Personality Disorders in Modern Life

Theodore Millon, Carrie M. Millon, Sarah Meagher, Seth Grossman, Rowena Ramnath9780471237341, 0471237345

A revision of the leading textbook on personality disorders by renowned expert Theodore Millon”Personalities are like impressionistic paintings. At a distance, each person is ‘all of a piece’; up close, each is a bewildering complexity of moods, cognitions, and motives.-Theodore MillonExploring the continuum from normal personality traits to the diagnosis and treatment of severe cases of personality disorders, Personality Disorders in Modern Life, Second Edition is unique in its coverage of both important historical figures and contemporary theorists in the field. Its content spans all the major disorders-Antisocial, Avoidant, Depressive, Compulsive, Histrionic, Narcissistic, Paranoid, Schizoid, and Borderline-as well as their many subtypes. Attention to detail and in-depth discussion of the subtleties involved in these debilitating personality disorders make this book an ideal companion to the DSM-IV(TM).Fully updated with the latest research and theory, this important text features: * Discussion of the distinctive clinical features and developmental roots of personality disorders * Balanced coverage of the major theoretical perspectives-biological, psychodynamic, interpersonal, cognitive, and evolutionary * Individual chapters on all DSM-IV(TM) personality disorders and their several subtypes and mixtures * Case studies throughout the text that bring to life the many faces of these disorders Including a new assessment section that singles out behavioral indicators considered to have positive predictive power for the disorders, this Second Edition also includes a special focus on developmental, gender, and cultural issues specific to each disorder. A comprehensive reference suitable for today’s practitioners, Personality Disorders in Modern Life, Second Edition features a clear style that also makes it a valuable resource for advanced undergraduate and graduate students. The most thorough book of its kind, this Second Edition is a powerful, practical resource for all trainees and professionals in key mental health fields, such as psychology, social work, and nursing.

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Table of contents :
EEn……Page 1
Personality Disorders in Modern Life, Second Edition……Page 2
Copyright Info……Page 8
Foreword……Page 9
Preface……Page 11
TOC……Page 13
Objectives……Page 17
Basic Vocabulary……Page 20
The Dsm Multiaxial Model……Page 22
Personality And The Medical Model:a Misconception……Page 26
Normality Versus Pathology……Page 28
Focus On Culture And Personality……Page 30
Early Perspectives On The Personality Disorders……Page 31
Temperament……Page 34
Focus On Gender Issues……Page 35
Unknown……Page 0
Constitution……Page 36
Heredity……Page 37
The Topographic Model……Page 39
The Structural Model……Page 40
Defense Mechanisms……Page 41
Focus On History……Page 42
Character Disorders……Page 45
Object Relations……Page 47
Focus On History……Page 50
Focus On History (continued)……Page 51
Summary……Page 52
Objectives……Page 55
The Interpersonal Perspective……Page 56
Focus On Culture……Page 57
Origins Of The Interpersonal Approach……Page 58
Complementarity……Page 60
Focus On Social Dynamics……Page 62
Structured Analysis Of Social Behavior……Page 63
Origins Of The Cognitive Approach……Page 65
Cognitive Styles……Page 67
Cognitive Therapy……Page 68
Focus On Perception……Page 70
Trait And Factorial Perspectives……Page 71
Some Major Factor Models……Page 72
The Evolutionary-neurodevelopmental Perspective……Page 74
Evolutionary Foundations Of Personality……Page 75
