Four adult attachment styles that have been extensively reported in the literature have been labeled secure, dismissing, preoccupied, and fearful. Unfortunately, there are no existing published studies that measure attachment styles of incarcerated women. This study used responses from 158 women incarcerated at a federal prison on the Relationship Questionnaire, Millon Clinical Multiaxial Inventory-III (MCMI-III), and Record of Maltreatment Experiences to examine several facets of the association of attachment styles with childhood abuse and scales on the MCMI-III. The inmates who survived abuse endorsed the fearful and preoccupied attachment styles more, and the secure style less, than did the women who did not acknowledge a history of abuse. There was no statistically significant finding among attachment styles based on physical or sexual abuse. Inmates who were abused by a family member were more likely to endorse the fearful attachment style. The depressive, sadistic, and dependent MCMI-III scales were determined to be more highly associated with fearful or preoccupied attachment styles than with dismissing or secure styles. Finally, the inmates endorsed the anxious/ambivalent (fearful and preoccupied) attachment style more, and the secure style less, than non-incarcerated individuals as reported in the literature.

Four adult attachment styles that have been extensively reported in the literature have been labeled secure, dismissing, preoccupied, and fearful. Unfortunately, there are no existing published studies that measure attachment styles of incarcerated women. This study used responses from 158 women incarcerated at a federal prison on the Relationship Questionnaire, Millon Clinical Multiaxial Inventory-III (MCMI-III), and Record of Maltreatment Experiences to examine several facets of the association of attachment styles with childhood abuse and scales on the MCMI-III. The inmates who survived abuse endorsed the fearful and preoccupied attachment styles more, and the secure style less, than did the women who did not acknowledge a history of abuse. There was no statistically significant finding among attachment styles based on physical or sexual abuse. Inmates who were abused by a family member were more likely to endorse the fearful attachment style. The depressive, sadistic, and dependent MCMI-III scales were determined to be more highly associated with fearful or preoccupied attachment styles than with dismissing or secure styles. Finally, the inmates endorsed the anxious/ambivalent (fearful and preoccupied) attachment style more, and the secure style less, than non-incarcerated individuals as reported in the literature.

The Millon Clinical Multiaxial Inventory-Third Edition (MCMI-III) currently ranks among the most commonly utilized personality tools. A review of the literature revealed that ethnic minorities tend to score higher on certain scales of the MMPI and MCMI compared to their White counterparts. The literature also indicated that acculturation level can serve as a moderator variable on overall performance on these measures. Most of the studies that examined racial/ethnic differences on the MCMI were conducted using the MCMI-I and MCMI-II. While many MCMI studies have explored racial differences, few studies have examined the impact of cultural factors on MCMI-III performance. To date, there is no empirical data on the impact of culture on the MCMI-III scores of Blacks from different cultural backgrounds. Given the significant increase in the number of Black immigrants to the United States especially from the Caribbean and Africa, Black Americans are becoming an even more diverse group, representing different cultures and nationalities. In the current study, the performance of African Americans (n = 52) and Caribbean Blacks (n = 77) were compared on the Antisocial, Narcissistic, Paranoid, and Delusional Disorder scales of the MCMI-III. Attempts were also made to compare Blacks in the current sample to the MCMI-III's development sample. Additionally, the impact of cultural variables was examined using the African American Acculturation Scaled-Revised (AAAS-R). Multivariate Analysis of Variance procedure revealed no significant difference in performance between the two groups on the select scales of the MCMI-III (p =.883). Additional analyses revealed significant difference between the two groups on the Compulsive scale: Caribbean Blacks obtained a higher mean (Cohen's d =.-50. F= 6.663, p = .011). Analyses comparing the Blacks in the current sample to the MCMI-III's development sample indicated the following: a) a significant difference between the two groups on the Antisocial, Narcissistic, and Delusional Disorder Scales and b) no significant difference between the two groups on the Paranoid scale (p = .559). Supplemental analysis revealed moderate association between the Paranoid and Delusional Disorder Scales of the MCMI-III and certain scales of the AAAS-R, implying both a degree of item overlap and similar item content.

