DOCSLIB.ORG

Into Clinical Practice

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Into Clinical Practice Journal of Consulting and Clinical Psychology © 2019 American Psychological Association 2019, Vol. 87, No. 12, 1069–1084 ISSN: 0022-006X http://dx.doi.org/10.1037/ccp0000452 Integrating the Hierarchical Taxonomy of Psychopathology (HiTOP) Into Clinical Practice Camilo J. Ruggero Roman Kotov University of North Texas Stony Brook University Christopher J. Hopwood Michael First University of California, Davis Columbia University Lee Anna Clark Andrew E. Skodol University of Notre Dame University of Arizona Stephanie N. Mullins-Sweatt Christopher J. Patrick Oklahoma State University Florida State University Bo Bach David C. Cicero Slagelse Psychiatric Hospital, Slagelse, Denmark University of North Texas Anna Docherty Leonard J. Simms University of Utah University at Buffalo, The State University of New York R. Michael Bagby Robert F. Krueger University of Toronto University of Minnesota Jennifer L. Callahan Michael Chmielewski University of North Texas Southern Methodist University Christopher C. Conway Barbara De Clercq College of William and Mary Ghent University Allison Dornbach-Bender Nicholas R. Eaton University of North Texas Stony Brook University Miriam K. Forbes Kelsie T. Forbush Macquarie University University of Kansas John D. Haltigan Joshua D. Miller University of Toronto University of Georgia This document is copyrighted by the American Psychological Association or one of its allied publishers. This article is intended solely for the personal use of the individual user and is not to be disseminated broadly. Leslie C. Morey Praveetha Patalay Texas A&M University University College London Camilo J. Ruggero, Department of Psychology, University of North Texas; of Notre Dame; Andrew E. Skodol, Department of Psychiatry, University of Roman Kotov, Department of Psychiatry, Stony Brook University; Christo- Arizona; Stephanie N. Mullins-Sweatt, Department of Psychology, Oklahoma pher J. Hopwood, Department of Psychology, University of California, Davis; State University; Christopher J. Patrick, Department of Psychology, Florida Michael First, Department of Psychiatry, New York State Psychiatric Institute, State University; Bo Bach, Psychiatric Research Unit, Slagelse Psychiatric Columbia University; Lee Anna Clark, Department of Psychology, University Hospital, Slagelse, Denmark; David C. Cicero, Department of Psychology, continued 1069 1070 RUGGERO ET AL. Darrel A. Regier Ulrich Reininghaus Uniformed Services University Maastricht University and King’s College London Alexander J. Shackman Monika A. Waszczuk University of Maryland Stony Brook University David Watson Aidan G. C. Wright University of Notre Dame University of Pittsburgh Johannes Zimmermann University of Kassel 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 psycho- pathology 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. What is the public health significance of this article? Redefining a taxonomy of psychopathology according to data results in dimensions, not categories, that can be organized hierarchically—with at least six higher level spectra near the top of the model and more specific lower level components and traits at the bottom. This approach may improve case conceptualizations and align more closely with transdiagnostic treatments, while also specifying more narrow targets for intervention. A case illustration shows how the HiTOP model can be used in clinical practice today, although additional research is needed to fully assess the utility of this approach for providers and patients. Keywords: classification, diagnosis, nosology, psychopathology, treatment University of North Texas; Anna Docherty, Department of Psychiatry, Stress, Uniformed Services University; Ulrich Reininghaus, Department of University of Utah; Leonard J. Simms, Department of Psychology, Uni- Psychiatry and Neuropsychology, Maastricht University, and Centre for versity at Buffalo, The State University of New York; R. Michael Bagby, Epidemiology and Public Health, Health Service and Population Research Departments of Psychology and Psychiatry, University of Toronto; Robert Department, Institute of Psychiatry, Psychology, and Neuroscience, King’s This document is copyrighted by the American Psychological Association or one of its alliedF. publishers. Krueger, Department of Psychology, University of Minnesota; Jennifer College London; Alexander J. Shackman, Department of Psychology, This article is intended solely for the personal use ofL. the individual user andCallahan, is not to be disseminated broadly. Department of Psychology, University of North Texas; Mi- University of Maryland; Monika A. Waszczuk, Department of Psychiatry, chael Chmielewski, Department of Psychology, Southern Methodist Uni- Stony Brook University; David Watson, Department of Psychology, Uni- versity; Christopher C. Conway, Department of Psychological Sciences, versity of Notre Dame; Aidan G. C. Wright, Department of Psychology, College of William and Mary; Barbara De Clercq, Department of Devel- University of Pittsburgh; Johannes Zimmermann, Department of Psychol- opmental, Personality, and Social Psychology, Ghent University; Allison ogy, University of Kassel. Dornbach-Bender, Department of Psychology, University of North Texas; This article was organized by members of the HiTOP Consortium, a Nicholas R. Eaton, Department of Psychology, Stony Brook University; grassroots organization open to all qualified investigators (https://medicine Miriam K. Forbes, Centre for Emotional Health, Department of Psychol- .stonybrookmedicine.edu/HITOP). Alexander J. Shackman was supported ogy, Macquarie University; Kelsie T. Forbush, Department of Psychology, by the National Institutes of Health (DA040717 and MH107444) and the University of Kansas; John D. Haltigan, Department of Psychiatry, Uni- University of Maryland. Authors 15 through 33 are listed alphabetically by versity of Toronto; Joshua D. Miller, Department of Psychology, Univer- last name. sity of Georgia; Leslie C. Morey, Department of Psychology, Texas A&M Correspondence concerning this article should be addressed to University; Praveetha Patalay, Centre for Longitudinal Studies and MRC Camilo J. Ruggero, Department of Psychology, University of North Unit for Lifelong Health and Ageing, University College London; Darrel Texas, 1155 Union Circle, 311280, Denton, TX 76203-5017. E-mail: A. Regier, Department of Psychiatry, Center for the Study of Traumatic [email protected] INTEGRATING HITOP INTO CLINICAL PRACTICE 1071 A reliable, valid, and clinically useful classification system for used diagnosis is “other specified/unspecified” (“not otherwise mental illness is a cornerstone of clinical practice in the ideal specified” in previous editions of the DSM; Machado, Machado, (Kendell & Jablensky, 2003; Krueger et al., 2018; Mullins-Sweatt Gonçalves, & Hoek, 2007; Verheul & Widiger, 2004), meaning & Widiger, 2009). It facilitates communication, orients and guides the patient’s presentation does not fit any specific category. More- treatment planning, and serves as a common basis for administer- over, the DSM and ICD categories provide little diagnosis-specific ing care. It also can provide information about the natural course information to guide treatment decisions (First et al., 2018). Most of illness against which to measure the effectiveness of treatment categories have a wide range of applicable treatments, with many and create a foundation for research (American Psychiatric Asso- pharmaceutical and psychosocial treatments showing transdiag- ciation, 2006, 2013; First et al., 2014). The present work briefly nostic effects (Barlow, Sauer-Zavala, Carl, Bullis, & Ellard, 2013; reviews limitations of the prevailing nosology in place for most Weitz, Kleiboer, van Straten, & Cuijpers, 2018). Indeed, a driving clinicians. It introduces a new model of nosology spearheaded by force for assigning a patient a DSM or ICD diagnosis may often be quantitative nosologists (Kotov et al., 2017). Prior work has artic- less about clinical care and more about administrative or reim- ulated the empirical basis for these newer models and made clear bursement requirements (Braun & Cox, 2005; Eriksen & Kress, evidence to support its major contours. However, no work has 2004;