Survival: Life Preservation And Life Enhancement (pain-pleasure Polarity)……Page 76
Replication: Reproductive Nurturance And Reproductive Propagation (other-self Polarity)……Page 77
Neurodevelopmental Foundations Of Personality……Page 78
Stage 1: Sensory-attachment……Page 79
Stage 2: Sensorimotor-autonomy……Page 80
Domains Of Personality……Page 81
Interpersonal Conduct……Page 82
Focus On Self-awareness……Page 83
Object-representations……Page 84
Focus On Development……Page 85
Operationalizing The Personality Disorders……Page 86
Toward An Integrated Science Of Personology……Page 87
Summary……Page 89
Objectives……Page 91
On The Interactive Nature Of Developmental Pathogenesis……Page 94
Pathogenic Biological Factors……Page 95
Heredity……Page 96
Focus On Gender……Page 97
Focus On Gender (continued)……Page 98
Biophysical Individuality……Page 101
Temperament Dispositions……Page 102
Adaptive Learning……Page 103
Interpersonal Reciprocity……Page 104
Pathogenic Experiential History……Page 105
Sources Of Pathogenic Learning……Page 107
Enduring And Pervasive Experiences……Page 109
Parental Feelings And Attitudes……Page 110
Methods Of Behavior Control……Page 111
Family Styles Of Communication……Page 112
Content Of Teachings……Page 113
Family Structure……Page 114
Traumatic Experiences……Page 116
Focus On Research……Page 117
Continuity Of Early Learnings……Page 118
Random Learning……Page 121
Generalized Learning……Page 122
Reciprocal Reinforcement……Page 123
Self-perpetuation……Page 124
Perceptual And Cognitive Distortion……Page 125
Behavior Generalization……Page 127
Repetition Compulsion……Page 128
Sociocultural Influences……Page 129
Achievement Striving And Competition……Page 130
Unstable And Contradictory Social Standards……Page 131
Disintegration Of Regulatory Beliefs And Goals……Page 132
Summary……Page 133
Objectives……Page 134
The Nomothetic Approach……Page 135
Diagnosis Versus Assessment……Page 136
Focus On Clinical Skills……Page 137
The Nature Of Measurement……Page 138
Focus On Context……Page 139
Self-report Inventories……Page 140
The Clinical Interview……Page 141
Biasing And Distorting Factors……Page 142
Focus On Somatic Signs……Page 143
State Versus Trait……Page 144
The Item Level……Page 145
Self-report Instruments……Page 146
Millon Clinical Multiaxial Inventory (mcmi)……Page 147
Other Self-report Inventories……Page 149
Structured Interview For Dsm-iv Personality Disorders (sidp-iv)……Page 150
Psychotherapy Of The Personality Disorders……Page 151
Focus On History……Page 152
Brief Therapy……Page 153
Therapeutic Eclecticism……Page 154
Common Factors……Page 155
Synergistic Psychotherapy……Page 156
Designing Synergistic Arrangements……Page 158
Focus On Treatment Plan……Page 160
Current Diagnostic Standards……Page 161
Lack Of Criterion Standards For Outcome Studies……Page 162
Focus On Clinical Judgment……Page 163
Summary……Page 164
Objectives……Page 167
From Normality To Abnormality……Page 172
Focus On Gender……Page 174
The Covetous Antisocial……Page 175
The Reputation-defending Antisocial……Page 176
The Nomadic Antisocial……Page 177
Early Historical Forerunners……Page 178
The Biological Perspective……Page 179
Focus On Research……Page 182
The Psychodynamic Perspective……Page 183
The Interpersonal Perspective……Page 185
Focus On Current Issues……Page 188
The Cognitive Perspective……Page 189
The Evolutionary-neurodevelopmental Perspective……Page 192
Focus On Research……Page 193
Contrast With Other Personalities……Page 194
Anxiety Disorders……Page 196
Substance Abuse……Page 197
Therapeutic Traps……Page 199
Strategies And Techniques……Page 200
Summary……Page 201
Objectives……Page 204
From Normality To Abnormality……Page 208
The Conflicted Avoidant……Page 210
