MCMI III REPORT

NAME- J

Age- 28 years

Gender- Male

Date Assessed:

OPD

The Millon Clinical Multiaxial Inventory (MCMI) is a standardized. Self-report questionnaire

that assesses a wide range of information related to a client's personality, emotional adjustment
and attitude toward taking tests. The MCMI is one of the few self-report tests that focus on
personality disorders along with symptoms that are frequently associated with these disorders.

Response Tendencies

It is noted that the client seemed to have presented himself in a manner that is not unusually
moral. Interpersonally attractive, extremely emotionally unstable, highly gregarious unorganized.

The BR scores reported for this individual have been modified to account for the psychic tension
and dejection indicated by the elevations on Scale A (Anxiety) and Scale D (Dysthymia).

The following are the BR scores of the client on all the scales:

SCALE BR SCORE

X-DISCLOSUE 100

Y-DESIRABILITY 20

Z-DEBASEMENT 93
I-SCHIZOID 103

2A-AVOIDANT 78

SCALE BR SCORE

2B-DEPRESSIVE 106

3-DEPENDENT 84

A-HISTRIONIC 50

5-NARCISSISTIC 29

6A-ANTISOCIAL 91

6B- SADISTIC (AGGRESSIVE) 100

7 COMPULSIVE 44

8A-NEGATIVISTIC 107

(PASSIVE-AGGRESSIVE)

8B-MASOCHISTIC (SELF- 77

DEFEATING)

'S-SCHIZOTYPAL 2

C-BORDERLINE 73

P-PARANOID 80

A-ANXIETY 102

H-SOMATOFORM 105

N-BIPOLAR-MANIC 68
D-DYSTHYMIA 72

B-ALCOHOL 79

DEPENDENCE

T-DRUG DEPENDENCE 82

K-POST TRAUMATIC 70

STRESS DISORDER

SS-THOUGHT DISORDER 82

CC-MAJOR DEPRESSION 85

PP-DELUSIONAL 94

DISORDER

The clinical personality pattern of Negativistic (passive aggressive) personality shows an

elevation. It shows that the practice or habit of being skeptical, critical, or pessimistic. Especially
towards the views or suggestions of others,behavior characterized by persistent refusal without
apparent or logical reasons, to act on or carry out suggestions, orders, or instructions of others.

The most frequent Axis-I related difficulty with this personality type is Schizoid, Depressive,
Antisocial, Sadistic, and Schizotypal. Somatoform, Anxiety. Dysthymia. Major depression,
Delusional disorder which stands true for the current protocol.

The core characteristics of persons with an elevation on this profile include their feeling of
incapability and incompetency of functioning independently. Such a person is unable to create
strong bonds with people whom he/she perceives as being able to lead and care for them. They
feel inadequate and insecure and have low self-esteem. They are continually concerned with the
possibility of losing friends. To maintain friendships, they are very submissive and cooperative.
They minimize objective problems, rarely disagree with others, and never take a strong position
on an issue.

Elevation on scale I that is schizoid shows the tendency of the person to not enjoy close
relationships, including part of family. They almost choose the solitary activities. Take pleasure
in hardly few activities.

Elevation on scale 2B depressive, scale D Dysthymia and scale CC major depression scale shows
the tendency of the person t have sad mood most of the time of the day. Diminished interest in
almost all activities most of the days, nearly every day. Person experiences psychomotor
agitation, loss of energy every day, feeling of worthiness. Persons diminished ability to think or
concentrate.

Elevated score on scale 6A Antisocial the tendencies are seen as violation of the rights of others,
failure to conform social norms, repeated lying, failure to plan ahead, impulsivity,
aggressiveness, consistent irresponsibility.

Elevation on scale S Schizotypal shows the tendency of having ideas of reference, odd beliefs,
bodily illusions, constricted affect, and lack of close friends.

Elevation in scale H shows high on somatoform. They continuously worry about the physical
pain they think they have. Excessive thoughts, feelings, behavior associated with health concern
manifested by high anxiety.

High scores on the A scale (Anxiety) indicate clients are sampllning of tension, difficulty
relaxing, indecisiveness and apprehension. Additional complains include a highly sensitive
startle response, hyper-alertness and fears related to the onset of poorly defined difficulties.

Physiological complaints related to over-arousal are also common. These might include
insomnia, headaches, nausea, palpitations, excessive perspiration and muscle aches. Anxiety may
be either generalized or more focused.

AXIS II: PERSONALITY PATTERNS

The following paragraphs refer to those enduring and pervasive personality traits that underlie
client’s emotional, cognitive, and interpersonal difficulties. Rather than focus on the largely
transitory symptoms that make up Axis I clinical syndromes, this section concentrates on his
more habitual and maladaptive methods of relating, behaving, thinking, and feeling.

