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Do We Need a Novel Framework for Classifying Psychopathology? A Discussion Paper.
| Content Provider | Europe PMC |
|---|---|
| Author | Rief, Winfried Hofmann, Stefan G. Berg, Max Forbes, Miriam K. Pizzagalli, Diego A. Zimmermann, Johannes Fried, Eiko Reed, Geoffrey M. |
| Editor | Weise, Cornelia |
| Copyright Year | 2023 |
| Description | IntroductionThe ICD-11 and DSM-5 are the leading systems for the classification of mental disorders, and their relevance for clinical work and research, as well as their impact for policy making and legal questions, has increased considerably. In recent years, other frameworks have been proposed to supplement or even replace the ICD and the DSM, raising many questions regarding clinical utility, scientific relevance, and, at the core, how best to conceptualize mental disorders.MethodAs examples of the new approaches that have emerged, here we introduce the Hierarchical Taxonomy of Psychopathology (HiTOP), the Research Domain Criteria (RDoC), systems and network approaches, process-based approaches, as well as a new approach to the classification of personality disorders.Results and DiscussionWe highlight main distinctions between these classification frameworks, largely related to different priorities and goals, and discuss areas of overlap and potential compatibility. Synergies among these systems may provide promising new avenues for research and clinical practice. HighlightsThe World Health Organization’s International Classification of Diseases (ICD) and its latest revision ICD-11 offer the worldwide leading system for classification of mental disorders.Important proposals for rethinking classification came from the US National Institute of Mental Health’s Research Domain Criteria (RDoC), the Hierarchical Taxonomy of Psychopathology (HiTOP) initiative, and the systems/network approach to mental disorders.More ideographic approaches such as process-based interventions have also been suggested.We present different ideas for classification before we suggest ways in which these approaches can inform each other, while respecting the different purposes that motivated their development. Highlights The World Health Organization’s International Classification of Diseases (ICD) and its latest revision ICD-11 offer the worldwide leading system for classification of mental disorders.Important proposals for rethinking classification came from the US National Institute of Mental Health’s Research Domain Criteria (RDoC), the Hierarchical Taxonomy of Psychopathology (HiTOP) initiative, and the systems/network approach to mental disorders.More ideographic approaches such as process-based interventions have also been suggested.We present different ideas for classification before we suggest ways in which these approaches can inform each other, while respecting the different purposes that motivated their development. |
| Related Links | https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC10863678&blobtype=pdf |
| Volume Number | 5 |
| DOI | 10.32872/cpe.11699 |
| PubMed Central reference number | PMC10863678 |
| Issue Number | 4 |
| PubMed reference number | 38357431 |
| Journal | Clinical Psychology in Europe [Clin Psychol Eur] |
| e-ISSN | 26253410 |
| Language | English |
| Publisher | PsychOpen |
| Publisher Date | 2023-12-22 |
| Access Restriction | Open |
| Rights License | This is an open-access article distributed under the terms of the Creative Commons Attribution (CC BY) 4.0 License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
| Subject Keyword | ICD-11 DSM-5 Hierarchical Taxonomy of Psychopathology HiTOP Research Domain Criteria RDoC network theory personality disorders process-based therapy PBT |
| Content Type | Text |
| Resource Type | Article |
| Subject | Psychiatry and Mental Health Clinical Psychology |