THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF SOCIAL WORK Course Number: Course Title: Semester and Year: Time and Location: Instructor: Office Phone: Email Address: Office Hours: SOWO 505.004 Human Development in Context II: Adulthood Spring 2015 Tuesdays: 2:00 – 4:50 pm Laurie Selz Campbell, MSW, CPRP 919-843-6394 lauriesc@unc.edu Mondays 12:30 – 1:30, and by appointment COURSE DESCRIPTION: This course reviews typical and divergent adult development in context, surveys major theoretical frameworks, and highlights the impact of social injustices on adult development. COURSE OBJECTIVES: At the conclusion of this course, students will be able to: 1. Analyze and evaluate major theoretical frameworks (bioecological, psychosocial, life span, life course, risk and resilience, person-in-environment, systems) for examining adult development in context; 2. Describe the development of individuals from early adulthood to old age, as well as divergent developmental trajectories that may occur in response to a range of sociocultural-historical influences, personal decisions, biopsychosocial problems and social injustices (e.g., illness, disability, deprivation, discrimination); 3. Explain the impact of gender, sexual orientation, culture/heritage, spirituality, race, and socioeconomic status on typical and divergent trajectories of adult development; 4. Articulate how the family serves as the primary social context for adult development, including implications of variations in family structure, development, and process in both family of origin and family of choice. 5. Recognize and describe major health and mental health disorders and the co-morbidity among these disorders that occurs during adulthood; and 6. Articulate key ethical issues for social workers related to adult health and mental health (e.g., access to treatment based on diagnosis, health disparities, end of life decisions). EXPANDED DESCRIPTION: This course provides an overview of typical and divergent adult developmental trajectories, including the impact of biological, psychological, spiritual, interpersonal, family, community, socio-cultural, historical, and economic factors. In the course, families are considered a primary social context for adult development. Major theoretical frameworks are surveyed explaining typical and divergent adult development in environmental context. Additionally, 1 the course emphasizes risk and protective factors and resiliency as well as the impact of social injustice, deprivation, and discrimination on development, functioning, and health. READINGS: Required text (Note – this is the same textbook you had for SOWO 500): Hutchison, E. (2014). Dimensions of human behavior: The changing life course (5th Ed.) Thousand Oaks, CA; Sage Publications, Inc. Recommended (helpful for understanding psychiatric diagnoses in “plain English”): Frances, A. (2013). Essentials of psychiatric diagnosis: Responding to the challenge of the DSM5. New York, NY: The Guilford Press. Additional reading: Required articles, chapters, and web links will be available on Sakai. TEACHING METHODS AND EXPECTATIONS: Teaching methods include lecture/discussion, media presentations, guest speakers, and small group activities. My perspective is that all of us are teachers as well as learners. You are expected to attend classes, to complete readings, and to participate actively in discussions. I ask that you contact me, in advance, if you need to miss a class. Anyone with difficulty with these requirements should speak with me so that alternative contributions can be identified. A note on participation: You will start with a score of 10 points, in recognition of expectations around attendance, engagement, and informed participation. “Informed participation” means that you have completed the readings and that your comments are thoughtful, focused and respectful. Points will be deducted if you miss class without notice, are repeatedly late or leave early, disappear for long periods on break, or are unprepared or obviously disengaged (see policy on electronic devices, below). POLICY ON THE USE OF ELECTRONIC DEVICES IN THE CLASSROOM: I expect that we are all invested in creating an environment of respect and engagement. During class, cell phones should be turned off or muted. I welcome laptops or tablets for taking notes or for small group activities; however, I ask that you use them only for relevant activities – not for checking email or surfing the Web. Your attention