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10 - What Does Personality Have to Do with Mental Disorder?

A Cybernetic Perspective

from Part III - Novel Conceptual Approaches to Personality Disorder

Published online by Cambridge University Press:  25 June 2025

Konrad Banicki
Affiliation:
Jagiellonian University, Krakow
Peter Zachar
Affiliation:
Auburn University, Montgomery
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Summary

There are no such things as “personality disorders” distinct from other mental disorders. Distinct personality disorders cannot be identified based on their developmental course or their symptoms. The new ICD and DSM concept of personality disorder as self and interpersonal dysfunction identifies important forms of psychopathology but is not more (or less) related to personality than are other disorders. Rather, personality traits contribute to risk for all forms of mental disorder, and most symptom dimensions are coextensive with dimensions of normal personality, such that persistent symptoms of psychopathology are typically extreme or maladaptive variants of normal personality traits. However, symptoms are merely indicators of risk rather than necessary and sufficient indicators of psychopathology. We draw on our cybernetic dysfunction theory of psychopathology to clarify the role of personality in mental disorder. Psychopathology is defined as “persistent failure to move toward one’s goals, due to failure to generate effective new goals, interpretations, or strategies when existing ones prove unsuccessful.” Personality is exhaustively described by personality traits and characteristic adaptations, the latter being relatively stable goals, interpretations, and strategies that are specified relative to an individual’s particular life circumstances. Psychopathology always involves failure of characteristic adaptations and thus breakdown in personality functioning.

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Conceptualizing Personality Disorder
Perspectives from Philosophy, Psychological Science, and Psychiatry
, pp. 181 - 195
Publisher: Cambridge University Press
Print publication year: 2025

