Interpretation of the Millon Clinical Multiaxial Inventory III MCMI III

Millon Clinical Multiaxial Inventory-III (MCMI_III):

This individual was administered the Millon Clinical Multiaxial Inventory-III (MCMI-III) to assist with the current diagnostic impressions. The pattern of response produced by this person indicates that the resulting clinical profile is a valid profile. There is no evidence that individual attempted to portray themselves in an excessively positive manner (Scale Y) or to present as being excessively distressed such as observed in a "cry for help" profile (Scale Z; Jankowski, 2002). Inspection of the profile indicates that the individual did not approach the questions with an overly defensive style or in an overly guarded manner that would invalidate the profile; however, there is reason to believe that this individual might be minimizing some of their distress (Scale X = 41; Jankowski, 2002). The clinical profile indicates a 2B/8A profile with moderate elevations on scales A, D, and CC.

There is no evidence that this individual qualifies for a diagnosis of a severe personality disorder based on the pattern of responses in this clinical profile (no BR scale > 85 and no significant elevations on the Severe Personality Scales). There does appear to be evidence of moderate distress, especially based on this individual's endorsement of experiencing issues with depression and anxiety (Scales 2B/8A with moderate elevations on scales A, D and CC which most likely reflect the 2B/8A type; see Craig, 2012). The pattern of responses produced on this profile suggests that this is a person that can be pessimistic, gloomy, is quite serious and does not see the potential humor in life, quite passive, and preoccupied with the negative aspects of their experiences (scales 2B and D). People who produce this type of profile tend to be prone to look down on their accomplishments and to explain the events occurring in their lives in negatively. This can lead to a defeatist attitude with respect to their perceived ability to make positive changes in their lives, even though they may overtly express a desire to do so. Thus, this person appears to have low levels of self-esteem which can lead them to be self-critical and reproaching even if other people perceive them as being responsible and consciousness (Millon, Millon, Meagher, Grossman, & Ramnath, 2012).

The focus or primary concern with the negative aspect of experiences leads these individuals to inevitably find fault in the positive experiences that they have (scales 2B and D). Thus, they can present as being "down in the dumps" and their negative appearance can result in other people feeling guilty when interacting with them. In contrast, these individuals can be quite interested in and even dependent on the others' opinions in order to provide them with feelings of acceptance and support. While individuals with similar profiles tend to look to others for acceptance, they may also be internally pleased when they see others fail and very rarely feel satisfied with the accomplishments of others except on a superficial level in order to maintain appearances and be socially acceptable (Scales 2B/8A; Millon et al., 2012).

While their inner disposition is defeatist and depressed it is interesting to note that individuals who produce similar profiles may not consider themselves to be depressed. The pattern of responses on this profile suggests that this individual experiences difficulty directly expressing anger or aggression at others and will tend to displace such feelings on themselves. This displacement of hostility may result in frequent somatic issues or complaints about their health. Thus, they are often are internally cold and hostile towards other people, may be passive/aggressive, irritable, and critical (2B/8A; Millon et al., 2012).