6–7 (Pa–Pt)
Snapshot. Mistrust fused with chronic tension/worry: vigilant, ruminative, threat-focused; prone to checking, reassurance-seeking, and adversarial interpretations.
Data & demographics.
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Anxiety disorders skew female; lifetime and past-year prevalence are reliably higher in women, so anxiety-tilted 6–7 profiles are more frequently encountered in female clinical caseloads. (PMC, SAGE Journals)
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In litigation/forensic contexts, Pa often elevates broadly (situational hypervigilance), so 6–7 appears more there than in community samples. (The Gitlin Law Firm, Frontiers)
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Inpatient base-rate work shows code-type frequencies and responding patterns differ by setting and by gender/race; use comparison groups when judging rarity. (PubMed)
Clinical prognosis. Good for anxiety/OCD-spectrum with CBT; weaker if fixed suspiciousness blocks alliance.
What works. High-structure CBT (exposure + response prevention if compulsive features), motivational interviewing for distrust, clear informed-consent boundaries to reduce “hidden agenda” fears. (General MMPI-2 code-type guidance.) (Pearson Assessments)
6–8 (Pa–Sc)
Snapshot. “Psychotic V”/paranoid valley when 6 & 8 are high with 7 relatively lower—ideas of reference, odd perceptions, guardedness, social detachment. (Pearson Assessments)
Data & demographics.
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6–8/8–6 is common among schizophrenia-spectrum inpatients. (Wiley Online Library, openresearch.okstate.edu)
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Schizophrenia shows a male-skewed incidence (~1.4:1) and earlier onset in men (late teens/early 20s vs early 20s/30s in women), shaping the age/sex mix of 6–8 caseloads. (PMC, National Institute of Mental Health)
Clinical prognosis. Variable; improves with adherence to antipsychotics + skills work; relapse risk if substance use or poor insight.
What works. Coordinated specialty care, antipsychotics, family psychoeducation; keep sessions concrete and reality-anchored. (MMPI-2 training notes for V-pattern interpretation.) (Pearson Assessments)
6–9 (Pa–Ma)
Snapshot. Suspicious + keyed-up/excitable: irritable reactivity, counter-phobic bravado, quick threat escalation; may read slights as persecution and retaliate. (Western Kentucky University)
Data & demographics.
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Hypomanic/mania phenomena (which can drive Scale 9) are roughly sex-neutral in prevalence, with earlier manic onset reported in males—expect more young adult men in acute settings. (National Institute of Mental Health, Psychiatry Online)
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Forensic/competency samples show elevated Pa patterns and modest frequency of Pa-anchored code types (e.g., 3–6/6–3 ≈6.1%); Pa high-points are common in inpatient charts. (mmpi.umn.edu)
Clinical prognosis. Fair if arousal is stabilized; riskier where impulsive anger + persecution themes meet substances or weapons access.
What works. Mood stabilization first; behavioral containment plans; brief, neutral, specific communication; avoid power struggles. (Pearson Assessments)
6–0 (Pa–Si)
Snapshot. Guarded, withdrawn, socially avoidant; interprets ambiguity as hostile, then retreats—low disclosure, low help-seeking.
Data & demographics.
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Social anxiety/avoidance loads more heavily in youth and often (not always) in females; social-anxiety prevalence peaks by the early 20s and shows female>male rates in several large samples. (PLOS, ScienceDirect, SpringerLink)
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In contested legal settings, Pa inflation is common; an introverted stance can be defensive, cultural, or temperament—not necessarily pathology. (Frontiers)
Clinical prognosis. Good with exposure-based treatments if engagement can be secured; slower course if isolation is entrenched.
What works. Graduated social exposures, behavioral activation, collaborative agendas, and clear privacy boundaries to reduce suspicious construals. (Pearson Assessments)
6–7–8 (Pa–Pt–Sc)
Snapshot. Paranoid–anxious–thought-disorganized triad: scanning for threat, high autonomic tension, cognitive slippage; classic high-severity inpatient mix.
Data & demographics.
