Forensic psychological evaluation of a male client using MMPI and MCMI-III

Forensic Psychological Evaluation

Confidential Psychological Evaluation

IDENTIFYING INFORMATION:

Gender: Male Date of Report: 05/07/2012

Date of Birth: 10/01/1981 Age

Marital Status: Single Occupation: Unemployed

Race: Caucasian Education: GED

Referred by: Dr., B. Wynter

REASON FOR REFERRAL:

A Psychiatric Evaluation on May 19, 2006 by Barbara Wynter, License psychologist who is

Clinical administrator of Central Treatment Facility ward 1, 2, 3, was requested to further assist in diagnosis.

LIMITS OF CONFIDENTIALITY:

EVALUATION PROCEDURE:

INSTRUMENT-

DR, B. Wynters

MMPI (Spell out the name Minnesota Multiphasic Personality Inventory)

Is a depressive component of scale 6. The items connote extraordinary emotional sensitivity or vulnerability that is dysphonic in tone. These items have a "poor little me" flavor, portraying the self as meek and innocuous, emotionally fragile, incapable of being a threat to others, and perhaps as being entitle to special concern and consideration for one's tender sensibilities. There is an implicit theme of resentment and lack of forgiveness; however, a high scores nurse grudges and are view as injustice collectors.

MCMI: (Millon Clinical Multiaxial Inventory-III (MCMI-III)

MCMI-III reported:

Modifying Indices

The raw score on Disclosure (X) shows less than 178; therefore, this profile is valid.

Debasement (Z) BR 75 suggests a tendency to deprecate and devalue oneself, as well as exaggerate one's degree of symptoms.

High scores on the Clinical Personality Patterns: AXIS II

1 Schizoid (101): This is showing a severe pattern of social and interpersonal detachment with restricted emotions. Therefore, this client is described as withdrawn, aloof, distant and listless. Neither desire nor enjoys close relationships, including being part of family. This would explain his history of domestic violence and prostituting.

2A. Avoidant (78): Again, the client is showing a pattern of withdrawn, self-inadequacy, and hypersensitive to criticism. He is monosyllabic, vague, and circumstantial. Initially, he may appear suspicious, paranoid or anxious.

3 Dependent (76) -- This score is showing clinging behavior in search of nurturance and security; therefore, he can be passive, submissive, and feel inadequate. This type of personality patterns willingly submits to the wishes of others to maintain their protective benefits. This would also explain why scale C (Borderline is high) (This would explain his behavior of living with his brother, then being evicted and moving with his girlfriend)

8B Masochistic (88) - This score is showing that the client is suffering from low self-esteem, depression, and an inability to enjoy his successes or life experience (Lebe, 1997) This can reflect problematic behavior patterns, which are not in the best interest of the client.

High scores on the Severe Personality Pathology: AXIS II

S. Schizotypal (91) -- This scale is indicating (High scoring present) emotionally bland with flat affect or with an anxious wariness. This demonstrate that the client prefer to be alone and actually experience discomfort within personal relationship (Othmer & Othmer, 1994)

If anxiety is present, it is usually diffuse and associated with fear of loss and abandonment.

C. Borderline (78) The high score in this scale is indicating that the client show attachment disorders with patterns of intense but unstable relationships, labile emotions, a history of impulsive behaviors, and strong dependency needs with fears of abandonment (MCMI-III, Robert J. Craig, p 27)

P. Paranoid (84) - The perceive high score in this scale is indicating that the client can be vigilantly mistrustful and often that people are trying to control or influence them in malevolent ways. They are characteristically abrasive, irritable, hostile, and irascible, and may also become belligerent if provoked. (MCMI-III, Robert J. Craig, p 27)

High Score on the Clinical Syndromes Scales: AXIS I

A. Anxiety (88) High score on this scale is suggesting that the client has symptom associated with physiological arousal. They would be described as anxious, apprehensive, restless, and unable to relax, edgy, jittery, and indecisive

(MCMI-III, Robert J. Craig, p 29)

D Dysthymia (85) - this scale is suggesting that the client has symptom associated with depression. Scoring high on this scale is behaviorally apathetic, socially withdrawn, feel guilty, pessimistic, discouraged, and preoccupied with feelings of personal inadequacy. They have low self- esteem and utter self- deprecatory statements, feel worthless, and are persistently sad. They have many self- doubts and show introverted behavior.

