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MCMI hand scoring

Clinical Psychology (Amity University)

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PsychCorp

-III TM

MCMI

Hand-Scoring User's Guide

MILLON CLINICAL MULTIAXIAL INVENTORY-III

Theodore Millon, PhD, DSc
Carrie Millon, PhD, Roger Davis, PhD, and Seth Grossman, PsyD

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PEARSON
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MCMI-II
Hand-Scoring User's Guide

lohand score the MillonTM Clinical Multiaxial 1. Age

Inventory-III (MCMI-II), you will need the fol-
lowing materials: This is a check to ensure that the respondent's age is
indicated and is in the appropriaterange.
A completedMCMI-II answersheet 1-1: Determine if age is indicated and is 18 or
A set
of plasticoverlayscoringtemplates greater:
("keys") if less than 18 or not indicated, stop. This
A blank MCMI-IlI Hand-Scoring test is invalid and cannot be scored.
Worksheet
if greater than or equal to 18, continue with
A blank MCMI-II Hand-Scoring Profile section 2, "Omits/Double Marks."
The MCMI-III manual
A calculator 2. Omits/Double Marks
Scratch paper This is a check to ensure that a sufficient number
Assemble these materials and then follow the of questions were answered to provide a valid set
instructiorns in this guide. It will take you approxi- of scores.
mately4060 minutes to hand score the MCMI-II. 2-1: Count the number of omitted and double-
The major steps that you will complete are:
marked responses on the answer sheet.
Perform validity checks.
if greater than 11, stop. The test results are
Use the scoring templates to determine invalid.
raw scale scores and record them on the
if less than or equal to 11, cross out all
worksheet.
of the double-marked responses. These
Look up initial BR scores and record them responses will not be used in any score cal-
on the worksheet. culations. Continue with section 3, "Scale V
Calculate and apply adjustments to BR (Invalidity) Score."
scores and record them on the worksheet.
Plot final BR scores on the profile.
1

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3. Scale V (Invalidity) Score if the Inconsistency score is 8 or 9, write

"Questionable Validity based on Scale W
This is a check of the lnvalidity score. If the score score" at the top of the Hand-ScoringProfile
on this scale is too high, the respondent'sresults are and proceed to section 5, "Raw Scores."
invalid.
if the Inconsistency score is less than 8,
3-1: Count the number of True responses to proceed to section 5, "Raw Scores."
Items 65, 110, and 157 on the answer sheet.
The total is the Invalidity score.
5. Raw Scores
3-2: The Invalidity score must be 0, 1, 2, or 3.
Enter the score on side two of the worksheet In this section, raw scores are calculated for all scales
in the upper left-hand corner in the box (except V, W, and X) and recordedon theworksheet
labeled "V Invalidity."
5-1: Find the plastic overlay key for Scale Y. The
3-3: Check the Invalidity score: key is used to determine the total raw score
if the Invalidityscore is 2 or 3, the test based on the 1- and 2-point responses to
isconsidered invalid, and further scoring items on the scale.
and/or interpretation is not recommended. 5-2: Place the key on the answer sheet so that the
if the Invalidityscore is 1, write marks at the bottom of the key align with
"QuestionableValiditybased on Scale the corresponding marks at the bottom of
V score" at the top of the the answer sheet.
Hand-Scoring
Profile and proceed to section 4, "Scale W Begin scoring with the top right response
(Inconsistency) Score." and continue by followingthe lines
circle
if the Invalidity score is 0, proceed to sec- that connect the response circles.
tion 4, "Scale W (Inconsistency) Score." 5-3: Record the numeric value (weight) of each
blackened response circle for the scale on a
4. Scale w (Inconsistency) Score separate sheetof paper. (A numeric value of
1 or 2 is printed next to each response circle
This is a check of the Inconsistency score. If the score on the key.)
on this scale is too high, the respondent's results are Add up the numeric values of the blackened
invalid. response circles for the scale. The sum is the
4-1: The Inconsisterncyscale consists of 44 pairs total raw score for that scale.
of item responses. Each blackened pair of 5-4: Enter this raw score in the box on the work-
responses adds 1 point to the scale score. sheet under "Raw Score" for the corre-
The pairs are scored using the set of five sponding scale.
plastic overlay keys for Scale W.
NOTE: Follow steps 5-1 through 5-4 for Scales Z
Follow the instructions on each key to deter- and 1
mine the score for that key, and record each
through PP. Be sure to use the correct key
for each of the 26 scales.
score in the "Scale W Score Calculation" sec-
tion on side one of the worksheet. Then sum
6. Scale X Raw Score
the scores for the five keys to determine the
Scale W score.
This section calculates the Scale X raw score, which
4-2: Record the the Sum line and on side
sum on is used to determine the Disclosure adjustment. It is
two of the worksheet in the box labeled "W based on the raw scoresfor Scales 1 through 8B.
Inconsistency" in the upper left-hand cor-
ner.
: Use the "Raw X Score Calculation" section
4-3: Check the
on side one of the Hand-Scoring
Worksheet
Inconsistencyscore: to perform the calculations for the Scale X
if the Inconsistencyscore is 10 or greater, raw score. Record the results in the appro-
the test is considered invalid, and further priate blanks.
scoring and/or interpretationis not recom-
mended.
2
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6-2: Fill in the raw scores for Scales 1, 2A, 2B, 3, corresponds to that score. On side two of
4, 5, 6A, 6B, 7, 8A, and 8B in the appropriate the worksheet, enter the Scale 1 BR score in
blanks on the worksheet. the "1 Schizoid" row of the column labeled
6-3: Multiply the raw score for Scale 5 by 2/3 "BR From Table." Use the same procedure
and rod the result on the appropriate line to determine the BR score for Scale X, but be
on the worksheet sure to use Appendix C-2.
6-4: Add up the numbers in the column and 8-3: For the remaining scales (Y, Z, and 2A
write the total on the line labeled "Sum." through PP), locate the scale's raw score in
6-5: 1f the sum is a decimal number, round it to a
the leftmost column of the table. Determine
whole number. Round down if the number the corresponding BR score by locating the
after the decimal is less than 5 and up if it is column to the right with that scale name.
groater than or equal to 5. Write this num- Enter the BR score for the scale on the work
ber on the line labeled "Raw X." sheet under the column labeled "BR From
Table."
6-6: Enter the final value on side two of the
worksheet in the Raw Score column in the NOTE: Be sure to complete step 8-3 for all 27
box next to "X Disclosure." scales (X, Y, Z, and 1-PP).

