Test-Taking Behaviors (Validity)
The observation suggests a slight attempt to impress the other person however easy and continuous conversation. She seems to have very deviant social, political, or religious convictions however is moody, restless and opportunistic. It is visible that she is being defensive and unwilling to acknowledge psychological distress. Vrin and Trin in combination with other scores indicate that the responses may be mostly false and may not be psychopathologic.
Clinical Presentation:She reports concern about bodily functioning and seems to be immature, stubborn, and selfish. Feel blue, unhappy, and dysphonic, and due to the frequent psychological changes, is not good at making decisions. She has reported specific somatic complaints that are epigastric in nature and complains of chronic weakness, lack of energy, and sleep disturbance. She clearly indicates of her belief of being medically ill and seeks medical treatment.
CognitionsStrong observation of psychomotor retardation along with self-deprecatory and guilt feelings, She reports to be optimistic but naive, self-centered, and denies any problems however the details signify pessimistic, defeatist, and cynical outlook.
Interpersonal Relations
She reports, no major social conflicts, normal behavior and is passive and prefers to work through problems in a covert and indirect manner. There is habitual level of interpersonal and social conflict due to paranoid orientation toward life, suspicious and concerned what others think of her. She reports to experience psychological turmoil and discomfort, and is rigid however feels depressed and guilty about falling short of her goals (Slow therapy response is advised)
Other Problem Areas Represents creativity, an avant-garde attitude, or actual schizoid-like processes but is a day dreamer. Finds external restrictions on their activity level agitating and dissatisfying but is otherwise active. Has the ability to interact with others however prefers to be lonely. It is important to note that she finds external restrictions on her activity level agitating and dissatisfying and this must be taken care off.
Treatment:Her prognoses is quite strong that she understands the importance of her treatment and a long term behavioral therapy will be an adequate way to gradually bring the required life changes without putting too much of pressure. It could be observed that therapeutic alliance will be the right channel approach and she will prefer discussing her physical symptoms rather than discussing psychological aspects. There is minimal possibility of introspection and therefore the therapeutic process will not be complicated and she will take genuine interest in healing.
Possible Diagnoses
Axis I
Mood Disorders
Cyclothymic Disorder
Depressive Disorder
Somatoform Disorders
Somatoform Disorder NOS
Axis II
Personality Disorders
Histrionic Disorder
PROFILE 2
Test-Taking Behaviors (Validity)
Reports a tendency to resort to denial mechanisms and is more conforming than usual. Has very deviant social, political, or religious convictions however is curious & complex. Exhibits denial and hysteroid defenses and does not agree to psychological distress. Low Vrin and Trin in combination with other high scores indicate that responses may be mostly false and may not be psychopathologic.
Clinical Presentation: Reports to be generally effective in daily life, has moderately mature and has learned to adjust to a chronically depressed existence. Is observed to avoid any unpleasant issues and has mild degree of depression may not appropriately represent the situation but over concerned. He is exhibitionistic, extroverted, and superficial however optimistic.
Cognitions Reports issue of existing issues that are stagnant and seems to be pale and unresponsive to possible resolutions of the issue, is ignorant about any questions that take a difficult psychological direction.
Interpersonal Relations
Reports himself as genuinely concerned about social problems and issues and spends time responding to situational conflicts. Is experiencing conflicts in sexual identity and insecurity about masculine adequacy however is empathic, tolerant, and capable of expressing warm feelings toward other people. Tends to be excessively sensitive and overly responsive to others opinions will rationalize excessively in therapy. Displays obsessive thinking, compulsive and ritualistic behavior and is worried about social acceptance. Friendly, cheerful, good-natured, sensitive, and trustful however no blind faith is expected.
Other Problem Areas Has dissatisfaction beneath an outward appearance of confidence and poise and has episodes of irritability, hostility, and aggressive outbursts, probable termination of therapy in between. Is socially interactive however not an initiator.
Treatment: His prognosis can be considered as poor considering the fact that he sees a little chance for significant change in his life. It is suggested that initially a short term, behavioral therapy is applied, which is targeted to develop the reasons for his entering the treatment. Once the first therapy gives positive results, it will be beneficial to plan therapeutic alliance for a comparably longer term and introspection must be avoided through regular customized counseling.
Possible Diagnoses
Axis I
Mood Disorders
Dysthymic Disorder
Depressive Disorder NOS
Adjustment Disorders
Adjustment Disorder with Depressed Mood
Adjustment Disorder with Disturbance of Conduct
Axis II
Personality Disorders
Narcissistic Disorder
Borderline Personality Disorder
REFERENCES
Bury, A. S., & Bagby, R. M. (2002), The detection of feigned uncoached and coached posttraumatic stress disorder with the MMPI-2 in a sample of workplace accident victims. Psychological Assessment, 14 (4), 472-484.
