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Extra resources for A Beginner's Guide to the MCMI-III

Example text

Because the MCMI-III’s construction sought consonance with the official nosology of the DSM-IV, prototypical items directly reflect DSM-IV diagnostic criteria. Let us consider an example. EXHIBIT 2-2 MCMI-III Base-Rate Anchor Prevalence Points BR 60: Median score for the psychiatric population BR 75: Presence of a particular characteristic measured Indicates the presence of a trait Indicates the presence of a syndrome BR 85: Predominant characteristic measured as primary problem Indicates the presence of a disorder Indicates the prominence of a syndrome 29 30 BEGINNER’S GUIDE TO THE MCMI-III A male examinee, for instance, who endorses six prototypical items (17, 38, 53, 101, 113, and 139)—that is, marks six keyed items in the true direction on the Antisocial scale (6A), obtains a raw score of 12.

Elevations on this scale, however, should not be confused with the obsessive– compulsive disorder classified on Axis I in the DSM-IV. Scale 7 contains 17 items. NEGATIVISTIC (SCALE 8A) Alternately known as the passive–aggressive personality, an elevation on the Negativistic scale commonly displays an underlying resentfulness through indirect or passive behaviors. This personality pattern is classified in the DSM-IV classification as criteria sets requiring further study. Scale 8A contains 16 items.

This raw score transforms into a base rate of 75. In this case, a BR 75 on Scale 6A is clinically significant and suggests a high probability of the presence of an antisocial personality trait. Additional clinically significant elevations may likely be found on the Alcohol Dependence scale (Scale B) or Drug Dependence scale (Scale T) on Axis I, because of a strong covariation between antisocial and substance abuse disorders. ) Suffice it to say, elevations obtained by the examinee between BR 75 to 84 inclusive indicate the likelihood of the presence of a trait or syndrome, and elevations of BR 85 and beyond indicate the presence of a disorder or prominence of a syndrome.

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