The Millon Clinical Multiaxial Inventory-IV (MCMI-IV)

Abstract

The MCMI-IV is frequently deployed in personality diagnosis to foster incremental validity, as its constructs correspond closely to established DSM-5 constructs. However, its use is constrained to this basic function with clinicians who are not sufficiently trained in the underlying theory of the test, the nuances of the constructs, or both. This chapter seeks to provide a primer for Millon’s Evolutionary Theory, specifically as it relates to a more thorough application in assessment and treatment with the MCMI-IV. This includes a contextual view of the MCMI-IV as it differs from other objective measures, as well as an overview of interpretive procedures from basic administration to more advanced theory integration. It also informs the clinician of potential for therapeutic enhancement using the instrument’s findings. Advantages and disadvantages of the MCMI-IV’s deductive approach in test construction and empirical grounding are discussed, as are strengths and limitations.

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