SAMPLE REPORT

Case Description: David B. — Chronic Pain Program

Interpretive Report
David B., a 47-year-old aviation mechanic, was evaluated when he was referred to a chronic pain
treatment program for persistent low back pain. He reportedly has experienced back pain for the past
year after hurting his back lifting jet engine parts. Although he initially missed no work, within a week
of the incident he reported that he was incapable of standing or sitting without intense back pain. He was
evaluated by the company physician at that time; his x-rays and back scans revealed no major problems.

Mr. B. graduated from high school and attended a two-year technical college. He spent six years in the air
force as a jet engine mechanic. Upon discharge, he began working as a mechanic for a major airline. His
22-year marriage ended in divorce two years ago. He has two teenage children who live with their mother.

Case descriptions do not accompany MMPI-2 reports, but are provided here as background information. The following
report was generated from Q-global™, Pearson’s web-based scoring and reporting application, using Mr. B.’s responses to
the MMPI-2. Additional MMPI-2 sample reports, product offerings, training opportunities, and resources can be found at
PearsonClinical.com/mmpi2.

Copyright © 2014 Pearson Education, Inc. or its affiliate(s). All rights reserved. Q-global, Always Learning, Pearson, design for Psi, and PsychCorp are atrademarks, in the U.S. and/or other countries, of Pearson Education, Inc. or its affiliate(s).
Minnesota Multiphasic Personality Inventory-2 and MMPI-2 are registered trademarks of the University of Minnesota, Minneapolis, MN. 8795-A 01/14
Chronic Pain Program Interpretive Report

MMPI®-2
The Minnesota Report™: Adult Clinical System-Revised, 4th Edition

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James N. Butcher, PhD

Name:
ID Number:
PL
David B.
2515
Age: 47
Gender: Male
Marital Status: Divorced
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Years of Education: 14
Date Assessed: 1/31/14
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Copyright © 1989, 1993, 2001, 2005 by the Regents of the University of Minnesota. All rights reserved.
Portions reproduced from the MMPI-2 test booklet. Copyright © 1942, 1943 (renewed 1970), 1989 by the Regents of the University of
Minnesota. All rights reserved. Portions excerpted from the MMPI-2 Manual for Administration, Scoring, and Interpretation, Revised Edition.
Copyright © 2001 by the Regents of the University of Minnesota. All rights reserved.
Distributed exclusively under license from the University of Minnesota by NCS Pearson, Inc.
Minnesota Multiphasic Personality Inventory and MMPI are registered trademarks and The Minnesota Report is a trademark of the
University of Minnesota. Pearson, the PSI logo, and PsychCorp are trademarks in the U.S. and/or other countries of Pearson Education,
Inc., or its affiliate(s).

TRADE SECRET INFORMATION

Not for release under HIPAA or other data disclosure laws that exempt trade secrets from disclosure.

[ 9.5 / 1 / QG ]
MMPI®-2 Chronic Pain Program Interpretive Report ID: 2515
1/31/14, Page 2 David B.

MMPI-2 VALIDITY PATTERN

120 120

110 110

100 100

90 90

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80 80

70
PL 70

60 60
F
M
50 50
SA

40 40

30 30
VRIN TRIN F FB FP L K S

Raw Score: 7 8 9 3 1 3 16 27

T Score: 57 57F 64 55 48 48 51 52
Response %: 98 95 100 100 100 100 100 100

Cannot Say (Raw): 3

Raw Score T Score Resp. %
Percent True: 40 S1 - Beliefs in Human Goodness 10 57 100
Percent False: 60 S2 - Serenity 6 50 100
S3 - Contentment with Life 3 45 100
S4 - Patience/Denial of Irritability 4 49 100
S5 - Denial of Moral Flaws 3 51 100
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MMPI-2 CLINICAL AND SUPPLEMENTARY SCALES PROFILE