The Brazilian-Portuguese Millon Clinical Multiaxial Inventory-III (BP-MCMI-III) is a newly developed translation of the original MCMI-III and requires validation before it can be used in cross-cultural research and clinical settings. This study was the first validation study with the BP-MCMI-III and examined the validity of its Alcohol Dependence and Drug Dependence scales for identifying substance-related disorders in a Brazilian sample. The diagnostic validity of these scales was examined by comparing participants' scores on the BP-MCMI-III against group status (controls versus patients receiving substance abuse treatment) and against clinical diagnoses made based on a DSM-IV-TR symptom checklist. In addition, diagnostic validity statistics were also computed for both scales. The construct validity of the Alcohol Dependence scale was examined by comparing the subjects' scores with their performance on a Brazilian version of the Alcohol Use Disorders Identification Test (AUDIT). The total sample used in this study consisted of 126 Brazilians residing in the metropolitan area of Rio de Janeiro, Brazil. Of the total sample, 75 were inpatients at treatment facilities for substance abuse and 51 were not receiving treatment for alcohol- or drug-related problems at the time of testing. The results of this study supported the validity of the BP-MCMI-III for diagnosing substance-related disorders among Brazilians.

The purpose of the present study was to study the relationship of MCMI-III clinical scales with MMPI-2 clusters in a chronic pain population. Data was obtained through assessment data (N = 242) from the Dallas Spinal Rehabilitation Center (DSRC), that included MMPI-2 and MCMI-III, as well as pre-and post-assessment information (n = 21) and follow-up questionnaires (n = 19). Subjects' age ranged from 18 to 64. Each patient had a primary diagnosis related to a back and/or a cervical injury, a chronic pain diagnosis, and often medical prescription dependency and/or addition. Each has experienced back pain in the lumbar region (L1 to L5) or cervical region (C1 to C7) for an average of 32 months. Patients with thoracic (mid-spine) and carpal tunnel pain were excluded from this study. A multivariate cluster analysis procedure was performed that yielded 3 homogeneous female MMPI-2 clusters and 4 MMPI-2 homogeneous male clusters. Seven multiple regression analyses were performed to determine which MCMI-III clinical scales predicted cluster membership in the MMPI-2 clusters. Results indicated that MCMI-III clinical scales "7" Compulsive, "X" Validity and "C" Borderline were predictors for membership in the male MMPI-2 clusters. Membership in the female MMPI-2 clusters were predicted by MCMI-III clinical scales "4" Histrionic, "T" Drug Dependence and "2A" Avoidant. Nineteen pre-and post-MCMI-IIIs were analyzed for change after participants completed the six-week pain management program. Paired-sample t-tests were performed on these data and revealed that significant change was noted on 10 MCMI-III clinical scales. Follow-up data questionnaires were available on these same individuals. Results from a correlation analysis indicated that patients who reported having supportive relationships with their spouse and family and a secure source of income report better quality of sleep, better mood, are able to relax and are believe that they are able to manage their pain. Participants who were able to relax and remain calm report better quality of sleep, exercise frequently, report better quality of mood and believe that they will return to work soon. Findings from this study suggest that rather than using the MCMI-III as a diagnostic tool, a more efficient use of this instrument would be to understand maladaptive coping styles that may be present under stressful situations. This study's findings suggest that pain treatment program staff could utilize follow up information, as well as diagnostic information about coping strategies that might appear under stress, to shape interventions. Future research might focus on investigation of factors that predict both improvement and program failure, especially those present at initial intake.