He signifies tendencies to be introversive, emotionally impoverished, and expressively either

impassive or depressed. Preferring to remain in the background, he may lack social initiative and
display little stimulus-seeking behavior. Notable also are cognitive deficits and unclear thinking
about interpersonal matters. Anger and discontent rarely surface. More typically, he will appear
sad or disengaged emotionally. Although he is prone to assume a peripheral role in social and
family relationships, he may also have a need to gain some measure of support from significant
others. These conflicting attitudes stem in part from his feelings of low self-esteem and his
deficiencies in autonomous and competent behavior.

According to Grossman facet scale scoring-The Grossman facet scoring is needed for the scales
range above 85.

Scale 1 Schizoid

I) Temperamentally Apathetic-98, which is high on showing no or little feelings or

emotions, being spiritless.
II) Interpersonally unengaged-77, which is moderate on getting involved with the people
around. Client's slight engagement is seen with mother but not with his brothers.
III) Expressively impassive-76, which is moderate range, client generally does not
express his feelings except for anger outburst.

Scale 2B Depressive

I) Temperamentally woeful-81, which is slightly high, client experience continuous sad

and miserable.
II) Worthless self-image-82, which is slightly high, client have been complaining about
have useless he is he feels.
III) Cognitively fatalistic-82, which is slightly high, the acceptance of all things and
events as inevitable; submission to fate. Client thinks that his fate is really bad and he
will passively accept whatever happens to him.
Scale 6A Antisocial

I) Expressively impulsive-90, which is high, client have frequent outbursts and anger
issues.
II) Acting out mechanism-88, which is slightly high suggesting client have a defense
mechanism of acting out even if slightly things go out of his wish.
III) Interpersonal responsible-92, which is high, it shows clients tendency to keep the
promise and interpersonally moral obligation is high.

Scale 6B Sadistic

I) Temperamentally hostile-99, which is extremely high, client have extremely high

hostile tendencies.
II) Eruptive organization-87, which is slightly high, client shows the tendencies of
hostility and destruction. Though destruction tendencies were not seen in client.
III) Pernicious representation-94, which is high, client's tendency to highly destructive.
Deadly and sinister. These tendencies were also not seen in case history or while
talking to client, no such incidences were reported by the client.

Scale 8A Negativistic (passive aggressive)

I) Temperamentally irritable-92, which is high, client’’s mood is almost all the time
irritable.
II) Expressively resentful-82, which is slightly high, shows clients tendencies of
resentfulness that is have been treated unfairly. This was highly reported by the client.
III) Discontented self-image-87,which is slightly high, shows client have a negative self-
image.

Scale S Schizotypal

I) Estranged self-image-93, which is high, it shows client alienated from others and
society as a whole. This has been reported multiple times in case history.
 II) Cognitively autistic-76, which is low, it is defined as the mental process of knowing,
including aspects such as awareness, perception, reasoning, and judgment. Client
shows such tendencies on very low scale.
III) Chaotic representation-93, which is high, rational representation is highly lacking in
the client and mostly is seen through his constant state of confusion.

SUMMARY
The profile is valid as the three common questions based on sense of reality were given right.
There are multiple elevated scores. Highest elevation is seen on the Negativistic (passive
aggressive) which shows client’s tendency of the practice or habit of being skeptical, critical, or
pessimistic, especially toward the views or suggestions of others, behavior characterized by
persistent refusal, without apparent or logical reasons, to act on or carry out suggestions, orders,
or instructions of others.

There were multiple other elevated scores.

SCHIZOID

The tendency of the person to not enjoy close relationships, including part of family. They
almost choose the solitary activities. Take pleasure in hardly few activities. This was seen in line
with case history of the client. Client was continuously talking about how other people treat him.

DEPRESSIVE, DYSTHYMIA, MAJOR DEPRESSION

The tendency of the person to have sad mood most of the time of the day, diminished interest in
almost all activities most of the days, nearly every day, loss of energy every day.

ANTISOCIAL
The tendencies are seen as violation of the rights of others, failure to plan ahead, impulsivity,
aggressiveness, consistent irresponsibility. This was clearly noted by the client that he takes lot
of reckless and impulsive steps, informant confirmed about the irresponsible behaviors,
aggressiveness and violation of others rights (just not nearby people but in public places as well)

SCHIZOTYPAL and DELUSIONAL DISORDER

The tendency of having ideas of reference, odd beliefs, and bodily illusions, constricted affect,
and lack of close friends. It was observed that the affect is constricted and reported that there are
no close friends. Many incidences of illusion were reported by the client. Bodily delusion was
clearly seen. Client was doing some hands movement to his face repeatedly.

SOMATOFORM

Excessive thoughts, feelings, behavior associated with health concern manifested by high
anxiety. Client thinks that he has headache, but not all the time.

ANXIETY

It indicates clients are complaining of tension, difficulty relaxing. Additional complains include a
highly sensitive startle response, hyper-alertness and fears related to the onset of poorly defined
difficulties. Physiological complaints related to over-arousal are also common. Because of
client’s withdrawal symptoms of cannabis use there is high possibility of presence of excess
anxiety.