Important MMPI-2 Scales

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The document discusses various scales from the MMPI-2 test that are used to measure personality traits and psychopathology. Key scales discussed include those measuring depression, hysteria, paranoia, schizophrenia, hypomania and social introversion.

Some of the scales that directly measure psychopathology include the Infrequency (F) scale, which measures overall psychopathology, the Schizophrenia (Sc) scale, which is good at detecting serious psychopathology, and the Hypomania (Ma) scale, which can detect traits like narcissism, paranoia and hypomanic states.

A high score on the Paranoia (Pa) scale indicates suspicious, hostile, and overly sensitive tendencies as well as possible delusions of persecution or grandiosity.

Important MMPI-2 Scales

Measures of Completeness and Consistency

 ? Scale - Cannot Say


o A tally of omitted items. 
o High scores may be due to obsessiveness, defensiveness, difficulty in reading, confusion,
hostility, or paranoia.
 It is important to look for a pattern that may exist in the items that are left
blank.
 More than ten left unanswered may be of clinical significance. Twenty or more
left unanswered should be considered significant. 

 TRIN - True Response Inconsistency scale


o 23 pairs of items - that are semantically inconsistent.
 High scores, 13 or more, have responded to the MMPI in a "yea-saying" test set,
responding mostly "True".  
 This can be also be High due to severe psychopathology.
 Low scores of 5 or less responded with a "nay-saying" test set, responding
mainly "False."

Self-Unfavorable Scales

 F Scale – Infrequency
o Very high (>T99)
 Possible random, exaggerated, or mis-scored profile.
o Very high scores (T> 90)
 Commonly found with psychotic patients.
o High scores (>T70)
 Best measure of overall psychopathology, resentment, acting out, moodiness.
 Mostly elevations in the F scale are due to psychopathology; high item overlap
with scale 8.
o Low scores (T<45)
 Possible fake good profile.
Important MMPI-2 Scales

Self-Favorable Scales

 L - Lie Scale
o High: (> Raw 5).
 Tendency to create a favorable impression as a response bias, conventional,
rigid, moralistic, repression, denial, and insightless.
 A high L can mean anything from a very well mannered normal wanting to give a
good impression, to a compensated paranoid.
 A high L will submerge scales of obvious psychopathology, and inflate scales of
healthy functioning such as the Ego Strength scale. 
o Low: (< Raw 3).
 Admitting to minor faults and shortcomings, independent, self-reliant.

 K Scale - Defensiveness
o Subtle and valuable correction for defensiveness.
o Assumes psychopathology.  
o If someone with a history of psychological problems scores high, then they are being
defensive.
o However, a high K is also associated with high education and socio-economic status.
 That is, people who are highly educated and getting along well with other
individuals, should score moderately high
o Derived from individuals who were hospitalized, clearly having serious psychological
problems and yet producing normal profiles.
o They were being defensive by claiming that they had no psychological problems.
o High (>Raw 22).
 If there are signs of psychopathology in the history, then high K indicates
defensiveness, insightlessness, intolerance, dogmatism, and being controlling.
 Very high scores are usually a sign of defensiveness .
 High scores are common with individuals who are well adjusted and well
educated, and tend to be in control of their lives.
o Low (<T46).
 Guarded prognosis for any insight therapy since their ego strength is low;
masochistic confessors, poor self-concept, distrustful, and angry.
 A very low K could often be the only indication of psychopathology on an MMPI
profile.  
Important MMPI-2 Scales
Mnemonic:

His Depression Hyndered Poor dan.


Males/females Provided Anxiety (Pt).
Schizophrenia and hypomania Made him Socially introverted.

Clinical Scales

 1 (Hs) Hypochondriasis
o As with any personality scale, it does not rule out organic disease. But nor does disease
rule out the psychological need to exaggerate and complain- which scale 1 measures
very well.
o High: Preoccupation about one's health, a tendency to exaggerate physical symptoms,
demanding, whiny, immature, little psychological mindedness, poor prognosis for any
kind of treatment.
o Low: Healthy, insightful, optimistic.
o Correlates mainly with Hysteria (3) .79.

 2 (D) Depression
o Very High: Often associated with Major Depression.
o High: Clinical depression, pessimism, guilt feelings.
o Low: Absence of depression, cheerful, competitive. This is still the best scale of clinical
depression.

