Mapping the MMPI–2–RF Specific Problems Scales Onto Extant Psychopathology Structures

A main objective in developing the Minnesota Multiphasic Personality Inventory–2–Restructured Form (MMPI–2–RF; Ben-Porath &; Tellegen, 2008 Ben-Porath, Y. S., &; Tellegen, A. (2008). MMPI–2–RF (Minnesota Multiphasic Personality Inventory–2 Restructured Form): Manual for administration, scoring, and interpretation. Minneapolis: University of Minnesota Press. [Google Scholar]) was to link the hierarchical structure of the instrument's scales to contemporary psychopathology and personality models for greater enhancement of construct validity. Initial evidence published with the Restructured Clinical scales has indicated promising results in that the higher order structure of these measures maps onto those reported in the extant psychopathology literature. This study focused on evaluating the internal structure of the Specific Problems and Interest scales, which have not yet been examined in this manner. Two large, mixed-gender outpatient and correctional samples were used. Exploratory factor analyses revealed consistent evidence for a 4-factor structure representing somatization, negative affect, externalizing, and social detachment. Convergent and discriminant validity analyses in the outpatient sample yielded a pattern of results consistent with expectations. These findings add further evidence to indicate that the MMPI–2–RF hierarchy of scales map onto extant psychopathology literature, and also add support to the notion that somatization and detachment should be considered important higher order domains in the psychopathology literature.     

Mapping the MMPI–2/MMPI–2–RF Restructured Clinical Scales Onto Mood Markers in an Israeli Sample

This study cross-culturally evaluated the Minnesota Multiphasic Personality Inventory–2/MMPI–2 Restructured Form (MMPI–2/MMPI–2–RF) emotion-focused Restructured Clinical (RC) Scales to examine whether their patterns of associations with positive affect (PA) and negative affect (NA) are as expected based on Tellegen, Watson, and Clark's (1999a Tellegen, A., Watson, D., &; Clark, L. A. (1999a). Further support for a hierarchical model of affect. Psychological Science, 10, 307–309.[Crossref], [Web of Science ®] , [Google Scholar], 1999b Tellegen, A., Watson, D., &; Clark, L. A. (1999b). On the dimensional and hierarchical structure of affect. Psychological Science, 10, 297–303.[Crossref], [Web of Science ®] , [Google Scholar]) mood model. The sample was composed of 100 men and 133 women from psychiatric settings in Israel who completed the MMPI–2 and the Mood Check List (MCL; Zevon &; Tellegen, 1982 Zevon, M. A., &; Tellegen, A. (1982). The structure of mood change: An idiographic/nomothetic analysis. Journal of Personality and Social Psychology, 43, 111–122.[Crossref], [Web of Science ®] , [Google Scholar]). Results indicated that RCd was substantially correlated with both PA and NA in opposite directions, and that RC2 and RC7 were more highly correlated with PA and NA, respectively. Further, when compared with their Clinical Scale counterparts, RC2 and RC7 exhibited comparable convergent validities and improved discriminant properties. Findings provide support for Tellegen et al.'s (2003 Tellegen, A., Ben-Porath, Y. S., McNulty, J. L., Arbisi, P. A., Graham, J. R., &; Kaemmer, B. (2003). MMPI–2 Restructured Clinical (RC) scales: Development, validation, and interpretation. Minneapolis: University of Minnesota Press. [Google Scholar]) goal to link the RC scales to contemporary conceptualizations of mood.     

Inconsistent Responding in a Criminal Forensic Setting: An Evaluation of the VRIN-r and TRIN-r Scales of the MMPI–2–RF

