This forward-thinking volume grapples with critical questions surrounding the mechanisms underlying mental disorders and the systems used for classifying them. Edited and written by leading international authorities, many of whom are actively involved with the development of DSM-V and ICD-11, the book integrates biological and psychosocial perspectives. It provides balanced analyses of such hot-button issues as the role of social context and culture in psychopathology and the pros and cons of categorical versus dimensional approaches to diagnosis. Cutting-edge diagnostic instruments and research methods are reviewed. Throughout, contributors highlight the implications of current theoretical and empirical advances for understanding real-world clinical problems and developing more effective treatments. "The time is ripe for a major reconsideration of the principles to be employed in any diagnostic classification, and this admirable volume does just that. The aim is not to present a new list of ‘facts,’ but rather to enable people to think clearly and critically about such key issues as whether to use dimensions or categories or prototypes, how to deal with comorbidity, the harmful dysfunction construct, and the interconnections between personality and mental disorders. The real value of the book lies in getting people to put aside prejudice and dogma and think creatively instead. The approaches discussed are practical and clinically relevant. This volume is essential reading for anyone with the slightest interest in classification and diagnosis. No one is likely to agree with everything in this wonderful book, but you will think more clearly after reading it. A substantial volume, full of wisdom and interest."—Michael Rutter, MD, FRS, Social, Genetic, and Developmental Psychiatry Research Centre, Institute of Psychiatry, London, United Kingdom "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 "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 anyone 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 (Professor Emeritus), University of British Columbia, Canada Contents: I. Historical and Cultural Perspectives 1. A Précis of Psychopathological History, Theodore Millon and Erik Simonsen 2. Themes in the Evolution of the 20th-Century DSMs, Roger K. Blashfield, Elizabeth Flanagan, and Kristin Raley 3. On the Wisdom of Considering Culture and Context in Psychopathology, Joseph P. Gone and Laurence J. Kirmayer 4. Cultural Issues in the Coordination of DSM-V and ICD-11, Renato D. Alarcón 5. A Sociocultural Conception of the Borderline Personality Disorder Epidemic, Theodore Millon II. Conceptual Issues in Classification 6. Philosophical Issues in the Classification of Psychopathology, Peter Zachar and Kenneth S. Kendler 7. Classification Considerations in Psychopathology and Personology, Theodore Millon 8. Diagnostic Taxa as Open Concepts: Metatheoretical and Statistical Questions about Reliability and Construct Validity in the Grand Strategy of Nosological Revision, Paul E. Meehl 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), Mark F. Lenzenweger 10. Issues of Construct Validity in Psychological Diagnoses, Gregory T. Smith and Jessica Combs 11. The Meaning of Comorbidity among Common Mental Disorders, Nicholas R. Eaton, Susan C. South, and Robert F. Krueger 12. The Connections between Personality and Psychopathology, Susan C. South, Nicholas R. Eaton, and Robert F. Krueger 13. Is It True That Mental Disorders Are So Common, and So Commonly Co-Occur?, Mario Maj 14. Taking Disorder Seriously: A Critique of Psychiatric Criteria for Mental Disorders from the Harmful-Dysfunction Perspective, Jerome C. Wakefield III. Methodological Approaches to Categories, Dimensions, and Prototypes 15. On the Substantive Grounding and Clinical Utility of Categories versus Dimensions, William M. Grove and Scott I. Vrieze 16. A Short History of a Psychiatric Diagnostic Category That Turned Out to Be a Disease, Roger K. Blashfield and Jared Keeley 17. Concepts and Methods for Researching Categories and Dimensions in Psychiatric Diagnosis, Helena Chmura Kraemer 18. The Integration of Categorical and Dimensional Approaches to Psychopathology, Erik Simonsen 19. Dimensionalizing Existing Personality Disorder Categories, Andrew E. Skodol 20. An Empirically Based Prototype Diagnostic System for DSM-V and ICD-11, Kile M. Ortigo, Bekh Bradley, and Drew Westen 21. The Millon Personality Spectrometer: A Tool for Personality Spectrum Analyses, Diagnoses, and Treatments, Theodore Millon, Seth Grossman, and Robert Tringone IV. Innovative Theoretical and Empirical Proposals 22. Neuroscientific Foundations of Psychopathology, Christopher J. Patrick and Edward M. Bernat 23. Using Evolutionary Principles for Deducing Normal and Abnormal Personality Patterns, Theodore Millon 24. Biopsychosocial Models and Psychiatric Diagnosis, Joel Paris 25. Reactivating the Psychodynamic Approach to the Classification of Psychopathology, Sidney J. Blatt and Patrick Luyten 26. A Life Course Approach to Psychoses: Outcome and Cultural Variation, Rina Dutta & Robin M. Murray 27. The Interpersonal Nexus of Personality and Psychopathology, Aaron L. Pincus, Mark R. Lukowitsky, and Aidan G. C. Wright 28. Reconceptualizing Autism Spectrum Disorders as Autism-Specific Learning Disabilities and Styles, Bryna Siegel 29. Describing Relationship Patterns in DSM-V: A