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6–8 patterns cluster in schizophrenia-spectrum; adding 7 often marks anxious/paranoid decompensation. (Wiley Online Library)
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Male>female incidence and earlier onset shift the age/sex distribution toward younger men in first-episode units. (PMC, National Institute of Mental Health)
Clinical prognosis. Moderate with coordinated treatment; watch for rapid regression under stress.
What works. Antipsychotics + CBT-p (normalizing, behavioral experiments), family work; simple language, here-and-now focus. (Pearson Assessments)
6–7–9 (Pa–Pt–Ma)
Snapshot. Suspicious + tense + over-activated: restless vigilance, racing worry, irritable outbursts; sleep and substances often worsen volatility.
Data & demographics.
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Bipolar spectrum ≈ equal by sex overall; earlier manic onset in males increases the proportion of young men in acute 6–7–9 presentations. (National Institute of Mental Health, Psychiatry Online)
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In forensic settings, Pa elevation is environment-linked; anxious over-control (7) coexists with dyscontrol (9), producing stop–go behavior. (Frontiers)
Clinical prognosis. Good once arousal/wakefulness are stabilized; alliance can be fragile if mistrust is engaged head-on.
What works. Sleep/mood stabilization first; CBT for worry; behavioral contracts to prevent escalation; crisp limits + empathic validation. (Pearson Assessments)
6–7–0 (Pa–Pt–Si)
Snapshot. Watchful, anxious, avoidant: ruminative threat appraisal + social retreat; high need for predictability, low tolerance for ambiguity.
Data & demographics.
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Social anxiety/avoidance and generalized anxiety skew female and younger adult; unemployment/lower education correlate with higher social-anxiety burden in population data. (PLOS)
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Base-rate studies warn that code-type rarity is setting-specific; in college counseling centers, anxious introverts are common even when code types are undefined (<T65). (Pearson Assessments)
Clinical prognosis. Good with graded exposure + intolerance-of-uncertainty modules.
What works. Exposure hierarchies, behavioral experiments, assertiveness skills; slow pace, explicit agendas, transparent note-sharing to lower suspicion. (Pearson Assessments)
6–8–9 (Pa–Sc–Ma)
Snapshot. Paranoid–psychotic features with manic drive: pressured cognition, persecutory themes, behavioral over-activation; risk for agitation.
Data & demographics.
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Appears in manic psychosis/schizoaffective presentations; bipolar prevalence ≈ sex-neutral, but manic onset earlier in males. (National Institute of Mental Health, Psychiatry Online)
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“V-pattern” guidance: when 6 & 8 are both very high and >7, expect psychotic content; adding 9 increases activation and risk. (Pearson Assessments)
Clinical prognosis. Dependent on rapid stabilization; good recovery potential with adherence.
What works. Antipsychotic + mood stabilizer regimens, de-escalation protocols, short commands, minimal stimulation. (Pearson Assessments)
6–8–0 (Pa–Sc–Si)
Snapshot. Paranoid–psychotic coloring with marked social withdrawal: impoverished affect, suspicion-based isolation.
Data & demographics.
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Common in chronic schizophrenia samples; male-skewed incidence and younger male onset shape unit demographics. (Wiley Online Library, PMC, National Institute of Mental Health)
Clinical prognosis. Fair if negative-symptom burden is modest; risk of long-term disability if amotivation dominates.
What works. Skills training (social cognition, role-plays), behavioral activation, family engagement; keep interventions concrete and cue-rich. (Pearson Assessments)
6–9–0 (Pa–Ma–Si)
Snapshot. Suspicious, activated, but socially avoidant: edgy solitude, intermittent bursts of activity/anger, poor repair after conflicts.
Data & demographics.
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Bipolar spectrum ~ equal by sex; avoidant traits/withdrawal more visible in younger adults and in those with unemployment/role disruption. (National Institute of Mental Health, PLOS)
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Forensic/correctional samples often show Pa as high-point; Pa peaks occur in ~10% of normative men, but Pa ≥T65 spikes are much rarer (~2–3%). (pearsonclinical.com.au)
Clinical prognosis. Good if activation and sleep are managed and behavioral routines are rebuilt; otherwise recurrent crises.
What works. Mood stabilization, stimulus control for sleep, values-based activation, clear conflict-de-escalation scripts; keep communications brief, behaviorally specific. (Pearson Assessments)
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