is an important sign of respect to your colleagues. Please do not have the mistaken assumption that others are unaware if you are disengaged! If distracting use of electronics is observed, I will need to strictly limit their use to specific times during class. ASSIGNMENTS: There are 3 assignments over the course of the semester, each worth 30 points, described here: Assignment 1: Health Disparities Paper Due February 24 This 6-8 page paper will describe a health or mental health disorder or environmental circumstance, and will discuss its impact on a specific subgroup of adults. Begin by choosing a condition (e.g., diabetes, cancer, schizophrenia) or circumstance (e.g. intergenerational caregiving, community violence, environmental toxins) -- and a subgroup of adults (e.g., persons of a particular race, ethnicity, gender, age, sexual orientation, or community) who are uniquely or disproportionately affected Then, develop your paper according to the following: 2 1. The etiology (roots or cause), symptomatology, and prevalence of the disorder/condition within the subgroup on which you have chosen to focus. 2. The meaning and significance of the disorder/condition to those within the subgroup. It is important to remember that western or dominant-culture interpretations of disorders are not shared by all. For example: (a) ancient Hawaiian cultures believed that excess body weight signified royalty; (b) in sub-Saharan Africa, it is believed that HIV is caused by a spell; (c) many disparities reflect generations-long discrimination and oppression, and may be experienced as such. 3. Individual, family, and/or community factors that may affect the incidence or course of the disorder/condition. For example: (a) gun violence in neighborhoods may prevent children from going outdoors, and thus may contribute to obesity; (b) in some cultures, it is shameful to discuss personal struggles outside of the extended family, and this may pose a barrier to seeking help. 4. The impact of the disorder or condition on your chosen subgroup, including impacts on individuals, families, and communities. For example, the incarceration of young African American males will likely impact family life, education/employment outcomes, and other dimensions of well-being; 5. Recommendations for social work assessment/intervention with your chosen subgroup. What factors will be critical for the social worker to bear in mind? 6. Recommendations for community assessment/intervention, including advocacy for policy changes that might affect the outcome or incidence of the condition or disorder, with an eye toward issues of discrimination, inequality, and social justice. Use current literature (typically within the past 8-10 years) from scholarly journals to research your topic (a minimum of 6 references). Please use subheadings to organize your thinking and ensure logical flow. You should include citations and a reference list in APA format. Scoring Rubric for Health Disparities Paper Component Points Etiology, symptomatology, and prevalence 4 Meaning and significance 3 Individual, family, or community factors that affect the incidence 4 Impact on individuals, families, communities 4 Specific recommendations for assessment/intervention at individual/family levels 4 Specific recommendations for macro/community intervention, policy change 4 Quality of sources used 3 APA style; quality, professionalism, & clarity of writing 4 Total points 30 3 Assignment 2: Critical Thinking Paper Due March 24 In this paper, you will apply course material to the analysis of a case study of an adult client. Your paper should be 5-7 APA-formatted pages. You will analyze the case, incorporating course readings into your discussion. You should include the following elements: a. Discuss the client’s development in the context of expectations and tasks associated with his/her particular stage of adult development. Be sure to discuss the defining characteristics of the particular stage, and their importance in light of what the client is currently experiencing. b. Identify sources of the client’s risk and resilience. These can be listed in bullet points, with explanations as needed. c. Discuss the ways in which the client’s functioning is impacted by family, culture, and community context. d. To the best of your knowledge regarding the DSM-V, what diagnosis would you give this client? Be sure that your paper contains information that would justify your decision; note, too, any areas in which