120 120

110 110

100 100

90 90

80 80

E
70 PL 70

60 60

50 50
M
40 40
SA

30 30
Hs D Hy Pd Mf Pa Pt Sc Ma Si MAC-R APS AAS PK Ho MDS

Raw Score: 14 22 28 17 23 12 15 15 19 24 25 32 8 11 13 *

K Correction: 8 6 16 16 3

T Score: 73 59 66 50 44 57 59 58 53 49 60 73 75 55 44 *

Response %: 100 98 98 98 98 100 98 100 98 99 100 100 100 98 100 *

Welsh Code: 1'3+-278694/05: F-K/L:

Profile Elevation: 59.4
Pain Classification: 0

*MDS scores are reported only for clients who indicate that they are married or separated.
 MMPI®-2 Chronic Pain Program Interpretive Report ID: 2515
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MMPI-2 CONTENT SCALES PROFILE

110 110

100 100

90 90

E
80 80

70
PL 70

60 60
M
50 50
SA

40 40

30 30
ANX FRS OBS DEP HEA BIZ ANG CYN ASP TPA LSE SOD FAM WRK TRT

Raw Score: 14 2 5 9 13 1 6 6 9 5 2 6 1 10 3

T Score: 70 45 50 59 68 46 50 44 51 43 45 47 37 56 47
Response %: 100 100 100 97 100 100 100 100 95 100 96 100 100 100 100
MMPI®-2 Chronic Pain Program Interpretive Report ID: 2515
1/31/14, Page 5 David B.

PROFILE VALIDITY

His MMPI-2 clinical profile is probably valid. The client's responses to the MMPI-2 validity items
suggest that he cooperated with the evaluation enough to provide useful interpretive information. The
resulting clinical profile is an adequate indication of his present personality functioning.

SYMPTOMATIC PATTERNS

The personality descriptions provided in this report are likely to be a good indication of the client's
present personality functioning. Correlates of Hs and Hy were used to develop this report. This scale
configuration shows high profile definition, reflecting a close prototypal match with the research
literature that was used to develop the descriptors. The client's MMPI-2 clinical profile suggests that he
is reporting a number of vague physical complaints. He has a tendency to develop physical problems

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when he is under stress. His medical history is likely to be characterized by excessive and vague
physical complaints, weakness, and pain.
PL
He may not now be greatly incapacitated by his physical symptoms. He tends to rely on hysterical
defenses of denial and repression in the face of conflict. He may show a "Pollyannish" attitude, even
though he may express physical complaints that, if genuine, would trouble most other people.

The client seems to have a rather limited range of cultural interests and tends to prefer stereotyped
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masculine activities to literary and artistic pursuits or introspective experiences. Interpersonally, he may
be somewhat intolerant and insensitive. His high endorsement of general anxiety content is likely to be
important to understanding his clinical picture.
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PROFILE FREQUENCY

Profile interpretation can be greatly facilitated by examining the relative frequency of particular scale
patterns in various settings. The client's high-point clinical scale score (Hs) occurred in 9.8% of the
MMPI-2 normative sample of men. However, only 2.9% of the sample had the Hs scale peak score
equal to or above a T score of 65, and only 1.6% had well-defined Hs spikes. This elevated MMPI-2
profile configuration (1-3/3-1) is rare in samples of normals, occurring in 1.8% of the MMPI-2
normative sample of men.

His MMPI-2 profile peak score on the Hs scale occurs with relatively high frequency in chronic pain
samples. Keller and Butcher (1991) reported that 35% of men in chronic pain samples produce this
high-point score.

PROFILE STABILITY

The relative elevation of the highest scales in his clinical profile reflects high profile definition. If he is
retested at a later date, his peak scores on Hs and Hy are likely to retain their relative salience in his
retest profile.
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INTERPERSONAL RELATIONS

He is somewhat passive-dependent and demanding in relationships. Although he may at first appear

skillful in handling social relationships, he tends to be rather immature, superficial, and unskilled with
the opposite sex. Individuals with this profile tend to use physical complaints to influence or manipulate
other people.

