Research Article
Personality style codetype concordance between the MCMI and MBHI*
Edward A. Wise,
Edward A. Wise
University of Tennessee and Mental Health Resources
Search for more papers by this authorEdward A. Wise,
Edward A. Wise
University of Tennessee and Mental Health Resources
Search for more papers by this author*
*Originally published in Volume 50, Number 3, 1994, pages 367–380.
Abstract
Personality scale profiles of Millon's Clinical Multiaxial Inventory and Behavioral Health Inventory were analyzed for codetype concordance using a sample of psychiatric patients with medical symptoms (N = 91). Results indicated that at least half of the sample would be diagnosed with a personality disorder by each instrument. Approximately 95% of the sample produced at least one elevated scale. The tests were not significantly different with respect to their classification rates of pathology or number of scales elevated and demonstrated significant and positive correlations between complementary scales. Nonetheless, codetype correspondence was found to be 29.67% for single scales and 20.88% for two-point codetypes. Correlational data, factor analysis, and paired mean score comparisons were used to analyze these findings. © 2003 Wiley Periodicals, Inc. J Clin Psychol.
REFERENCES
- American Psychiatric Association ( 1980). Diagnostic and statistical manual of mental disorders ( 3rd ed.). Washington: Author.
- Ben
Porath, Y.S., &
Butcher, J.N. (
1989). The comparability of MMPI and MMPI-2 scales and profiles. Psychological Assessment—A
Journal of Consulting and Clinical Psychology, 1, 345–347.
10.1037/1040-3590.1.4.345 Google Scholar
-
Bonato, D.P.,
Cyr, J.J.,
Kalprin, R.A.,
Prendergast, P., &
Sanhueza, P. (
1988).
The utility of the MCMI as a DSM-III Axis I diagnostic tool.
Journal of Clinical Psychology, 44, 867–875.
10.1002/1097-4679(198811)44:6<867::AID-JCLP2270440606>3.0.CO;2-P CAS PubMed Web of Science® Google Scholar
- Butcher, J., Dahlstrom, W., Graham, J., Tellegen, A., & Kaemmer, B. ( 1989). MMPI-2 manual for administration and scoring. Minneapolis: University of Minnesota.
- Cansler, D. ( 1986). Review of the MAPI. Journal of Counseling and Development, 64, 469–471.
-
Cantrell, J.D., &
Dana, R.H. (
1987).
Use of the MCMI as a screening instrument at a community mental health center.
Journal of Clinical Psychology, 43, 366–375.
10.1002/1097-4679(198707)43:4<366::AID-JCLP2270430405>3.0.CO;2-P CAS PubMed Web of Science® Google Scholar
- Choca, J.P., Peterson, C., & Shanley, L. ( 1986). Factor analysis of the Millon Clinical Multiaxial Inventory. Journal of Consulting and Clinical Psychology, 54, 253–255.
- Choca, J.P., Shanley, L., & Van Denburg, E. ( 1992). Interpretive guide to the Millon Clinical Multiaxial Inventory. Washington: American Psychological Association.
- Choca, J.P., Shanley, L., Van Denburg, E., Agresti, A., Mouton, A., & Vidger, L.U. ( 1992). Personality disorder or personality style: That is the question. Journal of Counseling and Development, 70, 429–431.
- Craig, R.J., & Weinberg, D. ( 1991, March). MCMI: Overview of the literature. Paper presented at the annual meeting of the Society for Personality Assessment, New Orleans.
-
Dana, R.H., &
Cantrell, J.D. (
1988).
An update on the MCMI.
Journal of Clinical Psychology, 44, 760–763.
10.1002/1097-4679(198809)44:5<760::AID-JCLP2270440516>3.0.CO;2-C CAS PubMed Web of Science® Google Scholar
- DeWolfe, A., Larson, J.K., & Ryan, J.J. ( 1985). Diagnostic accuracy of the Millon computer reports for bipolar affective disorders. Journal of Psychopathology and Behavioral Assessment, 7, 185–189.
-
Dubro, A.F.,
Wetzler, S., &
Kahn, M.W. (
1988).
A comparison of three self-report questionnaires for the diagnosis of DSM-III personality disorders.
Journal of Personality Disorders, 2, 256–266.
10.1521/pedi.1988.2.3.256 Google Scholar
- Edwards, D.W., Weissman, H.N., & Morrison, T.L. ( 1991, August). MMPI-1 versus MMPI-2: Comparisons of code types, validity scales, and clinical scales. Paper presented at the annual meeting of the American Psychological Association, San Francisco.
- Gibertini, M., & Retzlaff, P. ( 1988). Factor invariance of the Millon Clinical Multiaxial Inventory. Journal of Psychopathology and Behavioral Assessment, 10, 65–74.
