The Dissenter

#1095 Robert Krueger: Classification of Mental Disorders, and Mental Wellbeing

May 9, 2025
Robert Krueger, Distinguished McKnight Professor at the University of Minnesota, delves into the complexities of classifying mental disorders. He critiques traditional methods and advocates for the HiTOP model, which offers a more nuanced, dimensional perspective. The conversation also explores the evolution of personality disorder classifications and emphasizes the importance of subjective well-being in understanding mental health. Krueger shares insights on balancing academic engagement in a digital world and the significance of recognizing emotional nuances.
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INSIGHT

Clinical Observation Drives Diagnosis

  • Psychiatric classification is based mainly on clinical observation of symptom clusters, similar to medicine's approach.
  • Diagnostic systems like DSM and ICD categorize disorders by criteria but struggle with strict category boundaries.
INSIGHT

Mental Disorder Defined by Goal Thwarting

  • A mental disorder involves symptoms that are debilitating and cause social or occupational dysfunction.
  • Krueger's cybernetic perspective sees psychopathology as distress from inability to meet goals with novel strategies.
INSIGHT

Personality Organizes Psychopathology

  • Personality and psychopathology are closely related; personality traits organize symptom presentation.
  • The main difference is time scale: traits are enduring, symptoms vary over time.
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