Abstract
The current chapter aims to provide an overview of the conceptualization and assessment of youth borderline personality disorder (BPD) using the MMPI-A. More broadly, BPD is considered from the perspective of dimensional temperament traits that can be identified in infancy and have direct conceptual and empirical links to youth BPD (e.g., Nigg et al., 2005). More specifically, we consider negative affectivity and inhibitory control as predominant traits underlying the disorder. Due to the intense trauma and stress-induced pseudo-psychotic symptoms experienced by many individuals with BPD, we also focus on the domain of psychoticism. This general conceptual framework is considered from an MMPI-A assessment perspective and the conceptual and empirical basis for this approach will be described. Clinical applications of this model are also discussed.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Notes
- 1.
In adulthood, it is also the defining temperament domain of antisocial PD.
- 2.
In the DSM-5 Section III, Antagonism is included as a domain for BPD, primarily due to the hostility facet; however, hostility also loads on negative affectivity in the DSM-5 Section III trait model. As such, we contend that negative affectivity and disinhibition should be the primary temperament domains considered for this disorder.
- 3.
One of these studies (Bell-Pringle et al., 1997) used MMPI-2 data; the rest used the original MMPI. None of these studies used the MMPI-A.
References
Abramowitz, S. I., Carroll, J., & Schaffer, C. B. (1984). Borderline personality disorder and the MMPI. Journal of Clinical Psychology, 40, 410–413. doi:10.1002/1097-4679(198403)40:2<410::AID-JCLP2270400204>3.0.CO;2-B.
American Psychiatric Association (2012). Rationale for the Proposed Changes to the Personality Disorders Classification in DSM-5. Retrieved October 10, 2012, from http://www.dsm5.org/ProposedRevision/Pages/PersonalityDisorders.aspx
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., test revision). Washington, DC: Author.
American Psychiatric Association. (2011). American Psychiatric Association DSM-5 Development: Personality disorders. Retrieved Nov 18, 2011, from http://www.dsm5.org/ProposedRevision/Pages/PersonalityDisorders.aspx
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
Anderson, J. L., Sellbom, M., Bagby, R. M., Quilty, L. C., Veltri, C. O. C., Markon, K. E., et al. (2013). On the convergence between PSY-5 domains and PID-5 domains and facets: Implications for assessment of DSM-5 personality traits. Assessment, 20(3), 286–94.
Archer, R. P. (2005). MMPI-A: Assessing adolescent psychopathology (3rd ed.). Mahwah, NJ: Lawrence Erlbaum.
Archer, R. P., Ball, J. D., & Hunter, J. A. (1985). MMPI characteristics of borderline psychopathology in adolescent inpatients. Journal of Personality Assessment, 49, 47–55. doi: 10.1207/s15327752jpa4901_10.
Archer, R.P., & Gordon, R.A. (1991). Use of the content scales with adolescents: Part and future practices. In R.C. Colligan (Chair), MMPI and MMPI-2 supplementary scales and profile interpretation- content scales revisited. Symposium conducted at the annual convention of the American Psychological Association, San Francisco, CA.
Archer, R. P., & Klinefelter, D. (1992). Relationships between MMPI codetypes and MAC scale elevations in adolescent psychiatric samples. Journal of Personality Assessment, 58, 149–159. doi:10.1207/s15327752jpa5801_14.
Archer, R. P., & Krishnamurthy, R. (2002). Essentials of MMPI-A assessment. Hoboken, NJ US: John Wiley & Sons Inc.
Archer, R. P., Pancoast, D. L., & Gordon, R. A. (1994). The development of the MMPI—A Immaturity Scale: Findings for normal and clinical samples. Journal of Personality Assessment, 62, 145–156. doi:10.1207/s15327752jpa6201_13.
Arita, A. A., & Baer, R. A. (1998). Validity of selected MMPI–A content scales. Psychological Assessment, 10, 59–63. doi:10.1037/1040-3590.10.1.59.
Bagby, R. M., Sellbom, M., Costa, P. T., & Widiger, T. A. (2008). Predicting Diagnostic and Statistical Manual of Mental Disorders–IV personality disorders with the five-factor model of personality and the Personality Psychopathology Five. Personality and Mental Health, 2, 55–69.
