Redefining Psychopathology: Empirical Phenotypes Offer a Path to Discovery


It is now clear that traditional approaches to diagnosing mental illness are hindering rather than helping progress in identifying underlying mechanisms, and improving treatment outcomes. This research program is taking a new approach, following the patterns in how symptoms naturally co-occur to define so-called ‘empirical phenotypes’. We are comparing different diagnostic systems to determine which ones work best for different purposes, and will develop tools for using them in practice.
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Example of rescoring individual symptoms of DSM major depressive disorder into narrow (e.g., depressed mood and anhedonia) and broad (e.g., internalizing) empirical phenotypes

Publications


Where do cognitive and neurodevelopmental disorders fit in dimensional models of psychopathology?


M. K. Forbes

C. Hopwood, C. Sharp, Dimensional Diagnosis: Practical and Conceptual Issues in the Integration of Personality and Psychopathology., Guilford Press, 2025


Rebuilding HiTOP from the ground up: Symptom-level analyses and a revised mapping to the DSM.


Forbes M. K., Pham T., Roberts M., C. & Johnco

Preprint on OSF, 2025


Reconstructing psychopathology: A data-driven reorganization of the symptoms in DSM-5


M. K. Forbes, A. J. Baillie, P. Batterham, A. Calear, R. Kotov, R. Krueger, K. Markon, L. Mewton, L. Pellicano, M. Roberts, C. A. Rodriguez-Seijas, M. Sunderland, D. Watson, A. L. Watts, A. G.C. Wright, L. A. Clark

Clinical Psychological Science, 2024


A hierarchical model of the symptom-level structure of psychopathology in youth


M. K. Forbes, A. L. Watts, M. Twose, A. Barrett, J. Hudson, H. Lyneham, L. McLellan, N. Newton, G. Sicouri, C. Chapman, A. McKinnon, R. Rapee, T. Slade, M. Teesson, K. Markon, M. Sunderland

Clinical Psychological Science, 2024


Implications of the symptom-level overlap among DSM diagnoses for dimensions of psychopathology


M. K. Forbes

Journal of Emotion and Psychopathology, vol. 1(1), Center for Open Science, 2023 Aug, pp. 104–112


A Detailed Hierarchical Model of Psychopathology: From Individual Symptoms up to the General Factor of Psychopathology


Miriam K. Forbes, Matthew Sunderland, Ronald M. Rapee, Philip J. Batterham, Alison L. Calear, Natacha Carragher, Camilo Ruggero, Mark Zimmerman, Andrew J. Baillie, Samantha J. Lynch, Louise Mewton, Tim Slade, Robert F. Krueger

Clinical Psychological Science, vol. 9(2), 2021, pp. 139–168