Criminal forensic evaluations are complicated by the risk that examinees will respond in an unreliable manner. Unreliable responding could occur due to lack of personal investment in the evaluation, severe mental illness, and low cognitive abilities. In this study, 31% of Minnesota Multiphasic Personality Inventory–2 Restructured Form (MMPI–2–RF; Ben-Porath & Tellegen, 2008/2011) profiles were invalid due to random or fixed-responding (T score ≥ 80 on the VRIN–r or TRIN–r scales) in a sample of pretrial criminal defendants evaluated in the context of treatment for competency restoration. Hierarchical regression models showed that symptom exaggeration variables, as measured by inconsistently reported psychiatric symptoms, contributed over and above education and intellectual functioning in their prediction of both random responding and fixed responding. Psychopathology variables, as measured by mood disturbance, better predicted fixed responding after controlling for estimates of cognitive abilities, but did not improve the prediction for random responding. These findings suggest that random responding and fixed responding are not only affected by education and intellectual functioning, but also by intentional exaggeration and aspects of psychopathology. Measures of intellectual functioning and effort and response style should be considered for administration in conjunction with self-report personality measures to rule out rival hypotheses of invalid profiles.     

Associations Between Symptom Validity Test Failure and Scores on the MMPI–2–RF Validity and Substantive Scales

Existing measures of approval motivation attempt to assess this dimension of personality indirectly through evaluation of socially desirable response tendencies. The Martin-Larsen Approval Motivation (MLAM) Scale takes a more direct approach by focusing on individual differences in need for social approval. Since the original version of the MLAM scale is subject to acquiescence response bias, fully balanced and partially balanced scales were created to minimize this response style. Results indicated that the revised measures arc equivalent to the original version and that balancing affects the magnitude but not the pattern of correlates with other scales. Comparisons with the Marlowe-Crowne Social Desirability (MCSD) Scale revealed a divergent pattern of correlates with several measures of personality suggesting a basic difference between the MLAM and MCSD in their conceptualization of approval motivation.     

Correlates of MMPI–A Scales in Acute Psychiatric and Forensic Samples

The purpose of this study was to expand the empirical basis for interpretation of the Minnesota Multiphasic Personality Inventory–Adolescent (MMPI–A; Butcher et al., 1992). Participants were 157 boys from a forensic setting and 197 girls from an acute psychiatric inpatient setting. Criterion variables were identified from sources such as psychiatrist report, parent report, and psychosocial history. Results generally support the construct validity of MMPI–A scales. Scales measuring internalizing problems were more highly correlated with criterion measures of internalizing behaviors than measures of externalizing behaviors, whereas scales measuring externalizing problems were more highly correlated with externalizing variables than with internalizing criteria. Implications of this study include an expanded empirical foundation for interpretation of the MMPI–A, greater understanding of the constructs it measures, and evidence supporting the generalizability of these constructs across settings.     

Examination of MMPI–2–RF Substantive Scales as Indicators of Acute Suicidal Affective Disturbance Components

A new suicide-specific diagnostic entity, acute suicidal affective disturbance (ASAD), was recently proposed to fill a void in the nomenclature. Although several studies have examined the reliability, validity, and potential clinical utility of ASAD, no studies have examined personality indicators of ASAD. This study sought to examine the association between personality and psychopathology factors, as assessed by the Minnesota Multiphasic Personality Inventory–2–Revised Form (MMPI–2–RF), and constructs that comprise ASAD in a sample of 554 psychiatric outpatients who completed all measures prior to their intake appointments. A smaller subset of patients (N = 58) also completed a measure designed to assess lifetime ASAD symptoms. Results indicated that ASAD symptoms were associated with traits characterized by emotional turmoil and atypical cognitive processes. Further, suicide-related criteria that comprise ASAD were related to low positive emotionality and hopelessness, whereas the overarousal criteria were associated with somatic symptoms and an inability to tolerate frustration and stress. These findings expand on previous research that examines the convergent and discriminant validity of ASAD and could inform clinical treatment by providing insight into personality traits that might be associated with acute suicide risk.     

Development and Validation of Personality Disorder Spectra Scales for the MMPI–2–RF

The purpose of this study was to develop and validate a set of MMPI–2–RF (Ben-Porath &; Tellegen, 2008/2011) personality disorder (PD) spectra scales. These scales could serve the purpose of assisting with DSM–5 PD diagnosis and help link categorical and dimensional conceptions of personality pathology within the MMPI–2–RF. We developed and provided initial validity results for scales corresponding to the 10 PD constructs listed in the DSM–5 using data from student, community, clinical, and correctional samples. Initial validation efforts indicated good support for criterion validity with an external PD measure as well as with dimensional personality traits included in the DSM–5 alternative model for PDs. Construct validity results using psychosocial history and therapists' ratings in a large clinical sample were generally supportive as well. Overall, these brief scales provide clinicians using MMPI–2–RF data with estimates of DSM–5 PD constructs that can support cross-model connections between categorical and dimensional assessment approaches.     

