Appendix

MMPI-2™ The Minnesota Report:™ Reports for Forensic Settings James N. Butcher, PhD ID Number 1359303 Female Age 22 Married 12 Years of Education Pre-trial Criminal Report 9/18/2000

Profile Validity

This is a valid MMPI-2 profile. The client's attitude toward the testing was appropriate. She responded to the items in a frank and open manner, freely admitting to some psychological problems, which are described in the narrative report.

Symptomatic Patterns

The personality and behavioral descriptions for this very well-defined MMPI-2 profile code, which incorporates correlates of Pd and Pa, are likely to clearly reflect her current per-

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sonality functioning. Her profile is a good match with the empirical literature from which the correlates were derived. Individuals with this MMPI-2 clinical profile tend to have an extreme pattern of chronic psychological maladjustment. The client appears to be very immature and alienated, tending to manipulate others for her own gratification. She also seems quite self-indulgent, hedonistic, and narcissistic, with a grandiose conception of her capabilities. She may be quite aggressive with others. She tends to be very impulsive and acts out her problems. She rationalizes her difficulties and denies responsibility for her actions, preferring instead to blame other people. She tends to be very hostile, resentful, and irritable.

In addition, the following description is suggested by the content of the client's item responses. She endorsed a number of items suggesting that she is experiencing low morale and a depressed mood. She endorsed a number of items reflecting a high degree of anger. She appears to have a high potential for explosive behavior at times. She feels somewhat self-alienated and expresses some personal misgivings or a vague sense of remorse about past acts. She feels that life is unrewarding and dull, and she finds it hard to settle down. She views the world as a threatening place, sees herself as having been unjustly blamed for others' problems, and feels that she is getting a raw deal from life. She endorsed statements that indicate some inability to control her anger. She may physically or verbally attack others when she is angry.

Profile Frequency

Profile interpretation can be greatly facilitated by examining the relative frequency of clinical scale patterns in various settings. The client's high-point clinical scale score (Pd) occurs in 9.5% of the MMPI-2 normative sample of women. However, only 4.7% of the sample have Pd scale peak scores at or above a T score of 65, and only 2.9% have well-defined Pd spikes. Her elevated MMPI-2 two-point profile configuration (4-6/6-4) is very rare in samples of normals, occurring in less than 1% of the MMPI-2 normative sample of women.

The relative frequency of her high-point Pd profile in inpatient settings is useful information for clinical interpretation. In the Graham and Butcher (1988) sample, Pd is the second most frequent peak score, occurring as the high point in 14.5% of the females (13.7% are at or above a T score of 65, and 6.9% are well defined in that range). In the NCS inpatient sample, this high-point clinical scale score (Pd) occurs in 15.7% of the women (the second most frequent peak score). Additionally, 14% of the inpatient women have the Pd spike equal to or greater than a T score

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