Agenda. The MMPI-2-RF (Restructured Form) Forensic Practice Briefing. Disclosure
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1 The MMPI-2-RF (Restructured Form) Forensic Practice Briefing Yossef S. Ben-Porath Department of Psychology Kent State University Kent, OH Disclosure Yossef Ben-Porath is a paid consultant to the MMPI publisher, the University of Minnesota, and distributor, Pearson. As co-author of the MMPI-2-RF he receives royalties on sales of the test. Agenda MMPI-2-RF Overview Using the MMPI-2-RF in Forensic Assessments Admissibility Discussion
2 MMPI-2-RF Overview 338-item version of MMPI-2 Released August, 08 Authors: Ben-Porath & Tellegen Subset of MMPI-2 pool Norms based on MMPI-2 sample MMPI-2 remains available and supported MMPI-2-RF Overview 51 Scales 9 Validity Scales 3 Higher-Order Scales 9 RC Scales 23 Specific Problems Scales 5 Somatic/Cognitive 9 Internalizing 4 Externalizing 5 Interpersonal 2 Interest Scales 5 PSY-5 Scales Using the MMPI-2-RF in Forensic Assessments
3 Using the MMPI-2-RF in Forensic Assessments Why? Efficient, comprehensive, validated assessment of variables of relevance in forensic assessments Self-presentation Psychopathology Personality characteristics Behavioral proclivities Shorter instrument more likely to produce valid results in individuals who struggle with 567-item inventory Less time to interpret More likely to generate reliable interpretation Using the MMPI-2-RF in Forensic Assessments Challenges: Familiarity (Competence) Adversarial system Familiarity (Competence) Documentation Manual for Administration, Scoring and Interpretation Technical Manual Interpreting the MMPI-2-RF Support competent use of the test
4 Familiarity (Competence) Training National Program of General and Setting- Specific Workshops Adversarial System Introduction of a newer version of an existing instrument provides fodder for the crossexaminer Can challenge: Admissibility (rare) Weight of the evidence (deposition/trial testimony) Ben-Porath (12):
5 Daubert Factors and the MMPI-2-RF Daubert Factors Has the technique been tested? Has it been subjected to peer review? What is the technique s known or potential rate of error? Are there standards controlling the technique s operation? Is the technique generally accepted? Has the technique been tested? Are empirical data available on the technique? MMPI-2-RF Technical Manual
6 Has the technique been tested? Internal structural analyses: Intercorrelations between 51 MMPI-2-RF Scales Normative and clinical samples Correlations between MMPI-2/MMPI-2-RF Validity Scales Substantive Scales N=5,0 39,855 correlations Has the MMPI-2-RF been tested? Empirical Correlates in Mental Health Outpatient Inpatient Medical Substance Abuse Treatment Forensic- Civil Forensic- Criminal Non-Clinical N= 4,336 Men; 2,327 Women 5 Criteria 53,9 Correlations
