Part III: MCMI-IIITM 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

The basic “building blocks” of a comprehensive clinical profile Personality Scales of the MCMI-IIITM: Basic and Severe… The basic “building blocks” of a comprehensive clinical profile

Schizoid (Introversive) Prototype MillonTM Evolutionary Model; MCMI-IIITM: 1 Pleasure Pain Weak on Polarity Average on Polarity Passive Active Strong on Polarity Self Other

Salience of Personologic Domains: Schizoid Impassive Complacent Intellectualization Expressive Behavior Self-Image Regulatory Mechanism Apathetic Unengaged Mood/Temperament Interpersonal Conduct Meager Undifferentiated Impoverished Object Representations Morphologic Organization Cognitive Style

Avoidant (Inhibited) Prototype MillonTM Evolutionary Model: MCMI-IIITM: 2A Weak on Polarity Average on Polarity Strong on Polarity Pleasure Pain Passive Active Self Other

Salience of Personologic Domains: Avoidant Fretful Distracted Expressive Behavior Cognitive Style Aversive Alienated Fragile Interpersonal Conduct Self-Image Morphologic Organization Fantasy Regulatory Mechanism Anguished Vexatious Mood/Temperament Object Representations

Depressive (Dejected) Prototype MillonTM Evolutionary Model; MCMI-IIITM: 2B Weak on Polarity Average on Polarity Strong on Polarity Pleasure Pain Passive Active Self Other

Salience of Personologic Domains: Depressive Forsaken Depleted Object Representations Morphologic Organization Pessimistic Melancholic Cognitive Style Mood/Temperament Worthless Disconsolate Self-Image Expressive Behavior Asceticism Defenseless Regulatory Mechanism Interpersonal Conduct

Dependent (Cooperative) Prototype MillonTM Evolutionary Model; MCMI-IIITM: 3 Weak on Polarity Average on Polarity Strong on Polarity Pleasure Pain Passive Active Self Other

Salience of Personologic Domains: Dependent Immature Pacific Object Representations Mood/Temperament Submissive Inept Interpersonal Conduct Self-Image Inchoate Morphologic Organization Naive Introjection Cognitive Style Regulatory Mechanism Incompetent Expressive Behavior

Histrionic (Sociable) Prototype MillonTM Evolutionary Model; MCMI-IIITM: 4 Weak on Polarity Average on Polarity Strong on Polarity Pleasure Pain Passive Active Self Other

Salience of Personologic Domains: Histrionic Gregarious Dissociation Self-Image Regulatory Mechanism Dramatic Expressive Behavior Attention-Seeking Fickle Interpersonal Conduct Mood/Temperament Shallow Disjointed Flighty Object Representations Morphologic Organization Cognitive Style

Narcissistic (Confident) Prototype MillonTM Evolutionary Model; MCMI-IIITM: 5 Pleasure Pain Weak on Polarity Passive Active Average on Polarity Strong on Polarity Self Other

Salience of Personologic Domains: Narcissistic Haughty Rationalization Expressive Behavior Regulatory Mechanism Insouciant Mood/Temperament Exploitive Admirable Interpersonal Conduct Self-Image Contrived Spurious Object Representations Morphologic Organization Expansive Cognitive Style

Antisocial (Nonconforming) Prototype MillonTM Evolutionary Model; MCMI-IIITM: 6A Pleasure Pain Weak on Polarity Passive Active Average on Polarity Strong on Polarity Self Other

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

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

Salience of Personologic Domains: Sadistic Precipitate Expressive Behavior Combative Eruptive Self-Image Morphologic Organization Abrasive Hostile Interpersonal Conduct Mood/Temperament Rationalization Regulatory Mechanism Dogmatic Pernicious Cognitive Style Object Representations

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

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 Object Representations Solemn Mood/Temperament

Negativistic/Passive Aggressive (Oppositional) Prototype MillonTM Evolutionary Model: MCMI-IIITM: 8A Pleasure Pain Weak on Polarity Passive Active Average on Polarity Strong on Polarity Conflict on Polarity Self Other

Salience of Personologic Domains: Negativistic Resentful Contrary Expressive Behavior Displacement Interpersonal Conduct Regulatory Mechanism Irritable Discontented Mood/Temperament Self-Image Divergent Vacillating Morphologic Organization Skeptical Object Representations Cognitive Style

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

Salience of Personologic Domains: Masochistic Deferential Interpersonal Conduct Exaggeration Abstinent Regulatory Mechanism Expressive Behavior Inverted Undeserving Morphologic Organization Self-Image Dysphoric Mood/Temperament Discredited Object Representations Diffident Cognitive Style

Schizotypal (Eccentric) Prototype MillonTM Evolutionary Model; MCMI-IIITM: S Pleasure Pain Weak on Polarity Average on Polarity Passive Active Strong on Polarity Wavering on Polarity Self Other

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 Fragmented Secretive Morphologic Organization Interpersonal Conduct

Borderline (Capricious) Prototype MillonTM Evolutionary Model; MCMI-IIITM: C Pleasure Pain Weak on Polarity Passive Active Average on Polarity Strong on Polarity Conflict on Polarity Self Other

Salience of Personologic Domains: Borderline Regression Regulatory Mechanism Incompatible Object Representations Paradoxical Capricious Interpersonal Conduct Uncertain Cognitive Style Self-Image Spasmodic Split Labile Expressive Behavior Mood/Temperament Morphologic Organization

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

Salience of Personologic Domains: Paranoid Inviolable Irascible Self-Image Mood/Temperament Projection Regulatory Mechanism Defensive Suspicious Expressive Behavior Cognitive Style Unalterable Object Representations Provocative Inelastic Interpersonal Conduct Morphologic Organization

MCMI-IIITM example profiles…

Millon Clinical Multiaxial Inventory - IIITM Modifying Indices 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

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

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

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

Clinical Syndromes P 60 PARANOID A 25 ANXIETY H 21 SOMATOFORM 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

Millon Clinical Multiaxial Inventory - IIITM Modifying Indices 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

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

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

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

Clinical Syndromes P 65 PARANOID A 81 ANXIETY H 45 SOMATOFORM 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

The Grossman Facet Subscales of the MCMI-IIITM…

Millon’s Taxonomy: Dimensional 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)

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 Intellectualization Undifferentiated Apathetic 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 Compartmentalized Solemn 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

MILLON CLINICAL MULTIAXIAL INVENTORY - IIITM COMPLETE 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 4.3 Expressively Dramatic 5 Narcissistic 5.1 Admirable Self-Image 5.2 Cognitively Expansive 5.3 Interpersonally Exploitive 6A Antisocial 6A.1 Expressively Impulsive 6A.2 Acting-Out Mechanism 6A.3 Interpersonally Irresponsible 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 S.3 Chaotic Representations C Borderline C.1 Temperamentally Labile C.2 Interpersonally Paradoxical C.3 Uncertain Self-Image P Paranoid P.1 Cognitively Mistrustful P.2 Expressively Defensive P.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.

Narcissistic Facet Subscales: Sample 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.

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 5.1 6 53 Admirable Self-Image 5.2 2 45 Cognitively Expansive 5.3 6 92 Interpersonally Exploitive 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