He has an average interest in being with others and is not socially isolated or withdrawn. He meets and
talks with other people with relative ease and is not overly anxious at social gatherings.

DIAGNOSTIC CONSIDERATIONS

He reported a number of specific physical and psychological symptoms that need to be considered in

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any diagnostic formulation. Although organic problems need to be ruled out, his personality make-up is
consistent with a psychological basis to his symptoms.
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His high scores on the addiction proneness indicators suggest the possible development of alcohol or
drug problems. In his responses to the MMPI-2, he acknowledged some problems with excessive use or
abuse of addictive substances. Further evaluation of substance use or abuse problems is strongly
recommended.
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TREATMENT CONSIDERATIONS

Because his presenting problem is likely to be somatic in nature, he may not be very amenable to
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psychological treatment approaches. His tendency to repress or deny problems makes him particularly
resistant to the idea that psychological factors can influence his symptoms. He does not appear to be
very motivated for psychological change at this time. He may be receiving secondary gain from his
symptoms that helps to maintain them.

Some individuals with this profile may gain from treatment in a chronic pain program where the
exaggerated symptomatic behavior centering on their extreme pain complaints can be extinguished and
more adaptive behavior substituted. Individuals with this profile type may experience an exacerbation of
symptoms under stressful conditions. It may be possible to implement a stress inoculation program to
assist the client in reducing stress.

His acknowledged problems with alcohol or drug use should be addressed in therapy.
MMPI®-2 Chronic Pain Program Interpretive Report ID: 2515
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ADDITIONAL SCALES
Raw Score T Score Resp %
Personality Psychopathology Five (PSY-5) Scales
Aggressiveness (AGGR) 10 54 100
Psychoticism (PSYC) 3 49 100
Disconstraint (DISC) 18 60 100
Negative Emotionality/Neuroticism (NEGE) 11 52 100
Introversion/Low Positive Emotionality (INTR) 13 54 94

Supplementary Scales
Anxiety (A) 15 57 97
Repression (R) 15 50 100
Ego Strength (Es) 34 43 100
Dominance (Do) 21 65 100

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Social Responsibility (Re) 17 42 100

Harris-Lingoes Subscales PL
Depression Subscales
Subjective Depression (D1) 12 64 97
Psychomotor Retardation (D2) 6 54 100
Physical Malfunctioning (D3) 4 59 100
Mental Dullness (D4) 7 72 100
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Brooding (D5) 4 62 90
Hysteria Subscales
Denial of Social Anxiety (Hy1) 4 51 100
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Need for Affection (Hy2) 7 51 92

Lassitude-Malaise (Hy3) 6 66 100
Somatic Complaints (Hy4) 8 77 100
Inhibition of Aggression (Hy5) 1 33 100
Psychopathic Deviate Subscales
Familial Discord (Pd1) 0 38 100
Authority Problems (Pd2) 6 67 100
Social Imperturbability (Pd3) 5 57 100
Social Alienation (Pd4) 3 45 92
Self-Alienation (Pd5) 5 58 92
Paranoia Subscales
Persecutory Ideas (Pa1) 1 46 100
Poignancy (Pa2) 5 68 100
Naivete (Pa3) 4 46 100
MMPI®-2 Chronic Pain Program Interpretive Report ID: 2515
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Raw Score T Score Resp %

Schizophrenia Subscales
Social Alienation (Sc1) 0 39 100
Emotional Alienation (Sc2) 2 59 100
Lack of Ego Mastery, Cognitive (Sc3) 4 66 100
Lack of Ego Mastery, Conative (Sc4) 5 65 100
Lack of Ego Mastery, Defective Inhibition (Sc5) 1 47 100
Bizarre Sensory Experiences (Sc6) 6 70 100
Hypomania Subscales
Amorality (Ma1) 3 58 100
Psychomotor Acceleration (Ma2) 6 53 100
Imperturbability (Ma3) 5 59 100
Ego Inflation (Ma4) 2 43 89

