Understanding the HiTOP Model (a DSM Alternative) with Dr. Robert Krueger

Dr. Robert Krueger returns to the show to join Dan in a conversation into psychiatric diagnoses. Dr. Krueger is a clinical psychologist and member of the DSM-5 Personality Disorders Workgroup.

In this episode, Dan and Dr. Krueger discuss the limitations of the DSM (Diagnostic and Statistical Manual of Mental Disorders) in accurately diagnosing and treating psychiatric disorders. They explore the complexities of mental health conditions, emphasizing that many individuals do not fit neatly into categorical diagnoses and dive into the Hierarchical Taxonomy of Psychopathology (HiTOP) model, a new framework for understanding psychopathology that is hierarchical and dimensional, allowing for a more nuanced approach to diagnosis and treatment.
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Special Guest
Dr. Robert Krueger
https://cla.umn.edu/psychology/news-e...

Episode Links
HiTOP Model in an Image
https://drive.google.com/file/d/1Q6Mt...

Official HiTOP Website
https://www.hitop-system.org/

Original HiTOP Article
https://drive.google.com/file/d/1kKy7...

Sample HiTOP Clinical Assessment Profile
https://drive.google.com/file/d/1YEpG...

ARCS Institute
https://www.arcsinstitute.com

HiTOP Self-Report Measures
https://www.hitop-system.org/hitop-se...

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00:00 - Introduction and Guest Welcome
00:46 - What's Wrong with the DSM?
06:10 - Clinical Realities vs. DSM Limitations
10:58 - The Practical Disconnect in Diagnosis
14:02 - The Origins of the HiTOP Model
20:00 - Building a Scientific Grassroots Consortium
24:13 - Overview of the HiTOP Framework
26:55 - Dimensional vs. Categorical Diagnosis
34:00 - The Hierarchical Structure of HiTOP
40:00 - Personality as the Infrastructure of Psychopathology
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🎧 Listen on your podcast player of choice (https://psychotherapyandappliedpsycho...)
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Keywords

#mentalhealth #therapy #psychotherapy #personalizedtreatment #process #emotionalhealth #client #research #podcast #psychology #researchinsights #personalitydisorder #DSM-5 #clinicalpsychology #casestudy #HiTOP #psychiatrist #psychiatric #diagnosis #diagnostictool #psychiatry #traits #personality

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Takeaways

The DSM is based on a 19th-century medical paradigm.
Psychiatric disorders are complex and multifaceted.
Many patients present with comorbid conditions.
The HiTOP model offers a dimensional approach to diagnosis.
HiTOP was developed as a grassroots movement among researchers.
The DSM's categorical approach can be limiting in clinical practice.
Understanding personality is crucial for effective treatment.
The thresholds for diagnoses in the DSM are often arbitrary.
HiTOP provides a framework that aligns better with clinical realities.
Collaboration among researchers is essential for advancing mental health science.

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Producer: Mack Britton Productions