IMPORTANT: The instructions below are

7. Scale X Raw Score Check cumulative. Always use the latest adjusted
BR scores.
This is a check of the raw score for Scale X. If it is too
high or too low, the respondent's scores are invalid.
9. Disclosure Adjustment
7-1: Check the Scale X raw score:
This section computes the Disclosureadjustmemt.
if the Scale X raw score is less than 344
or greater than 178, the test is consideredd
which is used to adjust scores for the Clinical
invalid and further scoring and/or interpre- Personality Patterns scales (1. 2A, 2B, 3, 4. 5, 6A.
tation is not recommended.
6B, 7, 8A. 88), the Severe PersonalityPathology
scales (S, C, P), the Clinical Syndromes scales (A, H.
if the Scale X raw score is between 34 and N, D, B, T, R), and the Severe Clinical Syndromes
178, proceed to section 8, "Initial Base Rate scales (SS, CC. PP).
(BR) Scores."
NOTE: This adjustment is based on the Scale
RAW score (not the BR score).
8. Initial Base Rate (BR) Scores 9-1: In Table 1 on the next page, locate the raw
score range that contains the
In this section, initial base rate (BR) scores are deter- respondent's
Scale X raw score.
mined for all scales except V and W.
9-2: Find the 1-8B and the S-PP adjustments that
8-1:Open the MCMI-Ill manual tables in
to the
correspond to the respondent's raw score on
Appendix C. The BR scores for all scales
Scale X.
except Scale X are contained in Appendix
C1, and the BR scores for ScaleX are con- 9-3: Write these adjustment tactors in the boxes
tained in Appendix C-2. These two tables labeled "Disclosure 1-8B Adjustment" and
are used for both males and females. "Disclosure S-PP Adjustment" on the work-
sheet. These boxes are in the shaded area
8-2: Turn to the first page of Appendix C-1
and find the first column on the left. It is
labeled" Adjustment Values" at the top of
the worksheet.
labeled "Raw Score" and contains a list of
SCores. Locate the raw score that matches 9-4: Apply the 1-8B adjustment to the BR scores
for Scales 1-8B. Apply the S-PP adjustment
the respondent's Scale 1 raw score. Then to the BR scores for Scales S-PP. After the
find the BR score in the Scale 1 column that

3
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Table 1. Disclosure Adjustment Values