Load more

Recommended publications
  • Sexually Violent Predator” Commitment
    Oklahoma Law Review Volume 67 Number 4 2014 Dangerous Diagnoses, Risky Assumptions, and the Failed Experiment of “Sexually Violent Predator” Commitment Deirdre M. Smith University of Maine School of Law, [email protected] Follow this and additional works at: https://digitalcommons.law.ou.edu/olr Part of the Criminal Law Commons, and the Law and Psychology Commons Recommended Citation Deirdre M. Smith, Dangerous Diagnoses, Risky Assumptions, and the Failed Experiment of “Sexually Violent Predator” Commitment, 67 OKLA. L. REV. 619 (2015), https://digitalcommons.law.ou.edu/olr/vol67/iss4/1 This Article is brought to you for free and open access by University of Oklahoma College of Law Digital Commons. It has been accepted for inclusion in Oklahoma Law Review by an authorized editor of University of Oklahoma College of Law Digital Commons. For more information, please contact [email protected]. Dangerous Diagnoses, Risky Assumptions, and the Failed Experiment of “Sexually Violent Predator” Commitment Cover Page Footnote I am grateful to the following people who read earlier drafts of this article and provided many helpful insights: David Cluchey, Malick Ghachem, Barbara Herrnstein Smith, and Jenny Roberts. I also appreciate the comments and reactions of the participants in the University of Maine School of Law Faculty Workshop, February 2014, and the participants in the Association of American Law Schools Section on Clinical Legal Education Works in Progress Session, May 2014. I am appreciative of Dean Peter Pitegoff for providing summer research support and of the staff of the Donald L. Garbrecht Law Library for its research assistance. This article is available in Oklahoma Law Review: https://digitalcommons.law.ou.edu/olr/vol67/iss4/1 OKLAHOMA LAW REVIEW VOLUME 67 SUMMER 2015 NUMBER 4 DANGEROUS DIAGNOSES, RISKY ASSUMPTIONS, AND THE FAILED EXPERIMENT OF “SEXUALLY VIOLENT PREDATOR” COMMITMENT * DEIRDRE M.
    [Show full text]
  • Clinical Science
    APA CLINICAL SCIENCE III Society for the Science of Clinical Psychology Section III of the Division of Clinical Psychology of Division12 Ψ the American Psychological Association Developing clinical psychology as an experimental-behavioral science Newsletter Fall 2007 Issue Board Members and Contributors: President: Table of Contents: Daniel N. Klein, Ph.D. Stony Brook University Feature Article: Past-President: Antonette M. Zeiss, Ph.D. What is the role of clinical internships in training clinical V.A. Central Office, Washington, D.C. scientists? A. Spirito, E. McQuaid, J. Nash, G. Tremont, G. Francis, President-Elect: L. Weinstock, M. Andover .................................................................2 Lee Anna Clark, Ph.D. University of Iowa Announcements Secretary/Treasurer: Elizabeth Hayden, Ph.D. 2008 APS Student Poster Award.......................................................5 University of Western Ontario 2007 Election Results........................................................................6 Membership Committee Chairs: Sherryl Goodman, Ph.D. Emory University Douglas Mennin, Ph.D. Yale University Division 12 Representative: E. David Klonsky, Ph.D. Stony Brook University INSTRUCTIONS FOR AUTHORS Listserv Manager: Michael B. Miller, Ph.D. Clinical Science is published as a service to the members of Section III of the Division of Clinical University of Minnesota Psychology of the American Psychological Association. The purpose is to disseminate current information relevant to the goals of our organization. Feature Articles may be submitted to the editor via e-mail. They should be approximately 16 double- Editor: spaced pages and should include an abstract of 75- to 100- words. William P. Horan, Ph.D. Brief Articles may also be submitted,and should also include a 75- to 100-word abstract. All articles should be submitted as an attachment to an e-mail and formatted according to the University of California, Los Angeles Publication Manual of the American Psychological Association, 5th edition.
    [Show full text]
  • An Item Response Theory Integration of Normal and Abnormal Personality Scales
    CORRECTED JUNE 24, 2010; SEE LAST PAGE Personality Disorders: Theory, Research, and Treatment © 2010 American Psychological Association 2010, Vol. 1, No. 1, 5–21 1949-2715/10/$12.00 DOI: 10.1037/a0018136 An Item Response Theory Integration of Normal and Abnormal Personality Scales Douglas B. Samuel Leonard J. Simms Yale University School of Medicine University at Buffalo, State University of New York Lee Anna Clark W. John Livesley University of Iowa University of British Columbia Thomas A. Widiger University of Kentucky The Diagnostic and Statistical Manual of Mental Disorders (DSM–IV–TR) currently conceptualizes personality disorders (PDs) as categorical syndromes that are distinct from normal personality. However, an alternative dimensional viewpoint is that PDs are maladaptive expressions of general personality traits. The dimensional perspective postulates that personality pathology exists at a more extreme level of the latent trait than does general personality. This hypothesis was examined using item response theory analyses comparing scales from two personality pathology instruments—the Dimensional Assessment of Personality Pathology-Basic Questionnaire (DAPP-BQ; Livesley & Jackson, in press) and the Schedule for Nonadaptive and Adaptive Person- ality (SNAP; Clark, 1993; Clark, Simms, Wu, & Casillas, in press)—with scales from an instrument designed to assess normal range personality, the NEO Personality Inventory–Revised (NEO PI-R; Costa & McCrae, 1992). The results indicate that respective scales from these instruments assess shared latent constructs, with the NEO PI-R providing more information at the lower (normal) range and the DAPP-BQ and SNAP providing more information at the higher (abnormal) range. Nevertheless, the results also demonstrated substantial overlap in coverage.
    [Show full text]
  • The Adam Walsh Child Protection and Safety Act: Legal and Psychological Aspects of the New Civil Commitment Law for Federal Sex Offenders
    THE ADAM WALSH CHILD PROTECTION AND SAFETY ACT: LEGAL AND PSYCHOLOGICAL ASPECTS OF THE NEW CIVIL COMMITMENT LAW FOR FEDERAL SEX OFFENDERS JOHN FABIAN* ABSTRACT The Adam Walsh Act (AWA) became law on July 27, 2006, and is the most expansive and punitive sex offender law ever initiated by the federal government. One aspect of the statute, and the topic of this article, is the civil commitment of federal sex offenders. The AWA civil commitment law has its roots in prior U.S. Supreme Court cases including Kansas v. Hendricks and Kansas v. Crane. 1 While the federal commitment statute is similar to traditional state commitment laws, the AWA does not provide for a finding of “likely” to commit sex offenses. Rather, the statute defines a “sexually dangerous person” as having “serious difficulty refraining from sexually violent conduct or child molestation if released.” Assessing the likelihood of recidivism and volitional impairments leading to sexual recidivism in light of the AWA and state commitment statutes are critical determinations. The accuracy, validity, and interrater reliability of the measurement of volitional impairment is considerably lacking among experts and within the empirical literature of sex offending in general. Similarly, examining the legal terms “mental illness, abnormality, or disorder” under the AWA will entail a thoughtful application of clinical psychiatric diagnoses recognized in the mental health profession. Many of these psychiatric diagnoses (primarily paraphilias) utilized in legal commitment proceedings are debated by adversarial expert witnesses in these hearings. As the AWA pertains to federal sex offenders, the expert witness must consider their differences from state sex offenders, as many of the former group are more likely to * Dr.