7 MMPI-2-RF: Standard Comparison Groups MMPI-2-RF Normative (Men & Women) Outpatient, Community Mental Health Center (Men & Women) Outpatient, Independent Practice (Men & Women) Psychiatric Inpatient, Community Hospital (Men & Women) Psychiatric Inpatient, VA Hospital (Men) Substance Abuse Treatment, VA (Men) Bariatric Surgery Candidate (Men & Women) Spine Surgery/Spinal Cord Stimulator Candidates (Men & Women) Chronic Pain Evaluee (Men & Women) College Counseling Clinic (Men & Women) College Student (Men & Women) Forensic, Disability Claimant (Men & Women) Forensic, Independent Neuropsychological Examination (Men & Women) Forensic, Pre-trial Criminal (Men & Women) Forensic, Child Custody (Men & Women) Forensic, Parental Fitness Evaluee (Men & Women) Prison Inmate (Men & Women) Personnel Screening, Law Enforcement (Men, Women & Combined) Personnel Screening, Corrections Officer (Men, Women & Combined) Personnel Screening, Clergy Candidates (Men, Women, & Combined)
8 Forensic Criminal Defendants Forensic, Pre-Trial Criminal MMPI-2-RF Validity Scales Men (n=551) Women (n=223) 1 VRIN-r TRIN-r F-r Fp-r Fs FBS-r RBS L-r K-r VRIN-r TRIN-r F-r Fp-r Fs FBS-r RBS L-r K-r T Mean - Men Standard Dev Mean - Women Standard Dev Forensic Pre-Trial Criminal MMPI-2-RF Higher-Order (HOD) and Restructured Clinical (RC) Scales 1 Higher-Order Men (n=551) Restructured Clinical Women (n=223) EID THD BXD RCd RC1 RC2 RC3 RC4 RC6 RC7 RC8 RC9 EID THD BXD RCd RC1 RC2 RC3 RC4 RC6 RC7 RC8 RC9 Mean - Men Standard Dev Mean - Women Standard Dev
9 Forensic Pre-Trial Criminal MMPI-2-RF Somatic and Cognitive Scales Men (n=551) Women (n=223) 1 Somatic Internalizing MLS GIC HPC NUC COG SUI HLP SFD NFC STW AXY ANP BRF MSF MLS GIC HPC NUC COG SUI HLP SFD NFC STW AXY ANP BRF MSF Mean - Men Standard Dev Mean - Women Standard Dev Forensic Pre-Trial Criminal MMPI-2-RF Externalizing, Interpersonal, and Interest Scales Men (n=551) Women (n=223) 1 Externalizing Interpersonal Interest JCP SUB AGG ACT FML IPP SAV SHY DSF AES MEC JCP SUB AGG ACT FML IPP SAV SHY DSF AES MEC Mean - Men Standard Dev Mean - Women Standard Dev Forensic Pre-Trial Criminal MMPI-2-RF Personality Psychopathology Five (PSY-5) Scales 1 Men (n=551) Women (n=223) AGGR-r PSYC-r DISC-r NEGE-r INTR-r AGGR-r PSYC-r DISC-r NEGE-r INTR-r Mean - Men Standard Dev Mean - Women Standard Dev
10 Prison Inmates Prison Inmates MMPI-2-RF Validity Scales 1 Men (n=34933) Women (n=7353) VRIN-r TRIN-r F-r Fp-r Fs FBS-r RBS L-r K-r VRIN-r TRIN-r F-r Fp-r Fs FBS-r RBS L-r K-r T Mean - Men Standard Dev T Mean - Women Standard Dev Prison Inmate MMPI-2-RF Higher-Order (HOD) and Restructured Clinical (RC) Scales 1 Higher-Order Men (n=34935) Restructured Clinical Women (n=7354) EID THD BXD RCd RC1 RC2 RC3 RC4 RC6 RC7 RC8 RC9 EID THD BXD RCd RC1 RC2 RC3 RC4 RC6 RC7 RC8 RC9 Mean - Men Standard Dev Mean - Women Standard Dev
11 Prison Inmate MMPI-2-RF Somatic and Cognitive Scales Men (n=34935) Women (n=7354) 1 Somatic Internalizing MLS GIC HPC NUC COG SUI HLP SFD NFC STW AXY ANP BRF MSF MLS GIC HPC NUC COG SUI HLP SFD NFC STW AXY ANP BRF MSF Mean - Men Standard Dev Mean - Women Standard Dev Prison Inmate MMPI-2-RF Externalizing, Interpersonal, and Interest Scales Men (n=34935) Women (n=7354) 1 Externalizing Interpersonal Interest JCP SUB AGG ACT FML IPP SAV SHY DSF AES MEC JCP SUB AGG ACT FML IPP SAV SHY DSF AES MEC Mean - Men Standard Dev Mean - Women Standard Dev Prison Inmate MMPI-2-RF Personality Psychopathology Five (PSY-5) Scales 1 Men (n=34935) Women (n=7354) AGGR-r PSYC-r DISC-r NEGE-r INTR-r AGGR-r PSYC-r DISC-r NEGE-r INTR-r Mean - Men Standard Dev Mean - Women Standard Dev
