Roger L. Greene

Sensitivity of MMPI-2 Validity Scales to Underreporting of Symptoms.

Standard and supplementary scales designed to detect underreporting of symptoms on the Minnesota Multiphasic Personality Inventory (S. R. Hathaway & J. C. McKinley, 1983) and Minnesota Multiphasic Personality inventory-2 (MMPI-2 ; J. N. Butcher, W. G. Dahlstrom, J. R. Graham, A. Tellegen, & B. Kaemmer, 1989) were investigated in two groups of participants. Fifty individuals who completed the MMPI-2 under a fake-good instruction set were compared to 50 matched individuals who completed it under the standard instructions. Fake-good participants scored significantly higher than standard participants on all underreporting scales. Effect sizes showed that fake-good participants differed from standard participants by nearly 2 SD on the average. Hierarchical regression and discriminant function analyses suggested that two supplementary underreporting scales, J. S. Wigginss (1959) Social Desirability Scale and the Superlative Scale (J. N. Butcher & K. Han, 1993), have significant incremental validity over the traditional L and K scales in discriminating standard from underreported profiles.

MMPI-2 Normative Data for the F-K Index: Implications for Clinical, Neuropsychological, and Forensic Practice

The F-K index has long been used as a validity indicator with the MMPI to help identify subjects who may be over- or underreporting psychological problems. The revision of the MMPI necessitates the collection of new norms and development of cutoff scores for the F-K index due to changes in the test itself as well as changes in the way subjects respond to items since the time of the development of the original test. Continuation of the use of old cutoff scores and clinical lore may lead to erroneous conclusions and decisions in the clinical and forensic arenas in which the index is used. MMPI-2 norms for the F-K index are provided for the standardization sample, and additional data are presented for samples of psychiatric patients, head injured patients, individuals seeking disability benefits, job applicants for police and priest positions, and substance abusers. Implications for use of the tables for interpretation of F-K scores are discussed.

A taxometric analysis of MMPI-2 Infrequency scales [F and F(p)] in clinical settings

The typology of overreporting, which is a deliberate attempt to amplify symptoms, simulate psychopathology, or understate coping capacities, was examined using taxometric procedures with Minnesota Multiphasic Personality Inventory-2 (MMPI-2) Infrequency scales [F and F(p)] in psychiatric inpatient and Veterans Affairs (VA) medical center treatment settings. Overreporting was identified as a taxon using several taxometric procedures, and the multiple estimates of the taxon base rate were consistent within each sample. Mean base-rate estimates were .27 and .19 for the psychiatric inpatient and VA medical center settings, respectively. Overall classification rates ranged from .80 to .97 across the 2 settings, which supports the use of F and F(p) in the identification of overreporting on the MMPI-2 in psychiatric inpatient and VA medical center settings.

Narcissism and Depression: MMPI-2 Evidence for the Continuum Hypothesis in Clinical Samples

According to one hypothesis, self-report measures of narcissism help describe a psychological continuum related to self-esteem. Most of the previous support for this idea appeared in studies of undergraduates responding to the Narcissistic Personality Inventory (NPI; Raskin & Hall, 1981) along with other self-report instruments. In this project, results consistent with the continuum hypothesis were obtained when Minnesota Multiphasic Personality Inventory-2 (MMPI-2; Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989) narcissism scales were correlated with depression in adults receiving treatment for alcoholism. Essentially identical outcomes emerged in a second sample of state psychiatric hospital patients. A third study upheld the hypothesis when narcissism scales were correlated with clinical assessments rather than self-reports of depression. None of these findings were easily explained in terms of alternative interpretations of self-reported narcissism, and these data demonstrate that empirical support for the continuum hypothesis was not limited to the NPI, undergraduates, or self-report measures.

Taxometric Analysis of Impression Management and Self-Deception on the MMPI-2 in Child-Custody Litigants

The typology of impression management (IM), a deliberate attempt to create a positive social image, and self-deceptive positivity (SDP), an unintentional concealment of symptoms, were examined using taxometric procedures with MMPI-2 (Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989) underreporting scales in several custody-litigant samples. IM was identified as a taxon using several procedures and estimates of the base rate that were consistent (.40, .37, .31, .36, .37). SDP was better characterized as a dimensional construct. Means and estimated validities for MMPI-2 underreporting scales in this sample are reported. IM and SDP appear to be distinct and measurable underreporting constructs on the MMPI-2.