 3 (Hy) Hysteria
o High: Tendency to convert conflicts concerning dependency, sexuality or aggression, and
express them as physical symptoms.
 Psychologically immature, self-centered, narcissistic, and insightless.
 Superficially friendly and naive but manipulative
o Low: Overly constrictive, conventional and distrusting.
 An excellent scale that measures somatization, conversion reactions, denial,
naiveté and manipulativeness.

 4(Pd) Psychopathic Deviate


o High: Poor impulse control, disidentification with societal standards, authority conflicts,
marital and family conflicts, inconsiderate, narcissistic, poor judgment, extroverted, self-
confident, hostile, parasitic and externalizes blame.
o Low: Overly conventional and conforming, passive, trusting and non-competitive.
Important MMPI-2 Scales

 5 (Mf) Masculinity-Femininity
o Not correlated to any scales of psychopathology.
o This is the weakest basic MMPI-2 scale.
o Highly educated sensitive males usually score high.
o High:
 (For Males) Passive, aesthetic and artistic interests, intelligent, sensitive to
others, tolerant and has good controls.
 If very high - possible sex role identity conflicts.
 (For Females) Rejects the stereotypic female role, has masculine interests in
work and hobbies, and may be aggressive and dominating.  
o Low:
 (For Males) Limited intellectual ability, narrow range of interests, practical,
aggressive, and has traditional male interests.
 (For Females) Passive, submissive, constricted and sensitive.

 6 (Pa) Paranoia
o It does not assess the other types of non-bizarre delusions, i.e. Erotomanic (delusional
fanatical love), Grandiose, Jealous and Somatic.  
o The only false positives are when, in reality, they have someone out to get them.
o This is the only scale I know where high scores or low scores could mean the same thing-
paranoia.
o High: Suspicious, hostile, overly sensitive, ideas of reference, delusions of persecution or
grandiosity, vengeful, and  utilizes projection.
o Low:  Insensitive, defensive, and shy. 

 7 (Pt) Psychasthenia
o Measures anxiety which is a common element to several scales.
 That's why there is so much overlap with Schizophrenia (8), Depression (2) and
Hysteria (3).
 When scale 7 is at least 10 T scores over scale 8, there is more
compensation and a better prognosis, than the other way around.
 Since scale 7 is so homogenous and obvious, it has no subscales, and
needs all the raw scores of K to correct for defensiveness. 
o High: Obsessive-compulsive anxiety, tendency towards phobias, irrational fears, high-
strung, difficulty concentrating, lack of self-confidence, rigidly moralistic, perfectionistic
and dependent.
o Low:  Well adjusted, free from anxiety, self-confident, and a wide range of interests.
Important MMPI-2 Scales

 8 (Sc) Schizophrenia
o One of the best scales anywhere of serious psychopathology.
o When scale 8 is one of the highest elevated scales on the profile, consider a borderline
or psychotic personality structure.
o Sc is made up of all obvious items, and as with Pt, requires all the raw scores of K to
correct for defensiveness.
o Correlates .81 with Pt, .73
o High: breakdown of reality testing, feelings of unreality, insecurities, schizoidal trends,
alienation, shy, anxiety, over-investment in fantasy, sexual preoccupation, non-
conforming, immature and disorganized thinking.
o Low:  Friendly, reasonable, conventional, practical, and unimaginative.

 9 (Ma) Hypomania
o It can be the only elevated scale in a defensively submerged profile.
o It will detect narcissistic, paranoid (grandiose type), psychopathic, histrionic personality
traits, and a hypomanic affective state.
o Scale 9 is known to activate the other scales, leading to an acting out of the disturbed
ideation.
o High: Hyperactive, impulsive, difficulty in delaying gratification, narcissistic, irritable and
extroverted.
o Low:  Low energy and activity level, fatigue, depression and withdrawn.

 0 Si Social Introversion
o A very reliable personality trait that many researchers believe is at least partly a matter
of genes.
o The more Si is greater than Sc the better; the more likely the person is avoidant rather
than schizoid.
o High: Timid, shy, hard to get to know, overly-sensitive, over-controlled, submissive,
conventional, cautious, rigid and moody.
o Low:  Socially extroverted, talkative, energetic, interest in status and recognition,
competitive, narcissistic, superficial, and manipulative.
 Low scores can sometimes be the only sign of narcissism on the profile. 

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