Psychometric Examination,Adaptation, and Evaluation of the Hebrew Translation of the MMPI–2–RF VRIN-r and TRIN-r Validity Scales

In this study we examined the utility of the Minnesota Multiphasic Personality Inventory–2–Restructured Form (MMPI–2–RF; Ben-Porath & Tellegen, 2008/2011; Tellegen & Ben-Porath, 2008/2011) Variable Response Inconsistency–Revised (VRIN-r) and True Response Inconsistency–Revised (TRIN-r) scales, including alternative versions of the scales, in the Hebrew translation of the test. First, we examined the applicability of the U.S. VRIN-r and TRIN-r scales in an Israeli Hebrew-speaking mixed clinical sample, and replaced original item pairs that did not meet the development criteria with substitution item pairs that did. Then, using the Israeli normative sample and a pure clinical sample, we compared the psychometric functioning of the adapted Hebrew-language VRIN-r and TRIN-r scales with that of the original versions of these scales under various conditions of simulated non-content-based (random and fixed) responding. Overall, results showed that the adapted versions of the scales did not improve on the original ones. We therefore recommend using the U.S. VRIN-r and TRIN-r versions, which could also facilitate cross-cultural comparisons.     

Psychometric Properties of the Minnesota Multiphasic Personality Inventory–Adolescent (MMPI–A) Clinical,Content, and Supplementary Scales in a Forensic Sample

In this study, we evaluated the internal psychometric properties and external correlates of scores on the Clinical, Content, and Supplementary scales in a forensic sample of 496 adolescents (315 boys and 181 girls) who were court-ordered to receive psychological evaluations. We examined Cronbach's alpha coefficients, scale intercorrelation matrices, and frequencies of scale elevations. Further, we found varying degrees of support for the convergent and discriminant validity of scores on the MMPI–A (Butcher et al., 1992 Butcher, J. N., Williams, C. L., Graham, J. R., Archer, R. P., Tellegen, A., Ben-Porath, Y. S. and Kaemmer, B. 1992. MMPI–A (Minnesota Multiphasic Personality Inventory–Adolescent): Manual for administration, scoring, and interpretation, Minneapolis: University of Minnesota Press.  [Google Scholar]) Clinical, Content, and Supplementary scales. This study adds to the body of literature establishing the utility of the MMPI–A in forensic evaluations.     

Using MMPI–2–RF Correlates to Elucidate the PCL–R and Its Four Facets in a Sample of Male Forensic Psychiatric Patients

This study documents the associations between the MMPI–2–RF (Ben-Porath &; Tellegen, 2008 Ben-Porath, Y. S., &; Tellegen, A. (2008). MMPI–2–RF (Minnesota Multiphasic Personality Inventory–2–Restructured Form): Manual for administration and scoring. Minneapolis: University of Minnesota Press. [Google Scholar]) scale scores and the Psychopathy Checklist Revised (PCL–R; Hare, 2003 Hare, R. D. (2003). The Hare Psychopathy Checklist–Revised (2nd ed.). Toronto, ON, Canada: Multi-Health Systems. [Google Scholar]) facet scores in a forensic psychiatric sample. Objectives were to determine how the MMPI–2–RF scales might enhance substantive understanding of the nature of the 4 PCL–R facets and to discern possible implications for the treatment of psychopathic patients. A sample of 127 male forensic psychiatric offenders admitted to a Dutch forensic psychiatric hospital completed the PCL–R and the MMPI–2. Exploratory stepwise regression analyses assessed the prediction of the PCL–R total and its facet scores from MMPI–2–RF scales at its 3 hierarchical levels. Conceptually meaningful results emerged at each level of the MMPI–2–RF hierarchy, including several consistent differences between predictor sets across the facets. Interestingly, ideas of persecution (RC6) was a specific predictor of PCL–R Facet 2, a facet noted for its association with treatment failure. Results are compared and contrasted to the extant body of empirical work to date, and some tentative clinical implications are offered.     