    [Show full text]
  • Curriculum Vitae
    EUNYOE RO CURRICULUM VITAE CONTACT INFORMATION Department of Psychology University of Notre Dame Notre Dame, IN 46556 Email: [email protected] EDUCATION 2010 Ph.D., Clinical Psychology Department of Psychology, University of Iowa 2009-2010 Predoctoral Internship (APA approved) University of Mississippi Medical Center/VA Medical Center Consortium 1998-2001 Clinical Psychology Residency Department of Psychiatry, Asan Medical Center, Seoul, Korea 1997 M.A., Clinical Psychology Korea University, Seoul, Korea 1994 B.A., Russian Language and Literature Korea University, Seoul, Korea PUBLICATIONS Peer-Reviewed Journals Lawrence, E., Barry, R.A., Brock, R.L., Bunde, M., Langer, A., Ro, E., et al. (in press). The Relationship Quality Interview: Evidence of reliability, convergent and divergent validity, and incremental utility. Psychological Assessment. Ro, E., & Clark, L.A. (2009). Psychosocial functioning in the context of diagnosis: Assessment and theoretical issues. Psychological Assessment, 21, 313-324. Lawrence, E., Yoon, J., Langer, A., & Ro, E. (2009). Is psychological aggression as detrimental as physical aggression? The independent effects of psychological aggression on depression and anxiety symptoms. Violence & Victims, 24, 20-35. Ro, E., & Lawrence, E. (2007). Comparing three measures of psychological aggression: Psychometric properties and differentiation from negative communication. Journal of Family Violence, 22, 575-586. Book Chapter Lawrence, E., Ro, E., Barry, R., & Bunde, M. (2006). Mechanisms of Distress and Dissolution in Physically Aggressive Romantic Relationships. In Handbook of Divorce and Relationship Dissolution. M. A. Fine, & J. H. Harvey (Eds.), pp. 263-286. NJ: Lawrence Erlbaum. AWARDS AND GRANTS Grants Funded 2008 University of Iowa Executive Council of Graduate and Professional Students (ECGPS) Research Grant, Principal Investigator – Examining relations between functioning and personality pathology, $1,000.
    [Show full text]
  • Journal of Abnormal Psychology the Hierarchical Taxonomy of Psychopathology (Hitop): a Dimensional Alternative to Traditional Nosologies Roman Kotov, Robert F
    Journal of Abnormal Psychology The Hierarchical Taxonomy of Psychopathology (HiTOP): A Dimensional Alternative to Traditional Nosologies Roman Kotov, Robert F. Krueger, David Watson, Thomas M. Achenbach, Robert R. Althoff, R. Michael Bagby, Timothy A. Brown, William T. Carpenter, Avshalom Caspi, Lee Anna Clark, Nicholas R. Eaton, Miriam K. Forbes, Kelsie T. Forbush, David Goldberg, Deborah Hasin, Steven E. Hyman, Masha Y. Ivanova, Donald R. Lynam, Kristian Markon, Joshua D. Miller, Terrie E. Moffitt, Leslie C. Morey, Stephanie N. Mullins-Sweatt, Johan Ormel, Christopher J. Patrick, Darrel A. Regier, Leslie Rescorla, Camilo J. Ruggero, Douglas B. Samuel, Martin Sellbom, Leonard J. Simms, Andrew E. Skodol, Tim Slade, Susan C. South, Jennifer L. Tackett, Irwin D. Waldman, Monika A. Waszczuk, Thomas A. Widiger, Aidan G. C. Wright, and Mark Zimmerman Online First Publication, March 23, 2017. http://dx.doi.org/10.1037/abn0000258 CITATION Kotov, R., Krueger, R. F., Watson, D., Achenbach, T. M., Althoff, R. R., Bagby, R. M., Brown, T. A., Carpenter, W. T., Caspi, A., Clark, L. A., Eaton, N. R., Forbes, M. K., Forbush, K. T., Goldberg, D., Hasin, D., Hyman, S. E., Ivanova, M. Y., Lynam, D. R., Markon, K., Miller, J. D., Moffitt, T. E., Morey, L. C., Mullins-Sweatt, S. N., Ormel, J., Patrick, C. J., Regier, D. A., Rescorla, L., Ruggero, C. J., Samuel, D. B., Sellbom, M., Simms, L. J., Skodol, A. E., Slade, T., South, S. C., Tackett, J. L., Waldman, I. D., Waszczuk, M. A., Widiger, T. A., Wright, A. G. C., & Zimmerman, M. (2017, March 23). The Hierarchical Taxonomy of Psychopathology (HiTOP): A Dimensional Alternative to Traditional Nosologies.
