Final answer:
The MCMI-IV allows for two types of Base Rate (BR) score adjustments: upward adjustments for scores under 34 to address underreporting and downward adjustments for scores over 85 to address overreporting, following protocols in the MCMI-IV manual.
Step-by-step explanation:
The Millon Clinical Multiaxial Inventory-IV (MCMI-IV) is a psychological assessment tool primarily used for clinical diagnosis and treatment planning. The two possible Base Rate (BR) adjustments that can be made on the MCMI-IV respond to the potential for inflation or deflation of scores due to response styles. To ensure accurate interpretation, clinicians can adjust scores using the following methods:
- Modifying BR scores below the standard cutoffs: Adjusting the BR scores upward for clients who may minimize their responses or underreport psychopathology, which is typically applied to BR scores under 34.
- Modifying BR scores that are significantly high: Adjusting the BR scores downward for clients who may exaggerate or overreport symptoms, which is usually relevant for BR scores above 85.
These adjustments are guided by specific protocols in the MCMI-IV manual and are critical for achieving an accurate representation of the client's psychological state.