ScaleX 1-8B S-PP Scale X 1-8B S-PP
Raw Score Adjustment Adjustment Raw Score Adjustment Adjustment
0-33 +20 10 138 6 4
34 +20 +10 7 4
139
35 +20 +10 4
140
36 +20 +10 141 7 4
37 +1 9 +10 142 -8 -5
38 +18 +10 143
39 +17 +9 144
40 7 +9 145
41 +16 +9 146 -9
42 +15 +8 147 -10
43 +14 +8
148 -10
44 +13
149 -11
45 +13
150 -11 6
46 +12
151 -11 6
47 +11 +6 152 -12 7
48 +10 +6
49 153 -12
+9 +5
154 -13
50 +9
51 155 -13
+8 +5
52 156 -13
+7 +4
53 157 -14 8
+6 +4
54 158 -14
+5 +3
55 159 -15
+5 +3
56 160 -15
+4
57 161 -15
+3 +2
58 +2 162 -16
+2
59 +1
163 -16
+1
60 +1 164 -17 9
61-123 165 -17
None None 9
124 166 -17
-1 -9
125 -1 167 -18 -10
126 -1 168 -18 -10
127 169 -19 -10
128 170 -19
-2 -10
129 171 -19 -10
130 -3 172 -20 -11
131 3 173 20 -11
132 4 174 -20 -11
133 175 -20 -11
134 176 -20 -11
135 177
5 20 -11
136 5 178 -20
3 -11
137 -6 4 179+ -20 -11

An individual'sMCMI-III
results are consideredinvalid if the raw
than 178. Scale X is less than 34 or
score on
Scoring and/or interpretationof invalid results is not recommended. greater

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 lOMoARcPSD|27583444

labeled "A/D
BR from the table in the boxes
adjustments are applied, change any 2A, S
values that are less than 0 to 0 and any BR 2B, 8B, C Adjustment" and "A/D
worksheet. These are
values that are greater than 115 to 115. Adjustment" on the
the shaded
the third and fourth boxes in
Enter the adjusted BR score for each of area labeled Values" at the
"Adjustment
these scales in the column of boxes labeled of the worksheet.
top
"Adjusted BR" under the "Disclosure the 2B, 8B, C adjustment
factor to
1-8B Adjustment" and "Disclosure S-PP 10-3: Apply and C.
the BR scores for Scales 2B, 8B,
Adjustment" boxes on the worksheet. (Note factor to the
that boxes have been provided on the work- Apply the 2A, S adjustmentand S. After the
sheet only for the scales that are affected by BR scores for Scales 2A
any BR
each of these adjustments.) adjustments are applied, changeand
values that are less than 0
to 0 any BR
than 115 to 115.
values that are greater
10. Anxiety/Depression (A/D) Adjustment Enter the adjusted BR
score for each of
column of boxes labeled
these scales in the
The Anxiety/Depression(A/D) adjustmentis based BR" under the "A/D 2B, 8B,
C
Scale A (Anxiety)and Scale D "Adjusted
on the respondent's S Adjustment"
scores. The A/D adjustmentis applied to
Adjustment" and "A/D 2A,
(Dysthymia) boxes on the worksheet.
Clinical PersonalityPatterns Scales 2A, 2B, and 8B
and to Severe PathologyScales S and C.
Persoiality With
Table 2. Non-Inpatient, or Inpatient
10-1: Compute the Anxiety/Depression value, Axis I Duration of More
Than Four
which is used to select the appropriate
A/D adjustment based on the BR
scores Weeks
for Scales A and D. 2B, 8B, C 2A, S
A/D Value Adjustment|
D both less than 75: A/D Value Adjustment
if Aand are
Proceed -1
-1
No A/D adjustment is necessary.
to section 11, "Inpatient
Adjustment."
2
than or to 75 and D is
equal
if A is greater 3
less than 75:
5
Calculate (A -

75) =
A/D value 5 -1
6
6
Proceed to step 10-2. -1
7 7
equal to 75 and A is 8-15 -1
if D is greater than or -1
-1 16-23 -2
less than 75: 9
Calculate (D -75) =
A/D value 10 24-31
Proceed to step 10-2 11 -2 32-39
equal 12 40-47
D both greater than or
if Aand are
13 48-55
to 75: 56-63
14
(D-75)] =
A/D value 8
Calculate[(A -75) 64-71
+ 3
15-19
10-2. 4 72-79 9
Proceed to step 20-24
calcula- -5 80 -10
result of the preceding 25-29
10-2: Using the find the A/D adjust- 30-34
tion(the A/D value), if the
ments in Table 2, 3, or
4. Use Table 2 35-39
clientis 40-44 -8
client is not inpatient or if the
an
-9
his or her 45-49
an inpatient and
the duration of -10
50-54
than four weeks.
Axis I disorder is more and 55-59 -11
an inpatient
Use Table 3 if the client is 60-64 -12
has been pres
his or her Axis I disorder 4 65-69 -13
week. Use Table -14
ent for less than one 70-74
and his or her -15
if the client is an inpatient one to
75-80
been present for
Axis I disorder has values
four weeks. Write the
appropriate
5
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Table 3. Inpatient With Axis I Duration of Table 4. 1Inpatient With Axis I Duration of
Less Than One Week One to Four Weeks

