Personality-Guided Therapy

by Theodore Millon (with Seth Grossman, Sarah Meagher, Carrie Millon, & George Everly)

 

Published by Wiley, 1999
ISBN: 0-471-52807-2

 

 

 

Excerpt from Foreword by Roger D. Davis

This book fills a gaping hole in clinical practice. In an age when the forces of managed care have driven clinicians more and more to treat only the most immediate and dramatic outcroppings of pathology, Millon maintains that therapists should understand the presenting problem by understanding the whole person. Personality-guided therapy thus addresses not only the most pressing issues, but also treats the potential for pathology, the only foundation of an ethical psychotherapy. No longer is the focus on superficial, manualized psychotherapies which "bleed" patients of symptom severity while leaving the underlying potential for disease--ways of thinking, feeling, perceiving, and relating that we call personality--intact. By seeking to understand the whole person, therapy is shifted back to the humanistic values that have formed the core mission of our discipline throughout most of its history, a return to long-term healthy functioning. While no one would dare disagree with such a noble purpose, it is strange that contemporary times have found such a discrepancy between practicing and preaching.

......But no more. With this book, the logic which connects constructs to persons has been specified in detail. The psychotherapy advocated is genuinely integrative, but in a sense which differs from the term as it is now casually thrown around. For Millon, integration refers to an understanding that issues from an explicit theory of personality, the Evolutionary Model (Millon, 1990). The goal is to put forward a taxonomy of personality constructs that resembles the periodic table of chemistry, or the standard model of physics. While the value of such a system would seem self-evident, it has been overlooked by so-called integrationists. Yet, if it is essential to understand persons through constructs, as it always is in therapy, then we must first determine what constructs are essential to such an understanding. The theory is the Evolutionary Model, the constructs it generates are personality styles and disorders of Axis II, and the goal is understanding the patient's personality and how he or she thereby interacts with the surrounding world to create difficulties that result in anxiety, depression, and other disorders of Axis I. As Millon shows, only then can techniques be chosen scientifically, that is, logically integrated in accordance with the person's problems and needs.....

Reviews of Personality-Guided Therapy (from the back cover)

"...a 'must read' for students as well as mental health professionals."--Aaron T. Beck, MD University of Pennsylvania

"...Brilliant in concept and amazing in scope."--John Norcross, PhD President APA Division 29

"...an important new dimension to the psychological intervention literature."--Irving Weiner, PhD Editor in Chief, Wiley

"...provides...[what]...clinicians need, our training program should utilize, and our field is striving for."--John F. Clarkin, PhD--Cornell Medical Center

"...seasoned mental health professionals will undoubtably return again and again to this volume... [It] is sure to prove a classic in the field."--Jeffrey J. Magnavita, PhD Connecticut Center

 

Table of Contents

Part I: FOUNDATIONS

Chapter 1. A Brief Review of Modern Treatment Modalities

Chapter 2. A Perspective on Contemporary Trends

Chapter 3. Personality-Guided Synergism

Chapter 4. Planning Personality-Guided Treatment

Part II: CLINICAL SYNDROMES-AXIS I

Chapter 5. Treating Acute, Post-Traumatic, and Generalized Anxiety Disorders

Chapter 6. Treating Anxiety-related Psychological Syndromes: Phobic, Dissociative, and Obsessive-Compulsive Disorders

Chapter 7. Treating Anxiety-related Physical Syndromes:Somatoform and Conversion Disorders

Chapter 8. Treating Mood-Related Syndromes: Dysthymia, Major Depression,and Bipolar Disorders

Chapter 9. Treating Cognitive Dysfunction Syndromes: Substance-Related and Schizophrenic Disorders

Part III: PERSONALITY DISORDERS-AXIS II

Chapter 10. Treating Schizoid Personality Patterns

Chapter 11. Treating Avoidant Personality Patterns

Chapter 12. Treating Depressive Personality Patterns

Chapter 13. Treating Dependent Personality Patterns

Chapter 14. Treating Histrionic Personality Patterns

Chapter 15. Treating Narcissistic Personality Patterns

Chapter 16. Treating Antisocial Personality Patterns

Chapter 17. Treating Sadistic Personality Patterns

Chapter 18. Treating Compulsive Personality Patterns

Chapter 19. Treating Negativistic Personality Patterns

Chapter 20. Treating Masochistic Personality Patterns

Chapter 21. Treating Schizotypal Personality Patterns

Chapter 22. Treating Borderline Personality Patterns

Chapter 23. Treating Paranoid Personality Patterns

 

 

 

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