12 Forensic Disability Claimants Forensic, Disability Claimants MMPI-2-RF Validity Scales Men (n=523) Women (n=4) 1 VRIN-r TRIN-r F-r Fp-r Fs FBS-r RBS L-r K-r VRIN-r TRIN-r F-r Fp-r Fs FBS-r RBS L-r K-r T Mean - Men Standard Dev T Mean - Women Standard Dev Forensic Disability Claimant MMPI-2-RF Higher-Order (HOD) and Restructured Clinical (RC) Scales 1 Higher-Order Men (n=523) Restructured Clinical Women (n=4) EID THD BXD RCd RC1 RC2 RC3 RC4 RC6 RC7 RC8 RC9 EID THD BXD RCd RC1 RC2 RC3 RC4 RC6 RC7 RC8 RC9 Mean - Men Standard Dev Mean - Women Standard Dev
13 Forensic Disability Claimant MMPI-2-RF Somatic and Cognitive Scales Men (n=523) Women (n=4) 1 Somatic Internalizing MLS GIC HPC NUC COG SUI HLP SFD NFC STW AXY ANP BRF MSF MLS GIC HPC NUC COG SUI HLP SFD NFC STW AXY ANP BRF MSF Mean - Men Standard Dev Mean - Women Standard Dev Forensic Disability Claimant MMPI-2-RF Externalizing, Interpersonal, and Interest Scales Men (n=523) Women (n=4) 1 Externalizing Interpersonal Interest JCP SUB AGG ACT FML IPP SAV SHY DSF AES MEC JCP SUB AGG ACT FML IPP SAV SHY DSF AES MEC Mean - Men Standard Dev Mean - Women Standard Dev Forensic Disability Claimant MMPI-2-RF Personality Psychopathology Five (PSY-5) Scales 1 Men (n=523) Women (n=4) AGGR-r PSYC-r DISC-r NEGE-r INTR-r AGGR-r PSYC-r DISC-r NEGE-r INTR-r Mean - Men Standard Dev Mean - Women Standard Dev
14 Child Custody Litigants Forensic, Child Custody Litigants MMPI-2-RF Validity Scales Men (n=244) Women (n=239) 1 VRIN-r TRIN-r F-r Fp-r Fs FBS-r RBS L-r K-r VRIN-r TRIN-r F-r Fp-r Fs FBS-r RBS L-r K-r F Mean - Men Standard Dev F Mean - Women Standard Dev Men (n=244) Custody Litigants Women (n=239) 1 Higher-Order Restructured Clinical EID THD BXD RCd RC1 RC2 RC3 RC4 RC6 RC7 RC8 RC9 EID THD BXD RCd RC1 RC2 RC3 RC4 RC6 RC7 RC8 RC9 Men (n=244) Standard Dev Women (n=239) Standard Dev
15 Forensic, Child Custody Litigants MMPI-2-RF Somatic and Cognitive Scales Men (n=244) Women (n=239) 1 Somatic Internalizing MLS GIC HPC NUC COG SUI HLP SFD NFC STW AXY ANP BRF MSF MLS GIC HPC NUC COG SUI HLP SFD NFC STW AXY ANP BRF MSF Mean - Men Standard Dev Mean - Women Standard Dev Custody Litigants Men (n=244) Women (n=239) 1 Externalizing Interpersonal Interest JCP SUB AGG ACT FML IPP SAV SHY DSF AES MEC JCP SUB AGG ACT FML IPP SAV SHY DSF AES MEC Men (n=244) Standard Dev Women (n=239) Standard Dev Custody Litigants 1 Men (n=244) PSY-5 Women (n=239) AGGR-r PSYC-r DISC-r NEGE-r INTR-r AGGR-r PSYC-r DISC-r NEGE-r INTR-r Men (n=244) Standard Dev Women (n=239) Standard Dev
16 Parental Fitness Evaluees Parental Fitness MMPI-2-RF Validity Scales Men (n=226) Women (n=336) 1 VRIN-r TRIN-r F-r Fp-r Fs FBS-r RBS L-r K-r VRIN-r TRIN-r F-r Fp-r Fs FBS-r RBS L-r K-r Mean - Men T Standard Dev Mean - Women F Standard Dev Parental Fitness MMPI-2-RF Higher-Order (HOD) and Restructured Clinical (RC) Scales 1 Higher-Order Men (n=226) Women (n=336) Restructured Clinical EID THD BXD RCd RC1 RC2 RC3 RC4 RC6 RC7 RC8 RC9 EID THD BXD RCd RC1 RC2 RC3 RC4 RC6 RC7 RC8 RC9 Mean - Men Standard Dev Mean - Women Standard Dev
