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「心理病理學」課程大綱 95學年度第一學期 授課教師:楊建銘(分機:67383/62412;[email protected]) 上課時間:週四上午9:10至12:00 上課地點: Teacher Assistant:陳昌偉 (0935224831;[email protected]) 教學目標: 1. 瞭解各種心理疾患的病因模式 2. 由各種病因模式中做出整合 3. 從各種臨床症狀中,思考可能的病理機轉,及評估與後續治療方向 教科書: 1. Davies, D., Bhugra, D. (2004). Models of Psychopathology. England:Open University Press. 2. Sadock, B. J., Sadock, V. A. (2003). Kaplan and Sadock's Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry (9th ed). PA:Lippincott Williams & Wilkins. 3. Sims, A. (2003). Symptoms in the Mind: An Introduction to Descriptive Psychopathology (3th ed). London: Saunders. 4. American Psychiatric Association. (1994).Diagnostic and Statistical Manual of Mental Disorders (4th ed) . Washington, DC. 參考書目: I. Hamilton, M. (1985).Fish's clinical psychopathology : signs and symptoms in psychiatry. Bristol : Wright. II. Eckart, R. S., & Robert, D. O. (1992) Schizophrenia: Empirical Research and Findings (Personality, Psychopathology, and Psychotherapy. III. Llinehan, M. H. (1993). Cognitive-Behavioral Treatment of Borderline Personality Disorder. Guilford: New york. Reference: A、Schizophrenia 1. Tsuang, M.T., Stone, W. S., & Faraone, S.V. ( 2000).Toward Reformulating the Diagnosis of Schizophrenia. Am J Psychiatry, 157(7):1041-1050. 2. Wong, A. H., & Van Tol, H. H. (2003). Schizophrenia: from phenomenology to neurobiology. Neurosci Biobehav Rev. 27(3):269-306. 3. Docherty, N. M. (2005). Cognitive Impairments and Disordered Speech in Schizophrenia: Thought Disorder, Disorganization, and Communication Failure Perspectives. Journal of Abnormal Psychology. 114(2), 269-278. B. Mood Disorders-Depression 1. Davidson, R. J., Pizzagalli, D., Nitschke, J. B., & Putnam, K. (2002) Depression: perspectives from affective neuroscience. Annu Rev Psychol. 53:545-74. -1- 心理病理學 楊建銘 2. Scher, C. D., Ingram, R. E., & Segal, Z. V. (2005).Cognitive reactivity and vulnerability: empirical evaluation of construct activation and cognitive diatheses in unipolar depression.Clin Psychol Rev;25(4):487-510. 3. Watkins, P. C., Martin, C. K., & Stern, L. D. (2000). Unconscious memory bias in depression: perceptual and conceptual processes. J Abnorm Psychol,109(2).282-289. 4. Abela, R. Z., Seligman, M. E. P. (2001).The Hopelessness Theory of Depression: A Test of the Diathesis-Stress Component in the Interpersonal. Cognitive Therapy and Research, 24(4),361–378. 5. Ingram, R. E. (2003). Origins of Cognitive Vulnerability to Depression. Cognitive Therapy and Research ,27(1),77-88. 6. Andrews, J. D. (1989 ). Psychotherapy of depression: a self-confirmation model. Psychol Rev, 96(4):576-607. C. Anxiety DisordersOCD 1. Graybiel, A. M., & Rauch, S. L. (2000). Toward a neurobiology of obsessive-compulsive disorder.Neuron, 28(2):343-7. 2. Doron, G., Kyrios, M. (2005). Obsessive compulsive disorder: a review of possible specific internal representations within a broader cognitive theory. Clin Psychol Rev, 25(4):41532. Panic Disorder 3. Bouton, M. E., Mineka, S., & Barlow, D. H. (2001). A modern learning theory perspective on the etiology of panic disorder. Psychol Rev,108(1):4-32. PTSD 4. Ehlers, A., & Clark, D. M. (2000). A cognitive model of posttraumatic stress disorder. Behaviour Research and Therapy, 38,319-345. 5. Brewin, C. R., & Holmes, E. A. (2003). Psychological theories of posttraumatic stress disorder, Clinical Psychology Review, 23,339-376. 