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Personality theory and personality assessment measures: how helpful to the clinician?

One of the most important role-defining functions of the clinical psychologist is personality assessment. Because of the wide range of personality assessment instruments available, there is a need for the clinician to be aware of their relative strengths and weaknesses. This article discusses the extent to which our present-day tests of personality and theories of personality are helpful in guiding the clinician to meaningful conclusions and predictions. Indirect methods of assessment, such as the Rorschach and TAT, encourage the subject's free and open-ended response to a small number of ambiguous stimuli so as to circumvent the subject's censorship of responses. To varying degrees, indirect methods have suffered from difficulties in establishing acceptable scoring systems and standardized norms. Direct measures, such as the MMPI, limit freedom of expression and assess fewer, but more clearly defined variables. Well-defined and objective scoring and interpretation are considered major advantages of direct over indirect methods. However, direct methods are not without disadvantages. Some important concerns are limitations in subject's self-knowledge, falsification of responses, and the development of response sets.

Humans↗

Exploring the effects of tape-recording on personality assessment.

This study examined the possible influence of audio and video recording of personality assessment measures on anxiety. Undergraduate students in psychology were randomly assigned to Audiotape, Videotape, or Control conditions and given the State-Trait Anxiety Inventory and Rorschach Inkblot Method. A one-way multivariate analysis of variance indicated no significant differences among these conditions on the Spielberger, et al. State-Trait Anxiety Inventory, A-State scale, and five Rorschach measures of situational anxiety. Tape-recording itself did not seem to affect the anxiety indices of these frequently used personality assessments.

Adult↗

Psychodiagnostic test usage: a survey of the society for personality assessment.

The present survey investigated psychodiagnostic test usage and practices of the Society for Personality Assessment. A brief questionnaire was forwarded to 400 SPA members and 206 responded for a 51.5% rate of return. Projective techniques found popular in previous surveys of Division 12 were the major assessment instruments utilized by SPA members. Exner's comprehensive system was the preferred mode of Rorschach analysis, followed by the Klopfer and Beck systems. The Wechsler Scales and the MMPI were frequently included in conducting a psychological battery. Personality assessment was mainly utilized for diagnostic purposes and as an indicator for type of therapy.

Humans↗

Indigenous measures of personality assessment in Asian countries: a review.

This article reviews attempts to develop multidimensional personality measures in Asia and their applications in clinical assessment. Indigenous personality assessment measures in India, Korea, Japan, the Philippines, and Taiwan are examined. These early attempts have not yielded a comprehensive personality measure that integrates a theoretical framework and an empirical program of validation. The Chinese Personality Assessment Inventory (CPAI) is cited as an example to illustrate the process of developing an indigenous measure that meets the testing standards of established assessment instruments. On the basis of the research findings from the CPAI, the authors discuss the relevance of indigenous measures in clinical assessment in native cultures as well as in informing mainstream personality assessment.

Asia↗

Sentence completion tests: a review of the literature and results of a survey of members of the Society for Personality Assessment.

Test usage surveys consistently find that sentence completion tests (SCTs) are among the most popular personality assessment instruments used by practitioners. What is not noted is which SCTs practitioners are using, why these tests are so popular, and whether practitioners are using formal scoring. We surveyed a random selection of 100 members of the Society for Personality Assessment. With a 60% return rate on a single mailing, we found that most psychologists who use incomplete sentence tests use the Rotter (1951) Incomplete Sentences Blank with children (18%), adolescents (32%), and adults (47%). Most practitioners said they do not read stems aloud and record answers themselves, and even fewer said they use formal scoring. The most common reasons for using an SCT are (a) to use it as part of an assessment battery (41 endorsements), (b) to determine personality structure (18 endorsements), and (c) to elicit quotable quotes (17 endorsements). Implications for practitioners and training suggestions for academicians who prepare future psychologists are noted.

Adolescent↗

Indirect personality assessment of the violent true believer.

The violent true believer is an individual committed to an ideology or belief system which advances homicide and suicide as a legitimate means to further a particular goal. The author explores useful sources of evidence for an indirect personality assessment of such individuals. He illustrates both idiographic and nomothetic approaches to indirect personality assessment through comparative analyses of Timothy McVeigh, an American who bombed the federal building in Oklahoma City in 1995, and Mohamed Atta, an Egyptian who led the airplane attacks against the World Trade Center and the Pentagon in 2001. The risks of indirect personality assessment and ethical concerns are identified.

