Contemporary Directions in Psychopathology

Theodore Millon, PhD, DSc, until his death in 2014, was Dean and Scientific Director of the Institute for Advanced Studies in Personology and Psychopathology. He was Founding Editor of the Journal of Personality Disorders and inaugural president of the International Society for the Study of Personality Disorders. Dr. Millon held full professorial appointments at Harvard Medical School, the University of Illinois, and the University of Miami. A prolific author, he wrote or edited more than 30 books on theory, assessment, and therapy, as well as more than 200 articles and book chapters, and developed the widely used Millon Clinical Multiaxial Inventory (MCMI). He was a recipient of the Gold Medal for Life Achievement in the Application of Psychology from the American Psychological Foundation, which annually presents the Theodore Millon Award in Personality Psychology in his honor. Robert F. Krueger, PhD, is Distinguished McKnight University Professor at the University of Minnesota. His research interests lie at the intersection of psychopathology, personality, psychometrics, behavior genetics, and physical health. Dr. Krueger is the recipient of awards including the Hoch Award from the American Psychopathological Association. He is coeditor of the Journal of Personality Disorders. Erik Simonsen PhD, MD, is Professor Emeritus in the Department of Clinical Medicine, University of Copenhagen, and former Director of the Psychiatric Research Unit of Region Zealand, Denmark. He serves on the editorial boards of the Journal of Personality Disorders and Early Intervention in Psychiatry. With Theodore Millon, Dr. Simonsen cofounded the International Society for the Study of Personality Disorders, for which he served as General-Secretary and later as President. He is a past chair of the Section of Personality Disorders of the World Psychiatric Association. Dr. Simonsen has received numerous international awards and has published mainly on early detection, psychotherapy, assessment, and classification of first-episode psychosis and personality disorders.

"DSM-IV has had tremendous effects--both positive and negative--on clinical practice and research. Will DSM-V be an improvement? This exceptional book explores such crucial issues as whether the diagnostic categories have construct validity, how symptom diagnoses relate to personality, the impact of culture on classification, and how to base the diagnostic process in neurobiology. This book is a 'must' for anyone who wonders how the DSM could be made more clinically relevant. You will not find a more sophisticated discussion of the essential issues in psychiatric diagnosis anywhere else."--John F. Clarkin, PhD, Co-Director, Personality Disorders Institute, New York Presbyterian Hospital; Department of Psychiatry, Weill Cornell Medical College "This is an impressive volume. Millon, Krueger, and Simonsen have assembled a stellar group of experts to provide up-to-date, scholarly, and innovative analyses of critical issues in psychopathology. Essential reading for any one interested in understanding the challenges facing contemporary psychopathology and psychiatric nosology. The breadth and depth of the contributions will appeal both to experienced practitioners and researchers and to students training for the various mental health professions."--W. John Livesley, MD, PhD, Department of Psychiatry (Emeritus), University of British Columbia, Canada - Provides conceptual tools with which to appreciate the emerging taxonomy. Parts of it will be an invaluable resource for teaching and will provide foundation for future scholarship as DSM-5 is released....Readers intrigued by scientific foundations of the DSM-V and ICD-11 will be delighted. The contributions establish intellectual foundations of nosology for clinical scientists for many years to come. --PsycCRITIQUES, 2/27/2010

• I. Historical and Cultural Perspectives 1. A Précis of Psychopathological History 2. Themes in the Evolution of the 20th-Century DSMs 3. On the Wisdom of Considering Culture and Context in Psychopathology 4. Cultural Issues in the Coordination of DSM-V and ICD-11 5. A Sociocultural Conception of the Borderline Personality Disorder Epidemic II. Conceptual Issues in Classification 6. Philosophical Issues in the Classification of Psychopathology 7. Classification Considerations in Psychopathology and Personology 8. Diagnostic Taxa as Open Concepts: Metatheoretical and Statistical Questions about Reliability and Construct Validity in the Grand Strategy of Nosological Revision 9. Contemplations on Meehl (1986): The Territory, Paul’s Map, and Our Progress in Psychopathology Classification (or, the Challenge of Keeping Up with a Beacon 30 Years Ahead of the Field) 10. Issues of Construct Validity in Psychological Diagnoses 11. The Meaning of Comorbidity among Common Mental Disorders 12. The Connections between Personality and Psychopathology 13. Is It True That Mental Disorders Are So Common, and So Commonly Co-Occur? 14. Taking Disorder Seriously: A Critique of Psychiatric Criteria for Mental Disorders from the Harmful-Dysfunction Perspective III. Methodological Approaches to Categories, Dimensions, and Prototypes 15. On the Substantive Grounding and Clinical Utility of Categories versus Dimensions 16. A Short History of a Psychiatric Diagnostic Category That Turned Out to Be a Disease 17. Concepts and Methods for Researching Categories and Dimensions in Psychiatric Diagnosis 18. The Integration of Categorical and Dimensional Approaches to Psychopathology 19. Dimensionalizing Existing Personality Disorder Categories 20. An Empirically Based Prototype Diagnostic System for DSM-V and ICD-11 21. The Millon Personality Spectrometer: A Tool for Personality Spectrum Analyses, Diagnoses, and Treatments IV. Innovative Theoretical and Empirical Proposals 22. Neuroscientific Foundations of Psychopathology 23. Using Evolutionary Principles for Deducing Normal and Abnormal Personality Patterns 24. Biopsychosocial Models and Psychiatric Diagnosis 25. Reactivating the Psychodynamic Approach to the Classification of Psychopathology 26. A Life Course Approach to Psychoses: Outcome and Cultural Variation 27. The Interpersonal Nexus of Personality and Psychopathology 28. Reconceptualizing Autism Spectrum Disorders as Autism-Specific Learning Disabilities and Styles 29. Describing Relationship Patterns in DSM-V: A Preliminary Proposal 30. On the Diversity of the Borderline Syndromes