Despite a general consensus that the mental health field is shifting from categorical toward dimensional diagnosis, important questions remain about exactly how this transition should occur--both practically and conceptually. This book brings together leading scholars to discuss how personality is related to psychopathology, how this changes our understanding of mental disorders, how dimensional models can be applied in varied clinical settings, and implications for training and research. The volume is uniquely structured to address 15 core challenges identified by the editors. Within each chapter, two author teams weigh in with different perspectives on the questions posed, offering a window into critical debates at the cutting edge of clinical science and practice.
Arvustused
"This scholarly yet very accessible book is a 'must read' for anyone involved in assessment and treatment in mental health. While it is now widely accepted that mental health problems fall along continuous dimensions rather than fitting into discrete categories, clinical implementation of this new understanding of psychopathology remains challenging. Bringing together dozens of experts with varying perspectives, this groundbreaking book launches a much-needed discussion of dimensional diagnosis. Topics include not only assessment, diagnosis, and treatment, but also epidemiology, clinical training, genetics, neurobiology, stigma, overlap and distinctions between personality and psychopathology, and incorporating more diverse and underrepresented populations into work in this area."--Lee Anna Clark, PhD, William J. and Dorothy K. ONeill Professor Emerita, Department of Psychology, University of Notre Dame
"Dimensional diagnosis sounds good, in principle. Finally, here is a volume that helps make it practical. This book is a go-to resource for all. It addresses everything from the conceptual basis of dimensional diagnoses to measurement considerations to clinical implications--and even how to train the next generation of scientists and practitioners."--Avshalom Caspi, PhD, Edward M. Arnett Distinguished Professor of Psychology and Neuroscience, Duke University; Professor of Personality Development, Institute of Psychiatry, Psychology, and Neuroscience, Kings College London, United Kingdom
"The move from categorical to dimensional models of psychopathology is perhaps the most significant change in psychiatric nosology in the past quarter century. This outstanding volume is the first to explore the implications of this shift with such clarity, realism, and depth. The editors--two of the field's most innovative scientist-clinicians--have brought together leading international experts to address the urgent clinical questions arising from the DSM and ICD revisions. The volume combines conceptual sophistication with remarkable pragmatism. It offers realistic, implementable guidance for clinicians, while at the same time illuminating the broader intellectual significance of the dimensional approach. This is a rare achievement--a book that is both indispensable for daily practice and transformative in its influence. Destined to become a classic."--Peter Fonagy, CBE, FMedSci, FBA, FAcSS, Head, Division of Psychology and Language Sciences, University College London, United Kingdom-
1. Introduction, Christopher J. Hopwood, Carla Sharp, & Robert F.
Krueger
2. What does dimensional diagnosis mean for clinical assessment?
â¢Part I. Dimensional diagnosis and clinical assessment, Leslie C. Morey
â¢Part II. Implementation of dimensional factor-based models of
psychopathology in clinical practice, Leonard J. Simms & Tyra Jones
3. What does dimensional diagnosis mean for conceptualizing psychotherapy
processes?
â¢Part I. Rethinking psychotherapy processes in a dimensional framework,
Jennifer L. Callahan
â¢Part II. What does dimensional diagnosis mean for conceptualizing
psychotherapy processes?, Christoph Flückiger
4. What does dimensional diagnosis mean for conceptualizing psychotherapy
technique?
â¢Part I. Targeting higher order dimensions of personality: A potent,
parsimonious, and personalizable approach to addressing psychopathology,
Shannon Sauer-Zavala, Madeline L. Kushner, Alexandra Hines, & Sarah E. Cecil
â¢Part II. Addressing basic dimensions of personality functioning: A classic
yet contemporary conceptualization of personality pathology, Susanne
Hörz-Sagstetter &Leonie Kampe
5. What does dimensional diagnosis mean for clinical psychological training?
â¢Part I. Dimensional diagnosis will enhance clinical psychological
training, Camilo J. Ruggero & Jennifer L. Callahan
â¢Part II. Barriers to integrating dimensional diagnosis into clinical
psychology, Sharon M. Nelson, Sierra A. Iwanicki, & Theresa L. Welles
6. Can dimensional diagnosis of psychopathology help reduce mental health
stigma?
â¢Part I. Can dimensional approach to psychological problems help reduce
stigma?, Benjamin B. Lahey
â¢Part II. Decreasing stigma with dimensional diagnoses: Does it matter?,
Patrick W. Corrigan &Vardha Kharbanda
7. What is the intersection between dimensional diagnosis and diversity,
equity, and inclusion?
