On the Nature of Clinical Health Psychology

  • Theodore Millon


A major error in professional health care training and practice, one founded on a misconceived and primitive mind-body dualism, is undergoing serious reexamination today. This chapter seeks to contribute to these reflections by arguing for a broadened conception of the role of the clinical psychologist. This chapter not only fosters the view that clinical psychology should move beyond its conventional—albeit well-founded—attention to the “mentally” disordered but also demonstrates specifically that there is both a need and a justification for psychologists to assume an active role in the assessment and management of the “physically” disordered.


Behavioral Health Clinical Health Behavioral Medicine American Psychological Association Clinical Psychologist 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-III). Washington, D.C.: American Psychiatric Association, 1980.Google Scholar
  2. American Psychological Association, Task Force on Health Research. Contributions of psychology to health research: Patterns, problems, and potentials. American Psychologist, 1976, 31, 263–274.Google Scholar
  3. Asken, M. J. Medical psychology: Psychology’s neglected child. Professional Psychology, 1975, 6, 155–160.CrossRefGoogle Scholar
  4. Asken, M. J. Medical psychology: Toward definition, clarification and organization. Professional Psychology, 1979, 10, 66–73.CrossRefGoogle Scholar
  5. Berkman, P. L. Spouseless motherhood, psychological stress, and physical morbidity. Journal of Health and Social Behavior, 1969, 10, 323–334.PubMedCrossRefGoogle Scholar
  6. Brady, J., & Pomerleau, O. (Eds.). Behavioral medicine: Theory and practice. Baltimore: Williams & Wilkins, 1979.Google Scholar
  7. Cassell, J. The contribution of the social environment to host resistance. American Journal of Epidemiology, 1976, 104, 107–123.Google Scholar
  8. Cobb, S. Presidential address - 1976: Social support as a moderator of life stress. Psychosomatic Medicine, 1976, 38, 300–314.Google Scholar
  9. Cohen, F. Personality, stress, and the development of physical illness. In G. C. Stone, F. Cohen, & N. E. Adler (Eds.), Health psychology: A handbook. San Francisco: Jossey-Bass, 1979.Google Scholar
  10. Cohen, F., & Lazarus, R. S. Coping with the stresses of life. In G. C. Stone, F. Cohen, & N. E. Adler (Eds.), Health psychology: A handbook. San Francisco: Jossey-Bass, 1979.Google Scholar
  11. Comstock, G. W., & Partridge, K. B. Church attendance and health. Journal of Chronic Diseases, 1972, 25, 665–672.PubMedCrossRefGoogle Scholar
  12. DiMatteo, M. R., & Friedman, H. S. (Eds.). Interpersonal relations in health care. Journal of Social Issues, 1979, 35, 1–206.Google Scholar
  13. Engel, G. L. A life setting conducive to illness: The giving up-given up complex. Bulletin of the Menninger Clinic, 1968, 32, 355–365.PubMedGoogle Scholar
  14. Engel, G. L. The need for a new medical model: A challenge for biomedicine. Science, 1977, 196, 129–136.PubMedCrossRefGoogle Scholar
  15. Engel, G. L.,& Schmale, A. H. Psychoanalytic theory of somatic disorder, Journal of the American Psychoanalytic Association, 1967, 15, 344–363.PubMedCrossRefGoogle Scholar
  16. Franz, S. I. The present status of psychology in medical education and practice, Journal of the American Medical Association, 1912, 53, 909–911.Google Scholar
  17. Friedman, M., & Rosenman, R. H. Type A behavior and your heart. New York: Knopf, 1974.Google Scholar
  18. Gore, S. The influence of social support and related variables in ameliorating the consequences of job loss. Unpublished doctoral dissertation. University of Michigan, 1973.Google Scholar
