Beyond the DSM: Toward a Process-Based Alternative for Diagnosis and Mental Health Treatment

by Steven C. Hayes PhD (Editor), Stefan G. Hofmann PhD (Editor)

Overview

As a mental health clinician, you know that every client is unique, and a client’s symptoms are the result of a complex combination of psychological, environmental, genetic, and neural factors. However, the de facto DSM model poses considerable constraints on how you can treat clients—often resulting in a one-size-fits-all diagnosis. This important volume challenges the assumptions and approach made by the DSM, and provides a vision and plan for an evidence-based, process-based approach to individualized care.

With contributions from renowned experts in the field—including Steven C. Hayes, Stefan G. Hofmann, Joseph Ciarrochi, Matthew McKay, Uma Vaidyanathan, Sarah Morris, David Sommers, J. Scott Fraser, and many more—this groundbreaking book will show you a new way to recognize the complexity of human suffering and human prosperity. You’ll find solid tips for treating a wide variety of psychological issues in a more flexible way. And, finally, you’ll come away with a greater understanding of the “processes of change,” and how to build a solid foundation for an alternative to syndromal diagnosis.

The future of mental health treatment is process-based. Whether you’re a clinician, researcher, student, instructor, or other professional working in the mental health field, this breakthrough volume offers everything you need to understand process-based treatment and create a more customized and effective approach to treating clients.

Product Details

ISBN-13:	9781684036615
Publisher:	New Harbinger Publications
Publication date:	10/01/2020
Pages:	304
Product dimensions:	6.00(w) x 8.90(h) x 0.70(d)
Age Range:	5 Years

About the Author

Steven C. Hayes, PhD, is Nevada Foundation Professor in the department of psychology at the University of Nevada, Reno. He has been president of numerous professional organizations, is author of forty-five books and nearly 650 scientific articles, and is among the most cited living psychologists. He has shown in his research how language and thought leads to human suffering, and is originator and codeveloper of acceptance and commitment therapy (ACT): a powerful therapy method that is useful in a wide variety of areas; relational frame theory (RFT): an empirical program in language and cognition; and process-based therapy (with Stefan G. Hofmann).


Stefan G. Hofmann, PhD, is one of the most widely cited experts on using cognitive behavioral therapy (CBT) for the treatment of anxiety—appearing in academic and medical journals as well as mainstream media. Hofmann has been researching social anxiety disorder for most of his career. CBT for Social Anxiety is the first nonprofessional book to translate Hofmann’s research into a user-friendly format to help readers personalize this highly effective treatment to overcome social anxiety.

Table of Contents

1 Creating an Alternative to Syndromal Diagnosis: Needed Features of Processes of Change and the Models that Organize Them Steven C. Hayes, PhD, University of Nevada, Reno Stefan G. Hofmann, PhD, Boston University Joseph Garrochi, PhD, Australian Catholic University 1

2 The NIMH Research Domain Criteria Project: A Decade of Behavior and Brain Integration for Translational Research Uma Vaidyanathan, PhD Sarah Morris, PhD Ann Wagner, PhD Joel Sherrill, PhD David Sommers, PhD Marjorie Garvey, MB BCh Eric Murphy, PhD Bruce Cuthbert, PhD, National Institute of Mental Health 23

3 Shifting Paradigms: From the DSM to the Process of Change J. Scott Fraser, PhD, Wright State University 47

4 Psychological Vulnerabilities and Coping Responses: An Innovative Approach to Transdiagnostic Assessment and Treatment Planning in the Age Beyond DSM-5 Rochelle I. Frank, PhD, University of California, Berkeley & The Wright Institute Matthew McKay, PhD, The Wright Institute 73

5 Expectations and Related Cognitive Domains: Implications for Classification and Therapy Winfried Rief, PhD, The Philipps University of Marburg 97

6 Learning, Language, and Derived Behaviors: Some Implications for a Process-Based Approach to Psychological Suffering Dermot Barnes-Holmes, PhD Yvonne Barnes-Holmes, PhD Ciara McEnteggart, PhD, Ghent University 115

7 Cultural and Social Influences on Individual Variation in Emotion Processes Shruthi M. Venkatesh Stacey N. Doan, PhD, Claremont McKenna College Abigail L. Barthel Stefan G. Hofmann, PhD, Boston University 137

8 What a Complex Systems Perspective Can Contribute to Process-Based Assessment and Psychotherapy Adele M. Hayes, PhD Leigh A. Andrews, University of Delaware 165

