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Psychological Tests and Structured Interviews: Introduction

Uploaded 8/27/2010, approx. 4 minute read

My name is Sam Vaknin. I am the author of Malignant Self-Love, Narcissism Revisited.

Personality assessment is perhaps more of an art form than a science.

In an attempt to render it as objective and standardized as possible, generations of clinicians came up with psychological tests and structured interviews. These are administered under similar conditions and use identical stimuli to elicit information from respondents.

This way, any disparity in the responses of the subjects can and is attributed to the idiosyncrasies of their personalities and not to any flaws in the tests themselves.

Most tests restrict the repertory of permitted answers.

Consider, for instance, the Minnesota Multiphasic Personality Inventory, the MMBI-2. The true or false are the only allowed reactions to questions in the MMBI. Scoring and keying the results is also an automated process wherein all true responses get one or more points on one or more scales. All false responses get no points at all.

So these processes are automated and this limits the involvement of the diagnostician to the interpretation of the test results, the scale scores.

Admittedly, interpretation is arguably more important than data gathering. Summing it up, inevitably biased human input cannot and is not avoided in the process of personality assessment and evaluation, but its pernicious effects are somewhat reigned in by the systematic and impartial nature of the underlying instruments, the psychological tests.

Still, rather than rely on one questionnaire and its interpretation, most practitioners administer to the same subject a battery of tests and structured interviews. These often vary in important aspects, their response formats, the stimuli involved, the procedures of administration and the scoring methodology.

Moreover, in order to establish a test's reliability, many diagnosticians administer it repeatedly over time to the same client. If the interpreted results are more or less the same, the test is said to be reliable.

The outcomes of various tests must fit in with each other. Put together, they must provide a consistent and coherent picture.

If one test yields readings that are constantly at odds with the conclusions of other questionnaires or interviews, this test may not be valid.

In other words, it may not be measuring what it claims to be measuring.

Thus, a test quantifying one's grandiosity must conform to the scores of tests which measure a reluctance to admit failings or propensity to present a socially desirable and inflated facade. These elements must fit together, grandiosity, reluctance to admit failings, and an inflated self-image for self.

If a grandiosity test is positively related to irrelevant, conceptually independent traits, such as intelligence or depression, it doesn't render it valid. There's something wrong with it.

Most tests are either objective or projective.

The psychologist George Kelly offered this tongue-in-cheek definition of both in an article in 1958 titled Men's Construction of His Alternatives. It's included in his book The Assessment of Human Motives.

He says, when the subject is asked to guess what the examiner is thinking, we call it an objective test. When the examiner tries to guess what the subject is thinking, we call it a projective device.

The scoring of objective tests is computerized, no human input is involved.

Examples of such standardized instruments include the MMPI-2, the California Psychological Inventory, the CPI, and the Mellon Clinical Multi-Actual Inventory in its second edition by now.

Of course, a human finally leans the meaning of the data gathered by these questionnaires. Interpretation ultimately depends on the knowledge, training, experience, skills, and natural gifts of the therapist or diagnostician who administered the test.

Projective tests are far less structured and thus a lot more ambiguous.

As L. K. Frank observed in a 1939 article titled Projective Methods for the Study of Personality, the patient's responses to such tests are projections of his way of seeing life. His meanings, significances, patterns, especially his feelings.

In projective tests, the responses are not constrained. The scoring is done exclusively by humans and involves judgment and thus, of course, bias.

Clinicians rarely agree on the same interpretation and often use competing methods of scoring, yielding disparate results.

The diagnostician's personality comes into prominent play in projective tests. The best known of these so-called tests is the Rorschach set of inputs.

In the following series of videos, we will discuss eight very important psychological tests and structured interviews.

Stay with us and keep watching.

If you enjoyed this article, you might like the following:

MMPI-2 Psychological Test: Controversial, but Hard to Fake

The MMPI-2 test booklet has 567 items, but a rough assessment can be made based on the first 370 queries. The items are arranged in scales, and the responses are compared to answers provided by control subjects. The nature of the deviation determines the patient's traits and tendencies, but not their diagnosis. The test results place the subject in a group of patients who reacted similarly, and the validity scales indicate whether the patient responded truthfully and accurately or was trying to manipulate the test. The clinical scales measure various mental health issues, and the interpretation of the MMPI-2 is now fully computerized.


Myers-Briggs Type Indicator (MBTI): Fortune Cookie or Reliable Test?

The Myers-Briggs Type Indicator (MBTI) is a widely used and contested personality assessment test with various versions and millions of users worldwide. It is based on Jungian theory and classifies individuals into one of 16 personality types. While some studies have found the MBTI to be valid and useful, others criticize its dichotomous nature, lack of reliability, and deviation from Jung's original theory. Despite these criticisms, the MBTI remains popular and can provide insight, raise self-awareness, and help individuals understand their past experiences and relationships.


