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CALIFORNIA STATE UNIVERSITY, CHICO Department of Psychology Psychology 643 Section 1 Class #2820 Spring, 2013 M 11-1:50 AJH 125B Child and Adult Psychopathology Instructor: Peter Lopez, Ph.D. Email: [email protected] Website: www.csuchico.edu/~palopez Office: Modoc 104 Office Phone: 898-5292 Office Hrs: M 2:30-3:30, T 1:30-3:00 (Note: Do NOT send email to [email protected]; that is Dr. Paul Lopez in Sociology.) Required Texts: American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text revision). Washington, D.C.: American Psychiatric Association. [DSM-IV-TR]. Preston, J., & Johnson, J. (2012). Clinical Psychopharmacology Made Ridiculously Simple (7th Ed.). Miami, FL: Medmaster. Recommended Texts: Hersen, M. & Turner, S. M. (Eds.). (2003). Diagnostic interviewing (3nd Ed.). New York; Kluwer Academic Publishers. Spitzer, R. L., Gibbon, M., Skodol, A. E., Williams, J. B. W., & First, M. B. (Eds.). (2002). DSM-IV-TR casebook: A learning companion to the diagnostic and statistical manual of mental disorders (4th ed., text revision). Washington, D.C.: American Psychiatric Association. (Note: currently out of print, but used copies can be found online.) Course Description: This is an advanced course in child and adult psychopathology. (It is assumed that you have taken an Abnormal Psychology course and have a basic understanding of psychological disorders.) This course will focus on psychopathology from an applied perspective, utilizing the client case-formulation process involving an in-depth focus on the consumer‟s history, functioning, diagnosis, etiology, formulation, treatment planning, and prognosis. Utilization of the DSM-IV-TR will be the primary framework for this course. Prerequisites: PSYC 381 (or equivalent) and classified status in Psychology MS program. PSYC 643 Lopez; page 2 Course Objectives: 1. To understand the strengths and weaknesses of diagnostic classification systems and their use, and explore the impact that they can have on individuals who are experiencing mental health issues. 2. To understand the DSM-IV-TR approach to classification of psychopathology, including definitions of terms, nature and use of the five axes, and use of the criteria for disorders. Given a case description of presenting symptoms, to be able to use the DSM-IV-TR to make a correct diagnosis. 3. To understand the general principles of diagnostic interviewing in order to gather the data needed to make accurate diagnoses. 4. To learn to write an Intake Summary report documenting the data, diagnosis, and formulation derived from the diagnostic interview. 5. To gain working familiarity with psychological disorders within the child and adult counseling populations. Course Requirements: Attendance: More than one unexcused absence will constitute a reduction worth 10% of the overall grade. Due to concerns about a possible flu epidemic, absences as a result of having (or recovering) from the flu with be considered excused absences. Participation: You are expected to have read the assigned material before coming to each class. Active participation in discussion and class activities also will form the basis for evaluation in this area. Because arriving to class late or leaving early disrupts the class process, issues related to tardiness will be reflected in this part of your grade. Mental Status Exam (MSE) Report: Each student will find a volunteer to role-play the mental health consumer for this project. You will administer an MSE to this consumer then write an appropriate short report documenting the MSE results. Casebook Diagnoses: Selected readings are assigned from the DSM-IV-TR Casebook. For each assigned reading, you are strongly encouraged to complete a full DSM-IV-TR diagnosis. These diagnoses will not be turned in or graded (because each reading is followed by the correct diagnosis). I encourage you to take advantage of this opportunity to develop your diagnostic skills both to improve your efficacy as a counselor and to help you pass exams #2 and #3 in this course. Feel free to read unassigned Casebook entries; this is an excellent way to improve