This study used the Millon Clinical Multiaxial Inventory-III to examine the relationship of psychopathology and victim selection of young adult pedophiles convicted of Penal Code 288 (a). The sample consisted of 64 felons, aged 18 to 24, incarcerated at the California Youth Authority. Significant differences were not discovered between the group means of male or female victims or between familial and non-familial victims. Individual scale elevations above the Base Rate of 75 were significant between the groups. Depressive traits were reported for pedophiles who had both male and female victims and Dependent traits for only male victims. Incest offenders reported both Self-Defeating traits and problems associated with Drug Dependence. Non-familial offenders reported Paranoid personality traits. The results suggest that pedophilic interest is characterized by an independent, active, and defensive personality and also by a passive, dependent, drug dependent personality style, all contributing to molest potential. This group of pedophiles can be considered heterogeneous and cannot be characterized by any one diagnostic category.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-03-09T22:56:26Z No. of bitstreams: 1 ClarissaNesiVenzon_DISSERT.pdf: 2129281 bytes, checksum: 8bd476fcced3f9ebacf23659cc288b48 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-03-10T23:32:29Z (GMT) No. of bitstreams: 1 ClarissaNesiVenzon_DISSERT.pdf: 2129281 bytes, checksum: 8bd476fcced3f9ebacf23659cc288b48 (MD5) / Made available in DSpace on 2016-03-10T23:32:29Z (GMT). No. of bitstreams: 1 ClarissaNesiVenzon_DISSERT.pdf: 2129281 bytes, checksum: 8bd476fcced3f9ebacf23659cc288b48 (MD5) Previous issue date: 2013-09-19 / A Obesidade ? uma doen?a cr?nica de etiologia multifatorial que se caracteriza por excesso de gordura corp?rea, cujo grau varia de acordo com o ?ndice de Massa Corporal (IMC=m2 /kg). A obesidade grave ? caracterizada por IMC>40, frequentemente associada a altera??es cl?nicas end?crino-metab?licas ou mec?nicas e transtornos psicol?gicos; o quadro de Compuls?o Alimentar Peri?dica (CAP) tem alta incid?ncia nesta popula??o. A cirurgia Bari?trica vem sendo o tratamento de escolha para a obesidade grave, por apresentar r?pido emagrecimento e melhora nas condi??es cl?nicas. T?m-se verificado aumento de peso ap?s dois anos de cirurgia em 20% a 30% dos casos. O objetivo geral desta pesquisa ? avaliar caracter?sticas psicol?gicas e comportamentais entre obesos graves submetidos ? Cirurgia Bari?trica do tipo Bypass G?strico h? pelo menos 24 meses. Foram investigados aspectos espec?ficos como, (1) caracter?sticas do funcionamento personalidade e presen?a de transtornos cl?nicos e de personalidade; (2) a incid?ncia de CAP e sua rela??o com perda de peso; (3) a diferen?a entre os grupos em rela??o aos acompanhamentos p?s-cir?rgicos; atividade f?sica, acompanhamento psicol?gico e nutricional. M?todo: 40 adultos (homens e mulheres), com idades entre 23 a 60 anos, submetidos ? cirurgia bari?trica h? pelo menos 24 meses, na cidade de Natal-RN, foram divididos em dois grupos com n= 20, Grupo de Ganho, com perda < 50% do peso excedente inicial, e o Grupo de Perda, com perda >50%. O protocolo de pesquisa foi composto por question?rio biossociodemogr?fico, o m?todo de Rorschach ? Sistema Compreensivo (SC); Invent?rio de Personalidade de Millon (MCMI-III); e Escala de Compuls?o Alimentar Peri?dica (ECAP). Atrav?s do m?todo de Rorschach foram evidenciadas diferen?as significativas entre os dois grupos, relacionadas aos tipos vivenciais (EB), maior presen?a de EB Extratensivo no Grupo Ganho e Intratensivo no Grupo de Perda; e ao descontrole na express?o dos afetos, com eleva??o de respostas de Cor Pura no Grupo Ganho. Em rela??o ? popula??o normativa do SC, a amostra como um todo apresentou maior tend?ncia a experienciar sofrimento ps?quico, auto percep??o denegrida, autocr?tica excessiva, distor??es perceptivas, vulnerabilidade a desenvolver transtornos afetivos e eleva??o da pontua??o na Constela??o de Suic?dio. O MCMI-III indicou maior incid?ncia de transtornos cl?nicos e de personalidade no Grupo Ganho: Transtorno Depressivo e Esquizot?pico, Ansiedade, Distimia, Depress?o Maior; Transtorno do Pensamento, Bipolar- Man?aco e Transtornos de Estresse P?s-Traum?tico. Os resultados da ECAP indicaram diferen?a significativa, com eleva??o de CAP no Grupo de Ganho como tamb?m, entre a gravidade de CAP e presen?a de transtornos cl?nicos e de personalidade. Em rela??o aos acompanhamentos foi encontrada diferen?a significativa no quesito atividade f?sica com mediana elevada no Grupo de Perda. Os