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1 MCMI -IV Millon Clinical Multiaxial Inventory-IV Profile Report Theodore Millon, PhD, DSc Name: Joan Sample ID Number: 9 Age: 9 Gender: Female Setting: Outpatient never hospitalized Education: Bachelor's degree or more Race: Hispanic Marital Status: Never Married Date Assessed: /09/0 Copyright 0 DICANDRIEN, Inc. All rights reserved. Pearson, the PSI logo, and PsychCorp are trademarks in the U.S. and/or other countries of Pearson Education, Inc., or its affiliate(s). MCMI and Millon are registered trademarks of DICANDRIEN, Inc. TRADE SECRET INFORMATION Not for release under HIPAA or other data disclosure laws that exempt trade secrets from disclosure. [.0 / RE / QG ] CLINA0 /

2 MCMI -IV Profile Report ID: 9 /09/0, Page Joan Sample INTERPRETIVE CONSIDERATIONS MCMI-IV reports are normed on patients who were in the early phases of assessment or psychotherapy for emotional discomfort or social difficulties. Respondents who do not fit this normative population or who have inappropriately taken the MCMI-IV for nonclinical purposes may have inaccurate reports. The MCMI-IV report cannot be considered definitive. It should be evaluated in conjunction with additional clinical data. The report should be evaluated by a mental health clinician trained in the use of psychological tests. The patient is a 9-year-old single Hispanic female with a bachelor's degree or more. She is currently being seen as an outpatient, and she reports that she has recently experienced a problem that involves low self-confidence. These self-reported difficulties, which have occurred for an unspecified period of time, may take the form of a clinical syndrome disorder. This patient's test results are of questionable validity due to the possibility of random responding. She received an unusually high score on the Inconsistency (W) scale, meaning that a number of her responses to pairs of items that are similar in content are contradictory. This suggests lack of responsiveness to the content of the items. Common reasons for random responding include reading or language limitations, difficulty maintaining attention, cognitive impairment, carelessness, fatigue, and deliberate uncooperativeness. The possibility that one or more of these factors affected the patient's test responses should be investigated. In the meantime, the test results should be interpreted with caution. This patient's response style may indicate a broad tendency to magnify the level of experienced illness or a characterological inclination to complain or to be self-pitying. On the other hand, the response style may convey feelings of extreme vulnerability that are associated with a current episode of acute turmoil. Whatever the impetus for the response style, the patient's scale scores, particularly those on Clinical Syndrome scales, may be somewhat exaggerated, and the interpretation of this profile should be made with this consideration in mind. s have been adjusted based on the Disclosure scale to compensate for a potential over reporting of actual symptoms. s have been adjusted based on the Disclosure scale to compensate for a potential over reporting of actual symptoms. s for scales B (Melancholic), B (Masochistic), and C (Borderline) have been adjusted based on scales A (Generalized Anxiety) and CC (Major Depression) to compensate for the potential over reporting of symptoms based on the elevated scores from scales A and CC. Additional score adjustments have also been made on scores for scales A (Avoidant) and S (Schizotypal).

3 MCMI -IV Profile Report ID: 9 /09/0, Page Joan Sample HIGH-POINT CODE = BR ADJUSTMENTS = MILLON CLINICAL MULTIAXIAL INVENTORY-IV PROFILE SUMMARY A A B INVALIDITY (V) = 0 X, A/CC INCONSISTENCY (W) = VALIDITY Modifying Indices Raw BR Profile of BR s 0 0 Low Average High Disclosure X Desirability Y 0 Debasement Z PERSONALITY Clinical Personality Patterns Raw PR BR Profile of BR s 0 0 Style Type Disorder AASchd SRAvoid DFMelan DADepn SPHistr EETurbu CENarc ADAntis ADSadis RCComp DRNegat AAMasoc Severe Personality Pathology ESSchizoph UBCycloph MPParaph A B A B A B A B S C P PSYCHOPATHOLOGY Raw PR BR Profile of BR s 0 0 Clinical Syndromes Present Prominent GENanx A SOMsym H 9 BIPspe N PERdep D 9 ALCuse B 9 DRGuse T P-Tstr R 0 Severe Clinical Syndromes SCHspe SS MAJdep CC 9 DELdis PP