28, 8B,C 2A,S 2B,88,C 2A,S

A/D Value Adjustment A/D ValueAdjustment| A/D Value Adjustment A/D Value Adjustment
0 0-3 0-5 -1
4-6 6-10
2 7-9 -2 11-15
3 10-13 16-21
14-16 22-26
17-19 -5 27-31
20-23 6 32-37
7 24-26 38-42
8 8-11 27-29 -8 43-47
9 12-15 30-33 9 48-53
10-12 16-19 34-36 -10 54-58 10
13-14 20-23 37- -11 59-63
15-17 24-27 40-43 -12 64-69 I2
18-19 28-31 44-46 -13 70-74
20-22 32-35 47-49 -14 75-79 14
23-24 9 36-39 50-53 -15 30
25-27 -10 40-43 54-80 -15
28-29 -11 44-47
30-32 -12 48-51 12
33-34
If the client
-13 52-55 I3
35-37 14 56-59 14 is an inpatientand his or her Axis I symp-
38-39 -15 60-63 -15 toms have been present less than one week
40-80 -15 64-80 -15 or one to four weeks:
Proceed to step 11-3.
11. Inpatient Adjustment 11-3: In Table 5, select the appropriate row to
find the Inpatientadjustment.
The Inpatient adjustment is computed using the cli-
ent's settingand Axis I duration. It is used to adjust 11-4: Write the adjustment factors from
Table 5 in the boxes on the worksheet
the BR scoresforthe Severe Clinical Syndromes
scales (SS, CC, PP). labeled "SS Inpatient Adjustment," "CC
11-1: Determine the setting and Axis I duration InpatientAdjustment,"and "PP Inpatient
Adjustment." These are the fifth, sixth, and
for the client.
seventh boxes in the shaded area labeled
11-2: Determine whether an adjustment should "Adjustment Values" at the top of the
be applied. worksheet.
If the client: Apply the Inpatient adjustment to the BR
is being evaluated using the correctional scores for Scales SS, CC, and PP. After
norms in the MCM-III Corrections the adjustment is applied, change any BR
Report values that are less than 0 to 0 and any BR
User's Guide, or
values that are greater than 115 to 115.
is not an inpatient, or
Enter the adjusted BR score for each of
is an inpatientand his or her Axis I symp-
these scales in the column of boxes labeled
toms have been present for more than four
"Adjusted BR" under the "Inpatient
weeks:
Adjustment" boxes on the worksheet.
No Inpatientadjustmentis necessary. (Note that boxes have been provided on
Proceed to section 12,
"Denial/Complaint the worksheet only for the three scales that
Adjustment." are affected by these
adjustments.)

6
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Table 5. Inpatient/AxisI Duration Status

Tnpatient/AxisI DurationStatus SS CC PP
If setting = Inpatient and Adjustment Adjustment_ Adjustment
Axis I duration =
Less than one
week
+6 +10
If setting Inpatientand
=
+4
Axis I duration =
One to four
weeks
+4 +8 +2
12. Denial/ComplaintAdjustment
adjustment.Copy the previous unchanged
The Denial/Complaintadjustment is computed values into these boxes for the other two
using a rank ordering8 of the current BR scales.
scores for
the Clinical PersonalityPatterns
scales. It is used to
adiust the latest BR scores for Scales
4, 5, and 7. 13. Final BR Scale Scores
12-1: Determine which of the
Clinical
Patterns scales (1, 2A, 2B, 3, 4, Personality The final BR scale scores for Scales X
7, 8A, 8B) is highest based on 5, 6A, 6B, 1 through PP, which have through Z and
their cur been adjusted, are recorded
rent adjusted BR scores. on the worksheet.
scales should be broken Any
ties between
by giving a higher 13-1: Find the latest BR score for
Scale X.
ranking to the scale that appears first in the 13-2: Transfer this final BR score for
following list: 2B, 6A, 8B, 6B, 2A, 8A, 7,4, Scale X to
the appropriatebox in the column on the
5,3,1. worksheet labeled "Final BR Score."
12-2: The
Denial/Complaint highest ranked
applied as follows: if theadjustment
is Repeat steps 13-1 and 13-2 for Scales Y, Z,
and 1 through PP.
Clinical PersonalityPatterns scale is 4, 5, or
7, the adjustmentvalue is 8. If the
ranked Clinical PersonalityPatternshighest
scale
14. Score Profile
is
anything else, no adjustmentis made. If The final BR
score for each scale is
Hand-ScoringProfile and plotted. transferred
no
adjustmentis made, write "No" in the to the
Denial/ComplaintAdjustmentbox at the 14-1: Check the final BR
top of the worksheet and proceed to sec- scores for the Clinical
tion 13, "Final BR Scale Scores." PersonalityPatterns scales (1-8B):
Otherwise, write the adjustment factor (8) if the FINAL BR scores for Scales 1-8B
are all less than 60,
in the
"Denial/ComplaintAdjustment" stop. The result is
box on the worksheet.
a FLAT PROFILE, which is considered
Add the 8-point adjustment factor from
uninterpretable.
if at least one FINAL BR score for Scales
step 12-2 only to the highest ranking scale
1-8B is greater than or
of Scales 4, 5, and 7. After the
adjustment to step 14-2.
equal to 60, proceed
is applied, if the BR value is less than 0,
change it to 0. If the BR value is greater 14-2: Copy the final BR scores from the work
than 115, change it to 115. sheet to the "BR Score" line at the bottom
of the MCMI-III
Enter the adjusted BR score for the scale Hand-Scoring
Profile.
in the appropriate box in the "Denial/ Copy the Invalidityand Inconsistency
scores from the worksheet to the
ComplaintAdjustment"column on the profile.
worksheet. Note that boxes have been
providedon the worksheet only for the
three scales that may be affected by this