Barnow, S., Arens, E. A., Dinu-Biringer, R., Spitzer, C., & Lang, S. (2010). Borderline personality disorder and psychosis: a review. Current Psychiatry Reports, 12, 186–195.
Bell-Pringle, V. J., Pate, J. L., & Brown, R. C. (1997). Assessment of borderline personality disorder using the MMPI-2 and the Personality Assessment Inventory. Assessment, 4, 131–139.
Butcher, J. N., Williams, C. L., Graham, J. R., Archer, R. P., Tellegen, A., Ben-Porath, Y. S., et al. (1992). Minnesota Multiphasic Personality Inventory—Adolescent (MMPI-A): Manual for administration, scoring, and interpretation. Minneapolis: University of Minnesota Press.
Cashel, M., Rogers, R., Sewell, K. W., & Holliman, N. B. (1998). Preliminary validation of the MMPI-A for a male delinquent sample: An investigation of clinical correlates and discriminant validity. Journal of Personality Assessment, 71, 49–69. doi:10.1207/s15327752jpa7101_4.
Depue, R. A., & Lenzenweger, M. F. (2001). A neurobehavioral dimensional model. In W. Livesley (Ed.), Handbook of personality disorders: Theory, research, and treatment (pp. 136–176). New York: Guilford Press.
Derryberry, D., & Rothbart, M. K. (1997). Reactive and effortful processes in the organization of temperament. Development and Psychopathology, 9, 633–652.
Evans, R. W., Ruff, R. M., Braff, D. L., & Ainsworth, T. L. (1984). MMPI characteristics of borderline personality inpatients. Journal of Nervous and Mental Disease, 172, 742–748. doi:10.1097/00005053-198412000-00008.
Evans, R. W., Ruff, R. M., Braff, D. L., & Cox, D. R. (1986). On the consistency of the MMPI in Borderline Personality Disorder. Perceptual and Motor Skills, 62, 579–585. doi:10.2466/pms.1986.62.2.579.
Forbey, J. D., & Ben-Porath, Y. S. (2003). Incremental validity of the MMPI-A content scales in a residential treatment facility. Assessment, 10, 191–202. doi:10.1177/1073191103010002010.
Gandolfo, R. L., Templer, D. I., Cappelletty, G. G., & Cannon, W. G. (1991). Borderline, depressive, and schizophrenic discrimination by MMPI. Journal of Clinical Psychology, 47, 783–789. doi:10.1002/1097-4679(199111)47:6<783::AID-JCLP2270470609>3.0.CO;2-F.
Gartner, J., Hurt, S. W., & Gartner, A. (1989). Psychological test signs of borderline personality disorder: A review of the empirical literature. Journal of Personality Assessment, 53, 423–441. doi:10.1207/s15327752jpa5303_1.
Gustin, Q. (1983). MMPI characteristics of the DSM-III Borderline Personality Disorder. Journal of Personality Assessment, 47, 50–59. doi:10.1207/s15327752jpa4701_6.
Hallquist, M. N., & Pilkonis, P. A. (2012). Refining the phenotype of borderline personality disorder: Diagnostic criteria and beyond. Personality Disorders, 3, 228–246. doi:10.1037/a0027953.
Handel, R., Archer, R., Elkins, D., Mason, J., & Simonds-Bisbee, E. (2011). Psychometric properties of the Minnesota Multiphasic Personality Inventory–Adolescent (MMPI–A) Clinical, Content, and Supplementary scales in a forensic sample. Journal of Personality Assessment, 93, 566–581. doi:10.1080/00223891.2011.608752.
Harkness, A. R., Finn, J. A., McNulty, J. L., & Shields, S. M. (2012). The personality Psychopathology-Five (PSY-5): Recent constructive replication and assessment literature review. Psychological Assessment, 24, 432–443. doi:10.1037/a9925830.
Harkness, A. R., & McNulty, J. L. (1994). The personality psychopathology five (PSY-5): Issue from the pages of a diagnostic manual instead of a dictionary. In S. Strack & M. Lorr (Eds.), Differentiating normal and abnormal personality (pp. 291–315). New York: Springer.
Harkness, A. R., McNulty, J. L., & Ben-Porath, Y. S. (1995). The Personality Psychopathology Five (PSY-5): Constructs and MMPI-2 scales. Psychological Assessment, 7, 104–114.
