Treatment Implications
Individuals with elevations on Scale 1 have often rejected and criticized the "help" that has been offered to them. They would be likely to reset any suggestion that their difficulties are even partly psychologically based. Since their level of insight is quite poor, they typically do not make good candidates for psychotherapy. They are generally pessimistic about being helped and, as a result, might be argumentative with professional staff (confirm/disconfirm this by checking the TRT/Negative Treatment Indicators content scale). They need to be assured that they have been well understood and that their symptoms will not be ignored. Often framing interventions with biomedical terminology may make interventions more a acceptable (e.g., biofeedback procedures might be described as "neurological retraining").