The Hypersensitive Avoidant……Page 212
The Phobic Avoidant……Page 213
The Self-deserting Avoidant……Page 214
The Biological Perspective……Page 215
The Psychodynamic Perspective……Page 218
The Interpersonal Perspective……Page 220
The Cognitive Perspective……Page 223
The Evolutionary-neurodevelopmental Perspective……Page 227
Contrast With Related Personalities……Page 229
Pathways To Symptom Expression……Page 230
Anxiety Disorders……Page 231
Physical Symptoms……Page 232
Schizophrenic Disorders……Page 233
Therapeutic Traps……Page 234
Therapeutic Strategies And Techniques……Page 235
Summary……Page 237
Objectives……Page 240
From Normality To Abnormality……Page 244
Variations Of The Compulsive Personality……Page 246
The Conscientious Compulsive……Page 247
The Puritanical Compulsive……Page 248
The Bureaucratic Compulsive……Page 249
The Parsimonious Compulsive……Page 250
Early Historical Forerunners……Page 252
The Psychodynamic Perspective……Page 253
The Interpersonal Perspective……Page 257
Focus On History……Page 260
The Cognitive Perspective……Page 261
The Evolutionary-neurodevelopmental Perspective……Page 264
Contrast With Related Personalities……Page 266
Pathways To Symptom Expression……Page 268
Other Anxiety Disorders……Page 269
Somatoform Disorders……Page 270
Depression And Other Mood Disorders……Page 271
Therapeutic Traps……Page 272
Therapeutic Techniques And Strategies……Page 273
Summary……Page 274
Objectives……Page 276
From Normality To Abnormality……Page 280
The Disquieted Dependent……Page 282
The Accommodating Dependent……Page 283
The Ineffectual Dependent……Page 284
Early Historical Forerunners……Page 285
Focus On Gender……Page 286
The Psychodynamic Perspective……Page 287
Focus On History……Page 288
The Interpersonal Perspective……Page 290
The Cognitive Perspective……Page 292
The Evolutionary-neurodevelopmental Perspective……Page 295
Contrast With Related Personalities……Page 298
Anxiety……Page 299
Eating Disorders……Page 300
Therapy……Page 301
Therapeutic Strategies And Techniques……Page 303
Focus On Research……Page 304
Focus On Lifespan……Page 305
Summary……Page 306
Objectives……Page 309
From Normality To Abnormality……Page 312
Variations Of The Histrionic Personality……Page 314
The Infantile Histrionic……Page 315
The Tempestuous Histrionic……Page 316
The Disingenuous Histrionic……Page 317
Early Historical Forerunners……Page 318
The Biological Perspective……Page 319
The Psychodynamic Perspective……Page 321
Focus On Sexuality……Page 325
The Interpersonal Perspective……Page 328
The Cognitive Perspective……Page 332
The Evolutionary-neurodevelopmental Perspective……Page 335
Contrast With Related Personalities……Page 338
Somatoform Disorders……Page 339
Mood Disorders……Page 340
Therapy……Page 341
Strategies And Techniques……Page 342
Summary……Page 344
Objectives……Page 347
From Normality To Abnormality……Page 350
Focus On Culture……Page 351
The Unprincipled Narcissist……Page 354
The Compensatory Narcissist……Page 355
The Elitist Narcissist……Page 356
Early Historical Forerunners……Page 359
The Psychodynamic Perspective……Page 360
The Interpersonal Perspective……Page 366
The Cognitive Perspective……Page 372
The Evolutionary-neurodevelopmental Perspective……Page 375
Contrast With Other Personalities……Page 376
Focus On Sexuality……Page 378
Mood Disorders……Page 379
Focus On Pathology……Page 380
Delusional Disorder……Page 381
Substance Abuse……Page 382
Therapeutic Traps……Page 383
Strategies And Techniques……Page 384
Summary……Page 386
Objectives……Page 388
From Normality To Abnormality……Page 393
Variations Of The Schizoid Personality……Page 394
The Languid Schizoid……Page 395
The Affectless Schizoid……Page 396
The Biological Perspective……Page 397
Focus On Physical Correlates……Page 398
The Psychodynamic Perspective……Page 400
The Interpersonal Perspective……Page 403
The Cognitive Perspective……Page 407
The Evolutionary-neurodevelopmental Perspective……Page 409
Focus On Development……Page 412
Schizophrenic And Psychotic Disorders……Page 414
Therapeutic Traps……Page 415
Therapeutic Strategies……Page 416
Summary……Page 418
Objectives……Page 420
Focus On Development……Page 424
From Normality To Abnormality……Page 425
Variations Of The Schizotypal Personality……Page 426
The Insipid Schizotypal……Page 427
The Timorous Schizotypal……Page 428
Early Historical Forerunners……Page 429
The Biological Perspective……Page 431
The Psychodynamic Perspective……Page 433
The Interpersonal Perspective……Page 436
The Cognitive Perspective……Page 440
The Evolutionary-neurodevelopmental Perspective……Page 442
Contrast With Other Personalities……Page 444
Dissociative Episodes……Page 446
Therapy……Page 447
Strategies And Techniques……Page 448
Summary……Page 450
Objectives……Page 452
From Normality To Abnormality……Page 456
Focus On Culture……Page 457
Variations Of The Paranoid Personality……Page 459
The Malignant Paranoid……Page 460
The Querulous Paranoid……Page 461
Early Historical Forerunners……Page 462
Focus On Culture……Page 464
The Biological Perspective……Page 465
The Psychodynamic Perspective……Page 466
The Interpersonal Perspective……Page 472
The Cognitive Perspective……Page 475
The Evolutionary-neurodevelopmental Perspective……Page 480
Contrast With Related Personalities……Page 484
Pathways To Symptom Expression……Page 486
Mood Disorders……Page 487
Therapy……Page 488
Therapeutic Traps……Page 489
Therapeutic Strategies And Techniques……Page 490
Summary……Page 492
Objectives……Page 494
From Normality To Abnormality……Page 498
Variations Of The Borderline Personality……Page 499
The Discouraged Borderline……Page 500
The Impulsive Borderline……Page 501
Focus On Risk Factors……Page 502
The Petulant Borderline……Page 503
The Biological Perspective……Page 505
The Psychodynamic Perspective……Page 507
The Interpersonal Perspective……Page 512
Focus On Behavior……Page 514
The Cognitive Perspective……Page 519
The Evolutionary-neurodevelopmental Perspective……Page 522
Contrast With Related Personalities……Page 526
Pathways To Symptom Expression……Page 527
Therapy……Page 528
Therapeutic Traps……Page 529
Therapeutic Strategies And Techniques……Page 530
Summary……Page 533
Objectives……Page 536
The Self-defeating (masochistic) Personality……Page 537
From Normality To Abnormality……Page 540
The Self-undoing Masochist……Page 541
The Virtuous Masochist……Page 542
Focus On Victim Behavior……Page 543
Evolutionary Neurodevelopmental Perspective……Page 544
Contrast With Related Personalities……Page 545
Pathways To Symptom Expression……Page 546
The Sadistic Personality……Page 547
From Normality To Abnormality……Page 549
The Explosive Sadist……Page 550
The Enforcing Sadist……Page 551
Evolutionary Neurodevelopmental Perspective……Page 552
Contrast With Related Personalities……Page 554
Pathways To Symptom Expression……Page 555
The Depressive Personality……Page 556
Variations Of The Depressive Personality……Page 558
The Voguish Depressive……Page 559
The Restive Depressive……Page 560
Focus On Research……Page 561
Evolutionary Neurodevelopmental Perspective……Page 562
Contrast With Related Personalities……Page 564
The Negativistic (passive-aggressive) Personality……Page 565
From Normality To Abnormality……Page 568
The Circuitous Negativist……Page 569
The Discontented Negativist……Page 570
Evolutionary Neurodevelopmental Perspective……Page 571
Contrast With Related Personalities……Page 573
Summary……Page 575
References……Page 578
Author Index……Page 600
Subject Index……Page 610