Personality Functioning and Personality Pathology

Integrating Theory, Assessment, and Treatment

Edited by Amanda A. Uliaszek and Christopher J. Hopwood

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November 17, 2026
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What does it mean to understand the self in relation to others, and what happens when that system breaks down? This volume brings together leading scholars to explore personality functioning (PF), the core construct underlying the Alternative Model for Personality Disorders and the ICD-11 framework. Although PF has deep roots in psychiatric classification and personality theory, its prominence surged when both diagnostic systems adopted it as the primary criterion for identifying personality disorder. In brief, thought-provoking chapters, contributors share diverse perspectives on how best to conceptualize and measure PF, how it translates to personality pathology, and its utility for clinical assessment and treatment.

This title is part of The Guilford Series in Personality and Psychopathology, edited by Christopher J. Hopwood.


“Few topics are as clinically important but conceptually challenging as PF. One could argue that the field has offered little more useful than 'you know it when you see it.' This volume valiantly and successfully takes up the challenge of mapping a pluralistic and contemporary scholarly view on PF. Chapters span basic science to applied treatment, psychometrics to neuroscience. Scientists and practitioners of all stripes will find this book useful for clarifying and furthering their understanding of one of psychopathology’s most central and perplexing phenomena.”

—Aidan G. C. Wright, PhD, Professor of Psychology and Psychiatry, University of Michigan


“Bringing together accessible theoretical overviews, empirical perspectives, and clinical applications, this book makes a significant contribution to the field. Especially compelling is its relevance for clinicians of all orientations—by presenting multiple approaches, it shows how personality functioning (PF) can serve as a common language across models. This volume is essential reading for graduate students, researchers, and practitioners seeking an up-to-date, clinically meaningful account of how dimensional approaches to personality can be translated into clinical practice through the lens of PF.”

—Susanne Hörz-Sagstetter, PhD, Professor of Clinical Psychology and Psychotherapy, Psychologische Hochschule Berlin, Germany

Table of Contents

Introduction: Personality Functioning in a Historical Context, Christopher J. Hopwood & Amanda A. Uliaszek

I. Theoretical Perspectives in Personality Functioning

1. Personality Functioning as One Thing: A Psychoanalytic Self-Other Perspective, Donna Bender sample

2. How Does Personality Lead to Psychopathology?: Personality Functioning as Risk for Cybernetic Dysfunction, Colin G. DeYoung

3. Personality Functioning through the Lens of Contemporary Integrative Interpersonal Theory, Aaron L. Pincus & Parandis Pourdehghan

4. A Developmental Perspective on Personality Functioning, Carla Sharp

5. Narrative Identity and Personality Functioning: Storying What It Means to Be a Person, Majse Lind & Kennedy M. Balzen

II. Personality Functioning Models of Psychopathology

6. The Computational Architecture of Personality Functioning, Orestis Zavlis, Michael Moutoussis, Tobias Nolte, Patrick Luyten, Peter Fonagy, & Giles Story

7. Incremental Validity of Personality Functioning and Personality Traits: Current Insights and Future Directions, Lennart Kiel & Johannes Zimmerman

8. Personality Dysfunction: Conceptual and Measurement Issues in Diagnosing Personality Pathology, Lee Anna Clark & Carla Sharp

9. HiTOP and Personality Functioning, Isabella Manuel & Holly F. Levin-Aspenson

III. Research Methods

10. The Who, What, Why, and How of Personality Functioning Measurement, Amanda A. Uliaszek

11. The Dynamics of Personality Dysfunction across Levels of Time, Michael J. Roche & Audrey L. Stephenson

12. Integrating Dimensional Neurobiology and Personality Psychopathology Frameworks to Understand Personality Functioning and Impairment, Anthony C. Ruocco, Michael Carnovale, & Giuseppe Guerriero

IV. Therapeutic Approaches to Personality Functioning

13. Understanding and Treating Personality Functioning in Cognitive-Behavioral Therapy, Shannon Sauer-Zavala, Sarah Cecil, & Caden Maynard

14. Personality Dysfunction in Dialectical Behavior Therapy, Mathew W. Southward, Madeline L. Kushner, Hannah Croom, & Martina Fruhbauerova

15. Using Contemporary Integrative Interpersonal Theory to Understand and Treat Personality Dysfunction, Nicole M. Cain

V. Diversity, Equity, and Inclusion in Personality Functioning

16. Cross-Cultural Conceptualization of Personality Functioning, Adam P. Natoli, Caroline F. Carmody, Apryl A. Alexander, Giselle A. Hass, & Suzanne G. Pitama

17. Personality Dysfunction, Stigma, and Diverse Identities, Sarah R. Masland & Laura Furtado Fernandes

Conclusion: What We Know, What We Think We Know, and What We Want to Know about Personality Functioning, Amanda A. Uliaszek & Christopher J. Hopwood

Index


About the Editors

Amanda A. Uliaszek, PhD, CPsych, is Professor and Program Coordinator in the Graduate Department of Psychological Clinical Science at the University of Toronto. Her research focuses on symptoms, treatment, and stigma related to borderline personality disorder; the dimensional structure of personality pathology and personality functioning; and disability, stigma, and self-advocacy in postsecondary student mental health. Dr. Uliaszek has clinical expertise in dialectical behavior therapy and cognitive-behavioral therapy.

