
Dramatic
Flighty
Gregarious
Shallow
Dissociation
Disjointed
Fickle
Narcissistic
Haughty
Exploitive
Expansive
Admirable
Contrived
Rationalization
Spurious
Insouciant
Antisocial
Impulsive
Irresponsible
Deviant
Autonomous
Debased
Acting-Out
Unruly
Callous
Sadistic
Precipitate
Abrasive
Dogmatic
Combative
Pernicious
Isolation
Eruptive
Hostile
Reaction Formation
Compulsive
Disciplined
Respectful
Constricted
Conscientious
Concealed
Solemn
Compartmentalized
Negativistic
Resentful
Contrary
Skeptical
Discontented
Vacillating
Displacement
Divergent
Irritable
Masochistic
Abstinent
Deferential
Diffident
Undeserving
Discredited
Exaggeration
Inverted
Dysphoric
Distraught or Insentient
Schizotypal
Eccentric
Secretive
Autistic
Estranged
Chaotic
Undoing
Fragmented
Borderline
Spasmodic
Paradoxical
Capricious
Uncertain
Incompatible
Regression
Split
Labile
Paranoid
Defensive
Provocative
Suspicious
Inviolable
Unalterable
Projection
Inelastic
Irascible
Grossman Subscale Domains are highlighted
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MILLON CLINICAL MULTIAXIAL INVENTORY -
IIITMCOMPLETE LISTING OF MCMI-III GROSSMAN FACET
SCALE SCORES

• 1 Schizoid
• 1.1 Temperamentally Apathetic
• 1.2 Interpersonally Unengaged
• 1.3 Expressively Impassive
• 2A Avoidant
• 2A.1 Interpersonally Aversive
• 2A.2 Alienated Self-Image
• 2A.3 Vexatious Representations
• 2B Depressive
• 2B.1 Temperamentally Woeful
• 2B.2 Worthless Self-Image
• 2B.3 Cognitively Fatalistic
• 3 Dependent
• 3.1 Inept Self-Image
• 3.2 Interpersonally Submissive
• 3.3 Immature Representations
• 4 Histrionic
• 4.1 Gregarious Self-Image
• 4.2 Interpersonally Attention-Seeking

• 6B Sadistic
• 6B.1 Temperamentally Hostile
• 6B.2 Eruptive Organization
• 6B 3 Pernicious Representations
• 7 Compulsive
• 7.1 Cognitively Constricted
• 7.2 Interpersonally Respectful
• 7.3 Reliable Self-Image
• 8A Negativistic
• 8A.1 Temperamentally Irritable
• 8A.2 Expressively Resentful
• 8A.3 Discontented Self-Image
• 8B Masochistic
• 8B.1 Discredited Representations
• 8B.2 Cognitively Diffident
• 8B.3 Undeserving Self-Image
• S Schizotypal
• S.1 Estranged Self-Image
• S.2 Cognitively Autistic

47
Avoidant Facet SubscalesSample 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.
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Narcissistic Facet SubscalesSample Items
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.
49
MILLON CLINICAL MULTIAXIAL INVENTORY -
IIITMFACET 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