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Social Introversion Subscales (Ben-Porath, Hostetler, Butcher, & Graham)
Shyness/Self-Consciousness (Si1) 4 48 100
Social Avoidance (Si2) PL 4 54 100
Alienation--Self and Others (Si3) 5 50 94

Content Component Scales (Ben-Porath & Sherwood)

Fears Subscales
Generalized Fearfulness (FRS1) 1 53 100
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Multiple Fears (FRS2) 1 41 100
Depression Subscales
Lack of Drive (DEP1) 2 51 100
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Dysphoria (DEP2) 4 74 83
Self-Depreciation (DEP3) 2 55 100
Suicidal Ideation (DEP4) 0 45 100
Health Concerns Subscales
Gastrointestinal Symptoms (HEA1) 2 70 100
Neurological Symptoms (HEA2) 3 60 100
General Health Concerns (HEA3) 1 48 100
Bizarre Mentation Subscales
Psychotic Symptomatology (BIZ1) 0 44 100
Schizotypal Characteristics (BIZ2) 1 47 100
Anger Subscales
Explosive Behavior (ANG1) 2 52 100
Irritability (ANG2) 3 51 100
Cynicism Subscales
Misanthropic Beliefs (CYN1) 5 47 100
Interpersonal Suspiciousness (CYN2) 1 39 100
MMPI®-2 Chronic Pain Program Interpretive Report ID: 2515
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Raw Score T Score Resp %

Antisocial Practices Subscales
Antisocial Attitudes (ASP1) 6 49 94
Antisocial Behavior (ASP2) 3 59 100
Type A Subscales
Impatience (TPA1) 2 45 100
Competitive Drive (TPA2) 3 50 100
Low Self-Esteem Subscales
Self-Doubt (LSE1) 1 44 91
Submissiveness (LSE2) 1 48 100
Social Discomfort Subscales
Introversion (SOD1) 5 50 100
Shyness (SOD2) 1 41 100

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Family Problems Subscales
Family Discord (FAM1) 0 35 100
Familial Alienation (FAM2) 1 49 100
Negative Treatment Indicators Subscales
PL
Low Motivation (TRT1) 1 48 100
Inability to Disclose (TRT2) 0 37 100
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Uniform T scores are used for Hs, D, Hy, Pd, Pa, Pt, Sc, Ma, the content scales, the content component
scales, and the PSY-5 scales. The remaining scales and subscales use linear T scores.
SA
MMPI®-2 Chronic Pain Program Interpretive Report ID: 2515
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CRITICAL ITEMS

The following critical items have been found to have possible significance in analyzing a client's
problem situation. Although these items may serve as a source of hypotheses for further investigation,
caution should be used in interpreting individual items because they may have been checked
inadvertently.

The percentages of endorsement for each critical item by various reference groups are presented in
brackets following the listing of the item. The endorsement percentage labeled "N" is the percentage of
the MMPI-2 normative sample of 1,138 men who endorsed the item in the scored direction.
Endorsement percentages for the normative sample are reported for all critical items. When available,
endorsement percentages for the setting are also reported. The designation "Cp" refers to a sample of
268 men from a group of chronic pain patients described by Keller and Butcher, 1991.