  19. Holmes, T. H., &: Rahe, R. H. The Social Readjustment Rating Scale. Journal of Psychosomatic Research, 1967, 11, 213–217.PubMedCrossRefGoogle Scholar
  20. Jenkins, C. D. Psychological and social risk factors for coronary disease. New England Journal of Medicine, 1976, 294, 987–994.PubMedCrossRefGoogle Scholar
  21. Jenkins, C. D. Behavioral risk factors in coronary artery disease. Annual Review of Medicine, 1978, 29, 543–562.PubMedCrossRefGoogle Scholar
  22. Kahana, R. J. Studies in medical psychology: A brief survey. Psychiatry in Medicine, 1972, 3, 1–22.PubMedCrossRefGoogle Scholar
  23. Kahana, R. J., & Bibring, G. Personality types in medical management. In N. Zinberg (Ed.), Psychiatry and medical practice in a general hospital. New York: International Universities Press, 1964.Google Scholar
  24. Lazarus, R. S. Psychological stress and the coping process. New York: McGraw-Hill, 1966.Google Scholar
  25. Leigh, H., & Reiser, M. F. The patient. New York: Plenum Press, 1980.Google Scholar
  26. Liem, J. H., & Liem, R. Life events, social supports, and physical and psychological well-being. Paper presented at the American Psychological Association annual meeting, Washington, D.C., 1976.Google Scholar
  27. Lipowski, Z. J. Physical illness, the individual, and the coping process. Psychiatry in Medicine, 1970, 1, 91–102.PubMedCrossRefGoogle Scholar
  28. Lipowski, Z. J. Psychosomatic medicine in the seventies: An overview. American Journal of Psychiatry, 1977, 134, 233–244.PubMedGoogle Scholar
  29. Lynch, J. J. The broken heart: The medical consequences of loneliness. New York: Basic Books, 1977.Google Scholar
  30. Matarazzo, J. D. Behavioral health and behavioral medicine. American Psychologist, 1980, 35, 807–817.PubMedCrossRefGoogle Scholar
  31. Matarazzo, J. D., & Daniel, R. S. The teaching of psychology by psychologists in medical schools. Journal of Medical Education, 1957, 32, 410–415.PubMedGoogle Scholar
  32. Matarazzo, J. D., Lubin, B., & Nathan, R. G. Psychologists’ membership on the medical staff of university teaching hospitals. American Psychologist, 1978, 33, 23–29.PubMedCrossRefGoogle Scholar
  33. McNamara, J. R. (Ed.). Behavioral approaches to medicine. New York: Plenum Press, 1979.Google Scholar
  34. Melamed, B. G., & Seigel, L. J. Behavioral medicine: Practical applications in health care. New York: Springer, 1980.Google Scholar
  35. Mensh, I. N. Psychology in medical education. American Psychologist, 1953, 8, 83–85.CrossRefGoogle Scholar
  36. Meyer, A. The value of psychology in psychiatry, Journal of the American Medical Association, 1912, 53, 911–914.Google Scholar
  37. Millon, T. (Ed.). Theories of psychopathology. Philadelphia: Saunders, 1967.Google Scholar
  38. Millon, T. Modem psychopathology: A biosocial approach to maladaptive learning and functioning. Philadelphia: Saunders, 1969.Google Scholar
  39. Millon, T. (Ed.). Medical behavioral science, Philadelphia: Saunders, 1975.Google Scholar
  40. Millon, T. Millon Clinical Multiaxial Inventory Manual. Minneapolis: National Computer Systems, 1977.Google Scholar
  41. Millon, T. Disorders of personality: DSM-III: Axis II. New York: Wiley-Interscience, 1981.Google Scholar
  42. Millon, T., Green, C. J., & Meagher, R. B. The MBHI: A new inventory for the psychodiagnostician in medical settings. Professional Psychology, 1979, 10, 529–539.CrossRefGoogle Scholar
  43. Millon, T., Green, C. J., & Meagher, R. B. The MBHI Manual; Third edition. Minneapolis: National Computer Systems, 1982.Google Scholar
  44. Moss, G. E. Illness, immunity, and social interaction. New York: Wiley, 1973.Google Scholar