Examining Current Conceptualizations of Psychopathology With the MMPI–2/MMPI–2–RF Restructured Clinical Scales: Preliminary Findings From a Cross-Cultural Study

Watson (2005 Watson, D. (2005). Rethinking the mood and anxiety disorders: A quantitative hierarchical model for DSM–V. Journal of Abnormal Psychology, 114, 522–536.[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]) proposed a hierarchical reorganization of the underlying structure of emotional disorders. This study cross-culturally evaluated Watson's (2005) structure of mood and anxiety disorders, using mainly dichotomous criteria, and explored the placement of obsessive–compulsive disorder (OCD) in this model. It also tested Sellbom, Ben-Porath, and Bagby's (2008) proposed elaboration of the 2-factor model (positive and negative activation) that incorporates a higher order dimension of demoralization. One hundred men and 133 women from psychiatric settings in Israel completed the Minnesota Multiphasic Personality Inventory–2 (Butcher et al., 2001 Butcher, J. N., Graham, J. R., Ben-Porath, Y. S., Tellegen, A., Dahlstrom, W. G., &; Kaemmer, B. (2001). Minnesota Multiphasic Personality Inventory–2 (MMPI–2): Manual for administration, scoring and interpretation (Rev. ed.). Minneapolis: University of Minnesota Press.[Crossref] , [Google Scholar]) and the Maudsley Obsessional–Compulsive Inventory (Hodgson &; Rachman, 1977 Hodgson, R. J., &; Rachman, S. (1977). Obsessive–compulsive complaints. Behaviour Research and Therapy, 15, 389–395.[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]). They were interviewed using the Mini International Neuropsychiatric Interview (Sheehan et al., 1998 Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Amorim, P., Janavs, J., &; Weiller, E. (1998). The Mini-International Neuropsychiatric Interview (M.I.N.I.): The development and validation of a structured diagnostic psychiatric interview for DSM–IV and ICD–10. Journal of Clinical Psychiatry, 59, 22–33.[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]). Confirmatory factor analyses replicated Watson's structure for women but not for men. Mixed results were obtained regarding OCD's location in the model. Findings among women support the applicability of Watson's (2005) model across a variety of assessment modalities, as well as in a different language and for diversified cultural backgrounds. This conclusion, however, should be tempered in consideration of the results among men. Findings also provide evidence of the importance of demoralization in mood and anxiety disorders.     

The MMPI–2–RF Personality Psychopathology Five (PSY–5–RF) Scales: Development and Validity Research

This article describes the development, internal psychometric, and external validation studies on scales designed to measure the Personality Psychopathology Five (PSY–5) from MMPI–2 Restructured Form (MMPI–2–RF) items. Diverse and comprehensive data sets, representing various clinical and nonclinical populations, were classified into development and validation research samples. Item selection, retention, and exclusion procedures are detailed. The final set of PSY–5–RF scales contain 104 items, with no item overlap between scales (same as the original MMPI–2 PSY–5 scales), and no item overlap with the Demoralization scale. Internal consistency estimates are comparable to the longer MMPI–2 PSY–5 scales. Appropriate convergent and discriminant validity findings utilizing various self-report, collateral rating, and record review data are reported and discussed. A particular emphasis is offered for the unique aspects of the PSY–5 model: psychoticism and disconstraint. The findings are connected to the broader PSY–5 literature and the recommended review of systems (Harkness, Reynolds, & Lilienfeld, this issue) presented in this series of articles.     

