Trauma – PTSD » PTSD Symptoms » pain

pain

Question:

Pain   Its always easy to judge on others   to say don’t be a whimp   or don’t be so stupid,   or how could you do such a thing   Don’t think the world evolves around your problems   See I have my bills to pay so shut up…… Until something happens, Something shocking Something terrible Something that hurts real hard Suddenly your world stops and everything evolves around your pain your troubles and your mistakes… Please, Don’t judge others you don’t have to live their lives and just remember… Pain hurts…. always no matter what caused it Even the pain of a child no matter how petty it seems could be the end of the world for that person It could be the end of a dream and its not upon you to put a value upon somebody elses life muppie

Response:

your first paragraph hit home for me,i was that very person,wrapped up in myself.then God said,"stop",in a lethal manner.it took a jolt on my mortality to make me humble.now i desire happiness for all who seek it.in an induced coma,i had an experience so multi-dimensional  words cant describe,and i now know that life is more than we see,hear&feel.it is power,both positive and negative,how its used is up to the individual. http://community.webtv.net/mashedmelon/IamabelieverBelieve

Response:

"Ahote" <ah…@aol.com> wrote in message

news:20011211193132.11266.00003182@mb-fi.aol.com… – Hide quoted text — Show quoted text -> Larry, > Just to clarify also that my son’s results to the MMPI-A was "valid and > interpretable, nonetheless, there is some indication that he was attempting to > present himself in a more favorable light".  I thought that was an honest > statement. > My own personal opinion is that when you start putting people under the scope > of executive functioning, right and left hemispheres and all that, all of us > has some strengths and deficits. My interest in this subject relating to myself > and other ptsd’ers is basically why some of us are more susceptible and I think > the makeup you start out with makes a big difference. > Just a thought. > Shannon

Your concluding statement is really quite appropriate. The MMPI tries to separate state from trait, i.e. temporary emotional environment due to current circumstances, compared to the stable attributes of character (and beliefs and attitudes). Some of that has a high genetic component (e.g. introversion/extroversion), whereas others have a higher environmental component (locus of control issues). If you think about it, the idea that the interpreters of the MMPI can suggest that the subject was "trying to present himself in a more favourable light" does show that the MMPI is a useful evaluation tool. In applying what is learned from the MMPI, cognitive behavioural therapy then seems to be a natural choice for learning new adaptive strategies. In essence, you can’t choose new beginnings (for the rest of your life), but you can do a lot towards choosing new endings. Larry

Response:

- Hide quoted text — Show quoted text ->I’m sorry to hear that you found the whole routine so overwhelming. The >Minnesota Multiphasic Personality Inventory, v.2, is an extraordinarily >useful tool for measuring how you see the world, and your relationship to >it. The questions are purposefully daunting. Often, you will see what >appears to be the same question appearing again and again. However, each is >a subtle rewording of the question, designed to tease out subtleties about >you. Moreover, there are questions embedded throughout the test which are >designed to determine the degree of deceptiveness in your answers. >Another useful aspect is that the MMPI is probably the most-used >psychometric instrument in the world. That allows the scorers to compare >your answers to a huge number of answers from other people, and thereby gain >the most insight into how you think. You will receive the results of the >inventory in the form of trait-analysis, and trait-cluster analysis. These >characteristics will help your caregivers determine how best to help you in >subsequent therapy.

Hi Larry, I hope you don’t mind if I ask you (or anyone else that may have the answer) a question about the MMPI.  You seem to know what you are talking about here. I took the MMPI when I was around 18 or so and lied and just marked answers in the test.  I was at a place that I was very afraid that people would find out about what happened to me and was doing the only thing I knew how to do at the time.  Of course the Doc could tell and thankfully didn’t ask me to take the test again. Many years later, I was asked to take the test again by another Doc.  This time I was emotionally ready and mature enough to take the test.  And I vowed to myself to answer every question completely honestly (which I did). When the results of the testing came back they said it was "Invalid" or "fake-bad"  I have never understood why this happened as that I really did answer all the questions honestly.  Any ideas why this could have happened? I have always felt the Doc thought I was lying on the test, but he never actually said that. Thanks so much :) Kat2

