Assessment of Borderline Personality Disorder Using the MMPI-2 and the Personality Assessment Inventory

Abstract

The usefulness of the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) and the. Personality Assessment Inventory (PAI) in the classification of patients diagnosed with Borderline Personality Disorder (BPD) was investigated. Twenty-two female inpatients diagnosed as having BPD and 22 female student control participants participated in the study. Those who scored 70 or above on the Borderline Features (BOR) scale of the PAI were classified as BPD. For the MMPI-2, participants with profile configurations of 8-4-2, 8-2-4, 8-4-7, or 8-2-7 were classified as BPD. Eighty-two percent of the patients and 77% of the students were classified correctly using the PAI, whereas 9% of the patients and 95% of the students were classified correctly based on the MMPI-2. The discriminant function for the selected scales of the PAI classified 8G% of the participants correctly, and the discriminant function for the selected scales of the MMPI-2 classified 84% of the participants correctly. This suggests that both tests include items that discriminate between the two groups. Overall, the classification of participants based on the BOR scale of the PAI was more accurate than the classification of participants using the profile configurations of the MMPI-2. Implications for the assessment of BPD are discussed.

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References

Abramowitz

Carroll

, & Schaffer

(1984). Borderline personality disorder and the MMPI. Journal of Clinical Psychology, 40, 410–413.

American Psychiatric Association . (1987). Diagnostic and statistical manual of mental disorders (3rd ed., rev.). Washington, DC: Author.

American Psychiatric Association . (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.

Ben-Porath

, & Butcher

(1989a). The comparability of MMPI and MMPI-2 scales and profiles. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 1, 345–347.

Ben-Porath

, & Butcher

(1989b). Psychometric stability of rewritten MMPI items. Journal of Personality Assessment, 53, 643–653.

Butcher

J. N.

Dahlstrom

W. G.

Graham

J. R.

Tellegen

, & Kaemmer

(1989). Minnesota Multiphasic Personality Inventory-2: Manual for administration and scoring. Minneapolis, MN: University of Minnesota Press.

Chatham

P. M.

(1985). Treatment of the borderline personality. New York: Aronson.

Clarkin

Widiger

Frances

Hurt

, & Gilmore

(1983). Prototype typology and the borderline personality disorder. Journal of Abnormal Psychology, 92, 263–275.

Evans

R. W.

Ruff

R. M.

Braff

D. L.

, & Ainsworth

T. L.

(1984). MMPI characteristics of borderline personality inpatients. The Journal of Nervous and Mental Disease, 172, 742–748.

10.

Gartner

Hurt

S. W.

, & Gartner

(1989). Psychological signs of borderline personality disorder: A review of the literature. Journal of Personality Assessment, 53, 423–441.

11.

Graham

(1990). MMPI-2: Assessing personality and psychopathology. New York: Oxford University Press.

12.

Graham

Timbrook

Ben-Porath

, & Butcher

(1991). Code-type congruence between the MMPI and MMPI-2: Separating fact from artifact. Journal of Personality Assessment, 57, 205–215.

13.

Gustin

Q. L.

Goodpaster

W. A.

Sajadi

Pitts

W. M.

LaBasse

D. L.

, & Snyder

(1983). MMPI characteristics of the DSM-III borderline personality disorder. Journal of Personality Assessment, 47, 50–59.

14.

Hathaway

S. R.

, & McKinley

J. C.

(1943). The Minnesota Multiphasic Personality Inventory (Rev. ed.). Minneapolis, MN: University of Minnesota Press.

15.

Hurt

Clarkin

Frances

Abrams

, & Hunt

(1985). Discriminant validity of the MMPI for borderline personality disorder. Journal of Personality Assessment, 49, 56–61.

16.

Kroll

Sines

Martin

Lari

Pyle

, & Zander

(1981). Borderline personality disorder: Construct validity of the concept. Archives of General Psychiatry, 38, 1021–1026.

17.

Lloyd

Overall

J. E.

Kimsley

L. R.

, & Click

(1983). A comparison of the MMPI-168 profiles of borderline and nonborderline outpatients. The Journal of Nervous and Mental Disease, 171, 207–215.

18.

McGlashan

(1983). The borderline syndrome: I. Testing three diagnostic systems. Archives of General Psychiatry, 40, 1311–1318.

19.

Morey

L. C.

(1991). The Personality Assessment Inventory: Professional manual. Odessa, FL: Psychological Assessment Resources.

20.

Munley

(1991). A comparison of MMPI-2 and MMPI T-scores for men and women. Journal of Clinical Psychology, 47, 87–91.

21.

Munley

, & Zarantonello

(1990). A comparison of MMPI profile types with corresponding estimated MMPI-2 profiles. Journal of Clinical Psychology, 46, 803–811.

22.

Newmark

C. S.

Chassin

Evans

D. L.

, & Gentry

(1984). Floating profiles revisited. Journal of Clinical Psychology, 40, 199–201.

23.

Pope

Jonas

Hudson

Cohen

, & Gunderson

(1983). The validity of DSM-III borderline personality disorder. Archives of General Psychiatry, 40 23–30.

24.

Resnick

Goldberg

Schultz

Hamer

, & Friedel

(1988). Borderline personality disorder: Replication of MMPI profiles. Journal of Clinical Psychology, 44, 354–360.

25.

Resnick

Schultz

Hamer

Friedel

, & Goldberg

(1983). Borderline personality disorders: Symptomatology and MMPI characteristics. Journal of Clinical Psychiatry, 44, 289–292.

26.

Snyder

Pitts

Goodpaster

Sajadi

, & Gustin

(1982). MMPI profiles of DSM-III borderline personality disorder. American Journal of Psychiatry, 139, 1046–1048.

27.

Trull

T. J.

(1991). Discriminant validity of the MMPI-borderline personality disorder scale. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 3, 232–238.

28.

Vincent

(1990). The fragile nature of the MMPI code types. Journal of Clinical Psychology, 46, 800–802.

29.

Ward

(1991). A comparison of T scores from the MMPI and the MMPI-2. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 3, 688–690.

30.

Widiger

T. A.

Sanderson

, & Warner

(1986). The MMPI, prototypal typology, and borderline personality disorder. Journal of Personality Assessment, 50, 540–553.

31.

Widiger

, & Trull

(1993). Borderline and narcissistic personality disorders. In Sutker

& Adams

(Eds.), Comprehensive handbook of psychopathology (2nd ed., pp. 371–394). New York: Plenum.

32.

Zalewski

, & Archer

R. P.

(1991). Assessment of borderline personality disorder: A review of MMPI and Rorschach findings. The Journal of Nervous and Mental Disease, 179, 338–345.