Mapping the Personality Psychopathology Five Domains Onto DSM–IV Personality Disorders in Dutch Clinical and Forensic Samples: Implications for DSM–5

The Personality Psychopathology Five (PSY–5) model represents 5 broadband dimensional personality domains that align with the originally proposed DSM–5 personality trait system, which was eventually placed in Section III for further study. The main objective of this study was to examine the associations between the PSY–5 model and personality disorder criteria. More specifically, we aimed to determine if the PSY–5 domain scales converged with the alternative DSM–5 Section III model for personality disorders, with a particular emphasis on the personality trait profiles proposed for each of the specific personality disorder types. Two samples from The Netherlands consisting of clinical patients from a personality disorder treatment program (n = 190) and forensic psychiatric hospital (n = 162) were used. All patients had been administered the MMPI–2 (from which MMPI–2–RF PSY–5 scales were scored) and structured clinical interviews to assess personality disorder criteria. Results based on Poisson or negative binomial regression models showed statistically significant and meaningful associations for the hypothesized PSY–5 domains for each of the 6 personality disorders, with a few minor exceptions that are discussed in detail. Implications for these findings are also discussed.     

Correlates of the MMPI–A Psychopathology Five (PSY–5) Facet Scales in an Adolescent Inpatient Sample

The Bender-Gestalt was given following the Canter Background Interference Procedure (BIP) to 40 schizophrenics divided into paranoid-nonparanoid and process-reactive sub-categories. Nonparanoids performed significantly poorer under BIP conditions than under standard procedure. Paranoids performed equally well under both conditions. Comparison with Canter's brain-damaged Ss indicated that process nonparanoid schizophrenics resemble brain-damaged Ss using this procedure.     

Psychometric Evaluation of the MMPI–2 Restructured Clinical Scales in Two Dutch Samples

In this article, we evaluate internal validity, internal consistency, and test–retest reliability of the MMPI–2 Restructured Clinical (RC) scales in the Dutch MMPI–2 normative sample (N = 1,244) and a Dutch outpatient psychiatric sample (N = 1,066). We pay special attention to a critique regarding construct drift of RC3 and the redundancy of the RC scales with existing MMPI–2 scales. The results indicate that the RC scales in both samples show comparable or better internal consistencies than the Clinical scales. Also, in both samples, the RC scales demonstrate lower scale-level intercorrelations than the Clinical scales. As to the structural characteristics, principal component analysis of the RC scales provided a clearer pattern than an analysis of the Clinical scales. Furthermore, mean raw scores on the RC scales for men in the Dutch normative sample corresponded highly with those in the U.S. normative sample except for RC2 and RC4. Less correspondence was found for women. Overall, we conclude that the RC scales show satisfactory reliability and promising internal validity in our Dutch samples. We suggest that U.S. validation studies on the RC scales may be generalized to the Dutch-language version of the MMPI–2 RC scales.     

Behavioral Correlates of Selected MMPI–2 Clinical,Content, and Restructured Clinical Scales

An examination of the internal structure of the Tennessee Self-Concept Scale (TSCS) and the interrelationship among the TSCS scales and the secondary dimensions of the Sixteen Personality Factor Questionnaire (16PF) supported three conclusions: (a)The primary dimension underlying the TSCS is positive self-evaluation, freedom from neurotic symptoms, or the absence of anxiety, (b) this central dimension of the TSCS aligns with the 16PF secondary Anxiety vs. Adjustment, and is virtually independent of the other dimensions of the normal personality sphere, and (c) the mutual orthogonality of extraversion, anxiety or neuroticism, and an empirically derived psychoticism scale provided some support for Eysenck's PEN theory of personality organization.     

Examining the Construct Validity of the MMPI–2–RF Interpersonal Functioning Scales Using the Computerized Adaptive Test of Personality Disorder as a Comparative Framework