Preliminary Proposal, Marianne Z. Wamboldt, Steven R. H. Beach, Nadine J. Kaslow, Richard E. Heyman, Michael B. First, and David Reiss 30. On the Diversity of the Borderline Syndromes, Michael H. Stone CONTRIBUTORS Renato D. Alarcón, MD, MPH, Mood Disorders Unit and Department of Psychiatry, Mayo Clinic College of Medicine, Rochester, Minnesota Steven R. H. Beach, PhD, Institute for Behavioral Research, University of Georgia, Athens, Georgia Edward M. Bernat, PhD, Department of Psychology, University of Minnesota, Minneapolis, Minnesota Roger K. Blashfield, PhD, Department of Psychology, Auburn University, Auburn, Alabama Sidney J. Blatt, PhD, Department of Psychiatry, Yale University, New Haven, Connecticut Bekh Bradley, PhD, Trauma Recovery Program, Atlanta Veterans Affairs Medical Center, and Department of Psychiatry and Behavioral Sciences, Emory University, Atlanta, Georgia Jessica Combs, BA, Department of Psychology, University of Kentucky, Lexington, Kentucky Rina Dutta, MRCPsych, Institute of Psychiatry, Kings College London, London, United Kingdom Nicholas R. Eaton, MA, Department of Psychology, Washington University in St. Louis, St. Louis, Missouri Michael B. First, MD, Department of Psychiatry, Columbia University, New York, New York Elizabeth Flanagan, PhD, Department of Psychiatry, Yale School of Medicine, New Haven, Connecticut Joseph P. Gone, PhD, Department of Psychology, University of Michigan, Ann Arbor, Michigan Seth Grossman, PsyD, Counseling and Psychological Services Center, Florida International University, Miami, Florida William M. Grove, PhD, Department of Psychology, University of Minnesota, Minneapolis, Minnesota Richard E. Heyman, PhD, Department of Psychology, Stony Brook University, Stony Brook, New York Nadine J. Kaslow, PhD, Department of Psychiatry, Emory University School of Medicine, Atlanta, Georgia Jared Keeley, MS, Department of Psychology, Auburn University, Auburn, Alabama Kenneth S. Kendler, MD, Department of Psychiatry, Virginia Commonwealth University, Richmond, Virginia Laurence J. Kirmayer, MD, Culture and Mental Health Research Unit, Institute of Community and Family Psychiatry, Sir Mortimer B. Davis–Jewish General Hospital, McGill University, Montreal, Quebec, Canada Helena Chmura Kraemer, PhD, Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, California Robert F. Krueger, PhD, Departments of Psychology and Psychiatry, Washington University in St. Louis, St. Louis, Missouri Mark F. Lenzenweger, PhD, Department of Psychology, State University of New York at Binghamton, Binghamton, New York Mark R. Lukowitsky, MA, Department of Psychology, Pennsylvania State University, University Park, Pennsylvania Patrick Luyten, PhD, Department of Psychology, University of Leuven, Leuven, Belgium Mario Maj, MD, PhD, Department of Psychiatry, University of Naples, Naples, Italy Paul Meehl, PhD (deceased), Department of Psychology, University of Minnesota, Minneapolis, Minnesota Theodore Millon, PhD, DSc, Institute for Advanced Studies in Personology and Psychopathology, Port Jervis, New York Robin M. Murray, MD, Institute of Psychiatry, Kings College London, London, United Kingdom Kile Ortigo, MA, Department of Psychology, Emory University, Atlanta, Georgia Joel Paris, MD, Department of Psychiatry, McGill University, Montreal, Quebec, Canada Christopher J. Patrick, PhD, Department of Psychology, Florida State University, Tallahassee, Florida Aaron L. Pincus, PhD, Department of Psychology, Pennsylvania State University, University Park, Pennsylvania Kristin Raley, MS, Department of Psychology, Auburn University, Auburn, Alabama David Reiss, MD, Center for Family Research and Department of Psychiatry and Behavioral Sciences, George Washington University Medical Center, Washington, DC Bryna Siegel, PhD, Department of Child and Adolescent Psychiatry, University of California, San Francisco, California Erik Simonsen, MD, Psychiatric Research Unit, Roskilde County Psychiatric Hospital, University of Copenhagen, Copenhagen, Denmark Andrew E. Skodol, MD, Sunbelt Collaborative, Tucson, Arizona Gregory T. Smith, PhD, Department of Psychology, University of Kentucky, Lexington, Kentucky Susan C. South, PhD, Department of Psychological Sciences, Purdue University, West Lafayette, Indiana Michael H. Stone, MD, private practice, New York, New York Robert Tringone, PhD, Counseling Center, St. John’s University, Jamaica, New York Scott I. Vrieze, BA, Department of Psychology, University of Minnesota, Minneapolis, Minnesota Jerome C. Wakefield, PhD, School of Social Work, New York University, New York, New York Marianne Z. Wamboldt, MD, Department of Psychiatry, The Children’s Hospital University of Colorado Denver Health Sciences Center, Denver, Colorado Drew Westen, PhD, Departments of Psychology and Psychiatry and Behavioral Sciences, Emory University, Atlanta, Georgia Aidan G. C. Wright, MS, Department of Psychology, Pennsylvania State University, University Park, Pennsylvania Peter Zachar, PhD, Department of Psychology, Auburn University Montgomery, Montgomery, Alabama Edited by Theodore Millon, PhD, DSc, Institute for Advanced Studies in Personology and Psychopathology; Robert F. Krueger, PhD, Departments of Psychology and Psychiatry, Washington University in St. Louis; and Erik Simonsen, MD, Psychiatric Research Unit, Roskilde County Psychiatric Hospital, University of Copenhagen, Denmark |