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Transdiagnostic approaches to mental health problems: Current status and future directions.

Published version
Peer-reviewed

Type

Article

Change log

Authors

Dalgleish, Tim 

Abstract

Despite a longstanding and widespread influence of the diagnostic approach to mental ill health, there is an emerging and growing consensus that such psychiatric nosologies may no longer be fit for purpose in research and clinical practice. In their place, there is gathering support for a "transdiagnostic" approach that cuts across traditional diagnostic boundaries or, more radically, sets them aside altogether, to provide novel insights into how we might understand mental health difficulties. Removing the distinctions between proposed psychiatric taxa at the level of classification opens up new ways of classifying mental health problems, suggests alternative conceptualizations of the processes implicated in mental health, and provides a platform for novel ways of thinking about onset, maintenance, and clinical treatment and recovery from experiences of disabling mental distress. In this Introduction to a Special Section on Transdiagnostic Approaches to Psychopathology, we provide a narrative review of the transdiagnostic literature in order to situate the Special Section articles in context. We begin with a brief history of the diagnostic approach and outline several challenges it currently faces that arguably limit its applicability in current mental health science and practice. We then review several recent transdiagnostic approaches to classification, biopsychosocial processes, and clinical interventions, highlighting promising novel developments. Finally, we present some key challenges facing transdiagnostic science and make suggestions for a way forward. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

Description

Funder: National Institute for Health Research


Funder: Wellcome Trust


Funder: United Kingdom Medical Research Council

Keywords

Journal Title

Journal of consulting and clinical psychology

Conference Name

Journal ISSN

0022-006X

Volume Title

88

Publisher

Sponsorship
Department of Health (PB-PG-0214-33072)
Medical Research Council (MC_U105579215, MC_UU_00005/4)