Genetic variation and covariation in the original and restructured clinical scales of the MMPI

The authors investigated genetic variation and covariation among the original Minnesota Multiphasic Personality Inventory clinical and validity scales and the restructured clinical scales. Variation in most of these scales was best explained by a combination of moderate genetic influences and environmental influences not shared by cotwins. Genetic correlations among the standard clinical scales were generally substantial and positive (M = .48), whereas genetic correlations between the clinical scales and the K scale were strong and negative. The restructured clinical scales were strongly correlated with the general Demoralization scale (M = .55), with lower genetic correlations among the remaining scales (M = .39).     

A comparison of the correlational structures and elevation patterns of the MMPI-2 restructured clinical (RC) and clinical scales

The relationship between the MMPI-2 restructured clinical scales and the original clinical scales was evaluated using an outpatient clinical sample (N = 150). Similar patterns of correlations to those reported by Tellegen et al. in 2003, such as high correlations between the restructured scales and their original scale counterparts and lower intercorrelations among the restructured scales than among the original scales, were found in the outpatient sample. The former provided evidence of convergence between the two sets of scales, whereas the latter increases the potential for discriminant validity in the restructured scale profiles. Mean T-scores of the restructured scales were significantly lower than their original scale counterparts for every clinical scale except Scale 1 (hypochondriasis). Individual profiles exhibited fewer scale elevations using the restructured clinical scales (M = 2.15, Mdn = 2.0) than the original clinical scales (M = 3.29, Mdn = 3.0). The majority of client profiles (56%) had fewer scale elevations when plotted using the restructured scales versus the original clinical scales.     

Behavioral correlates of selected MMPI-2 clinical, content, and restructured clinical scales

In this study, we evaluated the validity of the Restructured Clinical (RC; Tellegen et al., 2003) scales by identifying and comparing behavioral correlates of selected RC scales (RCd, RC2, RC4), their original Clinical scale counterparts (Scale 2, Scale 4), and conceptually related Content scales (DEP, ASP, CYN) in an outpatient clinical sample (N = 150). The results of this study indicate that RC4 is a stronger predictor of several antisocial behaviors than Clinical Scale 4 or the Content Scales ASP and CYN. In contrast, RC2 demonstrated significantly lower correlations with several behaviors conceptually related to depression than its Clinical scale counterpart or DEP. DEP was highly correlated with RCd (r = .91, p < .0001), suggesting that the 2 scales may be measuring similar constructs. Overall, the results of this study demonstrate relatively few differences among the scales selected in their ability to predict extratest behaviors.     

The MMPI-2 Clinical Scales and Restructured Clinical (RC) Scales: comparative psychometric properties and relative diagnostic efficiency in young adults

We examined the psychometric properties of the Restructured Clinical (RC) scales (Tellegen et al., 2003) of the MMPI-2 (Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989) in a large sample (N = 744) of 18-year-old college freshman. We found that the RC scales demonstrated good convergence with their Clinical scale counterparts and were more distinctive than the Clinical scales. The patterns of discriminant correlations for the RC scales were slightly clearer than those of the Clinical scales and a set of other existing MMPI-2 scales. Diagnostic efficiency statistics based on Clinical and RC scale elevation status did not differ appreciably. However, the diagnostic efficiency statistics of cutoff scores derived from mean RC and Clinical scale T scores improved on the traditional scale elevation measures. We consider the clinical implications of these findings.     

Examination of racial differences on the MMPI-2 clinical and restructured clinical scales in an outpatient sample

The current study examined the possibility of differential predictive accuracy of selected Minnesota Multiphasic Personality Inventory-Second Edition (MMPI-2) clinical and Restructured Clinical (RC) scales in a group of Black and White mental health center clients. Results indicate that Black clients scored higher than White clients on one non-K-corrected clinical scale and 4 RC scales. All these differences produced medium effect sizes and were clinically significant according to Greene's (1987) criterion. These differences, however, were not accompanied by differential predictive accuracy of the scales in Black versus White clients. Although additional research is needed, especially on the RC scales, this study indicates that the MMPI-2 is not a biased predictor of symptomatology for Black versus White test takers.     

Measurement of depression: Comparison between self-reports and clinical assessments of depressed outpatients

Agreement among several depression scales was investigated as regard the relative influences of administration mode (self-rating or clinical rating) and scale content. The Beck Depression Inventory (BDI), the Self-Rating Depression Scale (SDS), the Hamilton Rating Scale for Depression (HRSD), and three corresponding scales with identical structure and content but the alternative administration mode were administered to 47 outpatients with diagnoses of DSM-III major depression disorders. Correlations between the total scores and the degrees of association between corresponding items of different scales were calculated. The results suggest that differences in content contribute more to inter-scale discrepancy than differences in administration mode. The implications for the evaluation of outpatients with major depression are discussed.     