you have insufficient information. e. Write a brief conclusion in which you reflect on how you might use your understanding of the factors discussed above to begin thinking about what might be important to consider as a social worker who encounters this client. Helpful notes: It will be helpful to draw a genogram and eco-map for yourself as you are preparing your paper, as well as a timeline of events. You do not need to submit these; rather, you can use them to identify the relationships and community contexts that serve as sources of risk and resilience, and the time frames surrounding events that will figure into your diagnosis. In approaching the diagnosis, try to narrow your focus to 2-3 potential diagnoses that seem to best reflect what is occurring, and then look in more detail within these to select the best option. Finally, please organize your paper using subheadings to ensure that you address all of the above elements. Do not worry about summarizing the case; your instructor is familiar with it! Scoring Rubric for Critical Thinking Paper Component Points Discussion of developmental stage in context with integration of literature 6 Sources of risk & resilience: List and explanation, integration of literature 5 Role of context (family, culture, community) with integration of literature 6 DSM diagnosis and substantiation 5 Reflection on important considerations for social worker 5 APA style; writing quality; use of language 3 Total 30 4 Assignment 3: Older Adult Life Review Due April 21 Note: If you are participating the interprofessional seminar, you do not have to do this assignment. We will discuss an alternative prompt. For those of you not enrolled in the seminar, this assignment will be mandatory. People usually engage in a process called life review as they enter the later years of life. This involves organizing memories and reflecting on significant actions and milestones that have shaped one’s life. Through this process, people gain a deeper understanding of themselves and the world around them. This assignment provides the opportunity to apply theories and information about human development to the life course of an older adult. The first part of this assignment is to interview an older adult (65 years or older), inviting reflection on the most significant actions and milestones that have shaped his or her life. Your informant could be a relative, friend, acquaintance, or client (if you are interviewing a client, you must receive permission from your field instructor and must disguise the client’s identifying information). Prior to beginning the interview, describe the assignment to your informant, tell him/her that only the course instructor will be reading your summary and that you will not include his/her name (you can make up a name for the person). NOTE: This is a great learning experience if the person is willing to share. Do not interview a person who is reluctant or depressed. We are not trying to push anyone into self-disclosure. The questions below are included to help structure your interview; feel free to change the order and wording and to add questions of your own. You may want to start with lighter topics to warm-up your informant. It is helpful to write out your questions so that you can keep the interview on track. At the same time, maintain sufficient flexibility to learn from your informant should he or she offer valuable information that is “off topic.” Tell me about what your life is like. How would you describe a typical day? Tell me about the most important people in your life. What were the most significant events in your life? What would you consider to be your greatest accomplishment? How has your sense of self (who you are) changed over the years? What brings you satisfaction? Would you share one of the highlights of your life? Which period in your life was the most enjoyable? The most challenging? What challenges have you faced? How have you coped? What have you learned? Looking back at your life, what would you do differently? How was your life influenced by societal or cultural events? The second part of the assignment involves incorporating theory and other information to explain the individual’s development in a 6-8 page paper addressing the following: a. Briefly describe the person, your relationship, the setting, and emotional climate. b. What were the significant events that shaped this person’s life? 5 c. How have issues of diversity (race, ethnicity, rurality, gender, sexual