Harris, R., & Lingoes, J. (1955). Subscales for the Minnesota Multiphasic Personality Inventory. The Langley Porter Clinic: Mimeographed materials.
Hurt, S., Clarkin, J., Frances, A., Abrams, R., & Hunt, H. (1985). Discriminant validity of the MMPI for borderline personality disorder. Journal of Personality Assessment, 49, 56–61.
Imhof, E. A., & Archer, R. P. (1997). Correlates of the MMPI-A Immaturity (IMM) Scale in an adolescent psychiatric sample. Assessment, 4, 169–179.
Jarrett, M. A., & Ollendick, T. H. (2008). A conceptual review of the comorbidity of attention-deficit/hyperactivity disorder and anxiety: Implications for future research and practice. Clinical Psychology Review, 28, 1266–1280.
Jonsdottir-Baldursson, T., & Horvath, P. (1987). Borderline personality-disordered alcoholics in Iceland: Descriptions on demographic, clinical, and MMPI variables. Journal of Consulting and Clinical Psychology, 55, 738–741. doi:10.1037/0022-006X.55.5.738.
Kernberg, O. (1967). Borderline personality organization. Journal of the American Psychoanalytic Association, 15, 641–685.
Kopper, B. A., Osman, A., Osman, J. R., & Hoffman, J. (1998). Clinical utility of the MMPI-A content scales and Harris-Lingoes subscales in the assessment of suicidal risk factors in psychiatric adolescents. Journal of Clinical Psychology, 54, 191–200. doi:10.1002/(SICI)1097-4679(199802)54:2<191::AID-JCLP8>3.0.CO;2-V.
Kroll, J., Sines, L., Martin, K., Lari, L., Pyle, R., & Zander, J. (1981). Borderline personality disorder: Construct validity of the concept. Archives of General Psychiatry, 38, 1021–1026.
Krueger, R. F., Derringer, J., Markon, K. E., Watson, D., & Skodol, A. E. (2012). Initial construction of a maladaptive personality trait model and inventory for DSM-5. Psychological Medicine, 42, 1879–1890.
Masterson, J. F., & Rinsley, D. B. (1975). The borderline syndrome: The role of the mother in the genesis and psychic structure of the borderline personality. The International Journal of Psychoanalysis, 56, 163–177.
McNulty, J. L., Harkness, A. R., Ben-Porath, Y. S., & Williams, C. L. (1997). Assessing the personality psychopathology five (PSY-5) in adolescents: New MMPI–A scales. Psychological Assessment, 9, 250–259. doi: 10.1037/1040-3590.9.3.250.
Morey, L. C., Blashfield, R. K., Webb, W. W., & Jewell, J. (1988). MMPI scales for DSM-III personality disorders: A preliminary validation study. Journal of Clinical Psychology, 44, 47–50. doi:10.1002/1097-4679(198801)44:1<47::AID-JCLP2270440110>3.0.CO;2-R.
Morey, L. C., & Smith, M. R. (1988). Personality disorders. In R. Greene (Ed.), The MMPI: Use with specific populations (pp. 110–158). Needham Heights, MA: Allyn & Bacon.
MTA Cooperative Group. (1999). 14-month randomized clinical trial of treatment strategies for attention-deficit/hyperactivity disorder. Archives of General Psychiatry, 56, 1073–1086. doi:10.1001/archpsyc.56.12.1073.
Newmark, C. S., Chassin, P., Evans, D. L., & Gentry, L. (1984). 'Floating' MMPI profiles revisited. Journal of Clinical Psychology, 40, 199–201. doi:10.1002/1097-4679(198401)40:1<199::AID-JCLP2270400138>3.0.CO;2-F.
Newmark, C. S., & Sines, L. K. (1972). Characteristics of hospitalized patients who produce the 'floating' MMPI profiles. Journal of Clinical Psychology, 28, 74–76. doi:10.1002/1097-4679(197201)28:1<74::AID-JCLP2270280125>3.0.CO;2-S.
Nigg, J. T. (2001). Is ADHD a disinhibitory disorder? Psychological Bulletin, 127, 571–598.
Nigg, J. T. (2006). Temperament and developmental psychopathology. Journal of Child Psychology and Psychiatry, 47, 395–422.
