1. Millon Clinical Multiaxial Inventory III (MCMI-III)

2. MCMI: Description An MMPI-like, true-false inventory 175 items
Includes validity, clinical personality, and clinical syndrome scales
Based on Millon’s personality theory
Tied to DSM-IV diagnoses

3. MCMI: Test Construction
Three phases
Theoretical-substantive
Internal-structural
External-criterion
Normed on clinical samples

4. MCMI: Scales Validity/Modifying Indices X Disclosure Y Desirability
Z Debasement

5. MCMI: Scales (cont) Clinical Personality Severe Personality Pathology
1 Schizoid
2A Avoidant
2B Depressive
3 Dependent
4 Histrionic
5 Narcissistic
6 Antisocial
6B Sadistic (Aggressive)
7 Compulsive
8A Negativistic
8B Masochistic
Severe Personality Pathology
S Schizotypal
C Borderline
P Paranoid

6. MCMI: Scales (cont) Clinical Syndromes Severe Clinical Syndromes
A Anxiety
H Somatoform
N Bipolar: Manic
D Dysthymia
B Alcohol Dependence
T Drug Dependence
R PTSD
Severe Clinical Syndromes
SS Thought Disorder
CC Major Depression
PP Delusional Disorder

7. MCMI: Scoring and Interpreting
Base Rate Anchors
115 Maximum raw score
85 Prevalence PD disorder
(1-8) or
Prev of “prominent”
disorder (A-PP)
75 Prev of PD traits or
Prev of present
60 Median for patients
0 Minimum raw score
Score adjustment
X Disclosure
Anxiety/Depression
Inpatient adjustment
Denial/Complaint adjustment

8. MCMI: Strengths Relatively brief, easy to administer
Easy computer-scoring
Good reliability
Tied to Millon’s theory
Tied to DSM-IV dx (including PD)
Use of base rates
Some research support

9. MCMI: Limitations Difficult to score by hand
Descriptions and predictions are more theoretically than empirically based
Tied to Millon’s personality theory
Interpretation, especially of Axis I disorders, is not as easy as it looks