Open AccessWhat, Me Worry and Ruminate About DSM‐5 and RDoC? The Importance of Targeting Negative Self‐Referential Processing
Author(s) -
Mennin Douglas S.,
Fresco David M.
Publication year - 2013
Publication title -
clinical psychology: science and practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.285
H-Index - 105
eISSN - 1468-2850
pISSN - 0969-5893
DOI - 10.1111/cpsp.12038
Subject(s) - worry , rumination , endophenotype , psychology , mindfulness , psychotherapist , clinical psychology , medicine , anxiety , psychiatry , cognition
Rumination, worry, and other forms of negative self‐referential processing ( NSRP ) are familiar to everyone, as reflecting on the self is perhaps our most human characteristic. However, for a substantial subgroup of patients, NSRP arises in response to intense emotionality, worsening the clinical presentation, and diminishing the treatment response. The combination of emotionality and NSRP likely reflects an endophenotype of complicated and treatment refractory patients who fail to achieve a satisfactory treatment response in our trials and our clinics. An important next step is to personalize treatments by deliberately targeting NSRP s within established treatment protocols or in as yet novel treatments. Enriching treatments with mindfulness meditation is one possible avenue for personalized care of patients with this hypothesized endophenotype.