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Transcript
Millon Clinical
Multiaxial Inventory III
(MCMI-III)
MCMI: Description


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An MMPI-like, true-false
inventory
175 items
Includes validity, clinical
personality, and clinical
syndrome scales
Based on Millon’s
personality theory
Tied to DSM-IV diagnoses
MCMI: Test Construction

Three phases
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
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Theoretical-substantive
Internal-structural
External-criterion
Normed on clinical
samples
MCMI: Scales

Validity/Modifying Indices
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X Disclosure
Y Desirability
Z Debasement
MCMI: Scales (cont)

Clinical Personality

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
1
2A
2B
3
4
5
6
6B
7
8A
8B
Schizoid
Avoidant
Depressive
Dependent
Histrionic
Narcissistic
Antisocial
Sadistic (Aggressive)
Compulsive
Negativistic
Masochistic
Severe Personality Pathology



S Schizotypal
C Borderline
P Paranoid
MCMI: Scales (cont)

Clinical Syndromes



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



A
H
N
D
B
T
R
Anxiety
Somatoform
Bipolar: Manic
Dysthymia
Alcohol Dependence
Drug Dependence
PTSD
Severe Clinical Syndromes



SS Thought Disorder
CC Major Depression
PP Delusional Disorder
MCMI: Scoring and
Interpreting

Base Rate Anchors



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

115 Maximum raw score
85 Prevalence PD disorder
(1-8) or
Prev of “prominent”
disorder (A-PP)
75 Prev of PD traits or
Prev of present
disorder (A-PP)
60 Median for patients
0
Minimum raw score
Score adjustment




X Disclosure
Anxiety/Depression
Inpatient adjustment
Denial/Complaint adjustment
MCMI: Strengths






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Relatively brief, easy to
administer
Easy computer-scoring
Good reliability
Tied to Millon’s theory
Tied to DSM-IV dx
(including PD)
Use of base rates
Some research support
MCMI: Limitations




Difficult to score by hand
Descriptions and
predictions are more
theoretically than
empirically based
Tied to Millon’s personality
theory
Interpretation, especially
of Axis I disorders, is not
as easy as it looks