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References

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Association.Google Scholar
Bleidorn, W., Schwaba, T., Zheng, A., Hopwood, C. J., Sosa, S. S., Roberts, B. W., & Briley, D. A. (2022). Personality stability and change: A meta-analysis of longitudinal studies. Psychological Bulletin, 148(7–8), 588619.Google Scholar
Bolton, D. (2008). What is mental disorder? An essay in philosophy, science, and values. Oxford University Press.CrossRefGoogle Scholar
Boorse, C. (1977). Health as a theoretical concept. Philosophy of Science, 44(4), 542573.CrossRefGoogle Scholar
Campbell, L. A., Brown, T. A., & Grisham, J. R. (2003). The relevance of age of onset to the psychopathology of generalized anxiety disorder. Behavior Therapy, 34(1), 3148.CrossRefGoogle Scholar
Clark, L. A., & Ro, E. (2014). Three-pronged assessment and diagnosis of personality disorder and its consequences: Personality functioning, pathological traits, and psychosocial disability. Personality Disorders: Theory, Research, and Treatment, 5(1), 5569.CrossRefGoogle ScholarPubMed
DeYoung, C. G. (2015). Cybernetic Big Five Theory. Journal of Research in Personality, 56, 3358.CrossRefGoogle Scholar
DeYoung, C. G. (2017). A cybernetic perspective on integrating personality structure, personality process, and personality development. European Journal of Personality, 31, 538539.Google Scholar
DeYoung, C. G., Chmielewski, M., Clark, L. A., Condon, D. M., Kotov, R., … & the HiTOP Normal Personality Workgroup. (2022). The distinction between symptoms and traits in the Hierarchical Taxonomy of Psychopathology (HiTOP). Journal of Personality, 90, 2033.CrossRefGoogle ScholarPubMed
DeYoung, C. G., & Krueger, R. F. (2018a). A cybernetic theory of psychopathology. Psychological Inquiry, 29, 117138.CrossRefGoogle Scholar
DeYoung, C. G., & Krueger, R. F. (2018b). Understanding psychopathology: Cybernetics and psychology on the boundary between order and chaos. Psychological Inquiry, 29, 165174.CrossRefGoogle Scholar
DeYoung, C. G., & Krueger, R. F. (2023). A cybernetic perspective on the nature of psychopathology: Transcending conceptions of mental illness as statistical deviance and brain disease. Journal of Psychopathology and Clinical Science, 132 (3), 228237.CrossRefGoogle ScholarPubMed
Elliot, A. J., & Fryer, J. W. (2008). The goal construct in psychology. In Shah, J. Y. & Gardner, W. L. (eds.), Handbook of motivation science (pp. 235250). Guilford.Google Scholar
Forbes, M. K., Ringwald, W. R., Allen, T. A., Cicero, D. C., Clark, L. A., DeYoung, C. G., … Wright, A. G. (2024a). Principles and procedures for revising the Hierarchical Taxonomy of Psychopathology. Journal of Psychopathology and Clinical Science, 133(1), 419.CrossRefGoogle ScholarPubMed
Forbes, M. K., Baillie, A. J., Batterham, P., Calear, A., Kotov, R., Krueger, R., … Clark, L. (2024b). Reconstructing psychopathology: A data-driven reorganization of the symptoms in DSM-5. Clinical Psychological Science. https://doi.org/10.31234/osf.io/7um9aCrossRefGoogle Scholar
Griffith, J. W., Zinbarg, R. E., Craske, M. G., Mineka, S., Rose, R. D., Waters, A. M., & Sutton, J. M. (2010). Neuroticism as a common dimension in the internalizing disorders. Psychological Medicine, 40, 11251136.CrossRefGoogle ScholarPubMed
Haslam, N., McGrath, M. J., Viechtbauer, W., & Kuppens, P. (2020). Dimensions over categories: A meta-analysis of taxometric research. Psychological Medicine, 50(9), 14181432.CrossRefGoogle ScholarPubMed
Henry, S., & Mõttus, R. (2020). Traits and adaptations: A theoretical examination and new empirical evidence. European Journal of Personality, 34(3), 265284.CrossRefGoogle Scholar
Insel, T., Cuthbert, B., Garvey, M., Heinssen, R., Pine, D. S., Quinn, K., Sanislow, C., & Wang, P. (2010). Research domain criteria (RDoC): Toward a new classification framework for research on mental disorders. American Journal of Psychiatry, 167(7), 748751.CrossRefGoogle Scholar
Kendell, R. E. (1975). The concept of disease and its implications for psychiatry. The British Journal of Psychiatry, 127(4), 305315.CrossRefGoogle ScholarPubMed
Kessler, R. C., McGonagle, K. A., Zhao, S., Nelson, C. B., Hughes, M., Eshleman, S., Wittchen, H. U., & Kendler, K. S. (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States: Results from the National Comorbidity Survey. Archives of General Psychiatry, 51, 819.CrossRefGoogle ScholarPubMed
Kotov, R., Krueger, R. F., Watson, D., Achenbach, T. M., Althoff, R. R., … Zimmerman, M. (2017). The Hierarchical Taxonomy of Psychopathology (HiTOP): A dimensional alternative to traditional nosologies. Journal of Abnormal Psychology, 126(4), 454478.CrossRefGoogle ScholarPubMed