4 MCMI -IV Profile Report ID: 9 /09/0, Page Joan Sample FACET SCALES UBCycloph UNCslf SPLarc TEMlab MILLON CLINICAL MULTIAXIAL INVENTORY-IV FACET SCALES FOR HIGHEST ELEVATED PERSONALITY SCALES Profile of BR s Raw PR BR 0 0 C Interpretable C. 9 C. C. 9 9 DRNegat A EXPemb A. 9 DISslf A. 9 TEMirr A. 0 ADAntis AASchd. INTune. MGRcon. TEMapa A A. A. A. B B. B. B. INTirr AUTslf ACTdyn SRAvoid INTave ALIslf VEXcon DFMelan COGftl WORslf TEMwoe A A. A. A. GROSSMAN FACET SCALE SCORES Raw PR BR Raw PR BR 0 B B. B. B. ADSadis EXPpre INTabr ERUarc A A. A. A. RCComp EXPdis COGcon RELslf DRNegat EXPemb DISslf TEMirr DADepn EXPprl INTsub INPslf B B. B. B. AAMasoc UNDslf INVarc TEMdys 9 A A. A. A. SPHistr EXPdra INTatn TEMfic 0 0 S S. S. S. ESSchizoph COGcir ESTslf CHAcon 0 0 B B. B. B. EETurbu EXPimp INThsp EXAslf C C. C. C. UBCycloph UNCslf SPLarc TEMlab CENarc INTexp COGexp ADMslf 0 P P. P. P. MPParaph EXPdef COGmis PROdyn 9 0 A A. A. A. ADAntis INTirr AUTslf ACTdyn

5 MCMI -IV Profile Report ID: 9 /09/0, Page Joan Sample NOTEWORTHY RESPONSES The patient answered the following statements in the direction noted in parentheses. These items suggest specific problem areas that the clinician may wish to investigate. Health Preoccupied 0. I Item feel weak Content and Omitted tired much (True) of the time. (True). It Item bothers Content me that Omitted my body (True) gets worn out very quickly. (True) ITEMS NOT SHOWN Interpersonally Alienated. I'm Item concerned Content Omitted that people (True) I depend on will leave me. (True). I Item really Content don't understand Omitted (True) human feelings like other people do. (True) Special Note: The content of the test items is included in the actual reports. To protect the integrity of the measure, the item content does not appear in this sample report. Emotional Dyscontrol. I Item have Content a great deal Omitted of trouble (True) trying to control an impulse to drink in excess. (True). When Item Content I'm alone Omitted and away (True) from home, I often begin to feel tense and panicky. (True) 0. Lately, Item Content I've gone Omitted all to pieces. (True) (True) Self-Destructive Potential. I Item began Content to feel Omitted like a failure (True) some years ago. (True). I Item just haven't Content had Omitted the luck (True) in life that others have had. (True). I've Item become Content quite Omitted discouraged (True) and sad about life in the past year or two. (True) 9. I Item often Content think that Omitted I don't (True) deserve the good things that happen to me. (True). I Item feel deeply Content depressed Omitted (True) for no reason I can figure out. (True). In Item recent Content weeks, Omitted my mood (True) has become increasingly sad. (True). For Item some Content time Omitted now, I've (True) been feeling very guilty because I can't do things right anymore. (True). I Item often Content get so upset Omitted that (True) I want to hurt myself seriously. (True) Childhood Abuse. I'm Item ashamed Content of Omitted some of (True) the abuses I suffered when I was young. (True) Vengefully Prone. I Item feel terribly Content depressed Omitted (True) and sad much of the time now. (True). My Item moods Content seem Omitted to change (True) a great deal from one day to the next. (True). I Item feel lonely Content and Omitted empty (True) most of the time. (True). I Item often Content find that Omitted I've been (True) treated unfairly. (True). I Item often Content feel very Omitted unhappy (True) with who I am. (True) 9. I Item sometimes Content feel Omitted I deserve (True) to be unhappy. (True) Explosively Angry. As Item a teenager, Content Omitted I got into (True) lots of trouble because of bad school behavior. (True). I Item have Content difficulty Omitted controlling (True) my anger. (True). I Item quickly Content show Omitted my anger (True) at people who disagree with me. (True) 9. Too Item many Content rules Omitted get in the (True) way of doing what I want. (True)

6 MCMI -IV Profile Report ID: 9 /09/0, Page Joan Sample Autism Spectrum 9. I Item don't Content like to change Omitted my (True) routine. (True) ITEMS. I Item really Content don't understand Omitted (True) human feelings like other people do. (True) NOT End of Report SHOWN Special Note: The content of the test items is included in the actual reports. To protect the integrity of the measure, the item content does not appear in this sample report. NOTE: This and previous pages of this report contain trade secrets and are not to be released in response to requests under HIPAA (or any other data disclosure law that exempts trade secret information from release). Further, release in response to litigation discovery demands should be made only in accordance with your profession's ethical guidelines and under an appropriate protective order.

7 MCMI -IV Profile Report ID: 9 /09/0, Page Joan Sample ITEM RESPONSES : : : : : : : : 9: : : : : : : : : : 9: 0: : : : : : : : : 9: 0: : : : : : : : : 9: 0: : : : : : : : : 9: 0: : : : : : : : : 9: 0: : : : : : : : : 9: 0: : : : : : : : : 9: 0: : : : : : : : : 9: : 9: 9: 9: 9: 9: 9: 9: 9: : 0: : : : : : : : : 9: : : : : : : : : : 9: 0: : : : : : : : : 9: : : : : : : : : : 9: : : : : : : : : : 9: : : : : : : : : : 9: : : : : : : : : : 9: : : : : : : : : : 9: : : : : : : : : : 9: : 9: 9: 9: 9: 9: