Abnormal Psychology- WIN 2014 1 COURSE SYLLABUS DIVISION: Theoretical and Behavioral Foundations PROGRAM AREA: Rehabilitation Counseling COURSE NUMBER: RCI 7515 CALL NUMBER: 29148 COURSE TITLE: Rehabilitation Treatment Planning and Intervention for People with Psychiatric Disabilities CREDIT: 2 credit hours TERM/YEAR: Winter 2014 DAY: February 22nd; March 1st & 22nd; 5th, 2014 TIME: 9:00 AM - 4:00 PM COURSE LOCATION: 622 Oakland Center INSTRUCTOR: George P. Parris, Ph.D. License Professional Counselor (LPC) Certified Rehabilitation Counselor (CCRC) Nationally Certified Psychologist (NCP) Senior Diplomate and Disability Analyst 311 College of Education (313) 577-1619 E-mail: gparris@wayne.edu GUEST LECTURERS: Sonja Grbevski, Ph.D., LPC Adjunct Faculty & Rehabilitation Counselor Advisor Patricia Pich, Ph.D., LPC Office Hours: Tuesday Wednesday PROGRAM SECRETARY: CATALOG DESCRIPTION: 2:00 - 4:30 3:00 - 4:30 Lei Juan Stuart-Walker (313) 577-1613 Abnormal Psychology- WIN 2014 2 Knowledge and skills in treatment planning of individuals with psychiatric disabilities. Emphasis will be placed on rehabilitation assessment, rehabilitation plan development, employment strategies, and life care planning. COURSE OBJECTIVES: The course is designed to improve and enhance the psychiatric rehabilitation knowledge and skills of counselors who provide counseling and intervention services to individuals with psychiatric disabilities. The focus will be on fundamental issues related to the understanding psychiatric disabilities such as diagnosis of the DSM 5 major disorders, including mood, anxiety, personality, and psychotic disorders. This course is designed to expand students’ prior learning in diagnosis and psychotherapeutic treatment by applying it in a comprehensive rehabititation treatment planning context. This includes rehabilitation assessment, rehabilitation plan development, and life care planning. Treatment planning strategies are emphasized. In addition, students will learn about psychotropic medications and there effectiveness in the treatment of psychiatric disabilities, as well as psychotherapeutic techniques used to treat individuals with psychiatric disabilities. Specific Objectives: Upon completion of this course students will be able to: 1. Recognize the signs and symptoms of the major mental illness and other forms of psychological and behavioural dysfunction. 2. Understand the impact of mental illness on the psychological, social, and environmental functioning, including educational and vocational abilities and their effect on work. 3. Understand how societal attitudes towards individuals with psychiatric disabilities may impact upon personal adjustment and the counseling process. 4. Understand the core principles and best practices of treatment for individuals with psychiatric disabilities. 5. Identify information related to different employment strategies used in facilitating the consumers with psychiatric disabilities back to work. 6. Develop a greater understanding of the critical role of varied community support systems in facilitating the recovery of people with serious and persistent mental illness. 7. Understanding pharmacology and medications in the treatment of psychiatric disabilities including barriers to consistent medication management. 8. Integrate counseling and case management strategies in order to improve community living, such as employment, social adjustment and general quality of life for individuals with psychiatric disabilities. Abnormal Psychology- WIN 2014 3 9. Understand ethical and legal issues involved in abnormal psychology and the roles and responsibilities of clinicians in providing competent care to individuals with psychological disorders. REQUIRED TEXTS: Maddux, J., & Winstead, B. (2012). Psychopathology: Foundations for a Contemporary Understanding (3rd Edition). McGraw Hill: New York, NY REQUIREMENTS AND EXPECTATIONS: PARTICIPATION: This course will involve lecture and discussion and attendance is mandatory. Participation includes physical attendance (Do you show up?); psychological attendance (Does your mind show up?) Can you show evidence of thinking during the class? Do you hear and incorporate what others are communicating? Participation means that you provide others with some way of knowing that you are involved in the course. Because this is a high-intensity class occurring over four Saturdays, attendance is critical. You are expected to attend all classes. If you are absent even once, your ability to synthesize the