Antisocial Personality Disorder↗

Tackling ethical dilemmas in personality assessment.

This is a useful and thought-provoking special series about ethical issues in personality assessment. All of the articles in this special series are discussed. Some common themes and guidelines emerge from the articles. Given the complexity of many ethical dilemmas, it is important to follow a decision-making model. Several models are presented in this series. One must learn the rules and common ethical dilemmas that occur in the setting one is in. Current ethical problems should be used to prevent similar problems in the future. It is important to consult with other professionals before acting. Finally, work should be done to increase exposure of psychologists to common ethical problems in the field of personality assessment.

Decision Support Techniques↗

Assessing personal qualities in medical school admissions.

The authors analyze the challenges to using academic measures (MCAT scores and GPAs) as thresholds for admissions and, for applicants exceeding the threshold, using personal qualities for admission decisions; review the literature on using the medical school interview and other admission data to assess personal qualities of applicants; identify challenges of developing better methods of assessing personal qualities; and propose a unified system for assessment. The authors discuss three challenges to using the threshold approach: institutional self-interest, inertia, and philosophical and historical factors. Institutional self-interest arises from the potential for admitting students with lower academic credentials, which could negatively influence indicators used to rank medical schools. Inertia can make introducing a new system complex. Philosophical and historical factors are those that tend to value maximizing academic measures. The literature identifies up to 87 different personal qualities relevant to the practice of medicine, and selecting the most salient of these that can be practically measured is a challenging task. The challenges to developing better personal quality measures include selecting and operationally defining the most important qualities, measuring the qualities in a cost-effective manner, and overcoming "cunning" adversaries who, with the incentive and resourcefulness, can potentially invalidate such measures. The authors discuss potential methods of measuring personal qualities and propose a unified system of assessment that would pool resources from certification and recertification efforts to develop competencies across the continuum with a dynamic, integrated approach to assessment.

College Admission Test↗

Developments in research in personality assessment.

Progress in personality research requires an adequate data analysis link between concepts of what people are like and observations of how they are likely to behave. Advances in computer technology have strengthened this link but also have made it necessary for investigators to be wary of lack of selectivity and trivialization in their research designs.

Journal Article↗

The use of the NEO-five factor inventory to assess personality in trauma patients: a two-year prospective study.

OBJECTIVE: To assess the usefulness and validity of a brief personality assessment for orthopaedic trauma patients. METHODS: The NEO-Five Factor Inventory was evaluated within the context of the Lower Extremity Assessment Project, a prospective study of patients with severe lower extremity trauma admitted to eight level I trauma centers. PATIENTS/PARTICIPANTS: The NEO-FFI was administered to 557 adults and 416 of their significant others. At 2 years postinjury, the NEO-FFI was readministered to 396 patients. MAIN OUTCOME MEASURES: Main outcome measures were as follows: (a) agreement between patient and significant other scores; (b) stability of personality traits over two years; and (c) the relationship of the measured NEO-FFI traits with patient characteristics and health habits. RESULTS: There was fair to moderate agreement between assessments of personality provided by the patients themselves and their significant others, with intraclass correlation coefficients ranging from 0.44 to 0.54 for the different domains of personality. Patient assessments on the NEO-FFI were found to be robust with no significant changes in four of the five personality domains at 2 years postinjury. We also found that personality traits of patients are related to patient characteristics and behaviors in the directions that were expected. CONCLUSIONS: The NEO-FFI is a brief, valid, and stable measure of underlying personality traits that is practical for use in a trauma setting. Its use in both outcomes research and patient evaluation should be encouraged. In cases in which patients cannot complete the test, evaluations by significant others may be useful.

Adolescent↗

Computerized adaptive personality assessment: an illustration with the Absorption scale.

This article introduces the theory behind and applications of adaptive personality assessment based on the item response theory. Two adaptive testing strategies were compared: (a) fixed test length and (b) clinical decision. Real-data simulations, based on the item responses from 1,000 subjects who had previously taken the 34-item Absorption scale (Tellegen, 1982) by means of paper-and-pencil format, were used to illustrate these strategies. Results suggest that computerized adaptive personality assessment works impressively well. With the fixed-test-length strategy, a 50% savings in administered items was achieved with little loss of measurement precision. In the clinical-decision testing strategy, individuals who were extreme on the Absorption trait were identified with perfect accuracy using, on average, 25% of the available items. The implications of these results for personality research and assessment are discussed.

