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Additionally, one can also apply the use of the Negative Distortion Scale [2]. The clinical scales measure the respondent's psychopathology using diagnostic categories that were judged by the developers to be relevant based on their historical and contemporary popularity among psychologists.

Each clinical scale except Alcohol Problems and Drug Problems represents a particular trait, and each scale has sub-scales that represent more specific aspects of that trait.

The treatment consideration scales measure factors that may relate to treatment of clinical disorders or other risk factors but which are not captured in psychiatric diagnoses.

The interpersonal scales measure two factors that affect interpersonal functioning for the respondent.

They are based on the circumplex model of emotion classification. The rationale behind the development of the PAI was to create an assessment tool that would enable the measurement of psychological concepts while maintaining statistical strength.

The development methodology was based on several advances that the field of personality assessment was witnessing at the time.

Due to the fuzzy nature of constructs concepts in psychology, it is very difficult to use criterion-referenced approaches, such as those used in some parts of medicine e.

This is why construct validation is very important to personality test development. It is usually described as being involved when tests intend to measure some construct that is not "operationally defined".

The PAI was developed because the authors of the instrument felt that there were a limited number of self-report questionnaires that were using this type of construct validation method to assess areas relevant to diagnoses and treatment planning.

Constructs were included if they had been relatively stable in their importance of diagnosing mental disorders over time, and if they were important in contemporary clinical practice.

The construct validation approach that was used to construct the PAI was used to maximize two types of validity: content validity and discriminant validity.

To ensure that the PAI maximized content validity, each scale had a balanced sample of items that represented a range of important items for each construct.

For example, the Depression scale has items involving physical, emotional, and cognitive content as opposed to only questions about mood or interests.

Each scale also assesses a range of severity for that scale; for example, the Suicidal Ideation scale has items that range from vague ideas about suicide to distinct plans for self-harm.

To ensure that the PAI maximized discriminant validity, each of the scales should be relatively distinct from one another.

For example, if the depression and anxiety scales had many of the same items on them, it would be difficult to tell if elevations on these scales meant that the person was experiencing symptoms of depression, anxiety, or both.

As such, the developers of the PAI stressed the fact that their measure has no overlapping items to ensure better interpretation of the scales.

The PAI focuses on the content of psychological concepts. The initial items were written so that the content would be directly relevant to the different constructs measured by the test.

These items were rated for their quality, appropriateness, and bias. For example, a bias review panel identified items that could seem to be pathological but are actually normal within a subculture.

After ensuring that the PAI addressed certain concepts in psychopathology, the developers proceeded to a second stage in the process.

This stage involved the "empirical evaluation" of the items. The research team administered two versions of the test, first to a sample of college students and later to a normative sample.

These versions were evaluated using several criteria, such as internal consistency of the scales or how much the items in one scale correlate with each other.

The ability to fake good or bad while taking the test was also evaluated using a sample of college students that were given different instructions on how to answer the test.

The PAI is often used in forensics and corrections, where increasing support for its validity has been noted. First, the 4-point scale contributes to greater scale reliability and validity, as it provides respondents with the opportunity to give nuanced ratings of themselves as opposed to a true-false scale.

Second, it is relatively economical, assessing most of the constructs that are widely considered important in clinical personality assessment with only items.

Third, nearly all of the PAI items are readable at the 4th grade level. Brevity and straightforward item wording reduce the administrative burden on respondents.

The lower reading level makes it accessible to those with lower levels of intelligence and reading ability. It includes items, written at a fourth-grade reading level, covering 22 nonoverlapping scales:.

Ten of these scales contain conceptually derived subscales that permit more detailed interpretation. A convenient Profile Form lets you quickly plot scores, and a Critical Items Form alerts you to behavior or psychopathology that warrants immediate attention.

The PAI gives you a wealth of clinically relevant information in an easy-to-interpret format. Assessment Area. Adult Clinical.

Morey, PhD. Benefits Assesses psychopathological syndromes, providing easy-to-interpret information that's useful in diagnosis and treatment planning Ages 18 years and up Admin time Less than 1 hour Format Self-report inventory Scores T-scores for scales and subscales Norms Standardized on a nationally representative sample of 1, adults, with data for various clinical groups, older adults, college students, and African Americans Publish Date Qualifications Level C required.

About Qualification Levels.

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