material will be undermined. Unless special arrangements are made ahead of time with the instructor, your final grade will be negatively impacted by any absences. You will earn up to 10 points for attending and participating in a meaningful way during the four class meetings. If you miss more than 6 hours of instruction for any reason, you will need to withdraw from the class or you will be given a grade of F. Please note that Incomplete Grades will not be given. Contribution to Grade: 10% PSYCHOPATHOLOGY RESEARCH / TOPIC PAPER: You will choose one psychological disorder and write a research paper approximately 7 to 10 pages excluding title page, abstract and reference pages. Your paper must address the following areas: (1) What is the etiology of the disorder? In other words, what genetic, biological, psychological or social factors cause or contribute to the development of the disorder in an individual? (2) What are the difficulties for individuals living and adjusting to this disorder, such as independent living and employment? And (3) based on research, what treatment options or interventions are considered best for treating people with this disorder? Your paper must include at least 10 references from journals or books. You may include additional references such as websites; however, only two web base references will be accepted. Your paper must confirm to the American psychological Association (APA) 6th edition. Papers will be graded on the following: organization, clarity, grammar, coherence, level of applied thoughtfulness and APA format. Contribution to Grade: 40% Due Date: April 5, 2014 FINAL EXAM: ON LINE EXAM Abnormal Psychology- WIN 2014 4 You will be provided with the exam on line. Contribution to Grade: 50% Due Date: April 19, 2014 EVALUATION & GRADING: Final grade will be derived from a composite of the major requirements above. The plus/minus letter grade system is used in the CED program: Letter Grade Points A 94 - 100 A90 - 93 B+ 87 - 89 B 84 - 86 B80 - 83 C+ 77 - 79 C 72 - 76 Below 72 is a failing grade CLASS SCHEDULE: FEBRUARY 22, 2014 Abnormal Psychology- WIN 2014 5 09:00 – 09:30 AM Course Introduction and Overview Class Outline 09:30 – 10:30 AM Conceptions of Mental Illness Understanding Abnormality Theoretical Perspectives Overview of DSM-5 10:30 – 10:45 AM BREAK 10:45 - 12:00 PM Depressive and Bipolar Disorders Chapter 9 Intervention and Treatment of Mood Disorders Understanding and Treatment of Mood Disorders (Rehabilitation Perspectives) Dr. Patricia Pich 12:00 – 01:00 PM LUNCH BREAK 1:00 – 04:00 PM Anxiety Disorders Obsessive-Compulsive and Related Disorders Intervention and Treatment of Anxiety Disorders, Dr. Patricia Pich Chapter 1, 2, 3, 4 Handouts Chapter 8 Handouts MARCH 1, 2014 09:00 – 10:30 AM Obsessive-Compulsive and Related Disorders Handouts Schizophrenia Spectrum and Chapter 10 Other Psychotic Disorders Understanding and Diagnosing Psychotic Disorders Intervention and Treatment of Psychotic Disorders (Rehabilitation Perspectives) 10:30 – 10:45 AM BREAK 10:45 – 12:00 AM Schizophrenia Spectrum and Chapter 10 Other Psychotic Disorders Continued Personality Disorders Chapter 11 Understanding and Diagnosing Personality Disorders Intervention and Treatment of Personality Disorders (Rehabilitation Perspectives) 12:00 – 01:00 PM LUNCH BREAK 01:00 – 02:30 PM Personality Disorders Continued 02:30 – 02:45 PM BREAK 02:45 – 4:00 PM Group Session with Dr. Sonja Grbevski Abnormal Psychology- WIN 2014 6 MARCH 22, 2014 09:00 – 10:30 AM Feeding and Eating Disorders Sleep-Wake Disorders Disruptive, Impulse Control and Conduct Disorders Understanding, Diagnosing and Treatment Planning Dr. Sonja Grbevski 10:30-- 10:45 PM BREAK 10:45– 12:00 PM Substance-Related and Addictive Disorders Understanding and Diagnosing Substance Related Disorders and Treatment Planning 12:00 – 01:00 PM LUNCH BREAK 01:00 – 02:30 PM Paraphilic Disorders, Sexual Dysfunctions and Gender Dysphoria Understanding, Diagnosing and Treatment Planning Dr. Sonja Grbevski 02:30 – 02:45 PM BREAK 02:45 – 04:00 PM Case Studies Dr. Sonja Grbevski Chapter 12 Handouts Chapter 16 Chapters 15 Handouts Chapter 13 Handouts APRIL 5, 2014 09:00 – 10:30 AM Somatoform and Dissociative Disorders Understanding, Diagnosing and Treatment Planning 10:30 – 10:45 AM BREAK 10:45 – 12:00 PM Neurodevelopmental Disorders Understanding, Diagnosing and Treatment Planning Dr. Sonja Grbevski 12:00 – 01:00 PM LUNCH BREAK 01:00 – 02:30 PM Neurocognitive Disorders Understanding, Diagnosing and Treatment Planning 