1st Edition

Contemporary Directions in Psychopathology
Scientific Foundations of the DSM-V and ICD-11

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ISBN 9781606235324
Published April 20, 2010 by Guilford Press
622 Pages


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Book Description

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 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.

Table of 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

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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, MD, is Director of Psychiatric Research in Region Zealand, Denmark; Director of the Institute of Personality Theory and Psychopathology; and Associate Research Professor at the University of Copenhagen. He has published widely on personality disorders, first-episode psychosis, personality assessment, outcome of psychotherapy, and psychiatric classification. Dr. Simonsen is past president of the ISSPD and a recipient of the ISSPD Award. He has also served as president of the Section on Personality Disorders of the World Psychiatric Association.


"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
"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, Institute of Psychiatry, Psychology and Neuroscience, King's College London, United Kingdom
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