    [Show full text]
  • Mental Health and Clinical Psychological Science in the Time of COVID-19: Challenges, Opportunities, and a Call to Action
    American Psychologist © 2020 American Psychological Association 2020, Vol. , No. , ISSN: 0003-066X http://dx.doi.org/10.1037/amp0000707 Mental Health and Clinical Psychological Science in the Time of COVID-19: Challenges, Opportunities, and a Call to Action June Gruber Mitchell J. Prinstein University of Colorado Boulder University of North Carolina at Chapel Hill Lee Anna Clark Jonathan Rottenberg University of Notre Dame University of South Florida Jonathan S. Abramowitz Anne Marie Albano University of North Carolina at Chapel Hill Columbia University Vagelos College of Physicians and Surgeons Amelia Aldao Jessica L. Borelli Columbia University and Mount Sinai Hospital, New York, New University of California, Irvine York Tammy Chung Joanne Davila Rutgers, The State University of New Jersey Stony Brook University Erika E. Forbes Dylan G. Gee University of Pittsburgh Yale University Gordon C. Nagayama Hall Lauren S. Hallion University of Oregon University of Pittsburgh Stephen P. Hinshaw Stefan G. Hofmann University of California, Berkeley, and University of California, Boston University San Francisco Steven D. Hollon Jutta Joormann and Alan E. Kazdin Vanderbilt University Yale University Daniel N. Klein Annette M. La Greca Stony Brook University University of Miami Robert W. Levenson Angus W. MacDonald III University of California, Berkeley University of Minnesota Dean McKay Katie A. McLaughlin Fordham University Harvard University Jane Mendle Adam Bryant Miller Cornell University University of North Carolina at Chapel Hill Enrique W. Neblett Matthew Nock University of Michigan Harvard University Bunmi O. Olatunji Jacqueline B. Persons Vanderbilt University Oakland Cognitive Behavior Therapy Center, Oakland, California 1 2 GRUBER ET AL. David C. Rozek Jessica L.
    [Show full text]
  • 4Th Purdue Symposium on Psychological Sciences
    4th Purdue Symposium on Psychological Sciences Using Basic Personality Research to Inform the Personality Disorders May 12-13, 2014 DEPARTMENT OF PSYCHOLOGICAL SCIENCES Welcome! The Department of Psychological Sciences at Purdue University is pleased to host the fourth installment in its symposium series. This biennial event showcases current and emerging topics within the psychological sciences that form the basis for an edited volume following each symposium. The 4th Purdue Symposium on Psychological Sciences gathers leading thinkers in clinical and personality psychology to consider theoretical and empirical issues relevant to understanding the history, etiology, assessment, and developmental course of personality disorders. Each contributor highlights important theoretical and/or empirical findings. This symposium arises out of an interest, spurred in part by the work leading up to DSM-5, in how personality disorders should be conceptualized. The goal for this gathering is to pull together a range of scholars focusing on different aspects of basic personality and personality psychopathology, in order to encourage collaboration and cross-disciplinary initiatives. The resulting work (to be published by Oxford University Press) will be the first edited volume to pull together so many experts across clinical and personality psychology whose research in the realm of personality and personality disorders. Speakers over the next two days will expound upon such topics as trait conceptualizations of personality disorders, assessment of personality pathology through the use of self-, informant, and behavioral methods, personality disorders across the lifespan, and biological underpinnings of personality pathology. For our symposium, we have divided our coverage into four sections spread over our two-day symposium: (1) Introduction to Personality Disorders, (2) Assessment Methods and Issues, (3) Developmental Considerations, and (4) Biological Bases.
