The Research Domain Criteria (RDoC): An analysis of methodological and conceptual challenges
Abstract
In a bold effort to address the longstanding shortcomings of the Diagnostic and Statistical Manual (DSM) framework for the classification and diagnosis of psychopathology, the National Institute of Mental Health recently launched a research program - the Research Domain Criteria (RDoC) - in the hopes of developing an alternative taxonomic system rooted in dysfunctional brain circuitry. Although the RDoC endeavor has considerable promise, it faces several methodological and conceptual challenges, four of which I address here: (a) an overemphasis on biological units and measures, (b) neglect of measurement error, (c) biological and psychometric limitations of endophenotypes, and (d) the distinction between biological predispositions and their behavioral manifestations. Because none of these challenges is in principle insurmountable, I encourage investigators to consider potential remedies for them. RDoC is a calculated gamble that appears to be worth the risk, but its chances of success will be maximized by a thoughtful consideration of hard-won lessons learned--but frequently forgotten--over the past several decades of psychological and psychiatric research.
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RDoC has drawn criticism for several reasons: a weak conceptual framework, too much focus on biological units, insufficient attention to psychometric limitations and measurement error, poor integration of developmental and socio-cultural contexts, and a gap between research and clinical practice.
“the RDoC initiative has been met with its own set of critiques, including an underdeveloped conceptual framework, an overemphasis on biological units, neglect of the psychometric weaknesses and measurement error of some methods, inadequate consideration of developmental factors and socio-cultural contexts, and a disconnect between research and clinical practice [109-114]”
From Advancing the study of sluggish cognitive tempo via DSM, RDoC, and hierarchical models of psychopathology (2019) · cites this paper as [114]
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Conradt, E. D., Crowell, S. E., & Cicchetti, D. (2021) · Development and Psychopathology · doi:10.1017/s0954579421000985 · Cited by 22 · see citing works
Using Event-Related Potentials and Startle to Evaluate Time Course in Anxiety and Depression
Klumpp, H., & Shankman, S. A. (2017) · Biological Psychiatry Cognitive Neuroscience and Neuroimaging · doi:10.1016/j.bpsc.2017.09.004 · Cited by 20 · see citing works
Biocognitive Classification of Antisocial Individuals Without Explanatory Reductionism
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Translational research in psychiatry: The Research Domain Criteria Project (RDoC)
Vilar, A., Pérez, V., Blasco, M. J., Pérez-Gallo, E., Ballester, L., Vila, S., Alonso, J., Serrano‐Blanco, A., & Forero, C. G. (2019) · Revista de Psiquiatría y Salud Mental (English Edition) · doi:10.1016/j.rpsmen.2018.04.002 · Cited by 15 · see citing works
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Vilar, A., Pérez, V., Blasco, M. J., Pérez-Gallo, E., Ballester, L., Vila, S., Alonso, J., Serrano‐Blanco, A., & Forero, C. G. (2018) · Revista de Psiquiatría y Salud Mental · doi:10.1016/j.rpsm.2018.04.002 · Cited by 16 · see citing works
Global mental health and the National Institute of Mental Health Research Domain Criteria
Weine, S. M., Langenecker, S. A., & Arënliu, A. (2018) · International Journal of Social Psychiatry · doi:10.1177/0020764018778704 · Cited by 15 · see citing works
- Authors
- Lilienfeld, S. O.
- Affiliations
- Emory University (US)
- Corresponding author
- Lilienfeld, Scott O.
- ORCID
- Lilienfeld, Scott O.
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 2014-11
- Volume
- 62
- Pages
- 129-139
- ISSN
- 0005-7967 (ISSN-L)
- OpenAlex
- W2080055550
- Cited by
- 248
- References
- 150
- Citations by year
- 2026: 8 · 2025: 27 · 2024: 8 · 2023: 17 · 2022: 12 · 2021: 21 · 2020: 31 · 2019: 22 · 2018: 24 · 2017: 26 · 2016: 29 · 2015: 18 · 2014: 3 · 2013: 2
- FWCI
- 154.12
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
- Keywords
- Research Domain Criteria, psychopathology classification, DSM, endophenotypes, measurement error, biological predispositions, behavioral manifestations, psychiatric diagnosis
- MeSH terms
- Mental Disorders, Humans, National Institute of Mental Health (U.S.), Psychiatric Status Rating Scales, Research, United States
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