Personality Assessment in Treatment Planning PDF
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Personality Assessment in Treatment Planning This page intentionally left blank Personality Assessment in Treatment Planning Use of the MMPI-2 and BTPI James N. Butcher Julia N. Perry 3 2008 3 Oxford University Press, Inc., publishes works that further Oxford University’s objective of excellence in research, scholarship, and education. Oxford New York Auckland Cape Town Dar es Salaam Hong Kong Karachi Kuala Lumpur Madrid Melbourne Mexico City Nairobi New Delhi Shanghai Taipei Toronto With of ces in Argentina Austria Brazil Chile Czech Republic France Greece Guatemala Hungary Italy Japan Poland Portugal Singapore South Korea Switzerland Thailand Turkey Ukraine Vietnam Copyright © 2008 by Oxford University Press, Inc. Published by Oxford University Press, Inc. 198 Madison Avenue, New York, New York 10016 www.oup.com Oxford is a registered trademark of Oxford University Press All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior permission of Oxford University Press. Library of Congress Cataloging-in-Publication Data Butcher, James Neal, 1933– Personality assessment in treatment planning : use of the MMPI-2 and BTPI/James N. Butcher, Julia N. Perry. p. ; cm. Rev. ed. of: MMPI-2 in psychological treatment / James Butcher. 1990. Includes bibliographical references. ISBN: 978-0-19-533097-7 (cloth) 1. Minnesota Multiphasic Personality Inventory. 2. Personality assessment. I. Perry, Julia N. II. Butcher, James Neal, 1933-MMPI-2 in psychological treatment. III. Title. [DNLM: 1. MMPI. 2. Personality Inventory. 3. Psychotherapy—methods. WM 145.5.M6 B983p 2008] RC473.M5B87 2008 616.89'075—dc22 2007037167 9 8 7 6 5 4 3 2 1 Printed in the United States of America on acid-free paper Preface he success of psychotherapy, regardless of the theoretical orien- Ttation of the therapist or client symptoms, depends greatly upon gaining an early understanding of the extent of the client’s problems, the personality characteristics of the client, the potential for changing directions that the client possesses, and the establishment of attainable treatment goals. Research has demonstrated that undertaking personality assessment, particu- larly when the results are shared with the client in test feedback sessions, can lead to ef ective client therapist collaboration and remarkably positive outcomes in the therapeutic process. In this book, we have attempted to provide the therapist with a conceptual framework for viewing a client’s personality characteristics, symptomatic status, and sources of treatment resistance, and we have suggested workable techniques for sharing needed personality information with the client. We have presented background information on two objective assessment measures, the Minnesota Multiphasic Personality Inventory (MMPI-2) and the Butcher Treat- ment Planning Inventory (BTPI), that can be employed in order to gain a practi- cal understanding of a client’s personality characteristics, his or her treatment attitudes, and the presence of possible sources of treatment resistance. This volume is a revised and substantially expanded edition of an earlier work that served as a widely used resource for psychologists employing psychologi- cal assessment in treatment evaluations—namely, The Use of the MMPI-2 in Psychological Treatment by James Butcher, which was published in 1990, shortly after the original MMPI was revised in 1989. A great deal of research has ac- crued since 1990 in the area of assessment methodology and with regard to practical methods for conducting psychological test feedback with clients. This book was designed to highlight the treatment related research and review the tactics for using objective instruments for assessing clients in therapy. v The authorship on this edition of the book has been enhanced by including Julia Perry, a clinical psychologist and psychotherapy researcher at the Minne- apolis Veteran’s Af airs Medical Center, so as to expand the focus of the volume and to incorporate her extensive experience in using psychological assessment methods in client assessment, particularly her extensive work with the BTPI. We would like to acknowledge the support of a number of people throughout the development of this project. First, James Butcher would like to acknowledge the continuing support of his family, his wife, Carolyn L. Williams, and three children Sherry Butcher, Janus Butcher, and Holly Butcher. Second, Julia Perry would like to acknowledge the support of her family and friends, particularly Carolyn Perry, Pamela Perry, Marjorie Rollins, Theresa Glaser, and Ken Abrams. We would also like to give thanks to the Oxford editorial staf for their guidance and assistance throughout this project, particularly Joan Bossert and Abby Gross. We would also like to thank Betty Kininiki and Holly butcher for assis- tance in the reference checking stage of development. Finally, we would also like to express our appreciation to two reviewers of early editions of this book who have made a number of very valuable suggestions for improving coverage. James N. Butcher Julia N. Perry vi PREFACE Contents 1. Importance of Psychological Assessment in Treatment Planning 3 2. Introduction to the Minnesota Multiphasic Personality Inventory (MMPI-2) 23 3. Hypotheses About Treatment from MMPI-2 Scales and Indexes 49 4. MMPI-2 Supplementary Scales in Treatment Evaluation 73 5. MMPI-2 Content Indicators in Evaluating Therapy Patients 93 6. The Butcher Treatment Planning Inventory (BTPI) 115 7. Use of Computer-Generated Reports in Treatment Planning 129 8. Providing the Client Feedback with the MMPI-2 159 9. Case Analyses 181 1 0. Postscript: Objective Personality in Psychological Treatment 207 References 215 Appendix: Rorschach Protocol for Case #135 and #136 233 About the Authors 243 Index 245 This page intentionally left blank Personality Assessment in Treatment Planning
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