This study aimed to examine the construct validity of the Minnesota Multiphasic Personality Inventory–2 Restructured Form (MMPI–2–RF) interpersonal functioning scales (Ben-Porath &; Tellegen, 2008/2011 Ben-Porath, Y. S., &; Tellegen, A. (2011). MMPI–2–RF (Minnesota Multiphasic Personality Inventory–2 Restructured Form) manual for administration, scoring, and interpretation. Minneapolis: University of Minnesota Press. (Original work published 2008) [Google Scholar]) using as a criterion measure the Computerized Adaptive Test of Personality Disorder–Static Form (CAT–PD–SF; Simms et al., 2011 Simms, L. J., Goldberg, L. R., Roberts, J. E., Watson, D., Welte, J., &; Rotterman, J. H. (2011). Computerized adaptive assessment of personality disorder: Introducing the CAT–PD project. Journal of Personality Assessment, 93, 380–389.[Taylor &; Francis Online], [Web of Science ®] , [Google Scholar]). Participants were college students (n = 98) recruited through the university subject pool. A series of a priori hypotheses were developed for each of the 6 interpersonal functioning scales of the MMPI–2–RF, expressed as predicted correlations with construct-relevant CAT–PD–SF scales. Of the 27 specific predictions, 21 were supported by substantial (≥ |.30|) correlations. The MMPI–2–RF Family Problems scale (FML) demonstrated the strongest correlations with CAT–PD–SF scales Anhedonia and Mistrust; Cynicism (RC3) was most highly correlated with Mistrust and Norm Violation; Interpersonal Passivity (IPP) was most highly correlated with Domineering and Rudeness; Social Avoidance (SAV) was most highly correlated with Social Withdrawal and Anhedonia; Shyness (SHY) was most highly correlated with Social Withdrawal and Anxioiusness; and Disaffiliativeness (DSF) was most highly correlated with Emotional Detachment and Mistrust. Results are largely consistent with hypotheses suggesting support for both models of constructs relevant to interpersonal functioning. Future research designed to more precisely differentiate Social Avoidance (SAV) and Shyness (SHY) is suggested.     

Predictive Validity of the MMPI–2 Restructured Clinical (RC) Scales in a Batterers' Intervention Program

Summary: The test-retest reliability of the Hutt Adaptation of the Bender-Gestalt Test was explored with a population of 40 process schizophrenics over a two-week interval. The total Psychopathology Scale Score was found to have high retest reliability for both male and female patients (rho = .87 for males and .83 for females). Moreover the three major components of the Scale were found to have high reliability, and fairly high reliabilities were obtained for patients scoring high as well as low on the Scale. Interjudge reliability was also found to be very high (rho = .895), confirming previous studies in this respect. On these grounds, the Scale offers promise both for clinical and research purposes.     

Assessment of DSM–5 Section II Personality Disorders With the MMPI–2–RF in a Nonclinical Sample

The Minnesota Multiphasic Personality Inventory–2–Restructured Form (MMPI–2–RF; Ben-Porath &; Tellegen, 2008 Kamphuis, J. H., Arbisi, P. A., Ben-Porath, Y. S., &; McNulty, J. L. (2008). Detecting comorbid Axis-II status among inpatients using the MMPI–2 restructured clinical scales. European Journal of Psychological Assessment, 24, 157–164. doi:10.1027/1015-5759.24.3.157[Crossref], [Web of Science ®] , [Google Scholar]/2011 Ben-Porath, Y. S., &; Tellegen, A. (2011). Minnesota Multiphasic Personality Inventory–2 Restructured Form: Manual for administration, scoring, and interpretation. Minneapolis: University of Minnesota Press. (Original work published 2008) [Google Scholar]) is frequently used in clinical practice. However, there has been a dearth of literature on how well this instrument can assess symptoms associated with personality disorders (PDs). This investigation examined a range of hypothesized MMPI–2–RF scales in predicting PD symptoms. We evaluated these associations in a sample of 397 university students who had been administered the MMPI–2–RF and the Structured Clinical Interview for DSM–IV Axis II Disorders–Personality Questionnaire (First, Gibbon, Spitzer, Williams, &; Benjamin, 1997 First, M. B., Gibbon, M., Spitzer, R. L., Williams, J. B. W., &; Benjamin, L. S. (1997). Structured Clinical Interview for DSM–IV Axis II personality disorders (SCID–II). Washington, DC: American Psychiatric Press. [Google Scholar]). Zero-order correlation analyses and negative binomial regression models indicated that a wide range of MMPI–2–RF scale hypotheses were supported; however, the least support was available for predicting schizoid and obsessive–compulsive PDs. Implications for MMPI–2–RF interpretation and PD diagnosis are discussed.