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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.


Narcissist's Hypnosis And Hypnotherapy

Hypnosis is a phenomenon that remains largely unexplained, with various theories suggesting it is either a special state of mind or a people-pleasing behavior. Professor Sam Vaknin proposes that hypnosis is an extreme form of empathy, where the subject and hypnotist synchronize their minds and become one. Hypnotherapy has shown some medical value, but its efficacy in treating mental health conditions is limited. Despite the mystery surrounding hypnosis, it should be treated with respect and investigated further as a potential treatment for mental illness.


Are You a Pathological Gambler? Test Yourself!

The lecture presents a test designed to help individuals assess whether they are compulsive gamblers or professional gamblers based on their gambling behaviors and attitudes. It includes a series of yes or no questions that explore patterns of betting, emotional responses to wins and losses, and decision-making during gambling sessions. Positive responses to specific questions indicate a higher likelihood of being a pathological gambler, while negative responses suggest a more controlled approach to gambling. The lecturer emphasizes that the test is not clinically validated and serves as a fun reflection of observations made in various gambling environments, ultimately advising caution and awareness of the inherent risks in gambling.


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.


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.


Mystical Experiences, Religion as Mental Illness

Mystical experiences are closely linked to mental illness, as they often share characteristics with psychotic episodes, such as hallucinations and feelings of transcendence. Neuroscientific research indicates that these experiences can arise from brain dysfunction, particularly in areas responsible for perception and self-awareness, suggesting that they may be manifestations of mental health issues rather than purely spiritual phenomena. Historical and contemporary figures, including Freud and Newberg, have noted the overlap between spirituality and psychological disorders, reinforcing the idea that many religious beliefs may stem from altered states of consciousness. Ultimately, the evidence points to mystical experiences being forms of mental damage, challenging the traditional view of spirituality as inherently separate from psychological pathology.


Disorders of Eating and Personality (3rd International Conference on Neurology and Brain Disorders)

Eating disorders are complex and often comorbid with personality disorders, particularly borderline personality disorder. The key to improving the mental state of patients with both disorders is to focus on their eating and sleeping disorders first. By controlling their eating disorder, patients can reassert control over their lives, leading to better regulation of their sense of self-worth, enhanced self-confidence, and self-esteem. Treatment options include medication, cognitive or behavioral therapy, psychodynamic therapy, and family therapy. Recovery prognosis is good after two years of treatment and support.


Body Language of the Personality Disordered

Patients with personality disorders have a body language specific to their personality disorder. The body language comprises an unequivocal series of subtle and not-so-subtle presenting signs. A patient's body language usually reflects the underlying mental health problem or pathology. In itself, body language cannot and should not be used as a diagnostic tool.


Eating Disorders and Personality Disorders

Eating disorders are impulsive behaviors that can exist with cluster B personality disorders, particularly with borderline personality disorders. The key to improving the mental state of patients who have been diagnosed with both a personality disorder and an eating disorder lies in focusing it first upon their eating and sleeping disorders and only then on their personality disorders. The treatment of personality disorders requires enormous, persistent and continuous investment of resources of every kind by everyone involved, especially the patient. Patients with eating disorders may be in mortal danger, and the therapist's goal is to buy them time.

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