orientation, disability, social class, and others) impacted this person's development? Include the individual’s perspective as well as your own, using your lens as a social worker. d. What risk factors have influenced this person’s development? e. What coping strategies and resources has he/she used? Address individual, family, community, and cultural strengths. Are these typical of the resources available to others in this cohort? f. Select one of the social- gerontology theories that you believe best interprets this individual's developmental process and current functioning. Discuss your rationale. g. What have you learned from this life review? What were your expectations coming into the experience? Was there anything surprising or unexpected that you learned? Scoring Rubric for Older Adult Life Review Component Points Description of individual interviewed, relationship, setting 3 Review of significant life events, using a life course perspective & effectively incorporating course material 5 Thorough examination of issues of diversity and their impact on the client’s life, effectively incorporating course material 5 Discussion of risk factors, effectively incorporating course material 3 Discussion of coping strategies and resilience, effectively incorporating course material 3 Theoretical discussion of the individual’s aging process as drawn from the literature using applicable theories of social gerontology 5 Reflection on learning 3 Quality of writing (clarity, APA style) 3 Total: 30 SCORING & GRADING Points will be assigned as follows: Class Participation 10% Health Disparities Paper Critical Thinking Paper Older Adult Life Review Total 30% 30% 30% 100% Grades will be assigned as follows: H: P: L: F: 94 and above 93-80 79-70 69 and below 6 EXPECTATIONS FOR WRITTEN ASSIGNMENTS You are expected to adhere to scholarly writing guidelines and to use APA formatting in all of your written work (unless otherwise specified). Please use the resources available to you to ensure your success in this area. The web sites listed below provide additional information: http://ssw.unc.edu/index.php?q=students/academic/advising (resources from the School of Social Work, including an APA quick reference guide) http://www.apastyle.org/apa-style-help.aspx (APA Style basics) http://owl.english.purdue.edu/handouts/research/r_apa.html (general information about APA style). You are also encouraged to review the section on plagiarism, as it constitutes academic dishonesty and will have significant consequences. POLICY ON INCOMPLETES AND LATE ASSIGNMENTS: Assignments are due at the beginning of class on the day noted. You must notify me at least 2 days before a due date if you would like to request an extension. If this does not happen, you will lose 5% of the assignment’s points per day (including weekends, and including the date on which the assignment was due, if you submit it after the beginning of class). Incompletes may be granted if there are extreme and unforeseeable circumstances that affect your ability to complete the semester’s work. An Incomplete requires that we develop a contract that specifies the timeline for completing your work. POLICY ON ACADEMIC DISHONESTY: I assume that all students follow the UNC Honor Code. Please include the Honor Code statement “I have neither given nor received any unauthorized assistance in completing this assignment”, on all assignments. If reason exists to believe that academic dishonesty has occurred, a referral will be made to the Office of the Student Attorney General for investigation and further action as required. POLICY ON ACCOMMODATIONS FOR STUDENTS WITH DISABILITIES: If you have a disability that affects your participation in the course and you wish to receive accommodations, you should contact the University’s Disabilities Services. They will notify me of the documented disability, and we can design the appropriate accommodations to support your learning. 