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MMPI-2-RF Empirical Correlates of Alliance and Treatment Engagment

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2017, Doctor of Philosophy (PhD), Ohio University, Clinical Psychology (Arts and Sciences).
The MMPI-2-RF is one of the most comprehensive and widely-used personality measures in clinical settings. Clients’ personality characteristics are important to consider when predicting treatment engagement. Although the MMPI-2-RF interpretation manual suggests certain scale elevations are related to treatment engagement, these suggestions are mostly inferential. The focus on issues relevant to treatment engagement has generally been neglected in past studies examining empirical correlates of MMPI scale elevations. Client personality characteristics are related to alliance with the clinician, and prior studies have identified a link between alliance and treatment engagement. However, there have not yet been studies examining MMPI scale correlates of therapeutic alliance. The present study examined the relationship of MMPI-2-RF scales to treatment engagement and alliance in 164 individuals seeing outpatient treatment at a psychology department clinic. Results suggested MMPI-2-RF validity scales were generally not related to engagement or alliance. As predicted, high scores on MMPI-2-RF scales indicative of behavior dysfunction, low positive emotions and cynicism were related to higher rates of premature termination, and high scores on cynicism were also related to lower likelihood of presentation to first session. High scores on emotion dysfunction and interpersonal ineffectiveness were related to lower average alliance, while high scores on low positive emotion, cognitive dysfunction and behavior restricting fears were related to lower early alliance. Limitations include lack of diversity in participant demographics, use of different treatment modalities and different therapists among participants, and measurement of treatment engagement. Findings add to the previous literature exploring the relationship between client personality traits and therapy engagement and therapy alliance.
Julie Suhr, PhD (Advisor)
72 p.

Recommended Citations

Citations

  • Patel, K. D. (2017). MMPI-2-RF Empirical Correlates of Alliance and Treatment Engagment [Doctoral dissertation, Ohio University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1495801888301655

    APA Style (7th edition)

  • Patel, Kruti. MMPI-2-RF Empirical Correlates of Alliance and Treatment Engagment. 2017. Ohio University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1495801888301655.

    MLA Style (8th edition)

  • Patel, Kruti. "MMPI-2-RF Empirical Correlates of Alliance and Treatment Engagment." Doctoral dissertation, Ohio University, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1495801888301655

    Chicago Manual of Style (17th edition)