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Adapting assessment processes to consider cultural mistrust in forensic practices: An example with the MMPI instruments.
Law and Human Behavior ( IF 3.870 ) Pub Date : 2023-02-01 , DOI: 10.1037/lhb0000504
Janelle N Dixon 1 , Tonneka M Caddell 1 , Apryl A Alexander 2 , Danielle Burchett 3 , Jaime L Anderson 4 , Ryan J Marek 5 , David M Glassmire 1
Affiliation  

OBJECTIVE Our first goal in this study was to identify cultural mistrust critical items (CMCIs) on two versions of the Minnesota Multiphasic Personality Inventory (MMPI)-the MMPI-Second Edition-Restructured Form (MMPI-2-RF) and MMPI-Third Edition (MMPI-3)-that might be endorsed by people of color because of cultural mistrust rather than clinical paranoia. Our second goal was to determine whether CMCIs and items on the MMPI-2-RF/MMPI-3 Ideas of Persecution scale (Restructured Clinical Scale 6 [RC6]) were endorsed at different rates across cultural groups in a nonclinical college sample and a forensic inpatient sample. HYPOTHESES Our primary hypothesis was that expert raters would reliably identify a subset of MMPI-2-RF and MMPI-3 items as reflective of cultural mistrust. Black college students would endorse the highest level of CMCIs, followed by Latina/o students, and then White students. We hypothesized that the same pattern of findings would occur in forensic inpatients but that the differences would be attenuated because of the high base rate of psychiatric symptomatology and the nature of the forensic assessment setting. METHOD Three Black female and three Black male psychologists rated the degree to which each item on the MMPI-2-RF and MMPI-3 reflected cultural mistrust. Black (n = 90), Latina/o (n = 83), and White (n = 100) college students were compared on CMCIs and on MMPI-2-RF/MMPI-3 RC6 item endorsement. The same comparisons were made among Black (n = 221), Latina/o (n = 142), and White (n = 483) forensic inpatients who completed the MMPI-2-RF. RESULTS Black college students endorsed the highest levels of cultural mistrust, followed by Latina/o students, and then White students, resulting in small-to-medium effect sizes (Hedges's gs = 0.14-0.52). Although we observed some item-level differences in forensic patients, the overall pattern of item endorsement did not significantly differ in this group. CONCLUSIONS There are multiple reasons for the reporting of clinical paranoia and cultural mistrust in forensic assessment. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

中文翻译:

调整评估过程以考虑法医实践中的文化不信任:MMPI 工具的一个例子。

目的 我们在本研究中的第一个目标是确定两个版本的明尼苏达多相人格量表 (MMPI) 中的文化不信任关键项目 (CMCI)——MMPI-第二版-重组表 (MMPI-2-RF) 和 MMPI-第三版(MMPI-3) - 由于文化不信任而不是临床偏执狂,有色人种可能会认可。我们的第二个目标是确定 CMCI 和 MMPI-2-RF/MMPI-3 迫害思想量表(重组临床量表 6 [RC6])中的项目是否在非临床大学样本和法医样本中以不同的比率跨文化群体得到认可住院样本。假设 我们的主要假设是,专家评分者会可靠地将 MMPI-2-RF 和 MMPI-3 项目的子集识别为文化不信任的反映。黑人大学生会认可最高级别的 CMCI,其次是拉丁裔学生,然后是白人学生。我们假设法医住院患者会出现相同的发现模式,但由于精神病症状学的高基础率和法医评估环境的性质,差异会减弱。方法 三名黑人女性和三名黑人男性心理学家评估了 MMPI-2-RF 和 MMPI-3 中每个项目反映文化不信任的程度。黑人 (n = 90)、拉丁裔/o (n = 83) 和白人 (n = 100) 大学生在 CMCI 和 MMPI-2-RF/MMPI-3 RC6 项目背书上进行了比较。在完成 MMPI-2-RF 的黑人 (n = 221)、拉丁裔/o (n = 142) 和白人 (n = 483) 法医住院患者中进行了相同的比较。结果 黑人大学生认可最高水平的文化不信任,其次是拉丁裔/非裔学生,然后是白人学生,导致中小效应(Hedges 的 gs = 0.14-0.52)。尽管我们在法医患者中观察到一些项目级别的差异,但项目背书的总体模式在该组中没有显着差异。结论 在法医评估中报告临床偏执狂和文化不信任有多种原因。(PsycInfo 数据库记录 (c) 2023 APA,保留所有权利)。
更新日期:2023-02-01
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