7 SCHEDULE AND COURSE OUTLINE Week 1 / January 13/ Introduction: Adult Development in Theoretical Context Topics: Bridging child/adolescent development to young adult/adult/older adult development Life course theory of development Bioecological systems theory for adult and family development Diverse family forms in adulthood Risk and resilience in adulthood Contextualizing development, including illness/disability, deprivation, discrimination Required Readings: Walsh, F. (2003). Changing families in a changing world: Reconstructing family normality. In F. Walsh (Ed.) Normal family processes: Growing diversity and complexity (3rd ed., pp. 126). New York: Guilford Press. George, L.K. (2007). Life course perspectives on social factors and mental illness. In W.R. Avison, J.D. McLeod & B. A. Pescosolido (Eds.), Mental health, social mirror (pp.191-218). New York: Springer. Related/ Optional Readings: Crosnoe, R., & Elder, G. H., Jr. (2004). From childhood to the later years: Pathways of human development. Research on Aging, 26, 623-654. Rank, M. R. & Hirschl, T. A. (1999). The likelihood of poverty across the American adult life span. Social Work, 44, 201-216. Wickrama, K. A. S., Conger, R. D., Wallace, L. E., & Elder, G. H., Jr. (2003). Linking early social risks to impaired physical health during the transition to adulthood. Journal of Health and Social Behavior, 44, 61-74. Week 2 / January 20/ Perspectives on Health and Mental Health in Adult Development Topics: Use of DSM framework within a social work practice context Frameworks for understanding health/mental health disorders in adulthood including bioecological systems, life course, biopsychosocial, risk and resilience, stress and coping Focus on the interactions between health disorders and mental health disorders Overview of health inequalities Required Readings: DSM-5 Overview: The Future Manual, American Psychiatric Association website (1 page) http://www.dsm5.org/about/Pages/DSMVOverview.aspx. You may also want to look at the Frequently Asked Questions section of the website. 8 Corcoran, J. and Walsh, J. (2010). Clinical assessment and diagnosis in social work practice. New York: Oxford University Press. Read Chapter 2: Social Work and the DSM: Personin environment versus the medical model (pp. 11-36). Link, B.G. & Phelan, J. (2006). Fundamental sources of health inequalities. In D.Mechanic, L.Rogut, D.Colby & J.Knickman (Eds.), Policy challenges in modern health care.(pp. 7184). New Brunswick, N.J.: Rutgers University Press. Watters, E. (2010). The Americanization of mental illness. New York Times Magazine, January 8, 2010. http://www.nytimes.com/2010/01/10/magazine/10psyche-t.html?pagewanted=all Related/Optional Readings: Engstrom, M. (2012). Physical and mental health: Interactions, assessment, and intervention. In S. Gehlert & T.A. Browne (Eds.) Handbook of health social work (2nd ed.) (164-218). Iversen, R. R., Gergen, K. J., & Fairbanks, R. P. (2005). Assessment and social construction: Conflict or co-creation? British Journal of Social Work, 35, 689-708. McQuaide, S. (1999). A social worker’s use of the diagnostic and statistical manual. Families in Society, 80(4), 410-416. Poland, J. & Caplan, P. (2004). The deep structure of bias in psychiatric diagnosis. . In P. Caplan & L. Cosgrove (Eds.), Bias in psychiatric diagnosis (pp. 9-23). NY: Jason Aronson. Week 3 / January 27/ Early Adulthood and Substance Abuse Topics: Physical, cognitive, emotional and social development in young adulthood Emerging adulthood: identity, work/career, intimate relationships, family Risk-taking behaviors Substance abuse Required Readings: Hutchison Text: Chapter 7: Young Adulthood. APA (2013). Substance-related and addictive disorders (Brief Fact Sheet). Arnett, J.J. (2000). Emerging adulthood: A theory of development from the late teens through the twenties. American Psychologist, 55, 469-480. Platt, A. (2014). Substance use disorders: A review of the DSM-5. Journal of Alcohol and Drug Dependence, 2(3), 113. Related/Optional Readings: Mahoney, C.A., Engstrom, M., & Marsh, J.C. (2012). Substance use problems in health social work practice. In S. Gehlert & T.A. Browne (Eds.) Handbook of health social work (2nd ed.). (426-467). 9 Week 4 / February 3 / Early Adulthood and HIV Topics: HIV/AIDS Required Readings: Bouis, S., Reif, S., Whetten, K., Scovil, J., Murray, A., & Swartz, M. (2007). An integrated, multidimensional treatment model for individuals living with HIV, mental illness, and substance abuse. Health and Social Work, 32(2), 268-278. Gonsalves, G., & Staley, P. (2014). Panic, paranoia, and public health — The AIDS epidemic's lessons for Ebola. New England Journal of Medicine, 371, 2348-2349. HIV & AIDS: http://www.mayoclinic.com/health/hiv-aids/DS00005. Review the material under “Basics” for information about the nature of the illness, causes, tests, treatments, coping strategies. Linsk, N. L. (2011). Commentary: Thirty years into the HIV Epidemic: Social work perspectives and prospects. Journal of