TM Part III: MCMI-III TM In-Depth Pearson Assessments and the Institute for Advanced Studies in...

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



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



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



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




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




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



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



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




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



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



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



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



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



DefensiveExpressive Behavior

ProvocativeInterpersonal Conduct

SuspiciousCognitive Style

InviolableSelf-ImageIrascible

Mood/Temperament

UnalterableObject Representations

ProjectionRegulatory Mechanism

InelasticMorphologic Organization

Salience of Personologic Domains: Paranoid

MCMI-IIITM

example profiles…

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


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


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


SS 21 THOUGHT D/O

P 60 PARANOID

Modifying Indices

X 62 DISCLOSURE

Y 45 DESIRABILITY

Z 65 DEBASEMENT

Millon Clinical Multiaxial Inventory - IIITM


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


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


S 94 SCHIZOTYPAL

Severe Clinical Syndromes

SS 93 THOUGHT DISOR.

CC 65 MAJ. DEPRESSION

PP 78 DELUSIONAL


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


SS 93 THOUGHT D/O

P 65 PARANOID

The Grossman Facet Subscales of the MCMI-IIITM…

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


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


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

TM Part III: MCMI-III TM In-Depth Pearson Assessments and the Institute for Advanced Studies in...

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