02:30 – 02:45 PM BREAK 02:45 – 04:00 PM Psychotherapeutic Interventions Chapter 14 Chapter 18 Chapter 18 Handouts Abnormal Psychology- WIN 2014 7 Psychopharmacology Interventions Ethics and Legal Aspects in Providing Services to Individuals with Psychiatric Disabilities References Anxiety Disorders: Panic Disorder, Specific Phobias Bouton, M. E., Mineka, S., & Barlow, D. H. (2001). A modern learning theory perspective on the etiology of panic disorder. Psychological Review, 108, 4-32. Abnormal Psychology- WIN 2014 8 Casey, L. M., Oei, T. P. S., & Newcombe, P. A. (2004). An integrated cognitive model of panic disorder. Clinical Psychology Review, 24, 529-555. Craske, M. G., & Waters, A. M. (2005). Panic disorder, phobias, and generalized anxiety disorder. Annual Review of Clinical Psychology, 1, 97-225. Merckelbach, H., de Jong, P. J., Muris, P., & van den Hout, M. A. (1996). The etiology of specific phobias: A review. Clinical Psychology Review, 16, 337-361. Post-Traumatic Stress Disorder and Obsessive-Compulsive Disorder Brewin, C. R., & Holmes, E. A. (2003). Psychological theories of posttraumatic stress disorder. Clinical Psychology Review, 23, 339-376. Doron, G. & Kyrios, M. (2005). Obsessive-compulsive disorder: A review of possible specific internal representations within a broader cognitive theory. Clinical Psychology Review, 25, 415-432. McKay, D., Abramowitz, J. S., Calamari, J. E., Kyrios, M, Radomsky, A. Sookman, D., Taylor, S., & Sabine, W. (2004). A critical evaluation of obsessive-compulsive disorder subtypes: Symptoms versus mechanisms. Clinical Psychology Review, 24, 283-313. McNally, R. J. (2003). Progress and controversy in the study of posttraumatic stress disorder. Annual Review of Psychology, 54, 229-252. Salkovskis, P. M., Thorpe, S. J., Wahl, K., Wroe, A. L., & Forrester, E. (2003). Neutralizing increases discomfort associated with obsessional thoughts: An experimental study with obsessional patients. Journal of Abnormal Psychology, 112, 709-715. Shalev, A. Y., & Freedman, S. (2005). PTSD following terrorist attacks: A prospective evaluation. American Journal of Psychiatry 162, 1188-1191. Generalized Anxiety Disorder and Social Anxiety Disorder Borkovec, T. D., Alcaine, O. M., & Behar, E. (2004). Avoidance theory of worry and generalized anxiety disorder. (pp. 77-108). In R. G. Heimberg, C. L. Turk, & D. S. Mennin (Eds.), Generalized anxiety disorder: Advances in research and practice. New York: Guilford. Hofmann, S. G, Heinrichs, N., & Moscovitch, D. A. (2004). The nature and expression of social phobia: Towards a new classification. Clinical Psychology Review, 24, 769-797. Turk, C. L., Heimberg, R. G., & Luterek, J. A. (2005). Emotional dysregulation in generalized anxiety disorder: A comparison with social anxiety disorder. Cognitive Therapy and Research, 29, 89106. Abnormal Psychology- WIN 2014 9 Turk, C. L., Lerner, J., Heimberg, R. G., & Rapee, R. M. (2001). An integrated cognitive-behavioral model of social anxiety. (pp. 281-303). In S. G. Hofman & P. M. Bibartolo (Eds.), From social anxiety to social phobia: Multiple perspectives. Needham Heights, MA: Allyn & Bacon. Wells, A., & Carter, K. (2001). Further tests of a cognitive model of generalized anxiety disorder: Metacognitions and worry in GAD, panic disorder, social phobia, depression, and nonpatients. Behavior Therapy, 32, 85-102. Mood Disorders: Phenomenology, Subtypes, Course, Epidemiology, Suicide Bouland, R. J. & Keller, M. B. (2002). Course and outcome of depression. (pp. 43-60). In I. H. Gotlib & C. L. Hammen (Eds.), Handbook of depression. New York: Guilford Press. McCullough, J. P., Klein, D. N., Borian, F. E., Howland, R. H., Riso, L. P., Keller, M. B., & Banks, P. L. C. (2003). Group comparisons of DSM-IV subtypes of chronic depression: Validity of the distinctions, part 2. Journal of Abnormal Psychology, 112, 614-622. Shankman, S. A., & Klein, D. N. (2003). The relation between depression and anxiety: An evaluation of the tripartite, approach-withdrawal, and valence-arousal models. Clinical Psychology Review, 23, 605-637. Sprock, J., & Yoder, C.Y. (1997). Women and depression: An update on the report of the APA task force. Sex Roles, 36, 269-303. Kessler, R. C., Berglund, P., Demler, O., Jin, R., Koretz, D., Merikangas, K. R., Rush, A. J., Walters, E. E., Wang, P. S. (2003). The epidemiology of Major Depressive Disorder: Results from the National Comorbidity Survey Replication (NCS-R). JAMA, 289, 3095-3105. Mood Disorders: Unipolar Depression Hammen, C. (2005). