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Folk Classification and Factor Rotations: Whales, Sharks, and the Problems With the Hierarchical Taxonomy of Psychopathology (HiTOP)
Clinical Psychological Science ( IF 4.8 ) Pub Date : 2021-05-18 , DOI: 10.1177/21677026211002500
Gerald J Haeffel 1 , Bertus F Jeronimus 2 , Bonnie N Kaiser 3 , Lesley Jo Weaver 4 , Peter D Soyster 5 , Aaron J Fisher 5 , Ivan Vargas 6 , Jason T Goodson 7 , Wei Lu 8
Affiliation  

The Hierarchical Taxonomy of Psychopathology (HiTOP) uses factor analysis to group self-reported symptoms of mental illness (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 Diagnostic and Statistical Manual of Mental Disorders is used in clinical settings while researchers focus on developing a falsifiable theory-based classification system.



中文翻译:

民间分类和因素轮换:鲸鱼、鲨鱼和精神病理学的等级分类法问题 (HiTOP)

精神病理学的等级分类法 (HiTOP) 使用因子分析对自我报告的精神疾病症状进行分组(即,同类相随)。它被誉为对其他诊断分类法的重大改进。然而,HiTOP 声称的优势和基本假设几乎没有受到科学审查。我们批判性地评估了关于 HiTOP 的五个基本主张。我们得出结论,HiTOP 没有表现出高度的逼真度,并且有可能阻碍对精神病理学病因学的理解取得进展。它不适合理论构建或分类进化,也不能解释多结局、等结局或发育和病因学过程。以目前的形式,HiTOP 尚未准备好在临床环境中使用,可能会导致算法对代表性不足的群体产生偏见。我们建议采用分叉策略向前推进,其中精神疾病诊断和统计手册用于临床环境,而研究人员则专注于开发可证伪的基于理论的分类系统。

更新日期:2021-05-19
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