Acute Anxiety State (Koss-Butcher Critical Items)

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Of the 17 possible items in this section, 6 were endorsed in the scored direction:
PL
3. Item Content Omitted. (False) [N = 32; Cp = 84] ITEMS Special Note:
15. Item Content Omitted. (True) [N = 37; Cp = 41] NOT The content of the test items
SHOWN
28. Item Content Omitted. (True) [N = 8; Cp = 28] is included in the actual reports.
39. Item Content Omitted. (True) [N = 11; Cp = 66] To protect the integrity of the test,
301. Item Content Omitted. (True) [N = 15; Cp = 24] the item content does not appear
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463. Item Content Omitted. (True) [N = 4; Cp = 10] in this sample report.
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Depressed Suicidal Ideation (Koss-Butcher Critical Items)

Of the 22 possible items in this section, 8 were endorsed in the scored direction:

38. Item Content Omitted. (True) [N = 25; Cp = 51]

65. Item Content Omitted. (True) [N = 6; Cp = 31]
95. Item Content Omitted. (False) [N = 11; Cp = 40]
130. Item Content Omitted. (True) [N = 34; Cp = 72]
146. Item Content Omitted. (True) [N = 13; Cp = 21]
233. Item Content Omitted. (True) [N = 35; Cp = 40]
273. Item Content Omitted. (True) [N = 16; Cp = 37]
388. Item Content Omitted. (False) [N = 25; Cp = 51]
MMPI®-2 Chronic Pain Program Interpretive Report ID: 2515
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Threatened Assault (Koss-Butcher Critical Items)

Of the 5 possible items in this section, 2 were endorsed in the scored direction:

37. Item Content Omitted. (True) [N = 39; Cp = 48] ITEMS Special Note:
85. Item Content Omitted. (True) [N = 19; Cp = 21] NOT The content of the test items
SHOWN
is included in the actual reports.
To protect the integrity of the test,
Situational Stress Due to Alcoholism (Koss-Butcher Critical Items) the item content does not appear
in this sample report.
Of the 7 possible items in this section, 5 were endorsed in the scored direction:

264. Item Content Omitted. (True) [N = 45; Cp = 44]

487. Item Content Omitted. (True) [N = 34; Cp = 20]

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489. Item Content Omitted. (True) [N = 7; Cp = 15]
502. Item Content Omitted. (True) [N = 28; Cp = 31]
511. Item Content Omitted. (True) [N = 20; Cp = 8]
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Mental Confusion (Koss-Butcher Critical Items)

Of the 11 possible items in this section, 2 were endorsed in the scored direction:
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31. Item Content Omitted. (True) [N = 13; Cp = 39]
180. Item Content Omitted. (True) [N = 5; Cp = 8]
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Persecutory Ideas (Koss-Butcher Critical Items)

Of the 16 possible items in this section, 2 were endorsed in the scored direction:

241. Item Content Omitted. (True) [N = 20; Cp = 26]

251. Item Content Omitted. (True) [N = 24; Cp = 34]
MMPI®-2 Chronic Pain Program Interpretive Report ID: 2515
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Antisocial Attitude (Lachar-Wrobel Critical Items)

Of the 9 possible items in this section, 4 were endorsed in the scored direction:

27. Item Content Omitted. (True) [N = 27; Cp = 31] ITEMS Special Note:
84. Item Content Omitted. (True) [N = 17; Cp = 34] NOT The content of the test items
SHOWN
105. Item Content Omitted. (True) [N = 31; Cp = 52] is included in the actual reports.
266. Item Content Omitted. (False) [N = 41; Cp = 60] To protect the integrity of the test,
the item content does not appear
in this sample report.
Somatic Symptoms (Lachar-Wrobel Critical Items)

Of the 23 possible items in this section, 11 were endorsed in the scored direction:

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28. Item Content Omitted. (True) [N = 8; Cp = 28]
40. Item Content Omitted. (True) [N = 3; Cp = 26]
44. Item Content Omitted. (True) [N = 2; Cp = 19]
47.
PL
Item Content Omitted. (False) [N = 19; Cp = 34]
53. Item Content Omitted. (True) [N = 19; Cp = 84]
57. Item Content Omitted. (False) [N = 27; Cp = 76]
176. Item Content Omitted. (False) [N = 15; Cp = 49]
224. Item Content Omitted. (False) [N = 18; Cp = 97]
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229. Item Content Omitted. (True) [N = 8; Cp = 15]
247. Item Content Omitted. (True) [N = 10; Cp = 65]
464. Item Content Omitted. (True) [N = 25; Cp = 63]
SA

