This edition is no longer for sale. However, the third edition is available.

Leading researchers and clinicians explore the premise that the Five-Factor Model (FFM) of personality is the most useful and comprehensive taxonomy for describing personality and for understanding problems associated with personality disorders.

In addition to contrasting the FFM with other diagnostic models, prominent clinicians offer a FFM translation of DSM-III-R (and proposed DSM-IV) personality disorder categories. The book provides a thorough analysis of personality dimensions and disorders from the FFM perspective and identifies the dimensions of pathology that underlie the disorder categories.

Experts also examine the application of the FFM to the diagnosis and treatment of personality disorders in a number of patient populations—including substance abusers, psychopaths, and sex offenders—using clinical vignettes to explore the FFM's role in therapy.

Table of Contents


Introduction: Personality Disorders and the Five-Factor Model of Personality
—Paul T. Costa, Jr., and Thomas A. Widiger

I. Conceptual Background

  1. Historical Antecedents of the Five-Factor Model
    —John M. Digman
  2. Toward a Dimensional Model for the Personality Disorders
    —Thomas A. Widiger and Allen J. Frances
  3. A Description of the DSM-III-R and DSM-IV Personality Disorders With the Five-Factor Model of Personality
    —Thomas A. Widiger, Timothy J. Trull, John F. Clarkin, Cynthia Sanderson, and Paul T. Costa, Jr.

II. Empirical Research

  1. A Five-Factor Perspective on Personality Disorder Research
    —Timothy J. Trull and Robert R. McCrae
  2. Personality Structure and the Structure of Personality Disorders
    —Jerry S. Wiggins and Aaron L. Pincus
  3. Personality Disorder Symptomatology From the Five-Factor Model Perspective
    —Lee Anna Clark, Lu Vorhies, and Joyce L. McEwen
  4. Dimensions of Personality Disorder and the Five-Factor Model of Personality
    —Marsha L. Schroeder, Janice A. Wormworth, and W. John Livesley

III. Patient Populations and Clinical Cases

  1. Personality Trait Characteristics of Opioid Abusers With and Without Comorbid Personality Disorders
    —Robert K. Brooner, Chester W. Schmidt, Jr., and Jeffrey H. Herbst
  2. Personality of the Psychopath
    —Timothy J. Harpur, Stephen D. Hart, and Robert D. Hare
  3. The NEO-PI and the MCMI in the Forensic Evaluation of Sex Offenders
    —Gregory K. Lehne
  4. A Case of Borderline Personality Disorder
    —Stephen Bruehl
  5. Narcissism From the Perspective of the Five-Factor Model
    —Elizabeth M. Corbitt
  6. Bulimia Nervosa Within the Context of Maladaptive Personality Traits
    —Cynthia G. Ellis
  7. Mixed Personality Disorder With Passive–Aggressive and Avoidant Features
    —Glenn V. Thomas

IV. Treatment of Personality-Disordered Patients

  1. Use of the NEO-PI Personality Dimensions in Differential Treatment Planning
    —Cynthia Sanderson and John F. Clarkin
  2. Using Personality Measurements in Clinical Practice
    —K. Roy MacKenzie
  3. Treatment Case: A Couple With Sexual Dysfunction and Paraphilia
    —Peter J. Fagan

V. Reconceptualization

  1. Two Approaches to Identifying the Dimensions of Personality Disorder: Convergence on the Five-Factor Model
    —Lee Anna Clark and W. John Livesley
  2. Personality Disorders: Conceptual Distinctions and Classification Issues
    —Theodore Millon
  3. A Reformulation of Axis II: Personality and Personality-Related Problems
    —Robert R. McCrae
  4. Conceptualizing a Disorder of Personality From the Five-Factor Model
    —Thomas A. Widiger

Summary and Unresolved Issues
—Paul T. Costa, Jr. and Thomas A. Widiger


  1. DSM-III-R Personality Disorders and the Five-Factor Model
  2. Personality Disorders Proposed for DSM-IV
  3. Diagnostic Criteria of DSM-III-R Axis II Personality Disorders
  4. Description of the Revised NEO Personality Inventory (NEO-PI-R) Facet Scales
  5. Brief Content Descriptions of the SNAP Trait and Temperament Scales

Author Index

Subject Index

About the Editors