Adult↗

Operating characteristics of six response distortion indicators for the personality assessment inventory.

The characteristics of six different indicators of response distortion on the Personality Assessment Inventory (PAI; Morey, 1991) were evaluated by having college students complete the PAI under positive impression management, malingering, and honest responding conditions. The six indicators were the PAI Positive Impression (PIM) and Negative Impression (NIM) scales, the Malingering and Defensiveness Indexes, and two discriminant functions, one developed by Cashel and the other by Rogers. Protocols of students asked to malinger were compared with those of actual clinical patients, while protocols of students asked to manage their impression in a positive direction were compared with those of students asked to respond honestly. Comparisons between groups were accomplished through the examination of effect sizes and receiver operating characteristic (ROC) curves. All six indicators demonstrated the ability to distinguish between actual and feigned responding. The Rogers function was particularly effective in identifying malingering. The Cashel function was less effective than other measures in identifying positive impression management, although it appears to also have promise as an indicator of malingering.

Adult↗

The status of the Rorschach in clinical and forensic practice: an official statement by the Board of Trustees of the Society for Personality Assessment.

This statement is intended for psychologists, other mental health professionals, educators, attorneys, judges, and administrators. Its purpose is to present a summary of the issues and evidence concerning the Rorschach. This statement affirms that the Rorschach possesses reliability and validity similar to that of other generally accepted personality assessment instruments, and its responsible use in personality assessment is appropriate and justified.

Forensic Psychiatry↗

Predicting sex offender institutional adjustment and treatment compliance using the personality assessment inventory.

This study examined the utility of the Personality Assessment Inventory (PAI) to identify prison inmates in a mandatory sex offender treatment program prone to engage in institutional misconduct. Archival PAI and institutional disciplinary data were coded for 137 inmates in treatment for an average of 1.59 years. The Antisocial Features scale predicted various forms of general and major infractions (e.g., verbal aggression), with no other scales providing any incremental validity beyond this measure. The Treatment Rejection scale was uniquely but modestly correlated (r=.14) with treatment noncompliance, even though such infractions were rare in this sample.

Adult↗

Paul E. Meehl's contributions to personality assessment.

Many of Meehl's interests converged in his work on personality assessment. In empirical research, development of the K scale of the Minnesota Multiphasic Personality Inventory and various scales of other tests are noteworthy, but his most profound contributions were conceptual and philosophical. Essays on the role of base rates in clinical decision and on construct validity in psychological tests provided vital insights on core issues in assessment. The concept of nomological nets allowed systematic investigation of unobservable theoretical entities, with liberating effects on all natural sciences. An active clinician, Meehl understood deeply the complexities of professional service, but his insistence on empirical validation as the ultimate arbiter of the value of any procedure required all attainable rigor in the scientific foundations of clinical practice.

Empirical Research↗

Developmentally based personality assessment of adults with mental retardation.

Difficulties in assessing emotional and personality disturbances in adults with mental retardation were discussed and an evaluation method overcoming some of these problems presented. Overshadowing, inappropriate equation of emotional symptoms with cognitive limitations, and failure to adjust for the differing functioning levels among persons with mental retardation when judging pathology were cited as reasons to include a specific developmental factor in assessing this group. Projective tests were cited in the literature as being effective techniques, and an apperceptive technique originally intended for use with children was presented as a means of adding the needed developmental factor.

Adolescent↗

Essential Paul Meehl lessons for personality assessment psychology.

The author presents four essential Meehl lessons for personality assessment. First, Meehl's particular form of the integration of science and practice is described. Second, by outlining Meehl's Hedonic Capacity conjecture, Meehl's contribution to the inclusion of personality individual differences in generating the full clinical picture and in planning treatment is recognized. The third Meehl lesson is on the nature and importance of theory in test development and application programs. The fourth Meehl lesson is a more general epistemological lesson for psychology. Meehl's role in destroying the fantasy of an easy methodological formula for a scientific psychology is described. His program of taxometric research is shown to be an example of demanding greater material implications from theory. Meehl's corroboration index is described and contrasted with the p value of statistical significance testing.

History, 20th Century↗