Psychometric evaluation of the restructured clinical scales of the MMPI-2

Conceptual overlap and heterogeneity have long been noted as weaknesses of the Minnesota Multiphasic Personality Inventory's clinical scales. Restructured clinical (RC) scales recently were developed to address these concerns (A. Tellegen et al., 2003). The authors evaluated the psychometric properties of the RC scales in psychology clinic clients (N=285) and military veterans (N=567). The RC scales were as internally consistent as the clinical scales and correlated strongly with their original counterparts (except for RC3/Hysteria). They also were less intercorrelated, produced conceptually clearer relations with measures of personality and psychopathology, and yielded somewhat greater incremental utility than the clinical scales. Thus, the RC scales demonstrated several psychometric strengths while utilizing 60% fewer items, but the 2 sets of scales cannot be used interchangeably. Interpretive considerations are discussed.     

Susceptibility of the MMPI-2 clinical, restructured clinical (RC), and content scales to overreporting and underreporting

The authors examined and compared the susceptibility of three Minnesota Multiphasic Personality Inventory-2 (MMPI-2) scale sets (Clinical, Restructured Clinical [RC], and Content) to over- and underreporting using five analog samples. Two samples of 85 and 191 undergraduate students, respectively, took the MMPI-2 under underreporting versus standard instructions. Three samples consisting of 42 undergraduates, 73 psychiatric inpatients, and 84 medical patients took the MMPI-2 under overreporting versus standard instructions. A comparison of the effect sizes across the three sets of scales indicated that Clinical Scale scores are not less susceptible to distortion than the Content or RC Scales. An apparent lesser susceptibility to underreporting for the Clinical Scales was an artifact of the subtle items' effect on these scales.     

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.     

Aggressive response sets and subtle-obvious MMPI scale distinctions in male offenders

The effects of aggressive and nonaggressive response sets on the MMPI subtle and obvious clinical subscales were investigated. Fifty-eight male prison inmates answered the MMPI as if they were either highly aggressive or highly nonaggressive. The clinical scales with sufficient items in each category were scored for subtle, neutral, and obvious subscales. Inmates successfully feigned aggressiveness on several of the obvious subscales (p = .0056) and one neutral scale; the subtle subscales were not significantly different across groups, consistent with previous research on this population in terms of the resistance of subtle items to these response sets.     

Comparative validity of the MMPI-2 Wiener-Harmon subtle-obvious scales in male prison inmates

The Wiener-Harmon subtle-obvious MMPI subscales (Wiener, 1948; Wiener & Harmon, 1946) have been the subject of considerable debate. In this study, we examined the intercorrelations among full clinical scale T scores and their subtle and obvious subscales in an offender population. Low subtle to full-scale correlations were observed, suggesting that these items contribute little to full-scale scores. Further, we explored the criterion validity of the MMPI-2 subtle-obvious scales in this forensic sample. The results demonstrated that the obvious scales of the MMPI-2 had greater criterion validity than the subtle scales when compared to crime history data. Scores on the subtle subscales were unrelated to crime history. The Ma-O subscale demonstrated the strongest association to crime history data. The findings from this study add to a mounting body of evidence indicating that when respondents are in a position to understand item content, and can therefore provide a direct self-appraisal, responses are most predictive of clinical criteria.     

The differential responding of male prisoners to subtle and obvious MCMI subscales.

We investigated the differential responding of 100 male inmates to subtle and obvious MCMI scale items; subtlety was determined by judgments by college students. It has been predicted that item subtlety would be positively correlated with item endorsement. This prediction was supported across all 175 MCMI items, as well as across items on 7 of 8 personality and 8 of 12 clinical scales. It had also been predicted that education and intelligence would moderate the relationship between subtlety and endorsement, with inmates higher in education and intelligence demonstrating a greater tendency than other inmates to avoid obvious items. Modest support was obtained for this prediction, with statistically significant results found for 4 personality and 5 clinical scales. The significance of the subtle-obvious distinction is discussed, especially when employing the MCMI with an inmate population.     

The Differential Responding of Male Prisoners to Subtle and Obvious MCMI Subscales

We investigated the differential responding of 100 male inmates to subtle and obvious MCMI scale items; subtlety was determined by judgments by college students. It has been predicted that item subtlety would be positively correlated with item endorsement. This prediction was supported across all 175 MCMI items. as well as across items on 7 of 8 personality and 8 of 12 clinical scales. It had also been predicted that education and intelligence would moderate the relationship between subtlety and endorsement, with inmates higher in education and intelligence demonstrating a greater tendency than other inmates to avoid obvious items. Modest support was obtained for this prediction, with statistically significant results found for 4 personality and 5 clinical scales. The significance of the subtle-obvious distinction is discussed, especially when employing the MCMI with an inmate population.     