    [Show full text]
  • The Six Most Essential Questions in Psychiatric Diagnosis: a Pluralogue
    Phillips et al. Philosophy, Ethics, and Humanities in Medicine 2012, 7:14 http://www.peh-med.com/content/7/1/14 REVIEW Open Access The six most essential questions in psychiatric diagnosis: a pluralogue. Part 4: general conclusion James Phillips1*, Allen Frances2, Michael A Cerullo3, John Chardavoyne1, Hannah S Decker4, Michael B First5, Nassir Ghaemi6, Gary Greenberg7, Andrew C Hinderliter8, Warren A Kinghorn2,9, Steven G LoBello10, Elliott B Martin1, Aaron L Mishara11, Joel Paris12, Joseph M Pierre13,14, Ronald W Pies6,15, Harold A Pincus5,16,17,18, Douglas Porter19, Claire Pouncey20, Michael A Schwartz21, Thomas Szasz15, Jerome C Wakefield22,23, G Scott Waterman24, Owen Whooley25 and Peter Zachar10 Abstract In the conclusion to this multi-part article I first review the discussions carried out around the six essential questions in psychiatric diagnosis – the position taken by Allen Frances on each question, the commentaries on the respective question along with Frances’ responses to the commentaries, and my own view of the multiple discussions. In this review I emphasize that the core question is the first – what is the nature of psychiatric illness – and that in some manner all further questions follow from the first. Following this review I attempt to move the discussion forward, addressing the first question from the perspectives of natural kind analysis and complexity analysis. This reflection leads toward a view of psychiatric disorders – and future nosologies – as far more complex and uncertain than we have imagined. General conclusion issues in DSM-5 [16,17]. (Vol 17, No 1 of the AAPP Bul- In concluding this multi-part article, let me begin once letin will be referred to as Bulletin 1, and Vol 17, No 2 again with a brief review of what we have already cov- will be referred to as Bulletin 2.
    [Show full text]
  • Lee Anna Clark University of Notre Dame Department of Psychology E
    CURRICULUM VITAE Lee Anna Clark University of Notre Dame Department of Psychology e-mail: [email protected] Office: 124A Haggar Hall Lab: Center for Advanced Measurement of Notre Dame, IN 46556 Personality and Psychopathology Phone: (574) 631-7482 501 N. Hill St. Dept: (574) 631-7675 South Bend, IN 46617-1908 FAX: (574) 631-8883 Phone: (574) 631-1535 Citizenship: U.S.A. Marital status: Married (David Watson) Education Ph.D. 1982 University of Minnesota; Minneapolis, MN Clinical Psychology (Adult specialization), with supporting programs in personality assessment & cross-cultural psychology M.A. 1977 Cornell University; Ithaca, New York Asian Studies (Specialization: Japan) B. A. 1972 Cornell University; Ithaca, New York Psycholinguistics (College Scholar Program, with distinction) Professional Positions 2010- William J. and Dorothy K. O’Neill Professor of Psychology University of Notre Dame 2010- Professor Emeritus University of Iowa 1993-2010 Professor of Psychology University of Iowa Licensed Psychologist, #00711, State of Iowa 2006-2009 Director of Clinical Training 1996-1998 University of Iowa 1998-2005 Associate Provost for Faculty 1991-1995 Special Member of the Graduate Faculty in Clinical Psychology University of Texas Southwestern Medical Center at Dallas 1990-1993 Associate Professor of Psychology Southern Methodist University 1986-1993 Certified and Licensed Psychologist, #3223, State of Texas 1988-1991 Clinical Assistant Professor of Psychiatry, Division of Psychology University of Texas Southwestern Medical Center at Dallas 1987-1992 Director, Master of Arts in Clinical/Counseling Psychology L. A. Clark--CV 2 Professional Positions (cont.) 1984-1990 Assistant Professor of Psychology Southern Methodist University 1982-1984 Postdoctoral Research Fellow Dept.