Kotov, R., Krueger, R. F., Watson, D., Cicero, D. C., Conway, C. C., DeYoung, C. G., … & Wright, A. G. (2021). The Hierarchical Taxonomy of Psychopathology (HiTOP): A quantitative nosology based on consensus of evidence. Annual Review of Clinical Psychology, 17, 83108.CrossRefGoogle ScholarPubMed
Krueger, R. F. (2005). Continuity of Axes I and II: Toward a unified model of personality, personality disorders, and clinical disorders. Journal of Personality Disorders, 19(3), 233261.CrossRefGoogle Scholar
Krueger, R. F., Derringer, J., Markon, K. E., Watson, D., & Skodol, A. E. (2012). Initial construction of a maladaptive personality trait model and inventory for DSM-5. Psychological Medicine, 42, 18791890.CrossRefGoogle ScholarPubMed
Linscott, R. J., & van Os, J. (2013). An updated and conservative systematic review and meta-analysis of epidemiological evidence on psychotic experiences in children and adults: On the pathway from proneness to persistence to dimensional expression across mental disorders. Psychological Medicine, 43(6), 11331149.CrossRefGoogle ScholarPubMed
Powers, A. R., Kelley, M. S., & Corlett, P. R. (2017). Varieties of voice-hearing: Psychics and the psychosis continuum. Schizophrenia Bulletin, 43 8498.CrossRefGoogle ScholarPubMed
Powers, W. T. (1973). Behaviour: The control of perception. Aldine.Google Scholar
Ringwald, W. R., Forbes, M. K., & Wright, A. G. (2023). Meta-analysis of structural evidence for the Hierarchical Taxonomy of Psychopathology (HiTOP) model. Psychological Medicine, 53(2), 533546.Google ScholarPubMed
Sharp, C., Wright, A. G., Fowler, J. C., Frueh, B. C., Allen, J. G., Oldham, J., & Clark, L. A. (2015). The structure of personality pathology: Both general (‘g’) and specific (‘s’) factors? Journal of Abnormal Psychology, 124(2), 387398.CrossRefGoogle ScholarPubMed
Shea, M. T., Stout, R. L., Yen, S., Pagano, M. E., Skodol, A. E., Morey, L. C., … & Zanarini, M. C. (2004). Associations in the course of personality disorders and Axis I disorders over time. Journal of Abnormal Psychology, 113(4), 499508.CrossRefGoogle ScholarPubMed
Shea, M. T., & Yen, S. (2003). Stability as a distinction between Axis I and Axis II disorders. Journal of Personality Disorders, 17, 373386.CrossRefGoogle ScholarPubMed
Stepp, S. D., Yu, L., Miller, J. D., Hallquist, M. N., Trull, T. J., & Pilkonis, P. A. (2012). Integrating competing dimensional models of personality. Personality Disorders: Theory, Research, and Treatment, 3, 107126.CrossRefGoogle ScholarPubMed
Suzuki, T., Samuel, D. B., Pahlen, S., & Krueger, R. F. (2015). DSM-5 Alternative Personality Disorder Model traits as maladaptive extreme variants of the Five-Factor Model: An item–response theory analysis. Journal of Abnormal Psychology, 124, 343354.CrossRefGoogle Scholar
Wakefield, J. C. (1992). Disorder as harmful dysfunction: A conceptual critique of DSM-III-R’s definition of mental disorder. Psychological Review, 99, 232247.CrossRefGoogle ScholarPubMed
Widiger, T. A., Bach, B., Chmielewski, M., Clark, L. A., DeYoung, C. G., Hopwood, C. J., … & Thomas, K. M. (2019a). Criterion A of the AMPD in HiTOP. Journal of Personality Assessment, 101(4), 345355.CrossRefGoogle ScholarPubMed
Widiger, T. A., Sellbom, M., Chmielewski, M., Clark, L. A., DeYoung, C. G., Kotov, R., … & Wright, A. G. C. (2019b). Personality in a hierarchical model of psychopathology. Clinical Psychological Science, 7, 7792.CrossRefGoogle Scholar
Wiener, N. (1961). Cybernetics – Or control and communication in the animal and the machine (2nd ed.). MIT Press/Wiley.Google Scholar
World Health Organization (2018). International classification of diseases for mortality and morbidity statistics (11th revision).Google Scholar
Wouters, A. G. (2003). Four notions of biological function. Studies in History and Philosophy of Science Part C: Studies in History and Philosophy of Biological and Biomedical Sciences, 34, 633668.CrossRefGoogle Scholar
Wright, A. G. C., & Ringwald, W. R. (2022). Personality disorders are dead; long live the interpersonal disorders: Comment on Widiger and Hines (2022). Personality Disorders: Theory, Research, and Treatment, 13(4), 364368.CrossRefGoogle ScholarPubMed
Zimmermann, J., Böhnke, J. R., Eschstruth, A., Mathews, A., Wenzel, K., & Leising, D. (2015). The latent structure of personality functioning: Investigating Criterion A from the alternative model for personality disorders in DSM-5. Journal of Abnormal Psychology, 124, 532548.CrossRefGoogle ScholarPubMed

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