â¢Part I. Integrating dimensions of context within dimensional diagnosis,
Shayan Asadi, Sienna Nielsen, & Craig Rodriguez-Seijas
â¢Part II. Possibilities and challenges for enhancing equity and inclusivity
through dimensional models of psychopathology, Sarah L. Pedersen, Frances
Wang, Rachel A. Vaughn-Coaxum, Paula Marie Powe, & Cassandra L. Boness
8. How does dimensional diagnosis change psychopathology research?
â¢Part I. Dimensional diagnosis can improve theory building and testing in
psychopathology research, Christopher C. Conway
â¢Part II. Exploring the strengths and weaknesses of different models used
in psychopathology classification, Arielle Baskin-Sommers, Brendan Lam, &
Samuel Paskewitz
9. How can developmental processes help us understand the similarities and
differences between personality and psychopathology?
â¢Part I. A developmental perspective on personality and psychological
problems, Benjamin B. Lahey
â¢Part II. Developmental personalityâpsychopathology spectrum approaches:
Are traits enough?, Charlotte S. Zell and Carla Sharp
10. How does genetic research help us understand similarities and differences
between personality and psychopathology?
â¢Part I. Genetic evidence for personality in a hierarchical model of
psychopathology, Monika A. Waszczuk
â¢Part
2. Exploring the shared genetic architecture between psychopathology
and personality, Holly E. Poore & Irwin D. Waldman
11. How does dimensional diagnosis change how we should think about
psychiatric epidemiology?
â¢Part I. Philosophy of psychiatric epidemiology: A conceptual framework,
Dan J. Stein & Anna Hartford
â¢Part II. Diagnoses as metrics in continuous approaches to psychopathology,
Kristian E. Markon
12. How does dimensional diagnosis change how we should think about
psychotherapy research?
â¢Part I. How dimensional diagnosis transforms psychotherapy research,
André Kerber, Thomas Munder, & Johannes C. Ehrenthal
â¢Part II. The application of complexity science and methods to
psychotherapy research on dimensional diagnosis, Trevor Sanchez Stevens,
Adele M. Hayes, Merlijn Olthof, & Anna Lichtwarck-Aschoff
13. What is the difference between personality traits and psychopathology
symptoms/functioning?
â¢Part I. Psychopathology, personality, and cybernetics: Dimensional
diagnosis should prioritize dysfunction over symptoms, Colin G. DeYoung &
Robert F. Krueger
â¢Part II. What is the difference between personality traits and personality
disorder symptoms/functioning?, Sabine C. Herpertz
14. If psychopathology is dimensional, what are personality disorders?
â¢Part I.Personality disorders are distinguished by precociousness,
pervasiveness, and persistence, but distinctions are blurry and fraught,
Joshua D. Miller, Nathaniel L. Phillips, Thomas A. Widiger, & Donald R.
Lynam
â¢Part II. The personality disorders as disorders of self and social
functioning, Aidan G. C. Wright & Janan Mostajabi
15. What can we learn about psychopathology from personality change
interventions in nonclinical populations?
â¢Part I. Personality psychology meets clinical practice: Insights from
personality change interventions, Isabel Thielmann & Nicole Casali
â¢Part II. Insights from personality dynamics highlight opportunities and
challenges of volitional personality change interventions to promote mental
health, Eranda Jayawickreme, Stephen M. Schueller, Rowan Kemmerly, & Juliette
L. Ratchford
16. Where do cognitive and neurodevelopmental disorders fit in dimensional
models of psychopathology?
â¢Part I. Incorporating neurodevelopmental and neurocognitive conditions in
transdiagnostic dimensional models of psychopathology, Sylia Wilson & Giorgia
Michelini
â¢Part II. Where do cognitive and neurodevelopmental disorders fit in
dimensional models of psychopathology?, Miriam K. Forbes
Author Index
Subject Index
Christopher J. Hopwood, PhD, is Professor of Personality Psychology at the University of Zurich, Switzerland. Dr. Hopwood is Associate Editor of the Journal of Personality Assessment and the Journal of Psychopathology and Clinical Science, and Editor-in-Chief of the journal Psychology of HumanAnimal Intergroup Relations. He is the 2018 recipient of the Theodore Millon Grant in Personality Psychology from the American Psychological Foundation, among other honors. Dr. Hopwood's research interests include personality assessment and development, interpersonal processes, psychopathology, and humananimal relations.
Carla Sharp, PhD, is John and Rebecca Moores Professor of Clinical Psychology and Associate Dean for Faculty and Research at the University of Houston, where she is also Director of the Adolescent Diagnosis Assessment Prevention and Treatment (ADAPT) Center and the Developmental Psychopathology Lab. Dr. Sharp holds adjunct positions at University College London in the United Kingdom and the University of the Free State in South Africa. Her work has significantly advanced scientific understanding of personality pathology in youth. She is a recipient of the Mid-Career Investigator Award from the North American Society for the Study of Personality Disorders and the Award for Achievement in the Field of Severe Personality Disorders from the Borderline Personality Disorder Resource Center.
