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specific disorder

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BIOL 103
Sidney Eve Matrix

 MMPI-2 has been created to assess the symptoms of specific personality disorders – the PSY-5 consists of dimensions of assessing negative emotionality/neuroticism, lack of positive emotionality, aggressiveness, lack of constraint, and pychoticism  The most widely used measure of personality disorder symptoms is the Millon Clinical Multiaxial Inventory which is now in its third edition o It’s a 175 true false inventory that was revised for DSM-IV o Provides subscale measures of 11 clinical personality scales and 3 severe personality pathology scales o Also provides symptom ratings for clinical syndromes located on Axis I of the DSM-IV o Includes a validity index and 3 response style indices that correct for such tendencies as denial and random responding o It’s only moderately effective in terms of its ability to detect faking  Issues of self report measures of personality disorders o Empirical tests comparing the various self-report measures show that they differ in their content and are not equivalent o Cut-off points used to determine the presence of personality disorder often overestimate the number of people who meet diagnostic criteria for particular disorders  The goal is to obtain accurate diagnoses; MCMI-III is best used in conjunction with a clinical interview such as the Personality disorder Examination Personality Disorder Clusters  When a categorical approach is used the DSM-IV-TR criteria are involved, personality disorders are grouped into 3 clusters o Individual in cluster A (paranoid, schizoid, and schizotpyal) seem odd or eccentric (they reflect oddness and avoidness of social contact) o Those in cluster B (antisocial, borderline, histrionic and narcissistic) seem dramatic, emotional, or erratic (extrapunitive and hostile) o Those in cluster C (avoidant, dependent, and obsessive compulsive) appear fearful  Patients with both borderline & schizotypal personality disorders would probably have been diagnosed as schizophrenic using DSM II criteria Odd/Eccentric Cluster  3  paranoid, schizoid, and schizotypal PDs  Symptoms are similar to those of schizophrenia (especially its prodromal and residual phase) Paranoid Personality Disorder  They are suspicious of
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