HIV/AIDS & Social Services, 10, 218–229. Strug, D. L., Grube, B. A., & Beckerman, N. L. (2002) Challenges and changing roles in HIV/AIDS social work, Social Work in Health Care, 35(4), 1-19. Related/Optional Readings: Lichenstein, B. (2003). Stigma as a barrier to treatment of sexually transmitted infection in the American Deep South: Issues of race, gender and poverty. Social Science and Medicine, 57, 2435-2445. NASW (2012): HIV/AIDS Spectrum Project. Retrieved from http://www.socialworkers.org/practice/hiv_aids/nhaspolicytopracticeupdate2012.pdf Wheeler, D.P. (2007) Mounting a social work response to the worsening HIV epidemic in black communities. NASW National Health Line, 156-159. Week 5 / February 10 / Early Adulthood and Psychotic Disorders Topics: Schizophrenia and other psychotic disorders Required Readings: Corcoran, J. and Walsh, J. (2010). Clinical assessment and diagnosis in social work practice. New York: Oxford University Press. Read Ch. 14, Schizophrenia and Other Psychotic Disorders, pp. 435-466. (based on the DSM-IV, but given that little has changed for this diagnosis in the transition to DSM-V, it is a helpful overview). 10 Davidson, L, Drake, R.E., Schmutte, T., Dinzeo, T. & Andres-Hyman, R. (2009). Oil and water or oil and vinegar?: Evidence-based medicine meets recovery. Community Mental Health Journal, 45, 323-332. Insel, T. R. (2010). Rethinking schizophrenia. Nature, 486, 178-193. Schizophrenia website: http://www.schizophrenia.com. Read “Schizophrenia Overview” and one of the “Schizophrenia Success Stories”. Related/Optional Readings: Padgett, D., Hawkins, R. L., Abrams, C., & Davis, A. (2006). In their own words: Trauma and substance abuse in the lives of formerly homeless women with serious mental illness. Psychological Assessment, 76(4), 461-476. Poland, J. (2004). Bias and schizophrenia. In P. Caplan & L. Cosgrove (Eds.), Bias in psychiatric diagnosis (pp. 149-161). NY: Jason Aronson. Seeman, M.V. (2010). Psychosis in women: Consider midlife medical and psychological triggers. Current Psychiatry, 9(2), 64-76. Strakowski, S. M. (2008). How to avoid ethnic bias when diagnosing Schizophrenia. Current Psychiatry, 2(6), 72-83. Week 6 /February 17/ Middle Adulthood and Mood Disorders Topics: Depression and Bipolar Disorders Suicidality Dual Disorders Required Readings: National Institutes of Health (2014). Information about depression, available at http://www.nimh.nih.gov/health/publications/depression-listing.shtml. Read the overview and the following sub-categories: Postpartum depression; Depression and college students; Suicide; Depression in men; Depression in women Mental Health America: Co-occurring Disorders http://www.mentalhealthamerica.net/index.cfm?objectid=C7DF94C1-1372-4D20C8FE4E509C20471B National Institute of Mental Health [NIMH]. 2014. Bipolar Disorder in Adults. http://www.nimh.nih.gov/health/publications/bipolar-disorder-inadults/Bipolar_Disorder_Adults_CL508_144295.pdf Related/Optional Readings: Kennedy, N. Boydell, J. Van Os, J. & Murray, R.M. (2004). Ethnic differences in the presentation of bipolar disorder: Results from an epidemiological study. Journal of Affective Disorders, 83, 161-168. 11 Tsai, J. & Chentsova-Sutton, J. (2002). Understanding depression across cultures. In I. Gotlib & C. Hammen (Eds.), Handbook of depression (pp. 467-491). NY: The Guilford Press. Video on Depression: Out of the Shadows http://www.pbs.org/wgbh/takeonestep/depression/ Chapter 4: Postpartum Depression, and Chapter 6: Common Depression Week 7 / February 24 / Middle Adulthood, Health, and Family Processes Health Disparities Paper Due Topics: Physical, cognitive, emotional and social development in middle adulthood Caregiving in middle adulthood, including considerations of parenting and caring for aging parents Divorce and other family transitions of middle adulthood Key health disorders, including cancer, diabetes, obesity; health disparities Required Readings: Hutchison Text: Chapter 8: Middle Adulthood. Auslander, W. & Freedenthal, S. (2012). Adherence and mental health issues in chronic disease: Diabetes, heart disease, and HIV/AIDS. In S. Gehlert & T.A. Browne (Eds.) Handbook of health social work (2nd ed.). (pp. 525-556). Hoboken, NJ: John Wiley & Sons, Inc. Diabetes - http://www.diabetes.org Review “Diabetes Basics” on this website. Heart Disease - http://www.cdc.gov/heartdisease . Excellent basic information on heart disease and also has “Maps and Statistics” which reviews prevalence