Personality Assessment Inventory


Personality Assessment Inventory, developed by Leslie Morey, is a self-report 344-item personality test that assesses a respondent's personality and psychopathology. Each item is a statement about the respondent that the respondent rates with a 4-point scale. It is used in various contexts, including psychotherapy, crisis/evaluation, forensic, personnel selection, pain/medical, and child custody assessment. The test construction strategy for the PAI was primarily deductive and rational. It shows good convergent validity with other personality tests, such as the Minnesota Multiphasic Personality Inventory and the Revised NEO Personality Inventory.

Scales

The PAI has 22 non-overlapping scales of four varieties: 1) validity scales, 2) clinical scales, 3) treatment consideration scales, and 4) interpersonal scales.

Validity scales

The validity scales measure the respondent's overall approach to the test, including faking good or bad, exaggeration, defensiveness, carelessness, or random responding.
There are also four supplementary validity scales:
Further identification of exaggeration and/or negative bias can be calculated used the NIM Predicted Profile
Additionally, one can also apply the use of the Negative Distortion Scale

Clinical scales

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 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 in psychology, it is very difficult to use criterion-referenced approaches, such as those used in some parts of medicine. 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.
The developers of the PAI examined various literary sources to come up with the five areas assessed by the PAI. 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. 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. 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.

Strengths

The PAI is often used in forensics and corrections, where increasing support for its validity has been noted. The PAI has a number of strengths for applied psychological assessment. 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. Second, it is relatively economical, assessing most of the constructs that are widely considered important in clinical personality assessment with only 344 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. Fourth, the responses from each individual's profile can be compared to multiple large samples. The first sample consists of 1,000 people with similar demographic characteristics to the U.S. Census data. Comparison with this group is useful to detect and estimate the severity of clinical problems relative to the average person. The second sample consists of 1,265 psychiatric patients. Comparison with this group helps assess the severity of psychopathology among other patients. There is also a sample of 1200 offenders from multiple correctional settings and a further sample of 1051 college students.
All of the constructs measured by the PAI are commonly used by psychologists and are named in such a way that they can be readily understood. Unlimited-use interpretive software that was written by the test author is available from the publisher, as well as an adolescent version of the test, the Personality Assessment Inventory-Adolescent is a 22-item instrument that provides an index of the likelihood that an important clinical elevation would occur on the PAI. This screening tool can be used as an adjunct to the PAI in appropriate circumstances. Straightforward scale names combined with the interpretive and diagnostic hypotheses provided in the computer report limit the burden on the examiner.
There are also a number of psychometric strengths of the PAI, importantly including content validity and discriminant validity
Finally, there is a growing body of evidence to suggest the PAI has both clinical and forensic validity

Limitations

Because the PAI does not measure some constructs that might be of concern in clinical assessment, it is often useful to supplement the PAI with other measures. Caution should be exercised in interpreting PAI data from non-English speakers or when administration breaks from the standard administration, as is the case for all psychometric instruments.