Nigg, J. T., Goldsmith, H. H., & Sachek, J. (2004). Temperament and attention deficit hyperactivity disorder: The development of a multiple pathway model. Journal of Clinical Child and Adolescent Psychology, 33, 42–53.
Nigg, J. T., Silk, K. R., Stavro, G., & Miller, T. (2005). Disinhibition and borderline personality disorder. Development and Psychopathology, 17, 1129–1149. doi: 10.1017/S0954579405050534.
Patrick, J. (1984). Characteristics of DSM-III borderline MMPI profiles. Journal of Clinical Psychology, 40, 655–658. doi:10.1002/1097-4679(198405)40:3<655::AID-JCLP2270400304>3.0.CO;2-F.
Resnick, R. J., Goldberg, S. C., Schulz, S., & Schulz, P. M. (1988). Borderline personality disorder: Replication of MMPI profiles. Journal of Clinical Psychology, 44, 354–360. doi:10.1002/1097-4679(198805)44:3<354::AID-JCLP2270440307>3.0.CO;2-R.
Resnick, R. J., Schulz, P. M., Schulz, S. C., Hamer, R. M., Friedel, R. O., & Goldberg, S. C. (1983). Borderline personality disorders: Symptomatology and MMPI characteristics. Journal of Clinical Psychiatry, 44, 289–292.
Schinka, J. A., Elkins, D. E., & Archer, R. P. (1998). Effects of psychopathology and demographic characteristics on MMPI-A scale scores. Journal of Personality Assessment, 71, 295–305. doi:10.1207/s15327752jpa7103_1.
Sellbom, M., Smid, W., De Saeger, H., Smit, N., & Kamphuis, J. H. (2014). Mapping the personality psychopathology five domains onto DSM-IV personality disorders in Dutch clinical and forensic samples: Implications for DSM-5. Journal of Personality Assessment, 96(2)
Sharp, C., & Romero, C. (2007). Borderline personality disorder: A comparison between children and adults. Bulletin of the Menninger Clinic, 71, 85–114. doi:10.1521/bumc.2007.71.2.85.
Sherwood, N.E., Ben-Porath, Y.S., & Williams, C.L. (1997). The MMPI-A Content Component Scales: Development, psychometric characteristics, and clinical application (MMPI-2/MMPI-A Test Report No. 3). Minneapolis, MN: University of Minnesota Press.
Skinstad, A. (1994). MMPI characteristics of alcoholics with borderline personality disorder. European Journal of Psychological Assessment, 10, 34–42.
Skodol, A. E. (2012). Personality disorders in DSM-5. Annual Review of Clinical Psychology, 8, 317–344. doi:10.1146/annurev-clinpsy-032511-143131.
Snyder, S., Pitts, W., Goodpaster, W., Sajadi, C., & Gustin, Q. (1982). MMPI profile of borderline personality disorder. The American Journal of Psychiatry, 139, 1046–1048.
Snyder, S., Sajadi, C., Pitts, W. M., & Goodpaster, W. A. (1982). Identifying the depressive border of the borderline personality disorder. The American Journal of Psychiatry, 139, 814–817.
Tackett, J. L., Quilty, L. C., Sellbom, M., Rector, N. A., & Bagby, R. (2008). Additional evidence for a quantitative hierarchical model of mood and anxiety disorders for DSM-V: The context of personality structure. Journal of Abnormal Psychology, 117, 812–825. doi:10.1037/a0013795.
Tackett, J. L., Silberschmidt, A. L., Krueger, R. F., & Sponheim, S. R. (2008). A dimensional model of personality disorder: Incorporating DSM Cluster A characteristics. Journal of Abnormal Psychology, 117, 454–459. doi:10.1037/0021-843X.117.2.454.
Tannock, R. (2009). ADHD with anxiety disorders. In T. E. Brown (Ed.), ADHD comorbidities: Handbook for ADHD complications in children and adults (pp. 131–155). Washington, DC: American Psychiatric.
Tellegen, A., & Waller, N. G. (2008). Exploring personality through test construction: Development of the multidimensional personality questionnaire. In G. J. Boyle, G. Matthews, & D. H. Saklofske (Eds.), The Sage handbook of personality theory and assessment (Personality measurement and testing, Vol. 2, pp. 261–292). Thousand Oaks, CA: Sage.