What do the MMPI-2 restructured clinical scales reliably measure? Answers from multiple research settings

The Restructured Clinical (RC; Tellegen et al., 2003) scales were developed to improve measurement of the core constructs of the MMPI-2 (Butcher et al., 2001) Clinical scales by removing "demoralization," hypothesized to affect these scales adversely. Using 25 samples with MMPI-2 responses from 78,159 subjects across diverse clinical settings, we found that each RC scale was highly correlated with a Supplementary, Content, or Personality Psychopathology 5 (PSY-5; Harkness, McNulty, & Ben-Porath, 1995) scale: higher, in fact, than the correlation between the RC scale and its parent scale. Furthermore, for over half the RC scales (i.e., RC1, RC3, RC7, RC8, and RCd), the correlations were strong enough to conclude that the RC scales replicate MMPI-2 scales with rich empirical foundations; the remaining RC scales were not redundant. Next, we examined reliability estimates using alpha coefficients and interitem correlations and did not reveal superior reliability for most of the RC scales over existing MMPI-2 scales.     

MMPI-2-RF characteristics of custody evaluation litigants

The Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) is a 338-item objective self-report measure drawn from the 567 items of the MMPI-2. Although there is a substantial MMPI-2 literature regarding child custody litigants, there has been only one previously published study using MMPI-2-RF data in this population that focused on Validity scales L-r and K-r. The current study evaluated the MMPI-2-RF results of 344 child custody litigants and showed substantial consistency between T-score elevations typically found on MMPI-2 Validity scales L and K, and comparable elevations for MMPI-2-RF validity scales L-r and K-r. Mean T-scores well within normal limits characterized results for clinical scales on both instruments. The RC scale intercorrelation patterns, and alpha coefficient values found for MMPI-2-RF scales in a custody population, were also found to be very similar to those reported for other populations. Directions for future research are presented.     

The MMPI-2 Restructured Clinical Scales: a paradigmatic shift in scale development

Tellegen et al. (2003) proposed fundamental changes in MMPI-2 (Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989) scale development by discarding empirical scale development in favor of construct validation via Jackson's (1970) sequential system of scale development. As a result of their efforts, a general distress factor (Demoralization) was identified and 8 Restructured Clinical (RC) Scales were developed. Using 7,330 clinical cases from Caldwell's (1997) data set, in this study, we sought to cross-validate the MMPI-2 RC Scales. Scale homogeneity was confirmed with high alpha coefficients and interitem correlations in the expected range. We also achieved a major objective of reducing interscale correlations. In replicating Tellegen et al.'s principal components analysis, we achieved a high concordance for 6 of the 8 RC Scales. We critically examine these results in light of Jackson's construct validation. We discuss the clinical usefulness of the MMPI-2 RC Scales within the context of current and future research.     

Mapping the MMPI-2 Restructured Clinical scales onto normal personality traits: evidence of construct validity

The MMPI-2 Restructured Clinical (RC; Tellegen et al., 2003) scales were developed to remove common factor variance that saturates the clinical scales and create a more distinct set of measures, yielding a new set of scales with improved convergent and discriminant validity. In this study, we examined the relation between RC scale scores and scores on the Multidimensional Personality Questionnaire (MPQ; Tellegen, in press), a measure of normal personality, using a sample of 811 college students. The results indicate strong convergence between the RC scales and expected MPQ higher order factors and primary scales. The RC scales also demonstrated expected improved convergent and discriminant validity over the clinical scales.     

False assumptions about psychopathology, hysteria and the MMPI-2 Restructured Clinical Scales

The MMPI-2 Restructured Clinical scales rest on the common behavioral assumption that consistent items can be added to assess all psychopathologies. This may be the case for some unitary symptoms such as anxiety or anger, but not for complex diagnostic conditions such as Hysteria, Post Traumatic Stress Disorder, and Borderline Personality Disorder. These are better understood with a psychodynamic formulation. Psychodynamic theory assumes that internal conflicts and contradictions are a significant feature of many psychopathologies. For example, the new MMPI-2 Restructured Clinical scales eliminated a measure of hysteria. The RC3 Cynicism scale is not an improvement over the MMPI-2 Hysteria scale, as the new scale serves as an example of a failure of the behaviorism to account for complex psychopathology. Making scales more internally consistent and distinct from each other has not produced more external validity and useful measures for many of the psychopathologies found in clinical practice.