ArticleClinical psychological science : a journal of the Association for Psychological Science2022
Folk Classification and Factor Rotations: Whales, Sharks, and the Problems With the Hierarchical Taxonomy of Psychopathology (HiTOP).
Article in Clinical psychological science : a journal of the Association for Psychological Science, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Identification of a diagnosis-selective neurobiological substrate for bipolar disorder, major depressive disorder, and schizophrenia: a meta-analysis of 57,717 subjects.Psychological medicine · 2026Pooled it
- Cognitive arbitration between candidate dimensions of psychopathology.Molecular psychiatry · 2026Article
- Schizophrenia.Nature reviews. Disease primers · 2025Review
- Article
- "General Addiction Liability" Revisited.Clinical psychological science : a journal of the Association for Psychological Science · 2025Article
- Psychotic-like Experiences and Underlying Mechanisms: An Integrative Model of ADHD Symptoms, Rumination, Negative Affect, and Trauma Experience.Journal of clinical medicine · 2024Article
- Examining the role of personality functioning in a hierarchical taxonomy of psychopathology using two years of ambulatory assessed data.Translational psychiatry · 2024Article
- Philosophy of psychiatry: theoretical advances and clinical implications.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2024Article
- Meta-Analytic Review of Temperamental Correlates of the Five-Factor Model and Hierarchical Taxonomy of Psychopathology Domains.Indian journal of psychological medicine · 2024Review
- Construct and criterion validity of the HiTOP spectra to predict dimensional and categorical somatization in a large non-western sample.Scientific reports · 2023Article
- Impact and centrality of attention dysregulation on cognition, anxiety, and low mood in adolescents.Scientific reports · 2023Article
- The multimodal Munich Clinical Deep Phenotyping study to bridge the translational gap in severe mental illness treatment research.Frontiers in psychiatry · 2023Article
- The nature of psychopathology.JCPP advances · 2022Article
- Adolescent Depression from a Developmental Perspective: The Importance of Recognizing Developmental Distress in Depressed Adolescents.International journal of environmental research and public health · 2022Article
- An Exploratory Study of MMPI-2-RF Personality and Psychopathology Profiles of Adults with Autism Spectrum Disorder without Intellectual Disability.Clinical neuropsychiatry · 2022Article
- Co-occurrence of severe PTSD, somatic symptoms and dissociation in a large sample of childhood trauma inpatients: a network analysis.European archives of psychiatry and clinical neuroscience · 2022Article
- The structure of the symptoms of major depression: Factor analysis of a lifetime worst episode of depressive symptoms in a large general population sample.Journal of affective disorders · 2022Article
- The Hierarchical Taxonomy of Psychopathology (HiTOP) Is Not an Improvement Over the DSM.Clinical psychological science : a journal of the Association for Psychological Science · 2022Article
- Answering questions about the Hierarchical Taxonomy of Psychopathology (HiTOP): Analogies to whales and sharks miss the boat.Clinical psychological science : a journal of the Association for Psychological Science · 2022Article
- Article
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Authors and funding
9 authors.
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Abstract
The Hierarchical Taxonomy of Psychopathology (HiTOP) uses factor analysis to group people with similar self-reported symptoms (i.e., like-goes-with-like). It is hailed as a significant improvement over other diagnostic taxonomies. However, the purported advantages and fundamental assumptions of HiTOP have received little, if any scientific scrutiny. We critically evaluated five fundamental claims about HiTOP. We conclude that HiTOP does not demonstrate a high degree of verisimilitude and has the potential to hinder progress on understanding the etiology of psychopathology. It does not lend itself to theory-building or taxonomic evolution, and it cannot account for multifinality, equifinality, or developmental and etiological processes. In its current form, HiTOP is not ready to use in clinical settings and may result in algorithmic bias against underrepresented groups. We recommend a bifurcation strategy moving forward in which the DSM is used in clinical settings while researchers focus on developing a falsifiable theory-based classification system.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.