High Hopes for the Diagnostic Model HiTOP

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Is the field of psychology ready for a rethink of how mental illnesses are diagnosed? Here's why it might be time for some modernization.

unitary phenomena into pieces without justification. Two disorders that share many of their characteristic symptoms may be one disorder, mislabeled.

Finally, many patients who show up at psychology clinics experiencing significant mental distress or impairment in fact fail to meet the criteria for any specific disorder. This means that the system, as currently construed, often fails to address the pragmatic needs of its target constituents.In the past 20 years, a call within psychology to change the old DSM system has been gathering strength and momentum.

The new approach uses statistical procedures to identify constellations of co-occurring signs, symptoms, and maladaptive traits and behaviors, and organize them hierarchically based on patterns of association. In this model, certain mental health constructs are measured and regarded on a continuum in the same way physicians may regard blood pressure or viral load.

Research on the new approach has culminated in the formation of the Hierarchical Taxonomy of Psychopathology , a dimensional model of psychopathology.looks to empirically identify psychopathology structures by"combining individual signs and symptoms into homogeneous components or traits, assembling them into empirically-derived syndromes, and finally grouping them into psychopathology spectra"—fundamental dimensions of maladaptive behavior.

tendencies, while symptoms tend to reflect the current, acute picture. HiTOP research has so far discovered six spectra:

 

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Any move toward more evidence based and client centered practices is a good direction but it's already apparent from comments that there are still people who will pretend to understand the concept or stand on a soap box rather than focus on community recovery needs. Real shame.

I can’t see where this is normalising anything but that could just be me.I appear to have traits of autism,add, adhd,dyspraxia,dyscalculia and dyslexia. Intervention for one may not help the other. Biological issues include Joint hypermobility syndrome and auto immune diseases.

More blurring of lines, normalizing insanity, and removing the responsibility of health professionals of identifying real problems. We have people 'identifying' as animals and mainstream psychology is increasingly on the side of feeding them puppy chow.

I couldn't agree more... these up and coming diagnosis are clutched in the hands of clients with an impending permanence to them. A life long description of the valleys in a individual's path as self indefinitely. We need life skill tools not a pigeon hold dependence.

We have to eradicate the hyperactive little boy as the poster child for ADHD. That image prevented me & countless others from being diagnosed, despite having seen many therapists since I was in my early 20s, or recognizing it in ourselves. We all need updated information. APA

I tried to tell them that AVP the alternate viewpoint system is what is required to understand motivations and desires

There's a lot of fancy words but I don't see much difference between DSM classification & this system. All you're doing is replacing diagnostic labels with diagnostic scores both of which cannot be empirically tested as the person giving the score is using subjective reasoning.

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