your diagnostic skill. Intake Summary #1: Each student will create an intake summary for this course. Your task will be to select a specific disorder, research it to gather the needed information, then create a fictitious but believable (i.e., consistent and accurate) Intake Summary Report demonstrating to me your knowledge of the selected psychological disorder. (Choose your disorder carefully because you will use this information to role-play a consumer with this history and disorder for the Intake Summary #2 project.) Note: You must get prior approval of your selected disorder from me in order to ensure that a broad variety of disorders will be represented in the class. PSYC 643 Lopez; page 3 Please do not select any disorder that you or anyone close to you currently has or has had in the past. Intake Summary #2: Each student will select a partner for this project. You will take turns interviewing each other, with the interviewer in the counselor role and the interviewee playing the role of a consumer presenting the symptoms and data you researched for Intake Summary #1. This project is designed to help you develop your diagnostic interviewing and Intake Summary writing skills (and, perhaps, your acting skills!). The goal isn't necessarily to create a duplicate of the interviewee's Intake Summary #1 (because this would depend a lot on the acting ability of your partner and the questions you choose to ask), but rather for you to demonstrate your interviewing and Intake Summary report writing ability. Exams: Exam dates are noted on the class schedule. Exam 1 will include multiple choice, short answer, and essays questions. The second and final exams will consist of casestudy/diagnostic questions. Percent of Final Course Grade Class attendance/participation 5% Mental Status Exam Report 5% Intake Summary #1 15% Intake Summary #2 15% First Exam 20% Second Exam 20% Final Exam 20% Total = 100% Final Grades Final letter grades will be distributed according to the following: A AB+ 93 – 100 90 – 92 87 – 89 B BC+ 83 – 86 80 - 82 77 – 79 C 73 – 76 C- 70 - 72 D+ 67 - 69 D F 60 - 66 below 60 Website Access. Use your web-browser to access my (non-Blackboard) course website. URL Address: www.csuchico.edu/~palopez Then go to the PSYC-643 page by clicking on: PSYC 643 PSYC 643 Lopez; page 4 Class Schedule 1 Jan 28 2 Feb 4 3 Feb 11 4 Feb 18 5 Feb 25 6 Mar 4 Intro to class; DSM overview Interview & Intake Summary Mental Status Examination (MSE) and Interviewing Strategies Introduction to DSM-IV-TR: 5 Axis System Exam 1 Mood Disorders MFT/MSW Internship/Traineeship Forum 12-3 pm. 7 Mar 11 Anxiety Disorders 8 Mar 18 9 Mar 25 Spring Break Adjustment Disorders and Schizophrenia 10 April 1 11 April 8 12 April 15 Schizophrenia (continued) Exam 2 Dissociative Disorders and Eating Disorders 13 April 22 Personality Disorders 14 April 29 Disorders of Infancy, Childhood, or Adolescence 15 May 6 Child/Adolescent D/O‟s (continued) and Child Abuse Child Abuse (continued) Final Exam 16 May 13 17 May 20 DI: 1; Sample Intake (on web site) DI: 2, 3 DSM: Skim: pp. xxiii-xxx, 13-26 DSM: Read; pp. xxx-12, 27-37 DI: 6 (Focus on the case studies) DSM CP: 1-3, Cases A-C CB: p. 411 „Worthless Wife‟ MSE report due DI: 5, 14, 15 DSM CP: 4, 6 (OCD & PTSD only), Cases D-E CB: p. 124 „The Jerk‟ Intake Summary #1 due DI: 7 DSM (2 sections) CP: 5, 6 (Aggression only), Case F CB: p. 401 „The Journalist‟ CB: p. 274 „Miriam and Esther‟ DI: 12 DSM (2 sections) CP: 6 (Eating D/Os only) CB: p. 254 „Burt Tate‟ CB: p. 96 „Close to the Bone‟ DI: 8 DSM CP: 6 (Borderline PD only) CB: p. 236 „Empty Shell‟ DI: 17 DSM CP: 6 (ADD only) CB: p. 342 „No Brakes‟ CB: p. 309 „Daydreamer‟ Intake Summary #2 due DI: 18 CB: p. 51 „A Family Affair‟ DI: Diagnostic Interviewing (followed by chapter number) CB: DSM-IV-TR Casebook (followed by page number and title of case) DSM: DSM-IV-TR (Each week's readings from this book are the sections listed in the Description column above; some weeks we will read two sections.) CP: Clinical Psychopharmacology Made Ridiculously Simple (followed by chapter number; Cases are located in Chapter 8) D/Os: Abbreviation for “Disorders”