- Goldman, N., & Ravid, R. ( 1980). Community surveys: Sex differences in mental illness. In M. Guttentag, S. Salasin, & D. Belle (Eds.), The mental health of women (pp. 31–51). New York: Academic Press.
-
Goldstein, D.A., &
Antoni, M.H. (
1989).
The distribution of repressive coping styles among nonmetastic and metastic breast cancer patients as compared to non-cancer patients.
Psychology and Health, 3, 245–258.
10.1080/08870448908400384 Google Scholar
- Gunderson, J., Links, P., & Reich, J. ( 1991). Competing models of personality disorders. Journal of Personality Disorders, 5, 60–68.
- Hafner, R.J. ( 1986). Marriage and mental illness. New York: Guilford Press.
- Hibbard, S. ( 1989). Personality and object relational pathology in young adult children of alcoholics. Psychotherapy, 26, 504–509.
- Hintze, J. ( 1992). Number Crunching Statistical System (Ver. 5.03). Kaysville, UT: Hintze.
-
Hyler, L., &
Harrison, W. (
1986).
Later Life Personality Model: Diagnosis and treatment.
Clinical Gerontologist, 5, 399–416.
10.1300/J018v05n03_11 Google Scholar
- Kessler, R.C., Brown, R.L., & Broman, C.L. ( 1981). Sex differences in psychiatric help-seeking: Evidence from four large-scale surveys. Journal of Health and Social Behavior, 22, 49–64.
- Kiesler, C. ( 1991). Changes in general hospital psychiatric care, 1980–1985. American Psychologist, 46, 416–421.
- Livesley, W.J. ( 1991). Classifying personality disorders: Ideals types, prototypes or dimensions? Journal of Personality Disorders, 5, 52–59.
-
Lorr, M.,
Retzloff, P.D., &
Tarr, H.C. (
1989).
An analysis of the MCMI at the item level.
Journal of Clinical Psychology, 45, 884–890.
10.1002/1097-4679(198911)45:6<884::AID-JCLP2270450609>3.0.CO;2-G PubMed Web of Science® Google Scholar
- Marson, J.T., Fromm, B.S., Snyder, V.L., & Greenberg, D.B. ( 1984). Use of psychologic testing in characterizing the frequent uses of ambulatory health care services. Journal of Family Practice, 19, 802–806.
- Mayou, R. ( 1991). Comorbidity and use of psychiatric services by general hospital patients. Psychosomatics, 31, 400–404.
-
McCann, J.T. (
1989).
MMPI personality disorder scales and the MCMI: Concurrent validity.
Journal of Clinical Psychology, 45, 365–369.
10.1002/1097-4679(198905)45:3<365::AID-JCLP2270450303>3.0.CO;2-S CAS PubMed Web of Science® Google Scholar
- Millon, T. ( 1969). Modern psychopathology: A social approach to maladaptive learning and functioning. Philadelphia: W.B. Saunders.
- Millon, T. ( 1981). Disorders of personality: DSM III: Axis II. New York: John Wiley.
- Millon, T. ( 1982). Millon Behavioral Health Inventory manual. Minneapolis, MN: National Computer Systems.
- Millon, T. ( 1983). Millon Clinical Multiaxial Inventory manual ( 3rd ed.). Minneapolis, MN: National Computer Systems.
- Millon, T., Green, C., & Meagher, R. ( 1982). Millon Adolescent Personality Inventory. Minneapolis, MN: National Computer Systems.
- Morey, L.C. ( 1986). A comparison of three personality disorder assessment approaches. Journal of Psychopathology and Behavioral Assessment, 8, 25–30.
- Morey, L.C., & Le Vine, D.J. ( 1988). A multitrait-multimethod examination of MMPI and MCMI. Journal of Psychopathology and Behavioral Assessment, 10, 333–344.
- Myers, J.K., Weissman, M.M., Tischler, G.L., Holzer, C.E., Leaf, P.J., Orvaschel, H., Anthony, J.C., Boyd, J.H., Burke, J.D., Kramer, M., & Stoltzman, R. ( 1984). Six-month prevalence of psychiatric disorders in three communities. Archives of General Psychiatry, 41, 959–967.
- National Institute of Mental Health ( 1990). Series CN No. 12, Mental Health Organizations, U.S., 1986 by Redick, R.W., Witkin, M.J., Atay, J.E., Fell, A.S., & Manderscheid, R.W. DHHS Pub. No. (ADM) 90–1700. Washington: Government Printing Office.
- Piersma, H.L. ( 1986, August). Computer generated diagnoses: How do they compare to clinical judgment? Paper presented at the annual convention of the American Psychological Association, Washington.