Sex Addiction, Hypersexuality, Compulsive Sexual Behaviour Disorder ( CSBD)

The lecture discusses the complexities of sex addiction, distinguishing it from promiscuity and emphasizing that sex addiction is a compulsion rather than a lifestyle choice. It highlights the political pressures that have prevented sex addiction from being recognized in the DSM, despite its inclusion in the ICD-11 as Compulsive Sexual Behavior Disorder. The speaker explains that sex addiction often stems from deep-seated feelings of shame and inadequacy, leading individuals to engage in compulsive sexual behaviors as a means of self-soothing. Ultimately, the prognosis for those struggling with sex addiction is poor, and the behavior is characterized as a lifelong, debilitating cycle.


Personality or Gut Disorders? Microbiome and Mental Illness

The gut microbiome plays a crucial role in mental health, influencing not only brain function but also personality and temperament through a bidirectional relationship. This relationship suggests that gut bacteria can affect emotional states and behaviors, while psychological conditions can alter gut microbiota composition. Research indicates that disturbances in gut bacteria are linked to various psychiatric disorders, including borderline personality disorder, and that early life factors, such as maternal gut health, can impact the development of these conditions. The interconnectedness of bodily systems challenges traditional views of mental health, emphasizing the need for a holistic approach to treatment that considers the gut-brain axis. Overall, the findings highlight the importance of gut health in understanding and potentially treating mental health issues.


Rorschach's Inkblot Test

The Rorschach Ink Blots Test is a diagnostic tool developed by Swiss psychiatrist Hermann Rorschach. The test uses ambiguous ink blots to provoke free associations in the test subject, and the diagnostician records the patient's responses as well as the ink blots' spatial position and orientation. The test is highly subjective and depends on the skills and training of the diagnostician and his interpretative abilities. It cannot be used to reliably diagnose patients, but it can draw attention to the patient's defenses and personal style.


Psychology of Swinging (The Lifestyle)

Swinging, also known as group sex or spouse-sharing, involves sexual acts performed by more than two participants. The psychological background to such pursuits is not clear, but thousands of online chats reveal ten psychodynamic strengths. These include latent and overt bisexuality and homosexuality, the Slut-Madona complex, voyeurism and exhibitionism, vicarious gratification, masochism, legitimized cheating, alleviating boredom, displaying partners, and objectification. Swinging can be a form of art, entertainment, and intimacy-enhancing recreation, but it can also provoke anxiety, romantic jealousy, and guilt.


Choosing a Good Psychotherapist

Traditional psychotherapy methods have largely failed to effectively treat personality disorders, leading to the adoption of modern approaches such as brief therapy, common factors, and eclectic techniques. Brief therapies are structured, short-term treatments that encourage patient engagement and anxiety as a means of catalyzing change, while the common factors approach suggests that all therapies are similarly ineffective in addressing these disorders. Eclectic psychotherapy allows therapists to draw from various techniques without being confined to a single theoretical framework, focusing instead on what works best for the individual patient. Theories of personality serve as essential guidelines for therapists, helping them navigate treatment options and avoid becoming overwhelmed by the multitude of available methods.


Toxic Sex: When "Love" Is Bad For You

Sex can be bad for mental health, just like cigarettes. Some forms of sex, such as those intended to regulate emotions or moods, or those without meaningful informed consent, are toxic and should be avoided. Sex used as a form of self-mutilation or self-harm, or as a way to self-objectify, is also bad for mental health. Non-autonomous sex, where sex is used to make a partner like or love you, is possibly the sickest form of sex. The psychosexuality of those who engage in bad, toxic, and wrong sex is part psychopathic and part people-pleasing.


PCL-R (Psychopathy Checklist Revised) Test

The Psychopathy Checklist Revised Test (PCLR) is a structured interview that is used to rate symptoms common among psychopaths in forensic populations. The test is designed to cover the major psychopathic traits and behaviors, but it has very dubious, predictive and retrodictive power. The PCLR is based on a structured interview and collateral data gathered from family, friends, and colleagues and from documents. The hope of the designers of the PCLR test is that information gathered outside the scope of a structured interview will serve to rectify any potential abuse, diagnostic bias, and manipulation by both the testee and the tester.


Personality Types: Which Are YOU?

Type theory in psychology categorizes individuals based on personality characteristics, with historical roots tracing back to ancient Greek humoral theory and later developments by figures like Freud and Jung. Freud's libidinal types theory classifies personalities into erotic, obsessional, and narcissistic types based on the distribution of libido, while Jung's typology focuses on attitudinal and functional types, emphasizing introversion, extroversion, and the dominant functions of the psyche. Additionally, personality classifications such as type A, B, D, and T highlight various traits, with type A being competitive and ambitious, type B being easygoing, type D being distressed, and type T being thrill-seeking. Despite the appeal of categorizing personalities, the rigor and substantiation of these theories remain limited, reflecting a desire for control and understanding in a complex world.

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