استفاده از پرسشنامه میلون چند محوره بالینی در ارزیابی روانی خشونت خانگی:یک مرور

An Millon Clinical Multiaxial Inventory (MCMI)-based literature review found that the personality disorders of antisocial, aggressive–sadistic, passive–aggressive (negativistic), and, to some extent, narcissistic are more prevalent in the MCMI profile codes of male spouse abusers. There is a relative absence of Axis I syndromes, although substance abuse of moderate intensity was also extant in these profiles. Some patients produced a normal profile on the MCMI, and their domestic violence may not be a product of a personality disorder. We conclude that the MCMI may be a useful instrument to assess the personality of males in treatment for domestic violence. Elevations of these defined scales may be used as markers to evaluate personality styles at risk for domestic abuse.

Domestic violence has recently become the focus of attention of assessment psychologists who continue to seek ways of identifying and redressing this behavior. In the most recent epidemiological report on the prevalence of domestic abuse, a nationwide, community hospital-based study, which surveyed almost 3500 women, found that 10% of women reported fear of their partner or ex-partner and 2.2% had acute physical abuse trauma which precipitated their visit to the hospital. Fourteen percent reported physical or sexual abuse in the past year, and 37% reported abuse at some point in their lifetime (Dearwater et al., 1998). The Diagnostic and Statistical Manual of Mental Disorders — Fourth Edition (DSM-IV) (American Psychiatric Association, 1994) does not contain an Axis I clinical syndrome specific to domestic violence. Instead the manual provides a V Code (i.e., V61.1 Physical Abuse of Adult) when the primary clinical focus is on physical violence. However, the issue of diagnosing domestic violence is complicated by the fact that many patients deny, distort, minimize, or otherwise hide this behavior in order to perpetuate it and/or to avoid criminal prosecution. Thus, simply asking a patient if they engage in domestic violence or have a history as a perpetrator of physical abuse can be insufficient to identify the problem. On the other hand, if we had diagnostic instruments where a test profile would suggest this problematic behavior despite such denials, then we would be in a better position to make the diagnosis and initiate interventions.