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14-3: Plot the BR score for each scale in the prop- numbers on the profile, approximate the
er column of the profile by placing a mark location of that score between the next
at the appropriate score level. (If a BR score lowest and next highest numbers listed.)
does not correspond exactly to any of the

NOTE: After you have completed the hand-scoring process, it is strongly recommended that you
double-check every step.

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MCMI-IIT
MILLON CLINICAL
Hand-ScoringWorksheet
MULTIAXIAL INVENTORY-1 NAME
by Theodore Millon, PhD, DSc, with Carrie Millen,
PhD,
KORer Davis, PhD, and Seth Grossman, Psyd
AGE RACE
GENDER DATE TESTED

SETTING

DURATION OF AXIS IEPIsODE

sCALE W scORE CALCULATION

RAWX SCORE CALCULATION
Key #1
Raw 1

Key 2
Raw 22A

Key #3.
Raw 22B

Key#4
Raw 3-

Key #5
Raw 4.

Sum=
Scale W Score Raw 5 -x 2/3 = -

Raw 6A .

Ra 69

Raw 7

Raw 8A

Raw

Sum

Rounded off =
RawX

PsychCorp is an imprint of Pearson Clinical Assessment.

PEARSON Pearson Executive Office 5601 Green Valley Drive Bloomington, MN 55437
800.627.7271 www.Pearson Clinical.com
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Copyright 1990, 1994, 2009 DICANDRIEN, Inc. All rights reserved. Published and distributed exclusively by NCS Pearson, Inc.
Warning: No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including
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Pearson, the PSI logo, and PsychCorp are trademarks in the .S. and/or other countries of Pearson Education, Inc., or its affiliate(s).
ACMI-III and Millon are registered trademarks of DICANDRIEN, Inc.
Printed in the United States of America.
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 lOMoARcPSD|27583444

MCMI-II Hand-ScoringWorksheet
Vivalidity Winconeistency
Disclesure Diselnsre
S-PP
Rdjustmen Adjustment
ADJUSTMENTVALUES djastment Adjustment

MODIFYI
INOICES Senre

x Disctosure

Desirability

z Debasement

CLINICAL Adjeeted ted djetted

PERSONALITYPATTERNS epre Toble
RR A Senr
Schizond
L
2A Avotart

28 Depressive

3 Denendent

Histnon
C
NarcsBEKC

6A AnttsocB

68 Sadist (A9gressve)

Comusive

8A NepativistK
(Passive-Aggressive)
88 Masochistic (Setl-Deteating)
0-
SEVERE djusted
RSONALY PATMOLOG Mjusted Adjusied
BR R

S Schizotypa
>0-
CBoroerline
O0H
P Paranoid
O-
CUICL BR From Mjusted
SYMDAOS core Table

A ANKety

H Somatolorm
D
N Bipolar Manuc

D Dysthymus

B Akohol DeperdenCe

T Drug Deperiderce

Post- Traurmatic Strebs Disorder

EVNE CINICAL Maw

Adusted jUsled 4justed MMsted
BDNOME B8

SS Thougtt Disorde

CC Major Depression
O O-
PP Delusiornal Disorder

O O

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