    [Show full text]
  • Criterion a of the AMPD in Hitop.Pdf
    Journal of Personality Assessment ISSN: 0022-3891 (Print) 1532-7752 (Online) Journal homepage: https://www.tandfonline.com/loi/hjpa20 Criterion A of the AMPD in HiTOP Thomas A. Widiger, Bo Bach, Michael Chmielewski, Lee Anna Clark, Colin DeYoung, Christopher J. Hopwood, Roman Kotov, Robert F. Krueger, Joshua D. Miller, Leslie C. Morey, Stephanie N. Mullins-Sweatt, Christopher J. Patrick, Aaron L. Pincus, Douglas B. Samuel, Martin Sellbom, Susan C. South, Jennifer L. Tackett, David Watson, Mark H. Waugh, Aidan G. C. Wright, Johannes Zimmermann, R. Michael Bagby, David C. Cicero, Christopher C. Conway, Barbara De Clercq, Anna R. Docherty, Nicholas R. Eaton, Kelsie T. Forbush, J. D. Haltigan, Masha Y. Ivanova, Robert D. Latzman, Donald R. Lynam, Kristian E. Markon, Ulrich Reininghaus & Katherine M. Thomas To cite this article: Thomas A. Widiger, Bo Bach, Michael Chmielewski, Lee Anna Clark, Colin DeYoung, Christopher J. Hopwood, Roman Kotov, Robert F. Krueger, Joshua D. Miller, Leslie C. Morey, Stephanie N. Mullins-Sweatt, Christopher J. Patrick, Aaron L. Pincus, Douglas B. Samuel, Martin Sellbom, Susan C. South, Jennifer L. Tackett, David Watson, Mark H. Waugh, Aidan G. C. Wright, Johannes Zimmermann, R. Michael Bagby, David C. Cicero, Christopher C. Conway, Barbara De Clercq, Anna R. Docherty, Nicholas R. Eaton, Kelsie T. Forbush, J. D. Haltigan, Masha Y. Ivanova, Robert D. Latzman, Donald R. Lynam, Kristian E. Markon, Ulrich Reininghaus & Katherine M. Thomas (2019) Criterion A of the AMPD in HiTOP, Journal of Personality Assessment, 101:4, 345-355, DOI: 10.1080/00223891.2018.1465431 To link to this article: https://doi.org/10.1080/00223891.2018.1465431 Published online: 10 May 2018.
    [Show full text]
  • 2871C86a330a899ce692c39290
    live-fm.qxd 3/24/01 6:30 AM Page iii Handbook of Personality Disorders Theory, Research, and Treatment Edited by W. John Livesley The Guilford Press NEW YORK LONDON live-fm.qxd 3/24/01 6:30 AM Page iv © 2001 The Guilford Press A Division of Guilford Publications, Inc. 72 Spring Street, New York, NY 10012 www.guilford.com All rights reserved No part of this book may be reproduced, translated, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, microfilming, recording, or otherwise, without written permission from the Publisher. Printed in the United States of America This book is printed on acid-free paper. Last digit is print number: 987654321 Library of Congress Cataloging-in-Publication Data Handbook of personality disorders : theory, research, and treatment p. ; cm. Includes bibliographical references and indexes. ISBN 1-57230-629-7 (hardcover : alk. paper); aa05 01-22-01 1. Personality disorders—Handbooks, manuals, etc. I. Livesley, W. John. [DNLM: 1. Personality Disorders—therapy. 2. Personality Disorders—etiology. WM 190 H23697 2001] RC554 .H36 2001 616.85Ј8—dc21 2001016208 live-fm.qxd 3/24/01 6:30 AM Page v About the Editor W. John Livesley, MD, PhD, is Professor and former Head of the Department of Psychiatry, University of British Columbia, Vancouver, British Columbia, Canada. He is also Editor of the Journal of Personality Disorders and has contributed extensively to the literature on personality disorder. His research focuses on the classification, assessment, and origins of personality disorder, and his clinical interests center on an integrated approach to treatment based on current empirical knowledge about personality disorder and its treatment.
    [Show full text]