HiTOP article

Question 1

Heterogenity

Answer 1

Within-diagnosis. People w the same disorder can have nonoverlapping sets of symptoms

Question 2

3 Core principles

Answer 2

Dimensions w degree of severity io categories

Hierarichal order of symptoms in analysis (6 high spectra to lower)

Impairment rated seperately, focus on symptoms that warrent intervention

Question 3

Advantages

Answer 3

Enhanced communication (more reliable

Improved prognostic power (prediction of outcome)

Treatment utility potential (Clinical decision making facilitated_

Question 4

HiTOP approach in clinical setting

Answer 4

Diagnostic interview (step 1-3)

Follow hierarchical scheme; 6 spectra (later to more nuanced in lower levels. )

Global rate of psychosocial impairment, regardless of symptoms

Assessment report has the six spectra w elevated indications of client. (eg internalizing severe w prominant symptoms underneatch)

Question 5

4 benefits of treatment planning

Answer 5

HiTOP naturally suggests transdiog approach (two broad domains are conceptualized)

1. Comorbidity becomes part of conceptualization
2. No heterogenity; Clinicians can target narrow dimentions
3. it incorperates subthreshold symptoms (no single cutpoint)
4. Prognosic information to assist planing.