Personality Disorders in Modern Life

Theodore Millon, PhD, DSc, is one of the world’s leading authorities on personality disorders. Developer of the widely used Millon personality assessment inventories, he has been the editor of the Journal of Personality Disorders, President of the International Society for the Study of Personality Disorders, and a key member of the DSM-III and DSM-IV committees on personality disorders. Seth Grossman, PsyD, is a codeveloper of several personality inventories, and coauthor of numerous theoretical, research, and clinical papers with Dr. Millon.Carrie Millon, PhD, is former EAP director of the University of Miami and currently Associate Director of the Institute for Advanced Studies of Personology and Psychopathology (IASPP).Sarah Meagher, PhD, is a research clinician practicing health psychology in the behavior medicine programs of Kaiser Permanente mental health services in California.Rowena Ramnath, PsyD, is a research associate at IASPP and specializes in forensic psychology and Internet addiction.

• CHAPTER1 PERSONALITY DISORDERS: CLASSICAL FOUNDATIONS 1Abnormal Behavior and Personality 3Early Perspectives on the Personality Disorders 14The Biological Perspective 17The Psychodynamic Perspective 22Summary 35CHAPTER2 PERSONALITY DISORDERS: CONTEMPORARY PERSPECTIVES 38The Interpersonal Perspective 39The Cognitive Perspective 48Trait and Factorial Perspectives 54The Evolutionary-Neurodevelopmental Perspective 57Summary 72CHAPTER3 DEVELOPMENT OF PERSONALITY DISORDERS 74On the Interactive Nature of Developmental Pathogenesis 77Pathogenic Biological Factors 78Pathogenic Experiential History 88Sources of Pathogenic Learning 90Continuity of Early Learnings 101Sociocultural Influences 112Summary 116CHAPTER4 ASSESSMENT AND THERAPY OF THE PERSONALITY DISORDERS 117The Assessment of Personality 118Psychotherapy of the Personality Disorders 134Summary 147CHAPTER5 THE ANTISOCIAL PERSONALITY 150From Normality to Abnormality 155Variations of the Antisocial Personality 158Early Historical Forerunners 161The Biological Perspective 162The Psychodynamic Perspective 166The Interpersonal Perspective 168The Cognitive Perspective 172The Evolutionary-Neurodevelopmental Perspective 175Therapy 182Summary 184CHAPTER6 THE AVOIDANT PERSONALITY 187From Normality to Abnormality 191Variations of the Avoidant Personality 193Early Historical Forerunners 198The Biological Perspective 198The Psychodynamic Perspective 201The Interpersonal Perspective 203The Cognitive Perspective 206The Evolutionary-Neurodevelopmental Perspective 210Therapy 217Summary 220CHAPTER7 THE OBSESSIVE-COMPULSIVE PERSONALITY 223From Normality to Abnormality 227Variations of the Compulsive Personality 229Early Historical Forerunners 235The Psychodynamic Perspective 236The Interpersonal Perspective 240The Cognitive Perspective 244The Evolutionary-Neurodevelopmental Perspective 247Therapy 255Summary 257CHAPTER8 THE DEPENDENT PERSONALITY 259From Normality to Abnormality 263Variations of the Dependent Personality 265Early Historical Forerunners 268The Psychodynamic Perspective 270The Interpersonal Perspective 273The Cognitive Perspective 275The Evolutionary-Neurodevelopmental Perspective 278Therapy 284Summary 289CHAPTER9 THE HISTRIONIC PERSONALITY 292From Normality to Abnormality 295Variations of the Histrionic Personality 297Early Historical Forerunners 301The Biological Perspective 302The Psychodynamic Perspective 304The Interpersonal Perspective 311The Cognitive Perspective 315The Evolutionary-Neurodevelopmental Perspective 318Therapy 324Summary 327CHAPTER 10 THE NARCISSISTIC PERSONALITY 330From Normality to Abnormality 333Variations of the Narcissistic Personality 337Early Historical Forerunners 342The Biological Perspective 343The Psychodynamic Perspective 343The Interpersonal Perspective 349The Cognitive Perspective 355The Evolutionary-Neurodevelopmental Perspective 358Therapy 366Summary 369CHAPTER 11 THE SCHIZOID PERSONALITY 371From Normality to Abnormality 376Variations of the Schizoid Personality 377The Biological Perspective 380The Psychodynamic Perspective 383The Interpersonal Perspective 386The Cognitive Perspective 390The Evolutionary-Neurodevelopmental Perspective 392Therapy 398Summary 401CHAPTER 12 THE SCHIZOTYPAL PERSONALITY 403From Normality to Abnormality 408Variations of the Schizotypal Personality 409Early Historical Forerunners 412The Biological Perspective 414The Psychodynamic Perspective 416The Interpersonal Perspective 419The Cognitive Perspective 423The Evolutionary-Neurodevelopmental Perspective 425Therapy 430Summary 433CHAPTER 13 THE PARANOID PERSONALITY 435From Normality to Abnormality 439Variations of the Paranoid Personality 442Early Historical Forerunners 445The Biological Perspective 448The Psychodynamic Perspective 449The Interpersonal Perspective 455The Cognitive Perspective 458The Evolutionary-Neurodevelopmental Perspective 463Therapy 471Summary 475CHAPTER 14 THE BORDERLINE PERSONALITY 477From Normality to Abnormality 481Variations of the Borderline Personality 482The Biological Perspective 488The Psychodynamic Perspective 490The Interpersonal Perspective 495The Cognitive Perspective 502The Evolutionary-Neurodevelopmental Perspective 505Therapy 511Summary 516CHAPTER 15 PERSONALITY DISORDERS FROM THE APPENDICES OF DSM-III-R AND DSM-IV 519The Self-Defeating (Masochistic) Personality 520The Sadistic Personality 530The Depressive Personality 539The Negativistic (Passive-Aggressive) Personality 548Summary 558References 561Author Index 583Subject Index 593