Using the Minnesota Multiphasic Personality Inventory-2 and Mini Mental State Examination-2 in Cognitive Behavioral Therapy: Case Studies
Authors: Cornelia-Eugenia Munteanu
From a psychological perspective, psychopathology is the area of clinical psychology that has at its core psychological assessment and psychotherapy. In day-to-day clinical practice, psychodiagnosis and psychotherapy are used independently, according to their intended purpose and their specific methods of application. The paper explores how the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) and Mini Mental State Examination-2 (MMSE-2) psychological tools contribute to enhancing the effectiveness of cognitive behavioral psychotherapy (CBT). This combined approach, psychotherapy in conjunction with assessment of personality and cognitive functions, is illustrated by two cases, a severe depressive episode with psychotic symptoms and a mixed anxiety-depressive disorder. The order in which CBT, MMPI-2, and MMSE-2 were used in the diagnostic and therapeutic process was determined by the particularities of each case. In the first case, the sequence started with psychotherapy, followed by the administration of blue form MMSE-2, MMPI-2, and red form MMSE-2. In the second case, the cognitive screening with blue form MMSE-2 led to a personality assessment using MMPI-2, followed by red form MMSE-2; reapplication of the MMPI-2 due to the invalidation of the first profile, and finally, psychotherapy. The MMPI-2 protocols gathered useful information that directed the steps of therapeutic intervention: a detailed symptom picture of potentially self-destructive thoughts and behaviors otherwise undetected during the interview. The memory loss and poor concentration were confirmed by MMSE-2 cognitive screening. This combined approach, psychotherapy with psychological assessment, aligns with the trend of adaptation of the psychological services to the everyday life of contemporary man and paves the way for deepening and developing the field.
Digital Object Identifier (DOI): doi.org/10.5281/zenodo.1316674Procedia APA BibTeX Chicago EndNote Harvard JSON MLA RIS XML ISO 690 PDF Downloads 914
 The Encyclopædia Britannica, Psychopathology, from the World Wide Web https://www.britannica.com/science/psychopathology.
 N. Sillamy, Dictionnaire de la psychology, Paris, Larousse, 1992, p. 188.
 R. F. Krueger, J. L. Tackett, & A. MacDonald, “Toward validation of a structural approach to conceptualizing psychopathology: A special section of the Journal of Abnormal Psychology,” Journal of Abnormal Psychology, 125(8), 1023–1026, November 2016, from the World Wide Web http://www.apa.org / pubs/ highlights/spotlight/issue-85.aspx.
 ICD-10 Clasificarea tulburărilor mentale și de comportament. Descrieri clinice și îndreptare diagnostice, București, Editura Trei, 2016.
 DSM-5 Manual de diagnostic și clasificare statistică a tulburărilor mentale, București, Editura Medicală Callisto, 2016.
 R. Kotov et al., “The Hierarchical Taxonomy of Psychopathology (HiTOP): A dimensional alternative to traditional nosologies,” Journal of Abnormal Psychology, 126(4), 454–477, March 2017, from the World Wide Web http://dx.doi. org/10.1037/abn0000258.
 TestCentral, Certificare, from the World Wide Web http://romania. testcentral.ro/ro/licentiere/certificare/.
 American Psychological Association, Report of the Task Force on Test Users Qualifications, from the World Wide Web http://www. apa.org/ science/programs/testing/qualifications.pdf, http://www.apa.org/practice /guidelines/index.aspx, 2000.
 Pearson, Qualifications Policy, from the World Wide Web https:// www.pearsonclinical.com/psychology/qualifications.
 American Psychological Association, Understanding psychotherapy and how it works, from the World Wide Web http://www.apa.org/helpcenter/ understanding-psychotherapy.aspx
 American Psychological Association, Glossary of Psychological Terms, from the World Wide Web http://www.apa.org /research/action/glossary .aspx?tab=16.
 Romanian College of Psychologists, Acte normative, from the World Wide Web http://colegiulpsihologiloroficial.ro/legislatie/.
 National Health Insurance House, Contract-Cadru, from the World Wide Web http://www.cnas.ro/search?search=contract+cadru.
 S. Finn, Overview of Therapeutic Assessment, from the World Wide Web https://www.therapeuticassessment.com/question1.php.
 J. N. Butcher, J. R. Graham, Y. S. Ben-Porath, A. Tellegen, W. G. Dahlstrom, B. Kaemmer, MMPI-2 (Minnesota Multiphasic Personality Inventory-2) Manual for Administration, Scoring, and Interpretation, University of Minnesota Press, 2001, adapted in Romania by C.-E. Munteanu, R. Livinți, D. Iliescu, 2013.
 D. David, Psihologia poporului român. Profilul psihologic al românilor într-o monografie cognitiv-exprimentală, Iași, Polirom, 2015.
 Y. S. Ben-Porath, A. Tellegen, MMPI-2-RF (Minnesota Multiphasic Personality Inventory-2-Restrucutred Form), University of Minnesota Press, 2008, from the World Wide Web https://www.pearsonclinical. com/psychology/products/100000631/minnesota-multiphasic-personality-inventory-2-rf-mmpi-2-rf.html.
 M. F. Folstein, S. E. Folstein, T. White, M. A. Messer, MMSE-2 (Mini Mental State Examination-2), Psychological Assessment Resources, 1995, adapted in Romania by C.-E. Munteanu, D. Iliescu, R. Livinți, 2013.
 D. Iliescu, Adapting Tests in Linguistic and Cultural Situations, Cambridge University Press, 2017.
 J. N. Butcher, C. L. Williams, Essentials of MMPI-2 and MMPI-A Interpretation, University of Minnesota Press, 2000.
 J. R. Graham, MMPI-2: Assessing Personality and Psychopathology, Oxford University Press, 2011.
 Y. S. Ben-Porath, Interpreting the MMPI-2-RF, University of Minnesota Press, 2012.
 M. Sellbom, D. B. Wygant, Forensic Applications of the MMPI-2-RF: A Case Book, University of Minnesota Press, release April 2018, from the World Wide Web http://downloads.pearsonclinical.com/videos/091917-MMPI-2-RF-Forensic/MMPI-2-RF-Forensic-Practice-BriefingHandouts -MS-2017.pdf.
 J. N. Butcher, J. R. Graham, Y. S. Ben-Porath, A. Tellegen, W. G. Dahlstrom, B. Kaemmer, MMPI-2, Profil și scale, University of Minnesota Press, 2001, adapted in Romania by C.-E. Munteanu, R. Livinți, D. Iliescu, 2013, from the World Wide http://Romania. testcentral.ro/ro/produse/teste-clinice/evaluare-psihopatologica-pe-axa-i-%C8%99i-axa-ii/mmpi-2/#13191.
 Psychological Assessment Resources, Meet the MMSE&MMSE-2 Authors: Marchal F. Folstein, MD & Susan Folstain, MD, June 2010, from the World Wide Web https://parincblog.wordpress.com/2010 /06/08/meet-the-mmse-mmse-2-authors-marshal-f-folstein-md-susan-e-folstein-md/.
 Beck Institute for Cognitive Behavior Therapy, What is Cognitive Behavior Therapy (CBT), from the World Wide Web https://beckinstitute.org/get-informed/what-is-cognitive-therapy/.
 R. L. Wanlass, The Neuropsychology Toolkit, Springer, 2012, p. 90.
 C.-E. Munteanu, Diagnostic Contribution of the MMSE:2-EV in the Detection and Monitoring of the Cognitive Impairment: Case Studies, International Science Index, Psychological and Behavioral Sciences Vol:9, No:6, 2015 waset.org/Publication/10002099.