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Empirical studies that used the Millon Clinical Multiaxial Inventory (MCMI) to assess alcoholics were reviewed. A modal MCMI profile reflecting passive–aggressive and antisocial traits combined with anxiety depression, and alcohol and drug abuse has been documented in the literature. Cluster analysis reveals several distinct MCMI-based alcoholic subtypes apart from the alcoholic prototype style. The Alcohol Dependence scale is relatively stable over short intervals and has good positive predictive power in identifying primary alcoholism. A number of MCMI scale differences appear when comparing alcoholic population subtypes. A compulsive personality style was found to be associated with higher social functioning and episodic drinking, whereas the Thought Disorder scale has been associated with more debilitated forms of drinking. Implications of these findings are discussed.