discussion response to classmate s discussion post 1

250 words with 1-2 references agreeing or disagreeing with classmate’s response and why while adding a scholarly discussion which enriches the conversation or starting a debate or scholarly question to invoke thought.

1) Kaufman 2.1 (JUST ANSWER THIS ONE DOESN’T APPLY TO INSTRUCTIONS ABOVE AND IS ONLY ONE)

Interpreting the MCMI-IV

The MCMI-IV is a 195-item True/False assessment. I am attaching a screenshot of one of the pages in this post. I would like for you to review this and consider some of the following ideas for discussion.

Next, review the MCMI-IV sample report listed in your course materials for this week. What information from this report can be used to identify a need for a mental status examination?

Can any of this information be used to conduct a mental status examination? Why or why not?

You may also benefit from reviewing the Millon Clinical Multiaxial Inventory-IV (MCMI-IV) Sample Report, which is found on the Pearson website and attached here.

URL:

http://images.pearsonclinical.com/images/assets/mcmi-iv/MCMI-IV-Sample-Interpretive-Report_Male.pdf

2) Kimberley Frederick 2.1

Discuss the importance of using the MCMI-IV when assessing the mental status of a client.

At 195 items, the MCMI-IV inventory is much shorter than comparable instruments. The assessment’s terminology is geared to a fifth-grade reading level making it easier for an individual to comprehend. The assessment can be completed in 25 to 35 minutes, facilitating relatively simple and rapid administrations while minimizing patient resistance and fatigue. The MCMI-IV provides personologic/clinical domains that contribute useful diagnostic information for clinicians, so they better understand the particular realms of functioning on which the patient’s difficulties manifest themselves. In addition, this assessment provides the therapist with guidance for selecting specific therapeutic modalities that are likely to maximize the achievement of positive treatment goals.

Can the MCMI-IV be useful in assessing emotional status as well? Why or why not?

Yes. The MCMI–IV is not deemed definitive. That takes the professional mental health clinician. However, it is designed to help clinicians evaluate, diagnose, and treat individuals with emotional and interpersonal difficulties. It consists of assessment materials that help clinicians evaluate, diagnose, and treat individuals experiencing emotional and interpersonal difficulties. When evaluating emotional status, there must be a neuropsychological assessment. That evaluation must include a valid measure of emotional and personality functioning. This determines cognitive status of the individual. Regardless of how accurate a cognitive measure may or may not be, if a deficit is shown to be the result of an emotional problem, this undermines the claim that an injury has occurred. Therefore, the MCM-IV helps differentiate between long-standing personality styles and emotional dysfunction that would directly affect evaluation (Millon, T., et. al., 2015).

For example, a person who has anger inward, may manipulate others to feeling bad for them. Using the MCMI-IV, the responses may suggest that the person is experiencing a persistent depressive disorder, maybe alcohol abuse, and even anxiety through patterns identified in the assessment (Millon, T., et. al., 2015). The person can also give responses that the assessment picks up as random. When that happens, the MCMI-IV suggests to interpret answers as an invalid profile. According to Groth-Marnet and Wright (2016), “Clinicians may want to pay particular attention to validity scales built in to the MCMI-IV and use specialty instruments designed to detect faking.

Groth-Marnat, G., & Wright, A. J. (2016). Handbook of Psychological Assessment (Sixth ed.). Hoboken, NJ: John Wiley & Sons, Inc. https://viewer.gcu.edu/CExw8q

Millon, T., Grossman, S., Millon, C. (2015). Millon Clinical Multiaxial Inventory IV. Retrieved on 11/8/19 from https://www.millonpersonality.com/inventories/MCMI…