grupos ainda se diferenciaram em rela??o ao peso inicial e tempo p?scir?rgico, indicando que quanto maior o peso inicial e tempo percorrido maior o aumento de peso p?s-cir?rgico. Os resultados ainda revelam que os participantes com mais de 3 anos de tempo cirurgia, apresentam eleva??o na presen?a de Transtornos Cl?nicos de Transtorno Depressivo Maior; Transtorno Somatoforme; Distimia. Tais resultados corroboram conclus?es de estudos sobre a rela??o entre CAP p?s-cir?rgico e novo ganho de peso, como tamb?m acerca de maior incid?ncia de transtornos cl?nicos na popula??o obesa grave. Conclui-se que o processo cir?rgico ? apenas uma faceta do tratamento da obesidade grave, e que o acompanhamento p?s-cir?rgico deve receber maior aten??o e ocorrer em longo prazo para a manuten??o n?o s? dos resultados cir?rgicos, como da melhoria da qualidade de vida dos pacientes. / Obesity is a chronic disease that has multi-factorial aetiology, characterized by high degree of body fat; the degree of obesity will vary according to the Body Mass Index (BMI=m2 /kg). The severe degree of obesity is characterized by BMI>40 and it is regularly associated to endocrine-metabolic or mechanic clinical alterations, and to psychological disorders. Binge Eating (BE) results were overly high for this population. The Bariatric Surgery has been the treatment chosen by those diagnosed with severe obesity as this intervention provides prompt outcomes for loss of weight and clinical improvement conditions. However, recent research has acquiesced that after two years between 20% and 30% of people subject to this intervention gained weight. The main objective of this research is to assess the psychological and behavioral characteristics of those diagnosed with severe obesity that have been subject to Gastric Bypass Surgery in the past 24 months. Specific aspects were investigated: (1) characteristics of different personalities and diagnose of clinic and personality disorders; (2) BE and its relation with loss of weight; (2) the difference between the groups regarding post-surgery care, e.g. physical activity, psychological and dietician input. Method: 40 adults (women and men) aged 23 and 60 year-old who went through a bariatric surgery in the past 24 months, in the city of Natal-RN (Brazil); they were assembled in two groups n=20, Gain group displaying loss of < 50% of their initial surplus of weight, and the Loss group displaying loss of >50%. The research protocol is made of a socio-demographic questionnaire and 3 psychometric instruments: Rorschach ? Comprehensive System; Millon Personality Inventory (MCMI-III); and the Binge Eating Scale (Escala de Compuls?o Alimentar Peri?dica (ECAP). Through Rorschach significant differences between these groups were verified according to the kind of personality (EB) - more EB Extratensivo in Gain group and Intratensivo in Loss group ? and the lack of control to express affect, increasing the answer for Color Pure at Group I. Concerning the people standardization, the sample as a whole tends to show psychic pain, denigrated selfperception, high levels of self-criticism, distorted perceptions, vulnerability to develop mood disorders and high scores regarding Suicide. MCMI-III results showed more clinic and personality disorders in Group I: Depressive Disorder and Schizotypal, Anxiety, Dysthymia, Major Depressive Disorder; Thought Disorder, Bipolar- Manic and Posttraumatic Stress Disorder. In relation to ECAP, the results indicated significant differences, showing increased BE results in Gain group. There were found significant differences between BE severity and the presence of clinic and personality disorders. Concerning the post-surgery care, the observed differences are statistically significant regarding physical activities with median-increased differences in Loss group. There is a difference between the initial weight and the time post-surgery, indicating that the higher the initial weight and the time after the surgery the higher the re-gain of weight post-surgery. Finally, the results show that the participants with more than 3 years of surgery will have Clinic and Major Depressive Disorders; Somatoform Disorder; Dysthymia. These results confirm prior studies related to BE post-surgery and re-gain of weight as well as the proneness of clinic disorders in severe obesity people. That means the results reinforce that the surgery process is a facet of the severe obesity treatment. The post-surgery process needs to be the main focus of attention and have a long-term input to sustain the care of the surgery results and the quality of life of the patients.

