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Mmpi's and PTSD

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Mmpi = Minnesota Multiphasic Personality Inventory-2

Ptsd = Complex Post Traumatic Stress Disorder

Because PTSD is *not* a personality disorder; but a survival mechinism; on

an mmpi it will appear as malingering, etc -- as a false positive. Different

tests are done for testing true complex ptsd testing; and most regular

psychiatrists don¹t do those - they only do the mmpi. Only certain centers

in the US are able to administer the testing that would show this degree of

ptsd. I have had this testing done already; and the clinic is refusing to

look at testing outside of their own testing; because most refuse to believe

such a diagnosis exists. The person who I see is the person who would do

the testing for this; the person that they are refusing to receive a

diagnosis from.

----

These are some urls for each.

http://www.pearsonassessments.com/tests/mmpi_2.htm

Minnesota Multiphasic Personality Inventory-2

.... Used by clinicians to assist with the diagnosis of mental disorders and

the selection of appropriate treatment methods, the MMPI-2 test continues to

help meet the assessment needs of mental health professionals in an

ever-changing environment... The MMPI-2 test¹s contemporary normative sample

and extensive research base help make it the gold standard in assessment for

a wide variety of settings. The test can be used to help:

* Assess major symptoms of social and personal maladjustment.

* Identify suitable candidates for high-risk public safety positions.

* Support classification, treatment, and management decisions in criminal

justice and correctional settings.

* Give a strong empirical foundation for a clinician's expert testimony.

* Assess medical patients and design effective treatment strategies,

including chronic pain management.

* Evaluate participants in substance abuse programs and select

appropriate treatment approaches.

* Support college and career counseling recommendations.

* Provide valuable insight for marriage and family counseling.

Scales

Validity and Clinical Scales

VRIN - Variable Response Inconsistency

TRIN - True Response Inconsistency

F - Infrequency

FB - Back F

FP - Infrequency-Psychopathology

L - Lie

K - Correction

S - Superlative Self-Presentation

? - Cannot Say

1 Hs - Hypochondriasis

2 D - Depression

3 Hy - Conversion Hysteria

4 Pd - Psychopathic Deviate

5 Mf - Masculinity-Femininity

6 Pa - Paranoia

7 Pt - Psychasthenia

8 Sc - Schizophrenia

9 Ma - Hypomania

0 Si - Social Introversion

Superlative Self-Presentation Subscales

(The Minnesota Reports)

S1 - Beliefs in Human Goodness

S2 - Serenity

S3 - Contentment with Life

S4 - Patience and Denial of Irritability and Anger

S5 - Denial of Moral Flaws

New RC (Restructured Clinical) Scales

RCd - dem - Demoralization

RC1 - som - Somatic Complaints

RC2 - lpe - Low Positive Emotions

RC3 - cyn - Cynicism

RC4 - asb - Antisocial Behavior

RC6 - per - Ideas of Persecution

RC7 - dne - Dysfunctional Negative Emotions

RC8 - abx - Aberrant Experiences

RC9 - hpm - Hypomanic Activation

Clinical Subscales ‹ -Lingoes and

Social Introversion Subscales

(Extended Score Report and The Minnesota Reports)

D1 - Subjective Depression

D2 - Psychomotor Retardation

D3 - Physical Malfunction

D4 - Mental Dullness

D5 - Brooding

Hy1 - Denial of Social Anxiety

Hy2 - Need for Affection

Hy3 - Lassitude-Malaise

Hy4 - Somatic Complaints

Hy5 - Inhibition of Aggression

Ma1 - Amorality

Ma2 - Psychomotor Acceleration

Ma3 - Imperturbability

Ma4 - Ego Inflation

Pa1 - Persecutory Ideas

Pa2 - Poignancy

Pa3 - Naiveté

Pd1 - Familial Discord

Pd2 - Authority Problems

Pd3 - Social Imperturbability

Pd4 - Social Alienation

Pd5 - Self-Alienation

Sc1 - Social Alienation

Sc2 - Emotional Alienation

Sc3 - Lack of Ego Mastery-Cognitive

Sc4 - Lack of Ego Mastery-Conative

Sc5 - Lack of Ego Mastery-Defective Inhibition

Sc6 - Bizarre Sensory Experiences

Si1 - Shyness/Self-Consciousness

Si2 - Social Avoidance

Si3 - Alienation--Self and Others

Content Scales

(Extended Score Report, The Minnesota Reports, and Criminal Justice and

Correctional Report)

ANX - Anxiety

FRS - Fears

OBS - Obsessiveness

DEP - Depression

HEA - Health Concerns

BIZ - Bizarre Mentation

ANG - Anger

CYN - Cynicism

ASP - Antisocial Practices

TPA - Type A

LSE - Low Self-Esteem

SOD - Social Discomfort

FAM - Family Problems

WRK - Work Interference

TRT - Negative Treatment Indicators

Content Component Scales

(Extended Score Report and The Minnesota Reports [except the Alcohol and

Drug Treatment Report])