(MCMI-III, Robert J. Craig, p 31)

R Post-Traumatic Stress (79) - High- scoring patients are reporting symptoms that might include distressing and intrusive thoughts, flashbacks, startle responses, emotional numbing, problems in anger management, difficulties with sleep or with concentration, and psychological distress upon exposure to people, places, or events that resemble some aspect of the traumatic event.

(MCMI-III, Robert J. Craig, p 33)

13. Got GED

14. Attended Montgomery Jr. College for 2 semesters. He reported that on the Core classes he received grade A. However, records states that he fails college due to unknown reasons

15. Highest education 9th education

16. Suspended and expel numerous occasion

17. Alternative school for boys (special education) for conduct. He had fights with his peers. He beat someone at 14 years old and put that person in hospital.

18. Suspended and expelled for conduct distort disorder and attended special education classes

19. Mr. Chicago is a 24-year-old Single Caucasian Male with a history of psychiatric and legal issues, a history of violence, Substance Abuse and Poor academic performance.

20. Mr. Chicago reported that in the past he experience psychotic symptoms (Auditory and visual Hallucinations) with delusions that he was being rape by numerous people in the past.

21. Furthermore, he shows to have some delusions of thought control such as command hallucinations (Voices would command him to kill the victim from the incident of offend he would become that victim).

Mr. Chicago is a client on a maximal security inpatient service division of the Central Treatment in District of Columbia. He was admitted on September 9, 2004, by order of the Superior Court District of Columbia after not being adjudicated for reason of insanity and not guilty on charge of Second Degree Murder. Previously, he was admitted at Central Treatment Facility on March 2004 for competency to stand trial. Instant offense (second degree murder)

INTERPERSONAL RELATIONS

Mr. Joe Chicago is outgoing and sociable and has a robust need to be around other people. He shows little social anxiety, is probably effective in social times, and tends to be persuasive in dealing with peers

The content of Mr. Joe Chicago's MMPI-2 responses suggests the following addition-al information about his interpersonal relations. He reports that his home life was positive, good, and problem-free. He shows that he feels strong emotional strength from those close to him. He perceives his home life as pleasant and supportive.

PROFILE VALIDITY

My Joe Chicago was seemingly reluctant to disclose personal information and tended to reduce his faults. It is possible that defensiveness occurred as a result of underestimated of his problems.

PERSONAL ADJUSTMENT

Mr. Joe Chicago, in his attempt to portray himself in an overly positive way, has probably influenced his scores on the other scale of the MMPI-2. Although interpretations are given in this report for the clinical and content scale, it should be kept in mind that Mr. Joe Chicago has not cooperated sufficiently with the evaluation.

PROFILE FREQUENCY

Mr. Joe Chicago's MMPI-2 high-point score on Hs fell between a T score of 60 and 64. This greater-point scale trend in the standard profile, at this level of increment, occurred in 5.18% of the clinical scale peaks again. His great-point score on Ma is likely to remain stable over time. Short-term test-retest studies have shown a correlation of .83 for this high-point score.

Mr. Joe Chicago's behavior may be somewhat variable. He may look to be quite outgoing and elated, but he may be susceptible to mood changes and irritability.

Summery and Recommendation

Although Mr. Joe Chicago looks to be hard-driving and expansive, he may become overextended and have problem completing projects. He is frequently overconfident and may make promises that are not easy to keep. He also tends to hate practical issues, preferring to be rather vague and superficial. There is some possibility that his interpersonal style can be a bit overbearing and might make strained relationships.