Do We Need a Novel Framework for Classifying Psychopathology? A Discussion Paper

[Introduction] The 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...

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Main Authors: Winfried Rief, Stefan G. Hofmann, Max Berg, Miriam K. Forbes, Diego A. Pizzagalli, Johannes Zimmermann, Eiko Fried, Geoffrey M. Reed
Format: Article
Language:English
Published: PsychOpen GOLD/ Leibniz Institute for Psychology 2023-12-01
Series:Clinical Psychology in Europe
Subjects:
Online Access:https://doi.org/10.32872/cpe.11699
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author Winfried Rief
Stefan G. Hofmann
Max Berg
Miriam K. Forbes
Diego A. Pizzagalli
Johannes Zimmermann
Eiko Fried
Geoffrey M. Reed
author_facet Winfried Rief
Stefan G. Hofmann
Max Berg
Miriam K. Forbes
Diego A. Pizzagalli
Johannes Zimmermann
Eiko Fried
Geoffrey M. Reed
author_sort Winfried Rief
collection DOAJ
description [Introduction] The 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. [Method] As 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 Discussion] We 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.
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spelling doaj.art-68b5c234672746a9a23015aae53003c12024-02-08T10:52:57ZengPsychOpen GOLD/ Leibniz Institute for PsychologyClinical Psychology in Europe2625-34102023-12-015410.32872/cpe.11699cpe.11699Do We Need a Novel Framework for Classifying Psychopathology? A Discussion PaperWinfried Rief0https://orcid.org/0000-0002-7019-2250Stefan G. Hofmann1https://orcid.org/0000-0002-3548-9681Max Berg2https://orcid.org/0000-0003-3060-7869Miriam K. Forbes3https://orcid.org/0000-0002-6954-3818Diego A. Pizzagalli4https://orcid.org/0000-0002-7772-1143Johannes Zimmermann5https://orcid.org/0000-0001-6975-2356Eiko Fried6https://orcid.org/0000-0001-7469-594XGeoffrey M. Reed7https://orcid.org/0000-0002-6572-4785Clinical Psychology and Psychotherapy Group, Department of Psychology, Philipps-University of Marburg, Marburg, GermanyTranslational Clinical Psychology Group, Department of Psychology, Philipps-University of Marburg, Marburg, GermanyClinical Psychology and Psychotherapy Group, Department of Psychology, Philipps-University of Marburg, Marburg, GermanySchool of Psychological Sciences, Australian Hearing Hub, Macquarie University Sydney, Sydney, AustraliaDepartment of Psychiatry, Center for Depression, Anxiety and Stress Research & McLean Imaging Center, McLean Hospital, Harvard Medical School, Belmont, MA, USADepartment of Psychology, University of Kassel, Kassel, GermanyClinical Psychology Group, Department of Psychology, Leiden University, Leiden, The NetherlandsDepartment of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA[Introduction] The 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. [Method] As 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 Discussion] We 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.https://doi.org/10.32872/cpe.11699icd-11dsm-5hierarchical taxonomy of psychopathology hitopresearch domain criteria rdocnetwork theorypersonality disordersprocess-based therapy pbt
spellingShingle Winfried Rief
Stefan G. Hofmann
Max Berg
Miriam K. Forbes
Diego A. Pizzagalli
Johannes Zimmermann
Eiko Fried
Geoffrey M. Reed
Do We Need a Novel Framework for Classifying Psychopathology? A Discussion Paper
Clinical Psychology in Europe
icd-11
dsm-5
hierarchical taxonomy of psychopathology hitop
research domain criteria rdoc
network theory
personality disorders
process-based therapy pbt
title Do We Need a Novel Framework for Classifying Psychopathology? A Discussion Paper
title_full Do We Need a Novel Framework for Classifying Psychopathology? A Discussion Paper
title_fullStr Do We Need a Novel Framework for Classifying Psychopathology? A Discussion Paper
title_full_unstemmed Do We Need a Novel Framework for Classifying Psychopathology? A Discussion Paper
title_short Do We Need a Novel Framework for Classifying Psychopathology? A Discussion Paper
title_sort do we need a novel framework for classifying psychopathology a discussion paper
topic icd-11
dsm-5
hierarchical taxonomy of psychopathology hitop
research domain criteria rdoc
network theory
personality disorders
process-based therapy pbt
url https://doi.org/10.32872/cpe.11699
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