Trull, T. J., Useda, J., Costa, P. R., & McCrae, R. R. (1995). Comparison of the MMPI-2 personality psychopathology five (PSY-5), the NEO-PI, and the NEO-PI—R. Psychological Assessment, 7, 508–516. doi:10.1037/1040-3590.7.4.508.
Tyrer, P., & Johnson, T. (1996). Establishing the severity of personality disorder. American Journal of Psychiatry, 153, 1593–1597.
Veltri, C. C., Graham, J. R., Sellbom, M., Ben-Porath, Y. S., Forbey, J. D., O'Connell, C., et al. (2009). Correlates of MMPI-A scales in acute psychiatric and forensic samples. Journal of Personality Assessment, 91, 288–300. doi:10.1080/00223890902794374.
Venta, A., Kenkel-Mikelonis, R., & Sharp, C. (2012). A preliminary study of the relation between trauma symptoms and emerging BPD in adolescent inpatients. Bulletin of the Menninger Clinic, 76, 130–146. doi:10.1521/bumc.2012.76.2.130.
Watson, D. (2005). Rethinking the mood and anxiety disorders: A quantitative hierarchical model for DSM-V. Journal of Abnormal Psychology, 114, 522–536. doi:10.1037/0021-843X.114.4.522.
Watson, D., Clark, L. E., & Chmielewski, M. (2008). Structures of personality and their relevance to psychopathology: II. Further articulation of a comprehensive unified trait structure. Journal of Personality, 76, 1545–1585.
Widiger, T. A., & Clark, L. (2000). Toward DSM—V and the classification of psychopathology. Psychological Bulletin, 126, 946–963. doi:10.1037/0033-2909.126.6.946.
Widiger, T. A., Sanderson, C., & Warner, L. (1986). The MMPI, prototypal typology, and borderline personality disorder. Journal of Personality Assessment, 50, 540–553. doi:10.1207/s15327752jpa5004_2.
Williams, C. L., Butcher, J. N., Ben-Porath, Y. S., & Graham, J. R. (1992). MMPI-A content scales: Assessing psychopathology in adolescents. Minneapolis, MN US: University of Minnesota Press.
Wygant, D. B., Sellbom, M., Graham, J. R., & Schenk, P. W. (2006). Incremental validity of the MMPI–2 PSY–5 scales in assessing self-reported personality disorder criteria. Assessment, 13, 178–186.
Zalewski, C., & Archer, R. P. (1991). Assessment of borderline personality disorder: A review of MMPI and Rorschach findings. Journal of Nervous and Mental Disease, 179, 338–345. doi:10.1097/00005053-199106000-00006.
Zinn, S., McCumber, S., & Dahlstrom, W. (1999). Cross-validation and extension of the MMPI-A IMM scale. Assessment, 6, 1–6. doi:10.1177/107319119900600101.
Suggested Reading
Archer, R. P. (2005). MMPI-A: Assessing adolescent psychopathology (3rd ed.). Mahwah, NJ: Lawrence Erlbaum.
Archer, R. P., Ball, J. D., & Hunter, J. A. (1985). MMPI characteristics of borderline psychopathology in adolescent inpatients. Journal of Personality Assessment, 49, 47–55. doi: 10.1207/s15327752jpa 4901_10.
Nigg, J. T., Silk, K. R., Stavro, G., & Miller, T. (2005). Disinhibition and borderline personality disorder. Development and Psychopathology, 17, 1129–1149. doi: 10.1017/S0954579405050534.
McNulty, J. L., Harkness, A. R., Ben-Porath, Y. S., & Williams, C. L. (1997). Assessing the personality psychopathology five (PSY-5) in adolescents: New MMPI–A scales. Psychological Assessment, 9, 250–259. doi: 10.1037/1040-3590.9.3.250.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer Science+Business Media New York
About this chapter
Cite this chapter
Sellbom, M., Jarrett, M.A. (2014). Conceptualizing Youth BPD Within an MMPI-A Framework. In: Sharp, C., Tackett, J. (eds) Handbook of Borderline Personality Disorder in Children and Adolescents. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-0591-1_6
Download citation
DOI: https://doi.org/10.1007/978-1-4939-0591-1_6
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4939-0590-4
Online ISBN: 978-1-4939-0591-1
eBook Packages: Behavioral ScienceBehavioral Science and Psychology (R0)