3) Paul Hoffman 2.2

There are many strengths and challenges that are associated with the use of the MCMI-IV when evaluating the mental status of a client. One of the benefits of the MCMI-IV is that it addresses a wide range of personality disorders and symptoms than compared to the MMPI (Groth-Marnet & Wright, 2016). It is closely related to the DSM-5 and ICD so it is helpful in evaluating for personality disorders (Groth-Marnet & Wright, 2016). This helps with assessing the mental health of the client by putting the clinician on the right track for a diagnosis and understanding how the client is feeling, thinking, and behaving. The MCMI is time efficient and is beneficial to use in all mental health settings(Framingham & read, Ph D. Last updated: 13 Oct 2018~ 3 min, 2016). The focus of the MCMI on personality disorders can be frequently overlooked so it is beneficial to helps clients understand their behaviors and symptoms through the use of this test (Groth-Marnet & Wright, 2016). A challenge of using a questionnaire such as the MCMI is that it is a self-report which means that the clinician is relying on the client to tell the truth about their behaviors and feelings. This can lead to bias and inaccurate results. Another issue is that there is no benchmark to compare the MCMI assessment which makes it difficult to evaluate the true accuracy of the questionnaire (Groth-Marnet & Wright, 2016). An important consideration when using the MCMI is if the questionnaire is truly evaluating the personality disorder or the style because the inference rom style to disorder is made y the clinician and not the test (Groth-Marnet & Wright, 2016). There has also been issue of overdiagnosis with the MCMI and difficulties interpreting the results (Groth-Marnet & Wright, 2016).

I do think that the MCMI has good methods to assess emotional states of the client. The MCMI has been known to not just diagnose personality disorders but also to address clients with depression. This shows that the MCMI does have more depth then just to address personality issues. However, the MCMI is not a definitive diagnosis, the clinician needs to perform further assessments in order to determine the formal diagnosis. The MCMI can also address emotional difficulties that the client may have that can complicate the therapeutic relationship. The clinician then can use this knowledge to change their course of treatment.

References

Framingham, J., & read, Ph D. Last updated: 13 Oct 2018~ 3 min. (2016). Millon clinical multiaxial inventory (MCMI-III). Retrieved from //psychcentral.com/lib/millon-clinical-multiaxial-inventory-mcmi-iii/

Groth-Marnet, G., & Wright, A. J. (2016). Handbook of psychological assessment (6th ed.). Hoboken, NJ: John Wiley & Sons Inc.

4) Gerlyn Walker 2.2

There are many advantages to us the MCMI-IV when discovering the mental status of the client. The MCMI-IV aligns with the DSM-5 and along with the billing diagnosis of the ICD-10. The MCMI-IV explores many personality disorders and depression of the client. It integrates the test results with therapeutic practice. It helps the client understand their behavior, thinking, and feeling. (Groth-Marnet &Wright, 2016). The MCMI-IV helps the counselor develop a diagnosis of the client. The challenge of the MCMI-IV is the test is a 195 true or false questionnaire that is appropriate for 18 years old to 65 years old, at a 5th-grade reading level or higher. It is not designed to solely diagnosis personality disorders. The counselor would have to use more assessments to pin down a diagnosis in the client. The MCMI-IV breaks down 3 levels of broadening the range. Normal Style: looks at the adaptive personality pattern. Abnormal traits: Moderately maladaptive personality types, and Clinical Disorder: Likelihood of great personality dysfunction. This is described as a Spectrum. One of the difficultly of the MCMI-IV is the questionnaire is self-reported. The counselor must rely on the client being truthful about their behaviors and feelings. The client’s result may be inaccurate or bias due to it being self-report (Groth-Marnet&Wright, 2016). The other disadvantage of the MCMI-IV is over-diagnoses and difficulties in interpreting the results. (Groth-Marnet&Wright, 2016).

The test results of the MCMI-IV is a great tool to assess the emotional states of the client. The assessment can help both the counselor along with the client in a therapeutic guide to treatment along with treatment planning. The downfall of administering the test it is not free. It has free training to the counselor with CEU, but the results and scoring are a web base program you have to purchase to access.

Reference

Groth-Marnet, G., & Wright, A. J. (2016). Handbook of psychological assessment (6th ed.). Hoboken, NJ: John Wiley & Sons Inc.

Millon, T., Grossman, S., & Million, C. (2016). MCMI-IV Millon Clinical Multiaxial Inventory-IV. Retrieved November 9,2019, from https://downloads.pearsonassessments.com/images/as…