Essentials of MCMI-IV Assessment

SETH GROSSMAN, Psy.D. is the preeminent expert on Millon assessment and primary coauthor of the MCMI-IV test. He has led its development since January 2014. A longtime collaborator with Theodore Millon, he coauthored more than 40 texts, chapters, psychological instruments, and peer-reviewed articles related to Millon Inventories. Dr. Grossman is Director of the Center for Psychological Fitness in Cooper City, Florida. BLAISE AMENDOLACE, Psy.D. is the assessment coordinator for Florida Atlantic University's Counseling and Psychological Services. He specializes in therapeutic personality assessment and focuses on trauma and abuse survivors. He is an adjunct faculty member at several universities and is in group practice at The Center for Psychological Fitness.

• List of Figures xiiiList of Tables xvSeries Preface xviiOne: History and Development of the MCMI® Through MCMI®-IV 1Construction of the Legacy MCMI Tests (MCMI, MCMI-II, MCMI-III) 3Development of the MCMI-IV 7Test Yourself 16Two: MCMI®-IV and Millon Evolutionary Theory 19Personality as Focal Point in Clinical Assessment and Intervention 19An Evolutionary Model of Personality 20Motivating Aims 21Problematic Patterns in Motivating Aims 23Levels of Adaptiveness 25Structural and Functional Domains 25Applying Millon’s Evolutionary Theory to the MCMI-IV 29Test Yourself 30Three: Administration and Scoring 33Administration 33Scoring 35Test Yourself 38Four: Sections and Scales 41Validity and Modifying Indices 42Noteworthy Responses 44Clinical Personality Patterns 45Severe Personality Pathology 77Clinical Syndromes 85Severe Clinical Syndromes 87Grossman Facet Scales 88Test Yourself 95Five: Interpretive Principles 97Role of Personality in Assessment: A Recapitulation 97Building an Integrative MCMI-IV Interpretation 99Integrating the Overall Clinical Picture 107Test Yourself 107Six: Therapeutic Alliance Building 109Introducing the MCMI-IV to the Examinee 110Preparing the Examinee for Feedback 111The Examiner’s Initial Preparation for Feedback 111Moving Away From Labels 112Understanding the Examinee’s Test-Taking Style (Modifying Indices) 113Language of the Theory = Language of Alliance 1: Individual Personality Scales 114Language of the Theory = Language of Alliance 2: Multiple Personality Scales 115Language of the Theory = Language of Alliance 3: Facet Scales 117Language of the Theory = Language of Alliance 4: Clinical Symptomology 119Test Yourself 120Seven: Strengths and Weaknesses of the MCMI®-IV 123A. Jordan WrightStrengths 123Weaknesses 127Final Comment 133Test Yourself 135Eight: Clinical Applications of the Millon Inventories 137Key MCMI-IV Augmentation: Personality Spectra and Clinical Populations 137The MCMI-IV in Clinical Assessment 139Specific Assessment Applications With the MCMI 142Other Millon Inventories 144Test Yourself 148Nine: Illustrative Case Reports 151Case Example 1 151Case Example 2 160References 169About the Authors 175Index 177