rates among various demographic groups National Cancer Institute - http://www.cancer.gov This website is loaded with excellent information. Review the basic information under “Cancer Topics”. Obesity- http://www.cdc.gov/obesity/data/adult.html Read “Adult Obesity Facts” Related/Optional Readings: Brashler, R. (2012). Social work practice and disability issues. In S. Gehlert & T.A. Browne (Eds.) Handbook of health social work (2nd ed.). (219-236). Hoboken, NJ: John Wiley & Sons, Inc. Davis, C. (2004). Psychosocial needs of women with breast cancer: How can social workers make a difference? Health and Social Work, 29(4), 330-334. Gehlert, S. (2012). The conceptual underpinnings of social work in health care. In S. Gehlert & T.A. Browne (Eds.) Handbook of health social work (2nd ed.). (3-19). Werner-Lin, A. & Biank, N.M. (2012). Oncology social work. In S. Gehlert & T.A. Browne (Eds.) Handbook of health social work (2nd ed. ). (pp. 498-525). 12 Week 8 / March 3 / Middle Adulthood and Anxiety Disorders Topics: Post-Traumatic Stress Disorder (PTSD) Anxiety Disorders Required Readings: Anxiety Disorders, NIMH /NIH http://www.nimh.nih.gov/health/topics/anxietydisorders/index.shtml Dobbs, D. (2009). The post-traumatic stress trap. Scientific American, 300(4), 64-69. Gallagher, M. W., Bentley, K. H., & Barlow, D. A. (2014).Perceived control and vulnerability to Anxiety disorders: A meta-analytic review. Cognitive Therapy and Research, 38, 571–584. (note: The statistics used in this article are quite detailed – feel free to skip to the Discussion section!) Van de Hout, M., Gangemi, A., Mancini, F., Engelhard, I. M., Rijkeboer, M. M., van Dams, M., Klugkist, I. (2014). Behavior as information about threat in anxiety disorders: A comparison of patients with anxiety disorders and non-anxious controls. Journal of Behavior Therapy and Experimental Psychiatry, 45, 489-495. Related/Optional Readings: Barlow, D. (2002). The experience of anxiety: Shadow of intelligence or specter of death? In Anxiety and its disorders: The nature and treatment of anxiety and panic (1-36). NY: The Guilford Press. Van der Kolk, B. (1987). The psychological consequences of overwhelming life experiences. In Psychological Trauma. Washington DC: American Psychiatric Press. Video (to be viewed in class): The Soldiers Heart http://www.pbs.org/wgbh/pages/frontline/shows/heart (60 minutes) March 10 – Happy Spring Break!! Week 9 / March 17 / Middle Adulthood and Intimate Partner Violence Topics: Traumatic experiences in adulthood (domestic violence, community violence) Required Readings: Macy, R.J., Ermentrout, D.M. & Johns, N.B. ((2011). Physical and behavioral healthcare of partner and sexual violence survivors. In C. M. Renzetti, J. Edleson, &. R. K. Bergen (Eds.) Violence Against Women Sourcebook (Vol. 2) (pp. 289-308).Thousand Oaks: Sage. 13 National Online Resource Center on Violence against Women http://www.vawnet.org/ . Click on the “Applied Research Papers” section and read one article that interests you. Pico-Alfonso, M., Garcia-Linares, M.I., Celda-Navarro, N., Blasco-Ros, C. , Echeburua, E. & Martinez, M. (2006). The impact of physical, psychological, and sexual intimate partner violence on women’s mental health: Depressive symptoms, posttraumatic stress disorder, state anxiety and suicide. Journal of Women’s Health, 15(5), 599-611. Related/Optional Readings: Bent-Goodley, T. B. (2005). Culture and domestic violence: Transforming knowledge development. Journal of Interpersonal Violence, 20(2), 195-203. Campbell, J. (2002). Health consequences of intimate partner violence. The Lancet, 359, 13311336. Macy, R. J., Giattina, M., Sangster, T. H., Crosby, C., & Montijo, N. J. (2009). Domestic violence and sexual assault services: Inside the blackbox. Aggression and Violent Behavior, 14(5), 359-373. Markoff, L. S., Reed, B. G., Fallot, R. D., Elliot, D. E., Bjelajac, P. (2005). Implementing traumainformed alcohol and other drug mental health services for women: Lessons learned in a multisite demonstration project. American Journal of Orthopsychiatry, 75(4), 525-539. Week 10 / March 24 / Older Adulthood Critical Thinking Paper Due Topics: Physical, cognitive, emotional and social development in late adulthood Families in later life; transitions, losses and gains, including work, family, and friends Required Readings: Hutchison Text: Chapter 9: Late Adulthood and Chapter 10: Very Late Adulthood AARP Web Site. http://www.aarp.org Explore the themes and messages in site. Agronin, M. E. (2014). From Cicero to Cohen: Developmental theories of aging, from antiquity to the present. The Gerontologist, 54, 30-39. (Provides an overview of some social gerontological theories of aging which might be helpful for your Older Adult Interview paper) Related/Optional Readings: Blackman, N., (2002). Special issue: Aging people with intellectual disabilities: Dealing with the challenges of older age. Journal of Gerontological Social Work, 38, 253-263. Haber, D. (2009). Gay aging. Gerontology & Geriatrics Education, 30(3), 267-280. 