Introducing the MMPI-2-RF

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Introducing the MMPI-2-RF Yossef S. Ben-Porath Kent State University ybenpora@kent.edu 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. 1

Agenda Overview Scales Documentation and Standard Procedures Customization MMPI-2-RF Overview 2

MMPI-2-RF Overview 338-item version of MMPI-2 Released August 2008 MMPI-2-RF Overview 338-item version of MMPI-2 Released August 2008 Authors Yossef S. Ben-Porath Auke Tellegen 3

MMPI-2-RF Overview 338-item version of MMPI-2 Released August 2008 Authors Subset of MMPI-2 pool MMPI-2-RF Overview 338-item version of MMPI-2 Released August 2008 Authors Subset of MMPI-2 pool Norms based on MMPI-2 sample 4

MMPI-2-RF Overview 338-item version of MMPI-2 Released August 2008 Authors Subset of MMPI-2 pool Norms based on MMPI-2 sample MMPI-2 remains available as well MMPI-2-RF Scales 5

MMPI-2-RF Scales 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 MMPI-2-RF: Validity Scales VRIN-r: Variable Response Inconsistency Random responding TRIN-r: True Response Inconsistency Fixed responding F-r: Infrequent Responses Responses infrequent in the general population Fp-r: Infrequent Psychopathology Responses Responses infrequent in psychiatric populations Fs: Infrequent Somatic Responses Somatic complaints infrequent in medical patient populations FBS-r: Symptom Validity Somatic and cognitive complaints associated at high levels with over-reporting RBS: Response Bias Scale - Exaggerated memory complaints L-r: Uncommon Virtues Rarely claimed moral attributes or activities K-r: Adjustment Validity Avowals of good psychological adjustment associated at high levels with under-reporting 6

MMPI-2-RF: Higher-Order Scales EID Emotional/Internalizing Dysfunction Problems associated with mood and affect THD Thought Dysfunction Problems associated with disordered thinking BXD Behavioral/Externalizing Dysfunction Problems associated with under-controlled behavior MMPI-2-RF: RC Scales Identical to MMPI-2 RC Scales RCd: Demoralization General unhappiness and dissatisfaction RC1: Somatic Complaints Diffuse physical health complaints RC2: Low Positive Emotions Lack of positive emotional responsiveness RC3: Cynicism Non-self-referential beliefs expressing distrust and a generally low opinion of others RC4: Antisocial Behavior Rule breaking and irresponsible behavior 7

MMPI-2-RF: RC Scales RC6: Ideas of Persecution Self-referential beliefs that others pose a threat RC7: Dysfunctional Negative Emotions Maladaptive anxiety, anger, irritability RC8: Aberrant Experiences -- Unusual perceptions or thoughts RC9: Hypomanic Activation Over-Activation, aggression, impulsivity, and grandiosity MMPI-2-RF: Specific Problems (SP) Scales Somatic/Cognitive MLS: Malaise Overall sense of physical debilitation, poor health GIC: Gastrointestinal Complaints Nausea, recurring upset stomach, and poor appetite HPC: Head Pain Complaints Head and neck pain NUC: Neurological Complaints Dizziness, weakness, paralysis, loss of balance, etc. COG: Cognitive Complaints Memory problems, difficulties concentrating 8

MMPI-2-RF: Specific Problems (SP) Scales Internalizing (RCd Facets): SUI: Suicidal/Death Ideation Direct reports of suicidal ideation and recent attempts HLP: Helplessness/Hopelessness Belief that goals cannot be reached or problems solved SFD: Self-Doubt -- Lack of self-confidence, feelings of uselessness NFC: Inefficacy Belief that one is indecisive and inefficacious MMPI-2-RF: Specific Problems (SP) Scales Internalizing (RC7 Facets): STW: Stress/Worry -- Preoccupation with disappointments, difficulty with time pressure AXY: Anxiety Pervasive anxiety, frights, frequent nightmares ANP: Anger Proneness -- Becoming easily angered, impatient with others BRF: Behavior-Restricting Fears -- Fears that significantly inhibit normal behavior MSF: Multiple Specific Fears -- Fears of blood, fire, thunder, etc. 9

MMPI-2-RF: Specific Problems (SP) Scales Externalizing: RC4 Facets JCP: Juvenile Conduct Problems Difficulties at school and at home, stealing SUB: Substance Abuse Current and past misuse of alcohol and drugs RC9 Facets AGG: Aggression Physically aggressive, violent behavior ACT: Activation Heightened excitation and energy level MMPI-2-RF: Specific Problems (SP) Scales Interpersonal: FML: Family Problems Conflictual family relationships IPP: Interpersonal Passivity Being unassertive and submissive SAV: Social Avoidance Avoiding or not enjoying social events SHY:Shyness Bashful, prone to feel inhibited and anxious around others DSF: Disaffiliativeness Disliking people and being around them 10

