Tactical Psychotherapy of the Personality Disorders


edited by Paul Retzlaff



Published by Allyn & Bacon, 1995

(ISBN 0-205-15932-X, hardcover, 250 pp.)



In these pages Dr. Retzlaff brings together a team of expert clinicians and researchers, each specializing in a specific psychotherapeutic approach and well versed in the Millon Clinical Multiaxial Inventory. In a series of insightful chapters, they show how the MCMI can be effectively used to support clinical diagnosis and develop treatment plans in their areas of expertise. Psychotherapeutic approaches discussed include behavioral, interpersonal, cognitive, object relations, self-image, defense mechanism, psychic organization, and mood-temperament.

In the first two chapters, the authors provide essential background on the use of the recently revised MCMI-llI and its predecessors, including how MCMI-IlI interpretations relate to the diagnostic categories in the DSM-lll-R and DSM IV. The strengths and weaknesses of the test and its twenty-eight scales are discussed, along with the issues of reliability, validity, and interpretation. In presenting the theoretical background underlying the MCMI, the book shows how Millon's integrative theory of personality domains ties together seemingly discrepant approaches and schools of thought regarding personality disorders.

Chapters three through ten cover the development of psychotherapeutic treatment plans for clients exhibiting personality disorders. In a clear, easy-to-understand style, each chapter summarizes the principles underlying a specific therapeutic approach, describes how Millon's definitions of personality disorders relate to the approach, and suggests ways in which clinicians can use MCMI test results to identify or confirm specific client problems and develop a treatment plan. Each chapter also shows the treatment of a personality disorder through a case study that includes the MCMI-lII test results, the diagnostic work-up, and the case outcome.


Chapter 1

Clinical Application of the MCMI-III
by Paul Retzlaff

Chapter 2

Domain-Oriented Personality Theory
by George S. Everly, Jr.

Chapter 3

Use of the MCMI-III in Behavior Therapy
by Dennis Donat

Chapter 4

Interpersonal Psychotherapy and MCMI-III based Assessment
by Robert J. Craig

Chapter 5

Cognitive Therapy and the MCMI-III
by Thomas E. Will

Chapter 6

Object Relations Theory and the MCMI-III
by Eric J. Van Denburg

Chapter 7

The MCMI-III and Treatment of the Self
by Joseph T. McCann

Chapter 8

An Intersubjective Approach to Assessing and Treating Ego Defenses using the MCMI-III
by Steven R. Kubacki and Paula R. Smith

Chapter 9

Psychoanalytic Psychotherapy of the Personality Disorders: Toward Morphologic Change
by Darwin Dorr

Chapter 10

Experiential Mood Therapy with the MCMI-III
by Lee Hyer, Jeff Brandsma, and Lucinda Shealy


About the Editor: Paul Retzlaff is an Associate Professor at the University of Northern Colorado and a Consulting Psychologist at the VA Medical Center in Cheyenne, Wyoming. He has published extensively on the MCMI-l, MCMI-ll, and MCMI-Ill. Dr. Retzlaff's psychometric research interests include hit rate/operating characteristics, factor structures of items and scales, biased test taking, and high point codes. Patient-oriented research has included military mental health retention, alcoholic subtyping, disability prediction, and general inpatient and outpatient outcome.




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