14 Stelle, C., Fruhauf, C., Orel, N. & Landry-Meyer, L. (2010). Grandparenting in the 21st century: Issues of diversity in grandparent–grandchild relationships. Journal of Gerontological Social Work, 53(8), 682-701. Week 11 / March 31/ Older Adulthood and Health Issues Topics: Heart/cardiovascular disease and stroke Health and physical disability in older adulthood Caregiving in older adulthood Required Readings: Ai, A.L., & Carrigan, L.T. (2007). Social-strata-related cardiovascular health disparity and comorbidity in an aging society: Implications for professional care. Health and Social Work, 32, 2. p.97-105. Diwan, S., Balaswamy, S.& Lee, S.E. (2012). Social work with older adults in health-care settings. In S. Gehlert & T.A. Browne (Eds.) Handbook of health social work (2nd ed.) (392-425). Hoboken, NJ: John Wiley & Sons, Inc. National Stroke Association. Stroke. http://www.stroke.org/site/DocServer/STROKE_101_Fact_Sheet.pdf?docID=4541 White, A., Philogene, G., Fine, L., & Sinha, S. (2009). Social support and self-reported health status of older adults in the United States. American Journal of Public Health, 99(10), 1872-1878. Related/Optional Readings: Emlet, C A, & Poindexter, C. C. (2004). Unserved, unseen, and unheard: integrating programs for HIV-infected and HIV-affected older adults. Health and Social Work, 29 (2), 86-97. Mahoney, D.F., Cloutterbuck, J. Neary, S. & Shan, L. (2005). African American, Chinese, and Latino family caregivers’ impressions of the onset and diagnosis of dementia: Crosscultural similarities and differences. The Gerontologist, 45(6), 783-792. Week 12 / April 7/ Older Adulthood and Mental Health Topics: Cognitive disorders, including dementia Mental health disorders in aging adults-- depression, schizophrenia, substance abuse, suicidality, eating disorders Required Readings: Corcoran, J. and Walsh, J. (2010). Clinical assessment and diagnosis in social work practice. New York: Oxford University Press. Read Ch. 15, Cognitive Disorders, pp. 469- 500. 15 Suicide and Older Adults (NYTs blog post): http://newoldage.blogs.nytimes.com/2013/08/07/high-suicide-rates-among-the-elderly/?_r=0 Alzheimer’s - http://www.nia.nih.gov/alzheimers/topics/alzheimers-basics Related/Optional Readings: Cummings, S., Neff, J., & Husaini, B. (2003). Functional impairment as a predictor of depressive symptomatology: The role of race, religiosity, and social support. Health & Social Work, 28(1), 23-32. Harris, M., & Cumella, E.G. (2006). Eating disorders across the lifespan. Journal of Psychosocial Nursing & Mental Health Services, 44(4), 21-26. Plante. G. E. (2005). Depression and cardiovascular disease: A reciprocal relationship. Metabolism Clinical and Experimental, 54, 45-48. Week 13/ April 14/ Death and Dying Topics: Loss, death, and bereavement Death in individual life cycle and family life cycle Required Readings: 1. Berk, L.E. (2007). Development through the lifespan. (4th ed.). Boston, MA: Allyn & Bacon. Read pp. 634-663. 2. Hooyman, N.R., & Kramer, B. J. (2006). Resilience and meaning making. In Living through loss: Interventions across the life span. New York: Columbia University Press. Read pp. 6386. 3. Strada, E. (2009). Grief, demoralization, and depression: Diagnostic challenges and treatment modalities. Primary Psychiatry, 16(5), 49-55. Related/Optional Readings: Herbert, R., Schulz, R., Copeland, V&, Arnold, R. (2009). Preparing family caregivers for death and bereavement: Insights from caregivers of terminally ill patients. Journal of Pain & Symptom Management, 37, 3-12. Laurie, A., & Neimeyer, R.A. (2008). African-Americans in bereavement: Grief as a function of ethnicity. Omega, 57(2), 173-193. Sanders, S., Ott, C., Kelber, S. & Noonan, P. (2008). The Experience of high levels of grief in caregivers of persons with Alzheimer's disease and related dementia. Death Studies, 32, 495-523. Week 14/April 21/ Course Wrap up Older Adult Life Review Paper due 16