17 Parental Fitness MMPI-2-RF Somatic and Cognitive Scales Men (n=226) Women (n=336) 1 Somatic Internalizing MLS GIC HPC NUC COG SUI HLP SFD NFC STW AXY ANP BRF MSF MLS GIC HPC NUC COG SUI HLP SFD NFC STW AXY ANP BRF MSF Mean - Men Standard Dev Mean - Women Standard Dev Parental Fitness MMPI-2-RF Externalizing, Interpersonal, and Interest Scales Men (n=226) Women (n=336) 1 Externalizing Interpersonal Interest JCP SUB AGG ACT FML IPP SAV SHY DSF AES MEC JCP SUB AGG ACT FML IPP SAV SHY DSF AES MEC Mean - Men Standard Dev Mean - Women Standard Dev Parental Fitness MMPI-2-RF Personality Psychopathology Five (PSY-5) Scales Men (n=226) Women (n=336) 1 AGGR-r PSYC-r DISC-r NEGE-r INTR-r AGGR-r PSYC-r DISC-r NEGE-r INTR-r Mean - Men Standard Dev Mean - Women Standard Dev
18 Has the MMPI-2-RF been tested? Descriptive Data for following settings: Mental Health Medical Substance Abuse Treatment Forensic Correctional Personnel Screening Non-Clinical Settings N=~68,000 Has the MMPI-2-RF subjected to peer review? As of October 12, 1+ peer-reviewed papers on MMPI-2-RF General Topics Validity Scales Correctional Settings Forensic Settings Criminal Defendants Civil litigants and disability claimants Child Custody Parental Fitness Mental Health Settings Medical Settings Non-clinical Settings The known or potential rate of error of the MMPI-2-RF? Data on reliability and standard error of measurement of MMPI-2-RF scale scores address this question directly Available in Technical Manual Chapter 3 Normative and Clinical Samples Classification accuracy statistics (Sensitivity, Specificity, Positive and Negative Predictive Powers) Available in peer reviewed classification studies (e.g., malingering detection research)
19 Are there standards controlling the MMPI-2-RF?
20 Are there standards controlling the MMPI-2-RF? Yes, and the availability of a standard set of interpretive guidelines enhances crossinterpreter reliability A desirable feature of any psychological test Particularly when used in forensic evaluations Is the MMPI-2-RF Generally Accepted? Frye Test MMPI-2-RF being used increasingly in: Forensic (criminal and civil) evaluations Public safety personnel screening Medical evaluations Mental health settings In many states, case law guides judges to consider Daubert-like factors (i.e., scientific validity and reliability) Option: Administer MMPI-2 and score both versions
21 Indications of MMPI-2-RF Acceptance MMPI-2-RF interpretive guidelines provided in two leading textbooks: Graham, J. R. (12). MMPI-2: Assessing Personality and Psychopathology (5th edition). New York: Oxford University Press. Greene, R.L. (11). MMPI-2/MMPI-2-RF: An Interpretive Manual (Third Edition). New York: Allyn & Bacon. Listed among recommended outcome measures in Traumatic brain injury research complied by Interagency Traumatic Brain Injury (TBI) Outcome measures Workgroup convened by NIH: Wilde et al. (10). Recommendations for the use of Common Outcome Measures in Traumatic Brain Injury Research. Archives of Physical Medicine and Rehabilitation, 91, e17. Listed as recommended measure in guide to establishing a practice on police pre-employment psychological evaluations: Gallo, F. J., & Halgin, R. P. (11). A Guide for Establishing a Practice in Police Preemployment Postoffer Psychological Evaluations. Professional Psychology: Research and Practice. Advance online publication. doi: /a Discussion
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