Differential patterns of responding among three groups of chronic, psychotic, forensic outpatients

Elements of response style were examined among three groups of chronic, psychotic, forensic patients: paranoid schizophrenics (N = 89); undifferentiated-disorganized schizophrenics (N = 38); and schizoaffective patients (N = 53). Forensic patients with elevated MMPI-2 L Scales produced increased percentages of Pure Form (F%) on the Rorschach. A similar relationship occurred when the Rorschach was used as the independent measure. Schizoaffective patients reported more psychotic symptoms on the MMPI-2 and lower F% (Rorschach) than both schizophrenic groups. Although undifferentiated schizophrenics evidenced the most psychopathology on the Rorschach (impaired reality testing and perceptual accuracy disturbance), all three groups produced lower than expected frequencies for Rorschach variables commonly associated with thought disorder and poor reality testing (Exner, 1995b). The clinical importance of using the MMPI-2 and Rorschach in tandem with forensic psychiatric patients is discussed. Our empirical findings suggest the need for forensic evaluators to consider the important relationship between psychiatric diagnosis and response style (defensiveness, denial, illness chronicity, medications, and concurrent Axis II psychopathology) when interpreting often-constricted psychological testing protocols in chronic forensic patient populations.

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.

Using the WMS-III faces subtest to detect malingered memory impairment.

The current study evaluated the utility of the WMS-III Faces I subtest (Faces) for the assessment of malingering. Thirty nonlitigating traumatic brain injury patients and 30 control participants were administered Faces under standard administration and instructed malingering conditions. Although the two groups obtained similar scores when taking the test under standard instructions, both groups produced significantly lower performances when instructed to malinger, indicating that Faces is sensitive to malingering, but less sensitive to traumatic brain injury. The total raw score provided stronger classification accuracy than an empirically weighted combination of the five easiest items (i.e., floor effect items). A raw score cutoff of 31 yielded the maximum classification accuracy with 93.3% sensitivity and 80.0% specificity.

Taxometric Analysis of Impression Management and Self-Deception in College Student and Personnel Evaluation Settings

The typology of impression management (IM), a deliberate attempt to create a positive social image, and self-deceptive positivity (SDP), an overly positive bias in self-description, was examined using taxometric procedures with Minnesota Multiphasic Personality Inventory-2 (MMPI-2; Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989) underreporting scales and Balanced Inventory of Desirable Responding (Paulhus, 1988) impression management and SDP scales in a sample of college students. MMPI-2 underreporting scales were then examined in a personnel evaluation sample. IM was found to be taxonic in both student and personnel settings. Given support for the IM taxon, taxometric procedures allow the estimation of the base rate of IM and the classification accuracy of MMPI-2 IM scales in the absence of a separate criterion. Using taxometric procedures, the mean base-rate estimates were .16 and .25 for student and personnel settings, respectively. Overall classification rates ranged from .80 to .94 for MMPI-2 IM scales in the personnel setting.

An Evaluation of the Usefulness of the MMPI-2 F(p) Scale

The Minnesota Multiphasic Personality Inventory-2 (MMPI-2) F(p) scale was developed by Arbisi and Ben-Porath (1995) by identification of 27 items endorsed by fewer than 20% of individuals in both normal and psychiatric samples. The F(p) scale was designed for applications in settings characterized by high base rates of serious psychopathology, such as psychiatric inpatient units, and is proposed as a useful scale in discriminating overreported protocols from those produced by patients with serious psychopathology. In this study we investigated the characteristics of this scale in a sample of 617 psychiatric inpatients who responded to the MMPI-2 under standard conditions, and 203 overreported protocols derived in research studies conducted with normal adult participants instructed to simulate various forms of serious psychopathology. Results of this study are consistent with prior reports of a relatively low frequency of item endorsement for F(p) scale items in psychiatric samples, and intercorrelations between the F(p) scale and the MMPI-2 basic clinical scales in clinical samples that are generally lower than those produced between either F or Fb and the basic clinical scales. However, this intercorrelational pattern between F(p) and the MMPI-2 basic scales was not as consistent for the overreported sample. Additionally, the F(p) scale appears to be effective in discriminating overreported from accurate MMPI-2 protocols, with some evidence that the optimal cutting scores for this and other MMPI-2 infrequency scales may differ as a function of gender. Finally, these findings do not show clear evidence of improved group prediction derived from the use of the F(p) scale in contrast to results obtainable through the use of the MMPI-2 F scale.