6. Buckley, T. C., Blanchard, E. B., & Neill, W. T. (2000). Information processing and PTSD: a review of the empirical literature. Clin Psychol Rev, 28,1041-1065. D. Eating Disorders E. 1. Wade, T. D., Bulik, C. M., Neale, M., Kendler, K. S. (2000). Anorexia Nervosa and Major Depression: Shared Genetic and Environmental Risk Factors. Am J Psychiatry, 157,469471. 2. Bulik, C. M., Sullivan, P. F., Wade, T. D., & Kendler, K. S. (2000). Twin studies of eating disorders: a review. Int J Eat Disord. 27(1):1-20. 3. Cooper, M. J. (2005). Cognitive theory in anorexia nervosa and bulimia nervosa: progress, development and future directions. Clin Psychol Rev, 25(4):511-31. 4. Keel, P. K., & Klump, K. L. (2003). Are eating disorders culture-bound syndromes? Implications for conceptualizing their etiology. Psychological Bulletin,129(5),747-769. Personality Disorders-BPD 1. Newman, L., & and Stevenson, C. (2005). Parenting and Borderline Personality Disorder: Ghosts in the Nursery. Clinical Child Psychology and Psychiatry, 10(3): 385 - 394. 2. Golier, J. A., Yehuda, R. Bierer, L. M. Mitropoulou, V. New, A. S., Schmeidler, J., Silverman, J. M. & Siever, L. J. (2003). The Relationship of Borderline Personality Disorder to Posttraumatic Stress Disorder and Traumatic Events. Am J Psychiatry, 160(11): 2018 - 2024. 授課及評分方式: 1. 課堂報告(40%):針對被分配到的報告主題與文獻,在課堂上口頭報告並做摘要整理。 -2- 2. 上課參與及討論(20%):同學在課堂上必須於上課前預習課程內容,並針對授課教師提出 的重要議題參與討論。 3. 期末考試(40%):Case formulation(針對個案的症狀提出可能的病因模式,與後續評估與 治療的方向) -3- 心理病理學 楊建銘 Week Date Topics Reading Assignments 1 9/14 Class Introduction 2 9/21 (No Class) 3 9/28 Introduction of Psychopathology -Neurobiology/Neurcognitive Models -Psychoanalytic Models -Attachment Theory -Behavioral, Cognitive and CognitiveBehavioral models -Humanistic models -Sociological models #1:CH.3, 4, 5, 6, 7 4 10/5 Introduction of Psychopathology – Signs and Symptoms in Psychiatry #2:CH.8 #3:CH.3,5,7,9,10,11,18 # I:CH.9 5 10/12 Psychogenomic aspect of Psychopathology Invited speaker:台北榮總精神科 洪成志醫師 6 10/19 助教介紹本學期課程安排 Reading assignment Schizophrenia -Neurobiology Approach #2:13 Reference:(A:1.2) 7 10/26 Schizophrenia -Neurobiology Approach -Psychosocial Approach # II:CH. 10, 11, 12 (Inheritance versus Environment) Reference:(A:3) 8 11/2 Schizophrenia -Psychosocial Approach # II:CH. 10, 11, 12 (Inheritance versus Environment) 9 11/9 Mood Disorders-Depression -Neurobiology Approach -Cognitive Approach # 2:15 Mood Disorders-Depression -Cognitive Approach Reference:(B:2,3,4,5) Reference:(B:1,2,3,4,5) 10 11/16 11 11/23 (校際交流週) Mood Disorders-Depression -Interpersonal Approach Reference:(B:6) 12 11/30 #2:16 Anxiety Disorders-Obsessive-Compulsive Disorder -4- 13 14 15 16 12/7 12/14 12/21 12/28 -Neurobiology Approach -Attachment Approach Reference:(C:1,2) Anxiety Disorders-Panic Disorder -Cognitive- Behavioral Approach #2:16 Anxiety Disorders-PTSD -Cognitive Approach -Information Processing Approach #2:16 Eating Disorders -Psychogenomic Approach -Cognitive Approach #2:23 Eating Disorders -Cognitive Approach -Family Approach Reference: Reference:(C:3,4) Reference:(C:5,6,7) Reference:(D:1,2,3) Reference:(D: 3,4) 17 1/4 Personality Disorders-BPD -Cognitive Approach #2:27 #III:1 18 1/11 Personality Disorders-BPD -Family / Attachment Approach Reference:(E:1, 2) 本學期星期四上課日數:17天 -5-