Gordon Robert M
Psychol Rep. 2006 Jun;98(3):870-2. doi: 10.2466/pr0.98.3.870-872.
The MMPI-2 Restructured Clinical scales rest on the common behavioral assumption that consistent items can be added to assess all psychopathologies. This may be the case for some unitary symptoms such as anxiety or anger, but not for complex diagnostic conditions such as Hysteria, Post Traumatic Stress Disorder, and Borderline Personality Disorder. These are better understood with a psychodynamic formulation. Psychodynamic theory assumes that internal conflicts and contradictions are a significant feature of many psychopathologies. For example, the new MMPI-2 Restructured Clinical scales eliminated a measure of hysteria. The RC3 Cynicism scale is not an improvement over the MMPI-2 Hysteria scale, as the new scale serves as an example of a failure of the behaviorism to account for complex psychopathology. Making scales more internally consistent and distinct from each other has not produced more external validity and useful measures for many of the psychopathologies found in clinical practice.
明尼苏达多相人格测验第二版（MMPI - 2）的重构临床量表基于这样一个共同的行为假设，即可以将一致的项目相加来评估所有精神病理学症状。对于某些单一症状，如焦虑或愤怒，可能确实如此，但对于诸如癔症、创伤后应激障碍和边缘性人格障碍等复杂的诊断情况则不然。用心理动力学的表述能更好地理解这些情况。心理动力学理论认为，内部冲突和矛盾是许多精神病理学的一个显著特征。例如，新的MMPI - 2重构临床量表取消了一项癔症测量。RC3愤世嫉俗量表并不比MMPI - 2癔症量表有所改进，因为新量表是行为主义未能解释复杂精神病理学的一个例子。使量表在内部更加一致且彼此区分，对于临床实践中发现的许多精神病理学症状而言，并没有产生更高的外部效度和更有用的测量方法。