Christopher J. Hopwood, PhD, is Professor of Personality Psychology at the University of Zurich, Switzerland. Dr. Hopwood is Associate Editor of the Journal of Personality Assessment and the Journal of Psychopathology and Clinical Science, and Editor-in-Chief of the journal Psychology of Human–Animal Intergroup Relations. He is a recipient of the Theodore Millon Grant in Personality Psychology from the American Psychological Foundation, among other honors. Dr. Hopwood's research interests include personality assessment and development, interpersonal processes, psychopathology, and human–animal relations.

Contributors

Apryl A. Alexander, PsyD, Department of Health Management and Policy, University of North Carolina at Charlotte, Charlotte, NC



Kennedy M. Balzen, MA, Department of Psychology, University of Houston, Houston, TX



Donna Bender, PhD, Postdoctoral Program in Psychotherapy and Psychoanalysis, New York University, New York, NY



Nicole M. Cain, PhD, Department of Clinical Psychology, Rutgers, The State University of New Jersey, Piscataway, NJ



Caroline F. Carmody, BS, Department of Psychology and Philosophy, Sam Houston State University, Huntsville, TX



Michael Carnovale, MA, Department of Psychology, University of Toronto Scarborough, Toronto, Ontario, Canada



Sarah Cecil, BA,Department of Psychology, University of Kentucky, Lexington, KY



Lee Anna Clark, PhD, Department of Psychology, University of Notre Dame, Notre Dame, IN



Hannah E. Croom, BA,Department of Psychology, University of Kentucky, Lexington, KY



Colin G. DeYoung, PhD, Department of Psychology, University of Minnesota, Minneapolis, MN



Peter Fonagy, PhD, Department of Psychology and Language Sciences, University College London, London, United Kingdom



Martina Fruhbauerova, MS, Department of Psychology, University of Kentucky, Lexington, KY



Laura Furtado Fernandes, BA, Department of Psychological Science, Pomona College, Claremont, CA



Giuseppe Guerriero, MD MSci, Section of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Research and Development Unit, Lillakliniken Psykiatri Cura, Gothenburg, Sweden; Psychiatry, Aalborg University Hospital, Aalborg, Denmark



Giselle A. Hass, PsyD, Department of Psychology, Universidad de Iberoamerica, San Jose, Costa Rica



Christopher J. Hopwood, PhD, Department of Psychology, University of Zurich, Zurich, Switzerland



Lennart Kiel, PhD, Department of Communication and Psychology, Aalborg University, Aalborg, Denmark



Madeline L. Kushner, MS, Department of Psychology, University of Kentucky, Lexington, KY



Holly F. Levin-Aspenson, PhD, Department of Psychology, University of North Texas, Denton, TX



Majse Lind, PhD, Department of Communication and Psychology, Aalborg University, Aalborg, Denmark



Patrick Luyten, PhD,Department of Psychology, University College London, London, United Kingdom



Isabella Manuel, MS,Department of Psychology, University of North Texas, Denton, TX



Sara R. Masland, PhD, Department of Psychological Science, Pomona College, Claremont, CA



Caden Maynard, BA, Department of Psychology, University of Kentucky, Lexington, KY



Michael Moutoussis, PhD, Queen Square Institute of Neurology, University College London, London, United Kingdom



Adam P. Natoli, PhD, Department of Psychology and Philosophy, Sam Houston State University, Huntsville, TX



Tobias Nolte, PhD, Department of Psychology and Language Sciences, University College London, London, United Kingdom



Aaron L. Pincus, PhD, Department of Psychology, The Pennsylvania State University, University Park, PA



Suzanne G. Pitama, PhD, Department of Maori/Indigenous Health Innovation, University of Otago, Christchurch, New Zealand



Parandis Pourdehghan, MSc, Department of Psychology, The Pennsylvania State University, University Park, PA



Michael J. Roche, PhD, Department of Psychology, West Chester University of Pennsylvania, West Chester, PA



Anthony C. Ruocco, PhD, Department of Psychology, University of Toronto Scarborough, Toronto, Ontario, Canada



Shannon Sauer-Zavala, PhD, Department of Psychology, University of Kentucky, Lexington, KY



Carla Sharp, PhD, Department of Psychology, University of Houston, Houston, TX



Matthew W. Southward, PhD, Department of Psychology, The Ohio State University, Columbus, OH



Audrey L. Stephenson, MS, Department of Psychology, West Chester University of Pennsylvania, West Chester, PA



Giles Story, PhD, Department of Psychology, University College London, London, United Kingdom



Amanda A. Uliaszek, PhD, Department of Psychology, University of Toronto, Toronto, Ontario, Canada



Orestis Zavlis, MSc, Department of Psychology, University College London, London, United Kingdom



Johannes Zimmermann, PhD, Department of Psychology, University of Kassel, Kassel, Germany

Audience

Researchers, practitioners, and graduate students in clinical psychology, psychiatry, clinical social work, counseling, and psychiatric nursing.

Course Use

May serve as a supplemental text in graduate-level courses.