Disorders of Personality: Introducing a DSM/ICD Spectrum by Theodore Millon

By Theodore Millon

Now in its Third Edition, this publication clarifies the differences among the giant array of character problems and is helping clinicians make actual diagnoses. it's been completely up to date to include the changes within the approaching DSM-5. utilizing the type scheme he pioneered, Dr. Millon courses clinicians in the course of the complicated maze of character issues, with distinct recognition to adjustments of their conceptualization over the past decade. large new study is integrated, in addition to the incorporation of over 50 new illustrative and therapeutically particular circumstances. this can be each psychological health professional's crucial quantity to totally figuring out character.

<span class="h3color">From the writer: Does Psychiatry Itself Have a character Problem?</span>

From early within the twentieth century, Freud, Adler and Jung wrangled over whose therapy procedure was once most sensible. Now, this present day, there are actually dozens of cures, each one vying for its preeminence, transferring every year of their “popularity”, from psychodynamic to prescribed drugs, to behavioral, to cognitive, to kinfolk, and who is familiar with what else?

No much less troubling is psychiatry’s lack of ability to take care of a good degree of readability or balance in its diagnostic Bible, the DSM, now present process its 5th revision in contemporary many years, and stirring up strong controversies because it presses for extra radical alterations because the leading edge DSM-III and DSM-IV. What are being proposed is the recasting or shedding of such classical syndromes because the paranoid, the narcissistic, the schizoid and the histrionic (hysterical) character, whereas offering the ascendance of contemporary forms comparable to the schizotypal, avoidant and borderline. Are those alterations a scientifically established index of “survival of the fittest” or one other fad of the days, to be recast back within the DSM-6?

it seems that the psychiatric career can’t make up its personal brain approximately what problems exist and the way top to regard them. in the event that they have been a sufferer, they might most likely be “diagnosed” with the “borderline personality” label, a illness famous for its identification confusion, instability, impulsive temper adjustments, periodic emotions of vacancy, and self-injurious behaviors. Chaos does appear to reign within the consulting room, yet who has the disease, the healthcare professional or the sufferer?

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Extra info for Disorders of Personality: Introducing a DSM/ICD Spectrum from Normal to Abnormal (Wiley Series on Personality Processes)

Sample text

And neuroticism seems especially notable among borderline personalities. , favoring the view that FFM is the dimensional model to subserve the personality disorders, all such schemas must be seen as essentially cross-sectional in nature; they fail to provide an understanding of their developmental background. Moreover, they fail to come to grips with numerous combinations and subtle variations that other theoretical schemas provide (Block, 1995; in press). Nevertheless, the FFM has proven to be extremely robust across numerous factor solutions, are found in a number of cultures and languages, appear stable across observers, and correlate well with a variety of nonfactorially based clinical measures.

87) What Jaspers recommended then is equally true today; an effort must be made to construct a 1 • HISTORICAL, MODERN, AND CONTEMPORARY APPROACHES TO PERSONOLOGY consistent framework that will create order and give coherence to the broad spectrum of mental disorders. A review of the theorists described earlier in this chapter indicates that many have pursued this goal, but few, if any, have succeeded in formulating as comprehensive and integrated a framework as is necessary to encompass even the personality disorders.

Cognitivists stress that individuals react to the world in terms of their unique perception of it. No matter how unconsciously distorted these perceptions may be, it is the person’s way of construing events that determines behavior. Concepts and therapies must be formulated, therefore, not in terms of objective realities or unconscious processes, but in accord with how events are interpreted by the individual. Any datum that represents the person’s portrayal of his or her experience is grist for the cognitivist’s mill.

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