Evaluating the latent structure of the MMPI-2 F(p) scale in a forensic sample: a taxometric analysis

P. A. Arbisi and Y. S. Ben-Porath (1995) originally proposed that the Infrequency Psychopathology scale, F(p), be used as the final step in an algorithm to determine the validity of a Minnesota Multiphasic Personality Inventory-2 (MMPI-2) protocol. The current study used taxometric procedures to determine the latent structure of F(p) among examinees with profiles that would necessitate the interpretation of F(p) when using Arbisi and Ben-Porath's proposed algorithm. Participants included a subsample of 289 consecutively referred pretrial forensic examinees adjudicated incompetent to stand trial with high Infrequency (F) scale scores, thereby providing a sample that would be expected to have a high base rate of persons with bona fide psychopathology and persons with incentive to overreport psychopathology. Using MAMBAC and MAXEIG, F(p) produced a taxonic latent structure within the subgroup of examinees who obtained raw scores on F of greater than 17. These results support Arbisi and Ben-Porath's original proposal to use F(p) to identify a distinct subgroup of overreported MMPI-2 protocols within forensic psychiatric examinees with high elevations on F. Implications and suggestions for future research are provided.     

Loving, discernment, and distance: pastoral care in schizophrenia

Schizophrenia is very common in our society, yet many people, both clergy and lay, are afraid of it and do not know what to do when confronted with someone who suffers from the disorder. Strange ideas and behavior can be frightening for those who don't understand and often result in further marginalization, even within the church community. This article seeks to outline the main features of schizophrenia and considers how to deal with particular situations which may arise in pastoral care. It suggests ways of dealing with people who express religious delusions and also argues that the "staples" of pastoral care--relationship building, empathy and inclusion--may not always be appropriate in the care of people with schizophrenia, who often need a "safe distance" between themselves and others. Some practical advice for families is also offered.     

A taxometric analysis of the MMPI-2 Depression scales

The MMPI (Hathaway & McKinley, 1943) and MMPI-2 (Butcher et al., 2001) have long been used as measures of psychopathology. Both clinicians and researchers have noted the widespread existence of negative affectivity on the MMPI and MMPI-2 that may elevate scale scores and eclipse the tests' ability to differentiate depression from other clinical disorders. Using taxometric analyses, in this study we sought to test directly whether the MMPI-2 depression scales could differentiate patients with depressive symptoms from patients with other disorders. A large psychiatric sample (N = 2,000) was utilized and analyses were run separately for men and women. Taxometric analyses did not find a MMPI-2 Depression scale cut point that categorizes patients with depressive symptoms from other patients. Rather, these findings support previous studies finding an underlying dimensionality of depression. We discuss implications for MMPI-2 scale use and depression nosology in light of these findings.     

General Strain Theory and the Relationship Between Early Victimization and Drug Use

This study uses general strain theory to examine the direct and indirect relationship between early victimization and drug use. Few previous studies measure strain as victimization. Also, past studies tend to combine drug use measures with delinquency measures. This study expands this research by operationalizing strain as early victimization and using measures of both frequency and onset of drug use. National Survey of Adolescents data is used to test the hypotheses. The results show that when youth are victimized they will use drugs more frequently and use drugs at a younger age. These relationships were only partially mediated by social bonds and negative emotions.     

Influences on the Food Choice Behaviors of Adults With Severe Mental Illness

The objective of this research was to gain a deeper understanding of factors influencing the healthiness of food choice behaviors of community-dwelling adults with severe mental illness. Semi-structured interviews were conducted in an outpatient treatment facility with 20 program participants and 10 staff. Grounded theory analysis methods were used. Five dominant themes emerged: food availability, preference for simple food preparation, perceived cost of food, complexity of choice, and relative importance of healthy food choices. The theme of medication effects only emerged from staff interviews. This research can be useful to inform the design of nutrition interventions for this population.     

Reinforcement sensitivity theory and symptoms of personality disorder: Specificity of the BIS in Cluster C and BAS in Cluster B

Gray’s reinforcement sensitivity theory, consisting of the behavioral inhibition (BIS) and behavioral activation (BAS), is frequently used to represent basic dimensions of psychopathology. However, notably few investigations have examined the link between the BIS/BAS and symptoms of personality disorder (PD). Although the Fight-Flight-Freeze System has emerged in the revised model as an important aspect of motivation, the BIS (linked to anxiety) and BAS (linked to impulsivity) have been the primary foci. The current investigation uses a dimensional measure of PD, the schedule for nonadaptive and adaptive personality (SNAP; Clark, 1993) applied to two independent samples of English-speaking participants: undergraduates (n = 276) and clinical patients (n = 47). Results were consistent across both samples, demonstrating that symptoms of Cluster B PDs are indicative of high BAS levels whereas symptoms of Cluster C PDs are characterized by high BIS levels.     

Interaction and Participation for Young Hispanic and Caucasian Girls' and Boys' Learning of Media Content

Young Hispanic and Caucasian children viewed an animated educational television program in conditions that varied the level of interaction required. Girls and Caucasian children identified with the Hispanic female character more than boys and Hispanic children did. Children who actively responded to character prompts were more likely to understand the important program content than were those who simply observed it. Interaction was especially beneficial to Hispanic girls. The results suggest that programs designed to involve children in the content through participation or interaction provide unique opportunities for children to learn important educational media content, and that even very young children are sensitive to qualities of the symbolic role models who deliver those messages.