The Hierarchical Taxonomy of Psychopathology (HiTOP) Is Not an Improvement Over the DSM

Author:

Haeffel Gerald J.1ORCID,Jeronimus Bertus F.2ORCID,Fisher Aaron J.3ORCID,Kaiser Bonnie N.4,Weaver Lesley Jo5ORCID,Vargas Ivan6ORCID,Goodson Jason T.7,Soyster Peter D.3,Lu Wei8

Affiliation:

1. Department of Psychology, University of Notre Dame

2. Department of Psychology, University of Groningen

3. Department of Psychology, University of California, Berkeley

4. Department of Anthropology and Global Health Program, University of California, San Diego

5. Department of Global Studies, University of Oregon

6. Department of Psychology, University of Arkansas

7. PTSD Clinical Team, VA Salt Lake City Health Care Systems, Salt Lake City, Utah

8. Carver School of Medicine, University of Iowa Hospitals and Clinics

Abstract

In their response to our article (both in this issue), DeYoung and colleagues did not sufficiently address three fundamental flaws with the Hierarchical Taxonomy of Psychopathology (HiTOP). First, HiTOP was created using a simple-structure factor-analytic approach, which does not adequately represent the dimensional space of the symptoms of psychopathology. Consequently, HiTOP is not the empirical structure of psychopathology. Second, factor analysis and dimensional ratings do not fix the problems inherent to descriptive (folk) classification; self-reported symptoms are still the basis on which clinical judgments about people are made. Finally, HiTOP is not ready to use in real-world clinical settings. There is currently no empirical evidence demonstrating that clinicians who use HiTOP have better clinical outcomes than those who use the Diagnostic and Statistical Manual of Mental Disorders ( DSM). In sum, HiTOP is a factor-analytic variation of the DSM that does not get the field closer to a more valid and useful taxonomy.

Publisher

SAGE Publications

Subject

Clinical Psychology

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