Response:

Hi Rudy! > I’m a bit suspicious about that questionnaire, it sounds like a forensic > ‘view questionaire’ that they give suspects or employees to test their > honesty

Weren’t you a MP in your previous life?  :)  A little hypervigilant?  me too. :/ Anyway, in a 7.5 hour assessment in  a psych office I wouldn’t worry too much about crazy questionnaires.  Sometimes the honesty test goes along with the urinalysis. :/ Smile and there will be something to smile about! Nancy

Response:

"Greg & Barb Cook" <cook…@iprimus.com.au> wrote in message news:3c156a05$1_1@news.iprimus.com.au… – Hide quoted text — Show quoted text -> to my friends, > I have just endured the visit of an independent psych to assess me in > relation to my PTSD ‘incident 3and half year ago. > I filled out a form labelled forensic questionnaire, sat through  hours of > questioning of what happened, then had the compulsory urine and drug screen > to see if I have been taking my medication and nothing else.thought I might > then be able to have lunch then at 2pm but no, it was time for TIS > testing-0-4 scale and the MMI1-2 which had over 587 yes/no’s. I was there 7 > and a half hours!!!!!! > I was distressed trying to do these tests sitting in a waiting room with a > clipboard jumping each time someone came in and left, I became confused and > distracted because of the questioning and thoughts it provoked. I am sure > have stuffed up. Questions such as know people will steal if they know they > can get away with it’ I put false because I’m not interested in what others > are doing just don’t get me!! I couldn’t dare to think of what people can do > to me therefore I didn’t want to acknowledge they could do so. > Anyone in the know about these tests have I stuffed up? > I have been disassociating often the past week, today I am vomiting, dizzy > and weak so I think my body is providing evidence that I have to stop and > confront PTSD again. I am ignoring repressing my PTSD symptoms I must remain > in control I cannot let another xmas be ruined besides where will I go. I’m > in pain.

I’m sorry to hear that you found the whole routine so overwhelming. The Minnesota Multiphasic Personality Inventory, v.2, is an extraordinarily useful tool for measuring how you see the world, and your relationship to it. The questions are purposefully daunting. Often, you will see what appears to be the same question appearing again and again. However, each is a subtle rewording of the question, designed to tease out subtleties about you. Moreover, there are questions embedded throughout the test which are designed to determine the degree of deceptiveness in your answers. Another useful aspect is that the MMPI is probably the most-used psychometric instrument in the world. That allows the scorers to compare your answers to a huge number of answers from other people, and thereby gain the most insight into how you think. You will receive the results of the inventory in the form of trait-analysis, and trait-cluster analysis. These characteristics will help your caregivers determine how best to help you in subsequent therapy. The psychic disturbance you experienced should be reported to these people when you are at the follow-up interview. I hope you have begun to find a more stable sense of being, even if only by telling us about it. Take care, Larry

Response:

"Ahote" <ah…@aol.com> wrote in message

news:20011211183917.12695.00002133@mb-cu.aol.com… – Hide quoted text — Show quoted text -> Hi Larry , > Thanks for explaining that although my intrests are off topic, relating to my > son. > I was given a behavioral rating inventory of executive functioning (fascinating > stuff) to complete and when we got the final report back I was a bit shocked. > It said > "Mother’s responses should be interpreted cautiously given inconsistency in her > response pattern."  Yeah, I had a problem with them rearranging the same > qustions and I wasn’t even the one being evaluated. > Or maybe I was :) . > Shannon