9 Psychological Flexibility in Chronic Pain: Exploring the Relevance of a Process-Based Model for Treatment Development Lance M. McCracken, PhD, Uppsala University 199

10 A Multilevel, Multimethod Approach to Testing and Refining Intervention Targets Andrew T. Gloster, PhD, University of Basel Maria Karekla, PhD, University of Cyprus 225

11 Building a Process-Based Diagnostic System: An Extended Evolutionary Approach Steven C. Hayes, PhD, University of Nevada, Reno Stefan G. Hofmann, PhD, Boston University Joseph Ciarrochi, PhD, Awstraiian Catholic University 251

Index 281

Interviews

Hayes resides in Reno, NV; Hofmann resides in Boston, MA.

Editorial Reviews

A broad and deep consensus exists, even among the framers of DSM criteria, that alternative paradigms for diagnosis and treatment of psychological disorders must be developed if the field is to advance. But just what approach will be best? In this forward-looking volume, Hayes and Hofmann assemble the most sophisticated treatment models—all of which emphasize process, dimensionality, a functional analysis of behavior, and the ability to individualize and personalize diagnosis. Every mental health professional will benefit from these developments.”
—David H. Barlow, PhD, ABPP, professor of psychology and psychiatry emeritus, and founder of the Center for Anxiety and Related Disorders (CARD) at Boston University

David H. Barlow

The DSM-based approach is unlikely to create a better understanding of, or more effective treatments for, mental health problems. Hayes and Hofmann offer a path forward. Open to various therapeutic traditions, based in science, and sensitive to client individuality, this book lays out multiple exemplars of understanding and treating mental health concerns based on the processes that create and maintain the problems—rather than the categories that describe them. This is a thought-provoking book that should be on the shelves of all clinicians and clinical researchers.”
—Douglas W. Woods, PhD, dean of the Graduate School, and professor of psychology at Marquette University

Douglas W. Woods

This impressive volume is a genuine advance in our efforts to understand psychological dysfunction. Hayes, Hofmann, and their contributing authors present exciting alternatives to traditional categorical diagnosis à la DSM and ICD—drawing from research that spans neuroscience, learning, coping, and culture. These new ideas can enrich the search for mechanisms that underlie psychopathology, guiding identification of treatment targets and the construction of principle-guided, individually tailored interventions.”
—John R. Weisz, PhD, ABPP, is professor of psychology at Harvard University, and director of the Harvard Lab for Youth Mental Health, specializing in developing and testing transdiagnostic interventions for young people

John R. Weisz

I LOVE this book. A surefire way to get a headache is to try to provide evidence-based care using empirically supported treatments for DSM syndromes while also attending to the evidence-based processes described in the basic science literature that appear to account for the struggles of the individual I’m caring for right now. This book addresses that dilemma, offering creative ideas for a unified science of psychopathology, its classification, and its treatment.”
—Jacqueline B. Persons, PhD, director of the Oakland Cognitive Behavior Therapy Center; clinical professor in the department of psychology at the University of California, Berkeley; and author of The Case Formulation Approach to Cognitive-Behavior Therapy

Jacqueline B. Persons

One would certainly expect Hayes and Hofmann to provide a thoughtful and integrative compendium on process-based approaches to assessing, diagnosing, and treating psychological problems. In this edited volume, they assemble cutting-edge thought leaders to effectively deliver on this expectation. Chapters provide a depth and breadth of focus that is detailed yet easy to consume, laying a solid foundation from which researchers and practitioners of various theoretical orientations can better understand and help shape a process-based future for psychotherapy.”
—Gordon J. G. Asmundson, PhD, professor of psychology at the University of Regina, development editor for Clinical Psychology Review, and editor in chief of Journal of Anxiety Disorders

Gordon J. G. Asmundson

Syndromal diagnosis provides a starting point for the classification of mental health disorders, but one that is inherently limited in terms of tracking underlying etiological pathways and principles of change. This volume describes a process-based approach that provides a far more compelling basis for organizing the causal processes underlying the etiology of mental health problems, be they diseases or disorders or the adaptations themselves that evolved to enhance reproductive fitness.”
—Steven D. Hollon, PhD, Gertrude Conaway Vanderbilt professor of psychology at Vanderbilt University with a long-standing interest in the treatment and prevention of depression

Steven D. Hollon