UCL Discovery
UCL home » Library Services » Electronic resources » UCL Discovery

Integrating the Hierarchical Taxonomy of Psychopathology (HiTOP) Into Clinical Practice

Ruggero, CJ; Kotov, R; Hopwood, CJ; First, M; Clark, LA; Skodol, AE; Mullins-Sweatt, SN; ... Zimmermann, J; + view all (2019) Integrating the Hierarchical Taxonomy of Psychopathology (HiTOP) Into Clinical Practice. Journal of Consulting and Clinical Psychology , 87 (12) pp. 1069-1084. 10.1037/ccp0000452. Green open access

[thumbnail of IntegratingHiTOPintoclinicalpractice_2019 AAM.pdf]
Preview
Text
IntegratingHiTOPintoclinicalpractice_2019 AAM.pdf - Accepted Version

Download (1MB) | Preview

Abstract

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.

Type: Article
Title: Integrating the Hierarchical Taxonomy of Psychopathology (HiTOP) Into Clinical Practice
Open access status: An open access version is available from UCL Discovery
DOI: 10.1037/ccp0000452
Publisher version: http://dx.doi.org/10.1037/ccp0000452
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Classification, Diagnosis, Nosology, Psychopathology, Diagnosis, and Treatment
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Cardiovascular Science
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Cardiovascular Science > Population Science and Experimental Medicine
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Cardiovascular Science > Population Science and Experimental Medicine > MRC Unit for Lifelong Hlth and Ageing
URI: https://discovery.ucl.ac.uk/id/eprint/10092548
Downloads since deposit
59Downloads
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item