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Part III: MCMI-IIITM In-Depth

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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

3 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

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

5 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

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

7 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

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

9 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

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

11 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

12 Histrionic (Sociable) Prototype
MillonTM Evolutionary Model; MCMI-IIITM: 4 Weak on Polarity Average on Polarity Strong on Polarity 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 Flighty Object Representations Morphologic Organization Cognitive Style

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

15 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

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 Combative Eruptive 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 Object Representations Solemn Mood/Temperament

22 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

23 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

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 Interpersonal Conduct Exaggeration 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 Passive Active 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 Fragmented Secretive Morphologic Organization Interpersonal Conduct

28 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

29 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

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 Mood/Temperament Projection Regulatory Mechanism Defensive Suspicious Expressive Behavior Cognitive Style Unalterable Object Representations Provocative Inelastic Interpersonal Conduct Morphologic Organization

32 MCMI-IIITM example profiles…

33 Millon Clinical Multiaxial Inventory - IIITM
Modifying Indices ID: A (1) Valid Profile SCORE PROFILE OF BR SCORES DIAGNOSTIC SCALE RAW BR X DISCLOSURE Y DESIRABILITY Z DEBASEMENT SCHIZOID 2A AVOIDANT

34 Severe Personality Pathology
SCORE PROFILE OF BR SCORES DIAGNOSTIC SCALE RAW BR 8B MASOCHISTIC S SCHIZOTYPAL C BORDERLINE P PARANOID A ANXIETY

35 Clinical Personality Patterns
SCORE PROFILE OF BR SCORES DIAGNOSTIC SCALE RAW BR SCHIZOID 2A AVOIDANT 2B DEPRESSIVE DEPENDENT HISTRIONIC NARCISSISTIC 6A ANTISOCIAL 6B SADISTIC COMPULSIVE 8A NEGATIVISTIC 8B MASOCHISTIC S SCHIZOTYPAL

36 Severe Clinical Syndromes
SCORE PROFILE OF BR SCORES DIAGNOSTIC SCALE RAW BR T DRUG R P T S D SS THOUGHT DISOR. CC MAJ. DEPRESSION PP DELUSIONAL

37 Clinical Syndromes P 60 PARANOID A 25 ANXIETY H 21 SOMATOFORM
SCORE PROFILE OF BR SCORES DIAGNOSTIC SCALE RAW BR P PARANOID A ANXIETY H SOMATOFORM N BIPOLAR D DYSTHYMIC B ALCOHOL T DRUG R P T S D SS THOUGHT D/O

38 Millon Clinical Multiaxial Inventory - IIITM
Modifying Indices ID: C (1) Valid Profile SCORE PROFILE OF BR SCORES DIAGNOSTIC SCALE RAW BR X DISCLOSURE Y DESIRABILITY Z DEBASEMENT SCHIZOID 2A AVOIDANT

39 Severe Personality Pathology
SCORE PROFILE OF BR SCORES DIAGNOSTIC SCALE RAW BR 8B MASOCHISTIC S SCHIZOTYPAL C BORDERLINE P PARANOID A ANXIETY

40 Clinical Personality Patterns
SCORE PROFILE OF BR SCORES DIAGNOSTIC SCALE RAW BR SCHIZOID 2A AVOIDANT 2B DEPRESSIVE DEPENDENT HISTRIONIC NARCISSISTIC 6A ANTISOCIAL 6B SADISTIC COMPULSIVE 8A NEGATIVISTIC 8B MASOCHISTIC S SCHIZOTYPAL

41 Severe Clinical Syndromes
SCORE PROFILE OF BR SCORES DIAGNOSTIC SCALE RAW BR T DRUG R P T S D SS THOUGHT DISOR. CC MAJ. DEPRESSION PP DELUSIONAL

42 Clinical Syndromes P 65 PARANOID A 81 ANXIETY H 45 SOMATOFORM
SCORE PROFILE OF BR SCORES DIAGNOSTIC SCALE RAW BR P PARANOID A ANXIETY H SOMATOFORM N BIPOLAR D DYSTHYMIC B ALCOHOL T DRUG R P T S D SS THOUGHT D/O

43 The Grossman Facet Subscales of the MCMI-IIITM…

44 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)

45 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

46 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

47 Avoidant Facet Subscales: Sample Items
1: Interpersonally aversive T I always wonder what the real reason is when someone is acting especially nice to me. T A long time ago, I decided it's best to have little to do with people. 2: Alienated self-image T I tend to always blame myself when things go wrong. T I guess I'm a fearful and inhibited person. 3: Vexatious representations T In social groups I am almost always very self-conscious and tense. T Although I'm afraid to make friendships, I wish I had more than I do.

48 Narcissistic Facet Subscales: Sample Items
1: Admirable self-image F I feel that most people think poorly of me. F People can easily change my ideas, even if I thought my mind was made up. 2: Cognitively Expansive T Other people envy my abilities. T I have many ideas that are ahead of the times. 3: Interpersonally Exploitive T I do what I want without worrying about its effect on others. T I know I'm a superior person, so I don't care what people think.

49 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 Admirable Self-Image Cognitively Expansive Interpersonally Exploitive CODE SCORE PROFILE OF BR SCORES FACET SCALES RAW BR 8B Discredited Representations 8B Cognitively Diffident 8B Undeserving Self-Image CODE SCORE PROFILE OF BR SCORES FACET SCALES RAW BR C Temperamentally Labile C Interpersonally Paradoxical C Uncertain Self-Image


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