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Library of Congress Cataloging-in-Publication Data
Names: Grossman, Seth, 1968- author. | Amendolace, Blaise, 1982- author.
Title: Essentials of MCMI®-IV assessment / Seth Grossman, Psy.D., Blaise Amendolace, Psy.D.
Other titles: Essentials of psychological assessment series.
Description: Hoboken, New Jersey : John Wiley & Sons, 2017. | Series: Essentials of psychological assessment series | Includes bibliographical references and index.
Identifiers: LCCN 2016035910 (print) | LCCN 2016052631 (ebook) | ISBN 9781119236429 (pbk.) | ISBN 9781119236436 (pdf ) | ISBN 9781119236443 (epub)
Subjects: LCSH: Millon Clinical Multiaxial Inventory—Handbooks, manuals, etc.
Classification: LCC RC473.M47 G76 2017 (print) | LCC RC473.M47 (ebook) | DDC 616.89/075076—dc23
LC record available at https://lccn.loc.gov/2016035910
Cover design: Wiley
Cover image: ©Greg Kuchik/Getty Images
FIRST EDITION
Series Editors, Alan S. Kaufman and Nadeen L. Kaufman
by Heather E. P. Cattell and James M. Schuerger
by Elizabeth P. Sparrow and Drew Erhardt
by David A. Kilpatrick
by Elizabeth O. Lichtenberger, Nancy Mather, Nadeen L. Kaufman, and Alan S. Kaufman
by Susan R. Homack and Cecil R. Reynolds
by Celine A. Saulnier and Pamela E. Ventola
by Maureen M. Black and Kathleen Matula
by Michael C. Ramsay, Cecil R. Reynolds, and R. W. Kamphaus
by Jeffrey P. Prince and Lisa J. Heiser
by Jack A. Naglieri
by Linda Wilmshurst
by Elizabeth O. Lichtenberger, Debra Y. Broadbooks, and Alan S. Kaufman
by Elizabeth P. Sparrow
by James C. Kaufman, Jonathan A. Plucker, and John Baer
by Dawn P. Flanagan, Samuel O. Ortiz, and Vincent C. Alfonso
by Ron Dumont, John O. Willis, and Colin D. Elliott
by Nancy Mather and Barbara J. Wendling
by Barbara J. Wendling and Nancy Mather
by George McCloskey and Lisa A. Perkins
by Marc J. Ackerman
by Steven I. Pfeiffer
by Guy McBride, Ron Dumont, and John O. Willis
by Douglas K. Smith
by Alan W. Brue and Linda Wilmshurst
by Alan S. Kaufman, Elizabeth O. Lichtenberger, Elaine Fletcher-Janzen, and Nadeen L. Kaufman
by Kristina C. Breaux and Elizabeth O. Lichtenberger
by Stephen Strack
by Robert P. Archer and Radhika Krishnamurthy
by David S. Nichols
by Naomi L. Quenk
by Sally L. Kemp and Marit Korkman
by Nancy Hebben and William Milberg
by Steve McCallum, Bruce Bracken, and John Wasserman
by Leslie C. Morey
by Jennifer T. Mascolo, Vincent C. Alfonso, and Dawn P. Flanagan
by Milton J. Dehn
by Susana Urbina
by Amanda M. VanDerHeyden and Matthew K. Burns
by Tara Rose, Michael P. Maloney and Nancy Kaser-Boyd
by Daniel C. Miller
by Dawn P. Flanagan and Vincent C. Alfonso
by Gale H. Roid and R. Andrew Barram
by Hedwig Teglasi
by Diana Joyce
by Elizabeth O. Lichtenberger and Alan S. Kaufman
by Dawn P. Flanagan and Vincent C. Alfonso
by Fredrick A. Schrank, Scott L. Decker, and John M. Garruto
by Nancy Mather and Barbara J. Wendling
by Lisa W. Drozdick, James A. Holdnack, and Robin C. Hilsabeck
by Kimberly A. Brunnert, Jack A. Naglieri, and Steven T. Hardy-Braz
by Milton J. Dehn
by Susan Engi Raiford and Diane L. Coalson
by Wayne Adams and Cecil R. Reynolds
To our sons, Aiden and Lucca,
Both of you provide the fire and light that allow us to push forward, always providing a why for any how.