  45. Pinneau, S. R. Effects of social support on psychological and physiological strains. Unpublished doctoral dissertation, University of Michigan, 1975.Google Scholar
  46. Prince, M. The new psychology and therapeutics. Journal of the American Medical Association, 1912, 53, 918–921.Google Scholar
  47. Rosenman, R. H., Brand, R. J., Jenkins, C. D., Friedman, M., Straus, R., & Wurm, M. Coronary heart disease in the Western Collaborative Group study: Final follow-up experience of 8.5 years. Journal of the American Medical Association, 1975, 233, 872–877.Google Scholar
  48. Schmale, A. H. Giving up as a final common pathway to changes in health. Advances in Psychosomatic Medicine, 1972, 8, 20–40.PubMedGoogle Scholar
  49. Schmale, A. H., & Engel, G. L. The giving up-given up complex illustrated on film. Archives of General Psychiatry, 1967, 17, 135–145.PubMedGoogle Scholar
  50. Schmale, A. H., &: Iker, H. P. The affect of hopelessness and the development of cancer: I. Identification of uterine cervical cancer in women with atypical cytology. Psychosomatic Medicine, 1966, 28, 714–721.Google Scholar
  51. Schmale, A. H., & Iker, H. P. Hopelessness as a predictor of cervical cancer. Social Science and Medicine, 1971, 5, 95–100.CrossRefGoogle Scholar
  52. Schwartz, G. E. & Beatty J. (Eds.). Biofeedback: Theory and research. New York: Academic Press, 1977.Google Scholar
  53. Schwartz, G. E., & Weiss, S. M. Behavioral medicine revisited: An amended definition. Journal of Behavioral Medicine, 1978, 1, 249–251.PubMedCrossRefGoogle Scholar
  54. Scofield, W. The role of psychology in the delivery of health service. American Psychologist, 1969, 24, 565–584.CrossRefGoogle Scholar
  55. Scofield, W. Clinical psychologists as health professionals. In G. C. Stone, F. Cohen, & N. E. Adler (Eds.), Health psychology: A handbook. San Francisco: Jossey-Bass, 1979.Google Scholar
  56. Selye, H. The stress of life (Rev. ed.). New York: McGraw-Hill, 1976.Google Scholar
  57. Southard, E. E. Psychopathology and neuropathology: The problems of teaching and research contrasted. Journal of the American Medical Association, 1912, 53, 914–916.Google Scholar
  58. Stone, G. C., Cohen, F., &: Adler, N. E. (Eds.). Health psychology: A handbook. San Francisco: Jossey- Bass, 1979.Google Scholar
  59. Wagner, N. N., & Stegeman, K. L. Psychologists in medical education: 1964. American Psychologist, 1964, 19, 689–690.CrossRefGoogle Scholar
  60. Watson, J. B. Content of a course in psychology for medical students. Journal of the American Medical Association, 1912, 58, 916–918.Google Scholar
  61. Watson, R. I. A brief history of clinical psychology. Psychological Bulletin, 1953, 50, 321–346.PubMedCrossRefGoogle Scholar
  62. Weiner, H. Psychobiology and human disease. New York: American Elsevier, 1977.Google Scholar
  63. Wirt, R. D. Clinical psychology and health psychology: The application of clinical psychology to health-care practice. In M. Jospe, J. Nieberding, & B. D. Cohen (Eds.), Psychological factors in health care. Lexington, Mass.: Heath, 1980.Google Scholar
  64. Witkin, H. A., Mensh, I. N., & Cates, J. Psychologists in medical schools. American Psychologist, 1972, 27, 434–440.PubMedCrossRefGoogle Scholar
  65. Wright, B. A. Physical disability: A psychological approach. New York: Harper & Row, 1960.CrossRefGoogle Scholar
  66. Yunik, S. The relationship of personality variables and stressful life events to the onset of physical illness. Unpublished doctoral dissertation, University of Miami, 1980.Google Scholar

Copyright information

© Plenum Press, New York 1982

Authors and Affiliations

  • Theodore Millon
    • 1
  1. 1.Department of PsychologyUniversity of MiamiCoral GablesUSA

Personalised recommendations