The Minnesota Multiphasic Personality Inventory (MMPI)

The MMPI-2 contains 567 true/false questions

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The Minnesota Multiphasic Personality Inventory (MMPI) is the most widely used and researched clinical assessment tool used by mental health professionals to help diagnose mental health disorders.

Originally developed in the late 1930s, the test has been revised and updated several times to improve accuracy and validity. The MMPI-2 consists of 567 true-false questions and takes approximately 60 to 90 minutes to complete; the MMPI-2-RF has 338 true-false questions, taking 35 to 50 minutes to finish.

This article discusses how the MMPI was developed, how it is used, and the different versions of the instrument that are available.

History of the MMPI

The Minnesota Multiphasic Personality Inventory (MMPI) was developed in 1937 by clinical psychologist Starke R. Hathaway and neuropsychiatrist J. Charnley McKinley at the University of Minnesota.

They originally developed the test to be used in the Department of Psychology at the University of Minnesota. The goal was to develop an instrument that could be used as an objective tool for assessing different psychiatric conditions and their severity. 

The creators of the test felt that the self-report inventories of the time were too transparent. Because respondents could easily guess the intent of these inventories, they could also manipulate the results with ease.

Test items were originally developed by selecting questions that have been endorsed by people diagnosed with different mental health conditions.

The test grew to become one of the most widely used psychological assessments. It was utilized in psychology clinics, hospitals, correctional facilities, and pre-employment screenings.

Today, it's the most frequently used clinical testing instrument and is one of the most researched psychological tests in existence. While the MMPI is not a perfect test, it remains a valuable tool in the diagnosis and treatment of mental illness.

Recap

The MMPI was developed in the 1930s to help mental health professionals evaluate people with psychiatric disorders. It is widely used today in both clinical and non-clinical settings.

How the Test Has Changed

In the years after the test was first published, clinicians and researchers began to question the accuracy of the MMPI. Critics pointed out that the original sample group was inadequate. Others argued that the results indicated possible test bias, while others felt the test itself contained sexist and racist questions.

In response to these issues, the MMPI underwent a revision in the late 1980s. Many questions were removed or reworded while a number of new questions were added. Additionally, new validity scales were incorporated in the revised test.

  • MMPI-2: The revised edition of the test was released in 1989 as the MMPI-2. The test received revision again in 2001 and updates in 2003 and 2009, and it's still in use today as the most frequently used clinical assessment test.
  • MMPI-2-RF: Another edition of the test, published in 2008, is known as the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF), an alternative to the MMPI-2.
  • MMPI-A: There is also an MMPI, published in 1992, that's geared toward adolescents aged 14 to 18 years old called the MMPI-A. With 478 questions, it takes about an hour to complete.
  • MMPI-A-RF: In 2016, the Minnesota Multiphasic Personality Inventory-Adolescent-Restructured Form (MMPI-A-RF) was published. Like the MMPI-2-RF, it's shorter, with just 241 questions that take 25 to 45 minutes to answer.
  • MMPI-3: The latest version of the instrument, MMPI-3, was released in 2020. The test takes 25 to 50 minutes to complete and is available in English, Spanish, and French for Canada formats.

How the MMPI Is Used

The MMPI is most commonly used by mental health professionals to assess and diagnose mental illness, but it has also been utilized in other fields outside of clinical psychology. The MMPI-2 is often used in legal cases, including criminal defense and custody disputes.

The test has also been used as a screening instrument for certain professions, especially high-risk jobs, although using it in this manner has been controversial. It's also used to evaluate the effectiveness of treatment programs, including substance use programs.

Administration

The MMPI-2 contains 567 test items and takes approximately 60 to 90 minutes to complete. The MMPI-2-RF contains 338 questions and takes around 35 to 50 minutes to finish. The MMPI-3 contains 335 self-report items and takes 25 to 35 minutes to administer by computer and 35 to 40 minutes to administer by paper and pencil.

Additionally, the MMPI is copyrighted by the University of Minnesota, which means clinicians must pay to administer and utilize the test.

The MMPI should be administered, scored, and interpreted by a professional, preferably a clinical psychologist or psychiatrist, who has received special training in MMPI use.

The MMPI test should be used with other assessment tools as well. A diagnosis should never be made solely on the results of the MMPI.

The MMPI can be administered individually or in groups and computerized versions are available as well. Both the MMPI-2 and the MMPI-2-RF are designed for individuals age 18 years and older.

The test can be scored by hand or by a computer, but the results should always be interpreted by a qualified mental health professional that has had extensive training in MMPI interpretation.

10 Clinical Scales

The MMPI-2 and MMPI-A have 10 clinical scales that are used to indicate different psychological conditions, though the MMPI-2-RF and the MMPI-A-RF use different scales.

Despite the names given to each scale, they are not a pure measure since many conditions have overlapping symptoms. Because of this, most psychologists simply refer to each scale by number.

Here's a brief overview of the clinical scales on the MMPI-2 and the MMPI-A.

Scale 1—Hypochondriasis

This scale was designed to assess a neurotic concern over bodily functioning. The items on this scale concern physical symptoms and well-being. It was originally developed to identify people displaying the symptoms of hypochondria, or a tendency to believe that one has an undiagnosed medical condition.

Scale 2—Depression

This scale was originally designed to identify depression, characterized by poor morale, lack of hope in the future, and general dissatisfaction with one's own life situation. Very high scores may indicate depression, while moderate scores tend to reveal a general dissatisfaction with one’s life.

Scale 3—Hysteria

The third scale was originally designed to identify those who display hysteria or physical complaints in stressful situations. Those who are well-educated and of a high social class tend to score higher on this scale. Women also tend to score higher than men on this scale.