MMPI-2-RF: Interest Scales AES: Aesthetic-Literary Interests Literature, music, the theater MEC: Mechanical-Physical Interests Fixing and building things, the outdoors, sports MMPI-2-RF: PSY-5 Scales AGGR-r: Aggressiveness-Revised Instrumental, goal-directed aggression PSYC-r: Psychoticism-Revised Disconnection from reality DISC-r: Disconstraint-Revised Under-controlled behavior NEGE-r: Negative Emotionality/Neuroticism-Revised Anxiety, insecurity, worry, and fear INTR-r: Introversion/Low Positive Emotionality-Revised Social disengagement and anhedonia 11

MMPI-2-RF Documentation and Standard Procedures MMPI-2-RF Documentation Manual for Administration, Scoring, and Interpretation 12

MMPI-2-RF Documentation Manual for Administration, Scoring, and Interpretation Technical Manual MMPI-2-RF Documentation Manual for Administration, Scoring, and Interpretation Technical Manual User s Guide for Reports 13

MMPI-2-RF: Technical Manual 1. Introduction 2. Scale Development 3. Psychometric Properties and External Correlates Reliability Validity MMPI-2/MMPI-2-RF MMPI-2-RF Intercorrelations 14

MMPI-2-RF: Technical Manual Appendixes A. External Correlates MMPI-2-RF Technical Manual: Appendix A Empirical Correlates in o Mental Health o Outpatient o Inpatient o Medical o Substance Abuse Treatment o Forensic- Civil o Forensic- Criminal o Non-Clinical N= 4,336 Men; 2,327 Women 604 Criteria 53,886 Correlations 15

MMPI-2-RF: Technical Manual Appendixes A. External Correlates B. Conversion of Raw Means and Standard Deviations to T-Score Values C. MMPI-2/MMPI-2-RF Booklet and Normative Comparability D. MMPI-2-RF Comparison Group Data 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) 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) 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) 16

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MMPI-2-RF: Technical Manual Appendixes A. External Correlates B. Conversion of Raw Means and Standard Deviations to T-Score Values C. MMPI-2/MMPI-2-RF Booklet and Normative Comparability D. MMPI-2-RF Comparison Group Data E. MMPI-2/MMPI-2-RF Scale Correlations 18

MMPI-2-RF: Manual for Administration, Scoring, and Interpretation 1. Introduction 2. Intended Uses, User Qualifications, and Protection of Test Materials 3. Normative Sample Composition and Score Standardization 4. Procedures for Administration and Scoring 19

Standard Administration Procedures Assess the testability of the test-taker Including reading ability Use standard administration and response-recording modalities: Booklet and answer sheet Audio CD On Screen (with optional audio) Supervise testing Standard Scoring Procedures Computer (Q Local or Mail-In) Score Report Interpretive Report Converting MMPI-2 to MMPI-2-RF protocol (Q Local or Mail-In) Score Report Interpretive Report Hand scoring templates and profile sheets 20

MMPI-2-RF: Manual for Administration, Scoring, and Interpretation 1. Introduction 2. Intended Uses, User Qualifications, and Protection of Test Materials 3. Normative Sample Composition and Score Standardization 4. Procedures for Administration and Scoring 5. Test Interpretation MMPI-2-RF: Manual for Administration, Scoring, and Interpretation Appendixes A. T-Score Conversion Tables B. Scoring Keys of the Scales C. Scale Membership and Scored Direction of MMPI-2-RF Items D. Itemmetric Data E. Item Conversion Tables 21

MMPI-2-RF: User s Guide for Reports User s guide for: MMPI-2-RF Score Report 22

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MMPI-2-RF: User s Guide for Reports User s guide for: MMPI-2-RF Score Report Comparison Group Option Standard and Custom 28

This image cannot currently be displayed. 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) 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) 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) 29

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This image cannot currently be displayed. MMPI-2-RF: User s Guide for Reports User s guide for: MMPI-2-RF Score Report Comparison Group Option Standard and Custom MMPI-2-RF Interpretive Report 38

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MMPI-2-RF: User s Guide for Reports User s guide for: MMPI-2-RF Score Report Comparison Group Option Standard and Custom MMPI-2-RF Interpretive Report Standard and Custom Comparison Groups Do not alter interpretation Further Information Interpreting the MMPI-2-RF University of Minnesota Press January 2012 43

Further Information Interpreting the MMPI-2-RF University of Minnesota Press January 2012 Pearson: clinicalcustomersupport@pearson.com 44