Friday, January 31, 2014

A00032 - Theodore Millon, Developer of the Millon Clinical Multiaxial Inventory (MCMI)

Theodore Millon, a Student of Personality, Dies at 85
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    Theodore Millon’s work from the 1970s is still influential today.




    Theodore Millon, a psychologist whose theories helped define how scientists think about personality and its disorders, and who developed a widely used measure to analyze character traits, died on Wednesday at his home in Greenville Township, N.Y. He was 85.
    The cause was complications of heart disease, his granddaughter Alyssa Boice said.
    Dr. Millon (pronounced “Milan,” like the city in Italy) learned about the oddities of personality at first hand, by wandering the halls of Allentown State Hospital, a mental institution, after being named to the hospital’s board in the 1950s as a part an overhaul effort in Pennsylvania. A young assistant professor at nearby Lehigh University at the time, he “frequently ventured incognito through the hospital,” he wrote in an essay in 2001, “at times clothed in typical hospital garb overnight or for entire weekend periods, conversing at length with patients housed in a variety of acute and chronic wards.”
    At the University of Illinois in the 1970s, he began to think and write more deeply about the patterns underlying specific character types that therapists had described: the narcissist, with fragile, grandiose self-approval; the dependent, with smothering clinginess; the histrionic, always in the thick of some drama, desperate to be the center of attention. By 1980, he had pulled together the bulk of the work on such so-called personality disorders, most of it descriptive, and turned it into a set of 10 standardized types for the American Psychiatric Association’s third diagnostic manual.
    Along the way he developed the Millon Clinical Multiaxial Inventory (MCMI), which became the most commonly used diagnostic assessment for personality problems. It is still widely used today, in its third edition, the MCMI-III.
    “He was a monumental figure in shaping the understanding of personality disorders,” said Thomas Widiger, a professor of psychology at the University of Kentucky. “Prior to Ted, there wasn’t any measure to speak of. He just dominated the field during a key period of its growth.”
    Theodore Millon was born in Manhattan on Aug. 18, 1928, the only child of Abner Millon, a tailor, and the former Mollie Gorkowitz. He grew up in the Bensonhurst neighborhood of Brooklyn and graduated from Lafayette High School in 1945 before earning bachelor’s degrees in psychology, physics and philosophy at City College of New York. After graduating in 1950, he earned a Ph.D. from the University of Connecticut in 1953, the year after he married Renée Baratz. She survives him, as do three daughters, Diane Bobb, Dr. Carrie Millon and Adrienne Hemsley; a son, Andy; and eight grandchildren.
    Loquacious and opinionated, Dr. Millon, who described himself as an exemplar of “secure narcissism,” became a kind of institution unto himself after laying a foundation for the study of personality disorders. He left the University of Illinois for the Coral Gables campus of the University of Miami, where — between visiting professorships at Harvard and McLean Hospital — he founded the Institute for Advanced Studies in Personology and Psychopathology, a platform to advance his ideas, publishing analyses, books and various personality assessments.
    Dr. Millon wrote more than 25 books and co-wrote more than 50 academic papers. The American Psychological Association awarded him its Gold Medal Award for Lifetime Achievement in 2008.
    In one of his books, an encyclopedia of behavioral scientists called “Masters of the Mind” (2004), he included an entry for “Theodore Millon (1928 — ).” Dr. Millon, he wrote of himself, was distinguished from many others in the book “by the fact that he appears, contrawise, to be invariably buoyant, if not jovial. Critics are not invariably enamored, however, finding his work to be, at times, too speculative, his writing unduly imaginative, and his creativity overly expansive.”

    ***

    Theodore Millon (18 August 1928 - 29 January 2014) was an American psychologist known for his work on personality disorders.


    Biography[edit]

    Millon was born in 1928, the only child of immigrant Jewish parents from Lithuania and Poland.[1] His 19th-century ancestors came from the town of Valozhyn, then a part of the Russian Empire.[2]:309 Receiving degrees from both American and European universities, he was a member of the board of trustees of Allentown State Hospital, a large Pennsylvania psychiatric hospital for 15 years.[3] Shortly thereafter he became the founding editor of the Journal of Personality Disorders and the inaugural president of the International Society for the Study of Personality Disorders. He is Professor Emeritus at Harvard Medical School and the University of Miami.[4]
    In 2008, Millon was awarded the Gold Medal Award For Life Achievement in the Application of Psychology by the American Psychological Association.[5]
    The American Psychological Foundation presents an award named after Millon, known as the "Theodore Millon Award in Personality Psychology," to honor outstanding psychologists engaged in "advancing the science of personality psychology including the areas of personology, personality theory, personality disorders, and personality measurement."[6]

    Theoretical work[edit]

    Millon has written numerous popular works on personality, developed diagnostic questionnaire tools such as the Millon Clinical Multiaxial Inventory, and contributed to the development of earlier versions of the Diagnostic and Statistical Manual of Mental Disorders.
    Among other diagnoses, Millon advocated for an expanded version of passive aggressive personality disorder, which he termed 'negativistic' personality disorder and argued could be diagnosed by criteria such as "expresses envy and resentment toward those apparently more fortunate" and "claims to be luckless, ill-starred, and jinxed in life; personal content is more a matter of whining and grumbling than of feeling forlorn and despairing" (APA, 1991, R17). Passive-Aggressive Personality Disorder was expanded somewhat as an official diagnosis in the DSM-III-R but then relegated to the appendix of DSM-IV, tentatively renamed 'Passive-Aggressive (Negativistic) Personality Disorder'.[7]

    Millon's personality disorder subtypes[edit]

    Millon devised a set of widely acknowledged subtypes for each of the DSM personality disorders:[8][9]

    Books[edit]

    • Millon, Theodore (with Roger D. Davis) (1996) Disorders of Personality: DSM IV and Beyond 2nd ed. New York: John Wiley and Sons. ISBN 0-471-01186-X
    • Millon, Theodore (2000). Personality Disorders in Modern Life. New York: John Wiley and Sons. ISBN 0-471-23734-5
    • Millon, Theodore. (2004) Masters of the Mind. Hoboken: John Wiley and Sons.
    • Millon, Theodore and Grossman, Seth.(2007) Moderating Severe Personality Disorders: A Personalized Psychotherapy Approach. Hoboken: John Wiley and Sons.
    • Millon, Theodore and Grossman, Seth.(2007) Resolving Difficult Clinical Syndromes: A Personalized Psychotherapy Approach. Hoboken: John Wiley and Sons.
    • Millon, Theodore and Grossman, Seth.(2007) Overcoming Resistant Personality Disorders: A Personalized Psychotherapy Approach. Hoboken: John Wiley and Sons.
    • Blaney, Paul H. and Millon, Theodore (Eds). (2008) Oxford Textbook of Psychopathology, 2nd Ed.. New York: Oxford University Press.
    • Millon, Theodore, Krueger, Robert and Simonsen, Erik (Eds). (2008). Contemporary Directions in Psychopathology: Toward the DSM-V and ICD-11. New York: Guilford Press.
    • The Millon inventories: a practitioner's guide to personalized clinical assessment. (2008) Guilford Press. ISBN 978-1-59385-674-8
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