With all of our love,
SG and BA
Figure 2.1 | Motivating Aims of the Evolutionary Model |
Figure 4.1 | Schizoid Motivating Aims |
Figure 4.2 | Schizoid Domains |
Figure 4.3 | Avoidant Motivating Aims |
Figure 4.4 | Avoidant Domains |
Figure 4.5 | Melancholic Motivating Aims |
Figure 4.6 | Melancholic Domains |
Figure 4.7 | Dependent Motivating Aims |
Figure 4.8 | Dependent Domains |
Figure 4.9 | Histrionic Motivating Aims |
Figure 4.10 | Histrionic Domains |
Figure 4.11 | Turbulent Motivating Aims |
Figure 4.12 | Turbulent Domains |
Figure 4.13 | Narcissistic Motivating Aims |
Figure 4.14 | Narcissistic Domains |
Figure 4.15 | Antisocial Motivating Aims |
Figure 4.16 | Antisocial Domains |
Figure 4.17 | Sadistic Motivating Aims |
Figure 4.18 | Sadistic Domains |
Figure 4.19 | Compulsive Motivating Aims |
Figure 4.20 | Compulsive Domains |
Figure 4.21 | Negativistic Motivating Aims |
Figure 4.22 | Negativistic Domains |
Figure 4.23 | Masochistic Motivating Aims |
Figure 4.24 | Masochistic Domains |
Figure 4.25 | Schizotypal Motivating Aims |
Figure 4.26 | Schizotypal Domains |
Figure 4.27 | Borderline Motivating Aims |
Figure 4.28 | Borderline Domains |
Figure 4.29 | Paranoid Motivating Aims |
Figure 4.30 | Paranoid Domains |
Figure 6.1 | Motivating Aims of Scales 5 and 2A |
Figure 9.1 | MCMI-IV Profile Page, Case Example 1 (Mitch) |
Figure 9.2 | MCMI-IV Facet Page for Case Example 1 (Mitch) |
Figure 9.3 | Profile Page for Case Example 2 (Valerie) |
Figure 9.4 | Facet Page for Case Example 2 (Valerie) |
Table 1.1 | Millon’s Original Eight Personality Prototypes |
Table 1.2 | Reliability of MCMI-IV Personality Scales |
Table 1.3 | Reliability of MCMI-IV Syndrome Scales |
Table 1.4 | Sensitivity and Specificity of MCMI-IV Personality Scales |
Table 1.5 | Sensitivity and Specificity of MCMI-IV Clinical Syndrome Scales |
Table 2.1 | Personality Levels Across Evolutionary Spectra |
Table 2.2 | Expression of Domains by Prototype |
Table 4.1 | Grossman Facet Scales |
Table 5.1 | Base Rate Anchor Points |
Table 8.1 | Objective and Projective Assessment Integration Guidelines |
In the Essentials of Psychological Assessment series, we have attempted to provide the reader with books that will deliver key practical information in the most efficient and accessible style. Many books in the series feature specific instruments in a variety of domains, such as cognition, personality, education, and neuropsychology. Other books, like Essentials of KTEA-3 and WIAT®-III Assessment focus on crucial topics for professionals who are involved in anyway with assessment—topics such as specific reading disabilities, evidence-based interventions, or ADHD assessment. For the experienced professional, books in the series offer a concise yet thorough review of a test instrument or a specific area of expertise, including numerous tips for best practices. Students can turn to series books for a clear and concise overview of the important assessment tools, and key topics, in which they must become proficient to practice skillfully, efficiently, and ethically in their chosen fields.
Wherever feasible, visual cues highlighting key points are utilized alongside systematic, step-by-step guidelines. Chapters are focused and succinct. Topics are organized for an easy understanding of the essential material related to a particular test or topic. Theory and research are continually woven into the fabric of each book, but always to enhance the practical application of the material, rather than to sidetrack or overwhelm readers. With this series, we aim to challenge and assist readers interested in psychological assessment to aspire to the highest level of competency by arming them with the tools they need for knowledgeable, informed practice. We have long been advocates of “intelligent” testing—the notion that numbers are meaningless unless they are brought to life by the clinical acumen and expertise of examiners. Assessment must be used to make a difference in the child’s or adult’s life, or why bother to test? All books in the series—whether devoted to specific tests or general topics—are consistent with this credo. We want this series to help our readers, novice and veteran alike, to benefit from the intelligent assessment approaches of the authors of each book.
We are delighted to include Essentials of MCMI®-IV Assessment in our series. This book articulates the considerable depth of Theodore Millon’s overarching theory of personality in a concise, accessible, and clinician-friendly form that is then directly applicable to MCMI-IV assessment and therapeutic applications. Going beyond the instrument’s traditional supportive role in providing incremental validity of personality and psychopathology diagnoses, the authors provide a historical view of our modern personality conceptualizations, and illustrate how the MCMI-IV can, through an integration of its theory and empirical qualities, inform the clinician about key personality variables that influence the onset, course, and resolution of psychological distress. They also provide insight into using the instrument’s findings therapeutically, from both traditional and collaborative modes of assessment and intervention. Further, the authors illustrate these methods both through a stepwise examination of theory and clinical practice, as well as MCMI-IV case examples. Finally, they cover the use of the instrument in different settings and applications, and describe the other Millon inventories that are specialized for use with child/adolescent, college, medical, and adaptive counseling populations.
Alan S. Kaufman, PhD, and Nadeen L. Kaufman, EdD, Series Editors
Yale Child Study Center, Yale University School of Medicine