ABSTRACT
This chapter discusses the rationale for, and development of, the newest version of the Minnesota Multiphasic Personality Inventory (MMPI), the MMPI-2 Restructured Form (MMPI-2-RF) and its use in medical settings. It discusses administration, scoring, and interpretation. The chapter reviews the literature on using the test in medical settings followed by a case example. Using several different databases, factor analyses of the Clinical Scales guided development of a demoralization measure. Demoralization items were removed from the Clinical Scales and were placed on a separate scale labeled Demoralization. The chapter also reviews the Substantive Scales by domain and broadly discusses the constructs they assess across multiple settings, including behavioral medicine settings. The Externalizing domain contains one higher-order scale, Behavioral/Externalizing Dysfunction, which assesses a broad range of externalizing symptoms and behaviors including impulsivity, hypomanic activation, and antisocial behaviors. Some clinicians have been reluctant to use the MMPI-2 with older adults and patients with dementia, owing to the number of items that need to be completed.