-
Piersma, H.L. (
1987).
The MCMI as a measure of DSM-III Axis II diagnoses: An empirical comparison.
Journal of Clinical Psychology, 43, 478–483.
10.1002/1097-4679(198709)43:5<478::AID-JCLP2270430508>3.0.CO;2-Z CAS PubMed Web of Science® Google Scholar
- Piersma, H.L. ( 1991). The MCMI as a predictor of DSM-III diagnostic categories: A review of the empirical research. Unpublished manuscript, Pine Rest Christian Hospital and Michigan State University, Grand Rapids.
-
Reich, J. (
1987).
Instruments measuring DSM-III and DSM-III-R personality disorders.
Journal of Personality Disorders, 1, 220–240.
10.1521/pedi.1987.1.3.220 Google Scholar
- Reich, J. ( 1990). Relationship between DSM-III avoidant and dependent personality disorders. Psychiatry Research, 34, 281–292.
-
Repko, G.R., &
Cooper, R. (
1985).
The diagnosis of personality disorder: A comparison of MMPI profile, Millon Inventory, and clinical judgment in a workers' compensation population.
Journal of Clinical Psychology, 41, 867–881.
10.1002/1097-4679(198511)41:6<867::AID-JCLP2270410624>3.0.CO;2-D CAS PubMed Web of Science® Google Scholar
- Riba, M., & Hale, M. ( 1990). Medical clearance: Fact or fiction in the hospital emergency room. Psychosomatics, 31, 400–404.
- Rustad, L.C. ( 1985). A review of the MBHI. Journal of Counseling and Development, 64, 469–471.
-
Schwartz, M.,
Wiggins, J.S., &
Norko, M. (
1989).
Prototypes, ideal types, and personality disorders: The return to classical psychiatry.
Journal of Personality Disorders, 3, 1–9.
10.1521/pedi.1989.3.1.1 Google Scholar
- Smith, D., Carroll, J., & Fuller, G. ( 1988). The relationship between the MCMI and MMPI in a private outpatient mental health clinic population. Journal of Clinical Psychology, 44, 165–174.
- Torgersen, S., & Alnaes, R. ( 1990). The relationship between the MCMI personality scales and DSM III, Axis II. Journal of Personality Assessment, 55, 698–707.
- Trenerry, M.R., & Pantle, M.L. ( 1990). MAPI codetypes in an inpatient crisis-unit sample. Journal of Personality Assessment, 55, 683–691.
-
Tryer, P. (
1988).
What's wrong with DSM-III personality disorders?
Journal of Personality Disorders, 2, 281–291.
10.1521/pedi.1988.2.4.281 Google Scholar
- Weissman, M.M., & Klerman, G.L. ( 1977). Sex differences and the epidemiology of depression. Archives of General Psychiatry, 34, 98–111.
- Wetzler, S. ( 1990). The MCMI: A review. Journal of Personality Assessment, 55, 445–464.
- Widiger, T.A. ( 1985). Review of the Millon Clinical Multiaxial Inventory. In J.V. Mitchell. (Ed.), Ninth mental measurement yearbook (pp. 986–988). Lincoln: University of Nebraska, Buros Institute.
- Widiger, T.A. ( 1991). Definition, diagnosis, and differentiation. Journal of Personality Disorders, 5, 42–51.
- Widiger, T.A., & Frances, A. ( 1985a). Axis II personality disorders: Diagnostic and treatment issues. Hospital and Community Psychiatry, 36, 619–627.
- Widiger, T.A., & Frances, A. ( 1985b). The DSM-III personality disorders: Diagnostic and treatment issues. Hospital and Community Psychiatry, 42, 616–623.
- Widiger, T.A., & Rogers, J.H. ( 1989). Prevalence and comorbidity of personality disorders. Psychiatric Annals, 19, 132–136.
- Widiger, T.A., & Sanderson, C. ( 1987). The congruent and discriminant validity of the MCMI as a measure of the DSM III personality disorders. Journal of Personality Assessment, 51, 228–242.
- Widiger, T.A., Williams, J.B., Spitzer, R.L., & Frances, A. ( 1985). The MCMI as measure of DSM III. Journal of Personality Assessment, 49, 367–378.
- Widiger, T.A., Williams, J.B., Spitzer, R.L., & Frances, A. ( 1986). The MCMI and DSM III: A brief rejoinder to Millon (1985). Journal of Personality Assessment, 50, 198–204.
-
Wiggins, J.S., &
Pincus, A.L. (
1989).
Conceptions of personality disorders and dimensions of personality.
Psychological Assessment: A Journal of Consulting and Clinical Psychology, 1, 305–316.
10.1037/1040-3590.1.4.305 Google Scholar
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