FRS1 - Fears: Generalized Fearfulness

FRS2 - Fears: Multiple Fears

DEP1 - Depression: Lack of Drive

DEP2 - Depression: Dysphoria

DEP3 - Depression: Self-Depreciation

DEP4 - Depression: Suicidal Ideation

HEA1 - Health Concerns: Gastrointestinal Symptoms

HEA2 - Health Concerns: Neurological Symptoms

HEA3 - Health Concerns: General Health Concerns

BIZ1 - Bizarre Mentation: Psychotic Symptomatology

BIZ2 - Bizarre Mentation: Schizotypal Characteristics

ANG1 - Anger: Explosive Behavior

ANG2 - Anger: Irritability

CYN1 - Cynicism: Misanthropic Beliefs

CYN2 - Cynicism: Interpersonal Suspiciousness

ASP1 - Antisocial Practices: Antisocial Attitudes

ASP2 - Antisocial Practices: Antisocial Behavior

TPA1 - Type A: Impatience

TPA2 - Type A: Competitive Drive

LSE1 - Low Self-Esteem: Self-Doubt

LSE2 - Low Self-Esteem: Submissiveness

SOD1 - Social Discomfort: Introversion

SOD2 - Social Discomfort: Shyness

FAM1 - Family Problems: Family Discord

FAM2 - Family Problems: Familial Alienation

TRT1 - Negative Treatment Indicators: Low Motivation

TRT2 - Negative Treatment Indicators: Inability to Disclose

Supplementary Scales (Extended Score Report, The Minnesota Reports, and

Criminal Justice and Correctional Report)

AGGR - Aggressiveness

PSYC - Psychoticism

DISC - Disconstraint

NEGE - Negative Emotionality/Neuroticism

INTR - Introversion/Low Positive Emotionality

A - Anxiety

R - Repression

Es - Ego Strength

Do* - Dominance

Re* - Social Responsibility

Mt - College Maladjustment

PK - PTSD/Keane

MDS* - Marital Distress

Ho - Hostility

O-H* - Overcontrolled Hostility

MAC-R* - Mac-Revised

AAS* - Addiction Admission

APS* - Addiction Potential

GM - Gender Role - Masculine

GF - Gender Role - Feminine

*These are the 7 Supplementary Scales available in the Criminal Justice and

Correctional Report.

Special Indices

(Extended Score Report, The Minnesota Reports, and Criminal Justice and

Correctional Report)

Welsh Code based on MMPI-2 scores

F-K Dissimulation Index

Percent True

Percent False

Profile Elevation

Setting-Specific Indices

(Adult Clinical Interpretive Report, Forensic Report, and Criminal Justice

and Correctional Report only if applicable)

Megargee Classification

P-A-I-N Classification

(only available with Adult Clinical Interpretive Report)

Behavioral Dimensions

(only available with Criminal Justice and Correctional Report)

Possible Problem Areas

(only available with Criminal Justice and Correctional Report)

Special Score

(Forensic Report only if applicable)

Gass Head Injury Items

http://www.ncptsd.org/facts/specific/fs_complex_ptsd.html

The diagnosis of PTSD accurately describes the symptoms that result when a

person experiences a short-lived trauma. For example, car accidents, natural

disasters, and rape are considered traumatic events of time-limited

duration. However, chronic traumas continue for months or years at a time.

Clinicians and researchers have found that the current PTSD diagnosis often

does not capture the severe psychological harm that occurs with such

prolonged, repeated trauma... survivors have been misdiagnosed by

mental-health providers as having Borderline, Dependent, or Masochistic

Personality Disorder. When survivors are faulted for the symptoms they

experience as a result of victimization, they are being unjustly blamed...

The current PTSD diagnosis often does not capture the severe psychological

harm that occurs with prolonged, repeated trauma. For example, long-term

trauma may impact a healthy person's self-concept and adaptation. The

symptoms of such prolonged trauma have been mistaken for character weakness.

Research is currently underway to determine if the Complex PTSD diagnosis is

the best way to categorize the symptoms of patients who have suffered

prolonged trauma.

http://www.ncptsd.org/publications/cq/v7/n3/womenco.html

Problem Of " False Negatives " In PTSD Reports ... Clinic or research settings

that do not routinely inquire or assess trauma history are not likely to

consider PTSD as a diagnosis because no stressor (Criterion A event) has

been identified. Instead, patients or study respondents are likely to be

characterized as having multiple subsyndromal characteristics of a variety

of disorders which share some of the symptoms of PTSD such as major

depression, generalized anxiety disorder and obsessive compulsive disorder.

... A core component of treatment should be PTSD-symptom specific and involve

the emotional processing of the trauma. However, additional and perhaps

prerequisite treatment stages should included the development of skills

which facilitate this work, such as awareness and regulation of feeling

states, ability to tolerate distress and to utilize social support... in the

past PTSD as well as complex PTSD have been underdiagnosed and other related

disorders overdiagnosed. This problem is being corrected via ongoing

diagnostic studies assessing the full-range of DSM-IV disorders among trauma

populations. In addition, there are concurrent efforts to develop treatment

programs which recognized the complexity of PTSD. For the individual

clinician, misdiagnosis may be mitigated by routinely inquiring about a

patient's trauma history. When a diagnosis of PTSD is established, the

complexity of the disorder requires comprehensive, multimodal, multistaged

treatment.

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