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Gary Groth-Marnat

John Wiley & Sons, Inc.




Gary Groth-Marnat

John Wiley & Sons, Inc.

MMPI-2TM (Minnesota Multiphasic Personality Inventory-2)TM Test Booklet. Copyright © 1942, 1943 (renewed 1970), 1989 by the Regents of the University of Minnesota. All rights reserved. Used by permission of the University of Minnesota Press. “MMPI-2” and “Minnesota Multipha- sic Personality-2” are trademarks owned by the Regents of the University of Minnesota.

This book is printed on acid-free paper.

Copyright © 2003 by John Wiley & Sons, Inc., Hoboken, New Jersey. All rights reserved. Published simultaneously in Canada.

No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, scanning, or otherwise, except as permitted under Section 107 or 108 of the 1976 United States Copyright Act, without either the prior written permission of the Publisher, or authorization through payment of the appropriate per-copy fee to the Copyright Clearance Center, Inc., 222 Rosewood Drive, Danvers, MA 01923, (978) 750-8400, fax (978) 750-4470, or on the web at Requests to the Publisher for permission should be addressed to the Permissions Department, John Wiley & Sons, Inc., 111 River Street, Hoboken, NJ 07030, (201) 748-6011, fax (201) 748-6008, e-mail: [email protected]

Limit of Liability/Disclaimer of Warranty: While the publisher and author have used their best efforts in preparing this book, they make no representations or warranties with respect to the accuracy or completeness of the contents of this book and specifically disclaim any implied warranties of merchantability or fitness for a particular purpose. No warranty may be created or extended by sales representatives or written sales materials. The advice and strategies contained herein may not be suitable for your situation. You should consult with a professional where appropriate. Neither the publisher nor author shall be liable for any loss of profit or any other commercial damages, including but not limited to special, incidental, consequential, or other damages.

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Library of Congress Cataloging-in-Publication Data:

Groth-Marnat, Gary. Handbook of psychological assessment / Gary Groth-Marnat.—4th ed.

p. cm. Includes bibliographical references and indexes. ISBN 0-471-41979-6 (cloth : alk. paper) 1. Psychological tests. 2. Personality assessment. I. Title.

BF176 .G76 2003 150′.28′7—dc21


Printed in the United States of America.

10 9 8 7 6 5 4 3 2 1

To Dawn



Preface xiii

Chapter 1 Introduction 1

Organization of the Handbook 1

Role of the Clinician 3

Patterns of Test Usage in Clinical Assessment 5

Evaluating Psychological Tests 10

Validity in Clinical Practice 22

Clinical Judgment 25

Phases in Clinical Assessment 31

Recommended Reading 36

Chapter 2 Context of Clinical Assessment 37

Types of Referral Settings 37

Ethical Practice of Assessment 48

Test Bias and Use with Minority Groups 56

Selecting Psychological Tests 62

Computer-Assisted Assessment 66

Recommended Reading 68

Chapter 3 The Assessment Interview 69

History and Development 70

Issues Related to Reliability and Validity 74

Assets and Limitations 76

The Assessment Interview and Case History 78

Mental Status Examination 84

Interpreting Interview Data 90

Structured Interviews 91

Recommended Reading 101

viii Contents

Chapter 4 Behavioral Assessment 103

History and Development 105

Issues Related to Reliability and Validity 107

Assets and Limitations 110

Strategies of Behavioral Assessment 111

Recommended Reading 128

Chapter 5 Wechsler Intelligence Scales 129

Testing of Intelligence: Pro and Con 129

History and Development 132

Reliability and Validity 134

Assets and Limitations 137

Meaning of IQ Scores 140

Cautions and Guidelines in Administration 142

WAIS-III /WISC-III Successive Level Interpretation Procedure 145

Wechsler Subtests 160

Assessing Brain Damage 178

Assessing Additional Special Populations 186

Short Forms 191

Recommended Reading 195

Chapter 6 Wechsler Memory Scales 197

History and Development 198

Reliability and Validity 201

Assets and Limitations 203

Interpretation Procedure 204

Recommended Reading 212

Chapter 7 Minnesota Multiphasic Personality Inventory 213

History and Development 215

Reliability and Validity 220

Assets and Limitations 223

Administration 230

Interpretation Procedure 231

Computerized Interpretation 239

Validity Scales 240

Clinical Scales 247

Two-Point Codes 270

MMPI-2 Content Scales 294

Contents ix

MMPI-A Content Scales 297

Harris-Lingoes and Si Subscales 300

Critical Items 304

MMPI-2 and MMPI-A Supplementary Scales 304

Recommended Reading 308

Chapter 8 Millon Clinical Multiaxial Inventory 311

History and Development 313

Reliability and Validity 317

Assets and Limitations 319

Interpretation Procedure 323

Modifying Indices (Validity Scales) 328

Clinical Personality Patterns 329

Severe Personality Pathology 346

Clinical Syndromes 351

Severe Syndromes 353

Recommended Reading 353

Chapter 9 California Psychological Inventory 355

History and Development 356

Comparison with the MMPI 358

Reliability and Validity 359

Assets and Limitations 360

Interpretation Procedures 363

Vector Scale Interpretation 368

Individual Scales 370

Special Purpose Scales 391

Configural Interpretation 393

Recommended Reading 406

Chapter 10 Rorschach 407

History and Development 408

Reliability and Validity 412

Assets and Limitations 416

Approaching Consensus on Rorschach Validity 419

Administration 420

Scoring 423

Structural Summary 433

Interpretation 440

Recommended Reading 475

x Contents

Chapter 11 Thematic Apperception Test 477

History and Development 477

Theoretical Perspectives 480

Reliability and Validity 482

Assets and Limitations 485

Administration 488

Typical Themes Elicited 491

Scoring Procedures 505

Interpretation 514

Recommended Reading 515

Chapter 12 Screening and Assessing for Neuropsychological Impairment 517 Assignment: psychological evaluation 3

History and Development 520

Interviewing for Brain Impairment 523

Tests for Screening and Assessing for Neuropsychological Impairment 527

Tests of Visuoconstructive Abilities 528

Mental Activities (Attention and Speed of Information Processing) 548

Memory and Learning 556

Verbal Functions and Academic Skills 565

Tests of Motor Ability 570

Executive Functions 572

Emotional Status and Level of Adjustment 574

Recommended Reading 576

Chapter 13 Brief Instruments for Treatment Planning, Monitoring, and Outcome Assessment 579

Selecting Brief Instruments 580

Symptom Checklist-90-R (SCL-90-R) and Brief Symptom Inventory (BSI) 581

The Beck Depression Inventory 587

State Trait Anxiety Inventory (STAI) 590

Recommended Reading 593

Chapter 14 Psychological Assessment and Treatment Planning 595

Development and Approaches to Treatment Planning 597

A Systematic Approach to Treatment Selection 601

Functional Impairment 603

Contents xi

Social Support 606

Problem Complexity/Chronicity 608

Coping Style 610

Resistance 612

Subjective Distress 614

Problem-Solving Phase 617

Recommended Reading 620

Chapter 15 Psychological Report 621

General Guidelines 623

Format for a Psychological Report 633

Sample Reports 647

Recommended Reading 671

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