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Toward a Unified Treatment for Emotional Disorders: Update on the Science and Practice
Abstract
Mental health professionals have long been concerned with describing and proscribing a structure around the myriad variations of psychological and emotional distress that are deemed to be disordered. This has frequently been characterized as a conflict between so-called "lumpers" and "splitters"-those who advocate broad categorizations based on overarching commonalities versus those who endeavor toward a highly refined structure emphasizing unique characteristics. Many would argue that with the era of the modern Diagnostic and Statistical Manual of Mental Disorders (DSM-III to DSM-5), a splitting ideology has been dominant despite re-emerging concerns that some groups of diagnoses, particularly disorders of anxiety and other emotions, may be more similar than different. As a result of such concerns, transdiagnostic or unified models of psychopathology have burgeoned. In this review, we describe the work of Barlow, Allen, and Choate (2004), whose invited paper "Toward a Unified Treatment for Emotional Disorders" reignited transdiagnostic perspectives of emotional disorders. We provide an update on the scientific models and evidence-based treatments that have followed in the wake of this 2004 publication, including key areas for future study in the advancement of transdiagnostic and unified treatment of emotional disorders.
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“the concept of the transdiagnostic approach (97, 100–109) reflects the observation that improvements in one dimension of psychological experiences are associated with improvements in further dimensions of psychological experiences.”
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“One example of these treatments is the Unified Protocol (UP) [7], which was designed to be applicable across different EDs and represented a significant shift toward transdiagnostic psychological treatments for EDs [11,12].”
From Negative and positive affect regulation in a transdiagnostic internet-based protocol for emotional disorders: Randomized controlled trial (2021) · cites this paper as [11]
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“In addition, one of these syndromes can act as a risk factor for other syndromes.”
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“On the other hand, anxiety can be a risk factor for depression or SSD.[10]”
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Metadata
- Authors
- Norton, P. J., & Paulus, D. J.
- Affiliations
- Monash University (AU)
- University of Houston (US)
- Corresponding author
- Norton, Peter J.
- Venue
- Behavior Therapy
- Publisher
- Elsevier BV
- Published
- 2016-11
- Volume
- 47
- Issue
- 6
- Pages
- 854-868
- ISSN
- 0005-7894 (ISSN-L)
- OpenAlex
- W1129151716
- Semantic Scholar
- 3d5f4e6770d6f465c2ab691a5395b4b659bb5251
- Cited by
- 180
- References
- 175
- Citations by year
- 2026: 11 · 2025: 13 · 2024: 14 · 2023: 21 · 2022: 19 · 2021: 19 · 2020: 23 · 2019: 13 · 2018: 14 · 2017: 21 · 2016: 10
- FWCI
- 2.02
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Behavior Therapy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- transdiagnostic model, emotional disorders, anxiety disorders, psychopathology, diagnostic classification, evidence-based treatment
- MeSH terms
- Anxiety, Anxiety Disorders, Behavior Therapy, Emotions, Humans, Models, Psychological, Mood Disorders, Diagnostic and Statistical Manual of Mental Disorders
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