Essentials of MCMI-IV Assessment

List of Figures xiii List of Tables xv Series Preface xvii One: History and Development of the MCMI® Through MCMI®-IV 1 Construction of the Legacy MCMI Tests (MCMI, MCMI-II, MCMI-III) 3 Development of the MCMI-IV 7 Test Yourself 16 Two: MCMI®-IV and Millon Evolutionary Theory 19 Personality as Focal Point in Clinical Assessment and Intervention 19 An Evolutionary Model of Personality 20 Motivating Aims 21 Problematic Patterns in Motivating Aims 23 Levels of Adaptiveness 25 Structural and Functional Domains 25 Applying Millon’s Evolutionary Theory to the MCMI-IV 29 Test Yourself 30 Three: Administration and Scoring 33 Administration 33 Scoring 35 Test Yourself 38 Four: Sections and Scales 41 Validity and Modifying Indices 42 Noteworthy Responses 44 Clinical Personality Patterns 45 Severe Personality Pathology 77 Clinical Syndromes 85 Severe Clinical Syndromes 87 Grossman Facet Scales 88 Test Yourself 95 Five: Interpretive Principles 97 Role of Personality in Assessment: A Recapitulation 97 Building an Integrative MCMI-IV Interpretation 99 Integrating the Overall Clinical Picture 107 Test Yourself 107 Six: Therapeutic Alliance Building 109 Introducing the MCMI-IV to the Examinee 110 Preparing the Examinee for Feedback 111 The Examiner’s Initial Preparation for Feedback 111 Moving Away From Labels 112 Understanding the Examinee’s Test-Taking Style (Modifying Indices) 113 Language of the Theory = Language of Alliance 1: Individual Personality Scales 114 Language of the Theory = Language of Alliance 2: Multiple Personality Scales 115 Language of the Theory = Language of Alliance 3: Facet Scales 117 Language of the Theory = Language of Alliance 4: Clinical Symptomology 119 Test Yourself 120 Seven: Strengths and Weaknesses of the MCMI®-IV 123 A. Jordan Wright Strengths 123 Weaknesses 127 Final Comment 133 Test Yourself 135 Eight: Clinical Applications of the Millon Inventories 137 Key MCMI-IV Augmentation: Personality Spectra and Clinical Populations 137 The MCMI-IV in Clinical Assessment 139 Specific Assessment Applications With the MCMI 142 Other Millon Inventories 144 Test Yourself 148 Nine: Illustrative Case Reports 151 Case Example 1 151 Case Example 2 160 References 169 About the Authors 175 Index 177