Integrating Psychotherapy With the Hierarchical Taxonomy of Psychopathology (HiTOP)

Hopwood, Christopher J.
Bagby, R. Michael
Gralnick, Tara
Ro, Eunyoe
Ruggero, Camilo
Mullins-Sweatt, Stephanie
Kotov, Roman
Bach, Bo
Cicero, David C.
Krueger, Robert F.
Patrick, Christopher J.
Chmielewski, Michael
DeYoung, Colin G.
Docherty, Anna R.
Eaton, Nicholas R.
Forbush, Kelsie T.
Ivanova, Masha Y.
Latzman, Robert D.
Pincus, Aaron L.
Samuel, Douglas B.
Waugh, Mark H.
Wright, Aidan G. C.
Zimmermann, Johannes

Department of Psychology, University of California, Davis
Department of Psychology, University of Toronto
Department of Psychology, Southern Illinois University, Edwardsville
Department of Psychology, University of North Texas
Department of Psychology, Oklahoma State University
Department of Psychiatry, Stony Brook University
Psychiatric Research Unit, Slagelse, Denmark
Department of Psychology, University of Hawaii
Department of Psychology, University of Minnesota
Department of Psychology, Florida State University
Department of Psychology, Southern Methodist University
Department of Psychology, University of Minnesota
Department of Psychiatry, University of Utah
Department of Psychology, Stony Brook University
Department of Psychology, University of Kansas
Department of Psychiatry, University of Vermont
Department of Psychology, Georgia State University
Department of Psychology, The Pennsylvania State University
Department of Psychology, Purdue University
Department of Psychology, University of Tennessee
Department of Psychology, University of Pittsburgh
Department of Psychology, University of Kassel

Christopher Hopwood, Department of Psychology, University of California, 1 Shields Avenue, Davis, CA 95616 [email protected]

Received June 13, 2018

revised December 5, 2018

Accepted December 7, 2018

Journal of Psychotherapy Integration 30(4):p 477-497, December 2020. | DOI: 10.1037/int0000156

In this article, we present the hierarchical taxonomy of psychopathology (HiTOP), an evidence-based alternative to the categorical approach to diagnostic classification that has considerable promise for integrative psychotherapy research and practice. We first review issues associated with the categorical approach that may have constrained advances in psychotherapy. We next describe how the HiTOP model addresses some of these issues. We then offer suggestions regarding potentially mutual benefits of integrating HiTOP with treatment principles from the common factors literature as well as the cognitive-behavioral and relational psychotherapy traditions. We conclude by enumerating principles for psychotherapy research and practice based on the HiTOP model, which are illustrated with a case example.

Integrando Psicoterapia con la Taxonomía Jerárquica de Psicopatología (HiTOP)

En este artículo, presentamos la Taxonomía Jerárquica de Psicopatología (HiTOP), una alternativa basada en evidencia al enfoque categórico para la clasificación diagnóstica que tiene una promesa considerable para la investigación y práctica de psicoterapia integrativa. Primero revisamos los problemas asociados con el enfoque categórico que pueden haber constreñido los avances en psicoterapia. A continuación, describimos cómo el modelo HiTOP aborda algunos de estos temas. Luego ofrecemos sugerencias sobre los beneficios potencialmente mutuos de la integración de HiTOP con los principios de tratamiento de la literatura de factores comunes, así como las tradiciones de psicoterapia cognitivo-conductual y relacional. Concluimos enumerando los principios para la investigación y práctica de psicoterapia basados en el modelo HiTOP, que se ilustran con un ejemplo de caso.