Psychometrics is a weird field, really. Everything is so statistical. There is a huge amount of assuming going on, as well. One assumption is the semantic interpretation of each question. What you comprehend when you read a question might be something quite different than they intended. Or, they may have worded two questions in such a way that they expect the same answer from both, but you perceive enough of a difference between them that you will answer them in opposite ways. That might explain your expalin your situation. Or, you might think "Yes, that happens, but not always." That’s the worst thing for a test question to bring up, the maybe yes, maybe no, situation. Writing the individual questions is much harder than it might appear. No test is perfect, either. There are statistics about reliability, internal and external validity, and standardization population. In common language, those values would rate the ability of the test to evaluate what it is meant to evaluate, the similarity of that characteristic being measured to what other tests perceive that characteistic to be, and the efficiency by which it is measured, all based on the results given by a test population (usually university students) to whom the test was first given. Once you get into psychometry, you come to realize just how much more of an art this field is than a science. Presenting the findings of the test to the subject should, in my humble opinion, be something of a dialogue, rather than a monologue. There’s still something to be gained from interacting with the subject, even after the test is scored. Larry

Response:

I remember that aspect of the test is what gave me the most problems too, the wording of the questions.  There were so many questions that I’d say to myself "well, this is what my father said I ‘had to do or believe’ but what do I think all on my own’.  Then I wouldn’t know ‘what’ to answer.  Or ‘yeah, I do think this or that sometimes’ but not all the time,,,etc. etc. etc……And I remember seeing the repetitive questions too, thinking "I" was going nuttier because I thought I’d already answered that question before.  But I did discuss my apprehensions with my therapist afterwards…and when my results did come back, like I said, he upped me to three sessions a week and did include the PTSD along with major depression and DID.  I’m surprised that they would say what they did to you though, as my therapist just kind of gave me the idea that ‘I was a lot sicker’ than I looked.  I’d already told him that, that I could ‘look a lot better than I felt.’  Years of practice at ‘trying to appear somewhat normal.’ tiny dancer "Kmquinn2000" <kmquinn2…@cs.com> wrote in message

news:20011211115254.10731.00001454@mb-fk.news.cs.com… – Hide quoted text — Show quoted text -> >Do you recall if there was any sort of discussion around what the test > >revealed, other than that they believed it was "fake-bad"? > >Larry > I kind of remember that the doc said that I couldn’t have "all that wrong" but > like the original poster I was pretty confused about it all.  I know that one > question asked if I had ever heard voices.  I asked the tester who said that he > couldn’t answer any questions.  While I have never heard voices on my own I did > hear them when on morphine after a major surgery (a common side effect) So… > was my answer to be yes or no?  Many questions were like that for me. While on > some medications I did experience some of the symptoms presented but didn’t > otherwise.  Like I said… I was trying to be completely honest so I answered > yes to that type of question, maybe I should have said no. > I really wanted results from that test and wanted help with the problems that I > was experiencing (at that point I had not been dx w/ PTSD)  Unfortunately I was > pretty overwhelmed with the results and didn’t know what to do.  So I > didn’t attempt to receive any help for years.  All I could think was that the > test made it seem as though I lied so who would believe me anyway.   And I > would fluctuate between I must be more crazy that I appear or that there must > be nothing wrong with me and I must be making it all up. > Anyway… I’m glad I’m not stuck in that place anymore and have a good > therapist. > Thanks :) > Kat2

Response:

>Do you recall if there was any sort of discussion around what the test >revealed, other than that they believed it was "fake-bad"? >Larry

I kind of remember that the doc said that I couldn’t have "all that wrong" but like the original poster I was pretty confused about it all.  I know that one question asked if I had ever heard voices.  I asked the tester who said that he couldn’t answer any questions.  While I have never heard voices on my own I did hear them when on morphine after a major surgery (a common side effect)  So… was my answer to be yes or no?  Many questions were like that for me.  While on some medications I did experience some of the symptoms presented but didn’t otherwise.  Like I said… I was trying to be completely honest so I answered yes to that type of question, maybe I should have said no. I really wanted results from that test and wanted help with the problems that I was experiencing (at that point I had not been dx w/ PTSD)  Unfortunately I was pretty overwhelmed with the results and didn

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