Scale 4—Psychopathic Deviate

Originally developed to identify psychopathic individuals, this scale measures social deviation, lack of acceptance of authority, and amorality (a disregard for morality). This scale can be thought of as a measure of disobedience and antisocial behavior.

High scorers tend to be more rebellious, while low scorers are more accepting of authority. Despite the name of this scale, high scorers are usually diagnosed with a personality disorder rather than a psychotic disorder.

Scale 5—Masculinity-Femininity

This scale was designed by the original authors to identify what they referred to as "homosexual tendencies," for which it was largely ineffective. Today, it is used to assess how much or how little a person identifies how rigidly an individual identifies with stereotypical male and female gender roles.

Scale 6—Paranoia

This scale was originally developed to identify individuals with paranoid symptoms such as suspiciousness, feelings of persecution, grandiose self-concepts, excessive sensitivity, and rigid attitudes. Those who score high on this scale tend to have paranoid or psychotic symptoms.

Scale 7—Psychasthenia

This diagnostic label is no longer used today and the symptoms described on this scale are more reflective of anxiety, depression, and obsessive-compulsive disorder. This scale was originally used to measure excessive doubts, compulsions, obsessions, and unreasonable fears.

Scale 8—Schizophrenia

This scale was originally developed to identify individuals with schizophrenia. It reflects a wide variety of areas including bizarre thought processes and peculiar perceptions, social alienation, poor familial relationships, difficulties in concentration and impulse control, lack of deep interests, disturbing questions of self-worth and self-identity, and sexual difficulties.

The scale can also show potential substance abuse, emotional or social alienation, eccentricities, and a limited interest in other people.

Scale 9—Hypomania

This scale was developed to identify characteristics of hypomania such as elevated mood, hallucinations, delusions of grandeur, accelerated speech and motor activity, irritability, flight of ideas, and brief periods of depression.

Scale 0—Social Introversion

This scale was developed later than the other nine scales. It's designed to assess a person’s shyness and tendency to withdraw from social contacts and responsibilities.

Validity Scales

All of the MMPI tests use validity scales of varying sorts to help assess the accuracy of each individual's answers. Since these tests can be used for circumstances like employment screenings and custody hearings, test takers may not be completely honest in their answers.

Validity scales can show how accurate the test is, as well as to what degree answers may have been distorted. The MMPI-2 uses the following scales.

The L Scale

Also referred to as the lie scale, this "uncommon virtues" validity scale was developed to detect attempts by individuals to present themselves in a favorable light.

People who score high on this scale deliberately try to present themselves in the most positive way possible, rejecting shortcomings or unfavorable characteristics.

The F Scale

This scale is used to detect attempts at overreporting. Essentially, people who score high on this scale are trying to appear worse than they really are, they may be in severe psychological distress, or they may be just randomly answering questions without paying attention to what the questions say.

This scale asks questions designed to determine if test-takers are contradicting themselves in their responses.

The K Scale

Sometimes referred to as the "defensiveness scale," this scale is a more effective and less obvious way of detecting attempts to present oneself in the best possible way by underreporting.

People may underreport because they're worried about being judged or they may be minimizing their problems or denying that they have any problems at all.

The ? Scale

Also known as the "cannot say" scale, this validity scale assesses the number of items left unanswered. The MMPI manual recommends that any test with 30 or more unanswered questions should be declared invalid.

TRIN Scale

The True Response Inconsistency (TRIN) scale was developed to detect people who use fixed responding, a method of taking the test without regard to the question, such as marking ten questions "true," the next ten as "false," and so on.

Fixed responding could be used due to not being able to read or comprehend the test material well or being defiant about having to take the test. This section consists of 20 paired questions that are the opposite of each other.

VRIN Scale

The Variable Response Inconsistency (VRIN) scale is another method developed to detect inconsistent, random responses. Like fixed responding, this can be intentional or it can be due to not understanding the material or not being able to read it.

The Fb Scale

This scale is designed to show changes in how a person responded in the first half of the test versus how they responded in the second half by using questions that most normal respondents didn't support.

High scores on this scale sometimes indicate that the respondent stopped paying attention and began answering questions randomly. It can also be due to over or underreporting, fixed responding, becoming tired, or being under severe stress.

The Fp Scale

This scale helps detect intentional overreporting in people who have a mental health disorder of some sort or who were using random or fixed responding.

The FBS Scale

The "symptom validity" scale is used for people who are taking the test because they're claiming that they had a personal injury or disability. This scale can help establish the credibility of the test taker.

The S Scale

The "superlative self-presentation" scale was developed in 1995 to look for additional underreporting. It also has sub-scales that assess the test taker's belief in human goodness, serenity, contentment with life, patience/denial of irritability, and denial of moral flaws.

Recap

While different versions of the test vary in construction, the MMPI-2 and MMPI-A are made of 10 scales that are used to indicate different psychological conditions. The test also contains validity scales that can be helpful for detecting issues with the results such as conscious or unconscious attempts to manipulate the results of the assessment.

Summary

The MMPI is the most frequently used and most extensively researched psychological assessment tool. It is used extensively to help doctors and therapists screen for and diagnose mental health conditions. The test involves completing a number of questions that correspond to different scales that correspond to certain mental health conditions. However, mental health professionals don't rely on the results alone when making a diagnosis.

A Word From Verywell

If you've been asked to take the MMPI, there isn't anything you need to do to prepare. Instead, be ready to answer the questions as honestly as possible. If you have questions, you should be given the opportunity to ask beforehand by the test administrator.

You may feel apprehensive about the test and the possibility of being diagnosed with a mental health condition. It is important to remember that the MMPI is just one tool that your therapist might use to make a diagnosis—they won't rely on these results alone.

Receiving an accurate assessment and diagnosis can help you get the treatment you need to feel your best.

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13 Sources
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