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5 - Contemporary Psychopathology Diagnosis

from Part I - General Issues in Clinical Assessment and Diagnosis

Published online by Cambridge University Press:  06 December 2019

By
Christopher C. Conway ,
Lee Anna Clark  and
Robert F. Krueger
Edited by
Martin Sellbom  and
Julie A. Suhr
Martin Sellbom
Affiliation:
University of Otago, New Zealand
Julie A. Suhr
Affiliation:
Ohio University
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Summary

Diagnosis and classification for mental disorder are in flux. This transition has downstream consequences on the nature of clinical assessment in research and treatment settings. We begin this chapter by describing the prevailing categorical rubrics, which are the predominant guide to clinical assessment worldwide. These systems, despite their popularity, suffer from serious defects, which have prompted the development of alternate frameworks for conceptualization and assessment of psychopathology. We focus the remainder of the chapter on two prominent contenders to supplement, and perhaps eventually supplant, traditional categorical models. The Hierarchical Taxonomy of Psychopathology is an empirically derived system of the phenotypic dimensions of psychopathology and the Research Domain Criteria represent a biologically oriented approach to understanding risk processes implicated in mental disorder. We describe the promise and challenges facing these two emerging systems, and we speculate about how they will shape the future of clinical assessment.

Keywords

classificationDiagnostic and Statistical Manual of Mental Disorders (DSM)Hierarchical Taxonomy of Psychopathology (HiTOP)nosologyResearch Domain Criteria (RDoC)
Type
Chapter
Information
The Cambridge Handbook of Clinical Assessment and Diagnosis , pp. 49 - 62
Publisher: Cambridge University Press
Print publication year: 2019

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