TY - JOUR
T1 - Integrating the Hierarchical Taxonomy of Psychopathology (HiTOP) into clinical practice
AU - Ruggero, Camilo J
AU - Kotov, Roman
AU - Hopwood, Christopher J
AU - First, Michael
AU - Clark, Lee Anna
AU - Skodol, Andrew E
AU - Mullins-Sweatt, Stephanie N
AU - Patrick, Christopher J
AU - Bach, Bo
AU - Cicero, David C
AU - Docherty, Anna
AU - Simms, Leonard J
AU - Bagby, R Michael
AU - Krueger, Robert F
AU - Callahan, Jennifer L
AU - Chmielewski, Michael
AU - Conway, Christopher C
AU - De Clercq, Barbara
AU - Dornbach-Bender, Allison
AU - Eaton, Nicholas R
AU - Forbes, Miriam K
AU - Forbush, Kelsie T
AU - Haltigan, John D
AU - Miller, Joshua D
AU - Morey, Leslie C
AU - Patalay, Praveetha
AU - Regier, Darrel A
AU - Reininghaus, Ulrich
AU - Shackman, Alexander J
AU - Waszczuk, Monika A
AU - Watson, David
AU - Wright, Aidan G C
AU - Zimmermann, Johannes
PY - 2019/12
Y1 - 2019/12
N2 - OBJECTIVE: Diagnosis is a cornerstone of clinical practice for mental health care providers, yet traditional diagnostic systems have well-known shortcomings, including inadequate reliability, high comorbidity, and marked within-diagnosis heterogeneity. The Hierarchical Taxonomy of Psychopathology (HiTOP) is a data-driven, hierarchically based alternative to traditional classifications that conceptualizes psychopathology as a set of dimensions organized into increasingly broad, transdiagnostic spectra. Prior work has shown that using a dimensional approach improves reliability and validity, but translating a model like HiTOP into a workable system that is useful for health care providers remains a major challenge.METHOD: The present work outlines the HiTOP model and describes the core principles to guide its integration into clinical practice.RESULTS: Potential advantages and limitations of the HiTOP model for clinical utility are reviewed, including with respect to case conceptualization and treatment planning. A HiTOP approach to practice is illustrated and contrasted with an approach based on traditional nosology. Common barriers to using HiTOP in real-world health care settings and solutions to these barriers are discussed.CONCLUSIONS: HiTOP represents a viable alternative to classifying mental illness that can be integrated into practice today, although research is needed to further establish its utility. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
AB - OBJECTIVE: Diagnosis is a cornerstone of clinical practice for mental health care providers, yet traditional diagnostic systems have well-known shortcomings, including inadequate reliability, high comorbidity, and marked within-diagnosis heterogeneity. The Hierarchical Taxonomy of Psychopathology (HiTOP) is a data-driven, hierarchically based alternative to traditional classifications that conceptualizes psychopathology as a set of dimensions organized into increasingly broad, transdiagnostic spectra. Prior work has shown that using a dimensional approach improves reliability and validity, but translating a model like HiTOP into a workable system that is useful for health care providers remains a major challenge.METHOD: The present work outlines the HiTOP model and describes the core principles to guide its integration into clinical practice.RESULTS: Potential advantages and limitations of the HiTOP model for clinical utility are reviewed, including with respect to case conceptualization and treatment planning. A HiTOP approach to practice is illustrated and contrasted with an approach based on traditional nosology. Common barriers to using HiTOP in real-world health care settings and solutions to these barriers are discussed.CONCLUSIONS: HiTOP represents a viable alternative to classifying mental illness that can be integrated into practice today, although research is needed to further establish its utility. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
U2 - 10.1037/ccp0000452
DO - 10.1037/ccp0000452
M3 - Article
C2 - 31724426
SN - 0022-006X
VL - 87
SP - 1069
EP - 1084
JO - Journal of Consulting and Clinical Psychology
JF - Journal of Consulting and Clinical Psychology
IS - 12
ER -