Anxiety and Tension (Lachar-Wrobel Critical Items)

Of the 11 possible items in this section, 3 were endorsed in the scored direction:

15. Item Content Omitted. (True) [N = 37; Cp = 41]

301. Item Content Omitted. (True) [N = 15; Cp = 24]
463. Item Content Omitted. (True) [N = 4; Cp = 10]

Sleep Disturbance (Lachar-Wrobel Critical Items)

Of the 6 possible items in this section, 2 were endorsed in the scored direction:

30. Item Content Omitted. (True) [N = 6]

39. Item Content Omitted. (True) [N = 11; Cp = 66]
MMPI®-2 Chronic Pain Program Interpretive Report ID: 2515
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Deviant Thinking and Experience (Lachar-Wrobel Critical Items)

Of the 10 possible items in this section, 1 was endorsed in the scored direction:

298. Item Content Omitted. (True) [N = 13]

Depression and Worry (Lachar-Wrobel Critical Items)

Of the 16 possible items in this section, 8 were endorsed in the scored direction:

3. Item Content Omitted. (False) [N = 32; Cp = 84] ITEMS Special Note:

65. Item Content Omitted. (True) [N = 6; Cp = 31] NOT
SHOWN
The content of the test items
130. Item Content Omitted. (True) [N = 34; Cp = 72] is included in the actual reports.

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165. Item Content Omitted. (False) [N = 10] To protect the integrity of the test,
the item content does not appear
180. Item Content Omitted. (True) [N = 5; Cp = 8]
in this sample report.
273. Item Content Omitted. (True) [N = 16; Cp = 37]
339.
415.
PL
Item Content Omitted. (True) [N = 37]
Item Content Omitted. (True) [N = 27]

Deviant Beliefs (Lachar-Wrobel Critical Items)

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Of the 15 possible items in this section, 1 was endorsed in the scored direction:
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106. Item Content Omitted. (False) [N = 18]

Substance Abuse (Lachar-Wrobel Critical Items)

Of the 3 possible items in this section, 2 were endorsed in the scored direction:

264. Item Content Omitted. (True) [N = 45; Cp = 44]

429. Item Content Omitted. (False) [N = 30]

Problematic Anger (Lachar-Wrobel Critical Items)

Of the 4 possible items in this section, 1 was endorsed in the scored direction:

85. Item Content Omitted. (True) [N = 19; Cp = 21]

MMPI®-2 Chronic Pain Program Interpretive Report ID: 2515
1/31/14, Page 14 David B.

OMITTED ITEMS

The following items were omitted by the client. It may be helpful to discuss these item omissions with
this individual to determine the reason for noncompliance with the test instructions.

26. Item Content Omitted. ITEMS Special Note:

56. Item Content Omitted. NOT The content of the test items
SHOWN
61. Item Content Omitted. is included in the actual reports.
To protect the integrity of the test,
the item content does not appear
End of Report in this sample report.

NOTE: This MMPI-2 interpretation can serve as a useful source of hypotheses about clients. This report
is based on objectively derived scale indices and scale interpretations that have been developed in

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diverse groups of patients. The personality descriptions, inferences, and recommendations contained
herein need to be verified by other sources of clinical information because individual clients may not
fully match the prototype. The information in this report should only be used by a trained and qualified
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test interpreter. The report was not designed or intended to be provided directly to clients. The
information contained in the report is technical and was developed to aid professional interpretation.

This and previous pages of this report contain trade secrets and are not to be released in response to
requests under HIPAA (or any other data disclosure law that exempts trade secret information from
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release). Further, release in response to litigation discovery demands should be made only in accordance
with your profession's ethical guidelines and under an appropriate protective order.
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