In some ways, Scale 6 is quite accurate in that high-scoring persons will usually
have significant levels of paranoia. However, the contents of most of the 40 items are fairly obvious. Thus, a person wanting to conceal his or her paranoia, because of fear over the imagined consequences of detection, could do so quite easily. This means it might be possible for low or moderate scores to still be consistent with paranoia. This is especially true for bright and psychologically sophisticated persons. They might mask their paranoia not only on the test, but also in real life. Thus, they might be a member of some extreme political group or religious cult that provides some degree of social support for their underlying paranoid processes. However, if the scale is clearly elevated, it is an excellent indication of paranoiad.