Today we speak with Professor Robert Krueger, Distinguished McKnight University Professor, Hathaway Distinguished Professor, and the Director of Clinical Training in the Department of Psychology at the University of Minnesota. Professor Krueger’s work spans the fields of personality and personality disorders, psychometrics, and genetics, and is centred on developing an empirically-based system of grouping and delineating psychopathology.
This is a topic that I think is important to the way we think about mental health and conduct research into it. And I couldn’t hope to have to have a more qualified guest to discuss the topic with. Professor Krueger was a member of the DSM-5 Personality and Personality Disorders Work group, and is an architect of the Hierarchical Taxonomy of Psychopathology a new, dimensional classification system of psychiatric problems.
1:20 – On Robert’s background
2:55 – On the problems associated with the DSM diagnostic procedure
5:05 – How did we end up with the DSM given how readily the associated problems are observed, and given the transdiagnostic approach of early psychotherapists?
8:20 – On the pendulum swinging back the other way now.
11:50 – An outline of the HiTOP (Hierarchical Taxonomy Of Psychopathology) approach to diagnosis and categorisation.
17:20 – On why traditional categorical diagnoses appear in the HiTOP?
22:25 – On the similarities and differences of Research Domain Criteria (RDoC)
26:40 – On other approaches to deriving an empirically derived nosology, apart from HiTOP and RDoC.
28:55 – Will the shift to an empirically derived nosology be a big change for clinicians?
33:20 – Thinking about an example involving multiple diagnoses, from a HiTOP perspective.
37:15 – Does the move toward an empirically derived nosology have any implications for debates around the over-pathologising of normal human experience?
41:00 – What advice does he have for students?
There is currently an opportunity to volunteer as a research assistant with the Black Dog Institute. They are particularly after volunteers who can visit Walcha and/or Glen Innes (travel costs reimbursed), though opportunities exist in other areas of New South Wales too. The positions will support The Future Proofing Study, which is the largest mental health prevention study ever undertaken in Australia. I spoke with the Chief Investigator of The Future Proofing Study in Episode 10 (https://www.mindstewpodcast.com/e010/). Details of the position can be found here.