Made available in DSpace on 2014-12-17T15:38:53Z (GMT). No. of bitstreams: 1 HeloisaKCS_DISSERT.pdf: 1122622 bytes, checksum: deb681a00b9e4783f5bbe27f6cccc4a1 (MD5) Previous issue date: 2011-05-20 / This study has as main objectives to translate and to adapt the MCMI-III to brazilian Portuguese, as well as investigate and analyze the involved modifications in the Alcohol Dependence Scale concerning to the results obtained on the validity and on the process of adaptation to Brazil. The inventory was translated and, posteriorly, applied on people with different reading levels to certify that the items are understandable to public in general, from diverse places of the country, divided into clinical and non-clinical groups. Were evaluated 2855 subjects between the ages of 18 and 85 years old, male and female, resident and dwellers of Brazilian cities. The application methods were face-to-face and computerized. Results showed that the clinical group presented significant differences between the means in comparison to the non-clinical group. Through the application of the General Health Questionnaire were developed studies related to the achievement of convergent validity and its results pointed to the relation between the instrument scores and the MCMI-III. The Alcohol Dependence Scale analysis indicated that people who reported abusive use of alcohol had highest scores, indicating adequacy of the instrument on identifying manifestation of disorders and syndromes. Nevertheless, further studies are necessary to the establishment of normative patterns to the Brazilian sample / Esse estudo tem como principais objetivos traduzir e adaptar o MCMI-III para o portugu?s brasileiro, bem como investigar e analisar as modifica??es envolvidas na escala de Depend?ncia de ?lcool do instrumento original em rela??o aos resultados obtidos na validade e no processo de adapta??o para o Brasil. O invent?rio foi traduzido e posteriormente administrado em pessoas com n?veis variados de leitura para certificar-se de que os itens pudessem ser compreendidos pelo p?blico em geral, de diversos locais do pa?s, divididos em grupo cl?nico e grupo n?o cl?nico. Foram avaliados 2855 sujeitos com idades de 18 a 85 anos, dos sexos feminino e masculino, residentes e domiciliados em cidades brasileiras. As formas de administra??o foram modo presencial e modo informatizado. Os resultados demonstraram que o grupo cl?nico apresentou diferen?as significativas entre as m?dias com rela??o ao grupo n?o cl?nico. Por meio da administra??o do Question?rio Geral de Sa?de desenvolveram-se estudos quanto ? obten??o de validade convergente cujos resultados apontaram a rela??o entre os escores desse instrumento e o MCMI-III. A an?lise da escala de Depend?ncia do ?lcool apontou que pessoas que relataram ter feito uso abusivo de ?lcool pontuaram mais alto, indicando a adequa??o do instrumento em identificar manifesta??es de transtornos e s?ndromes. Contudo, ainda s?o necess?rios estudos posteriores para estabelecimento de padr?es normativos para a amostra brasileira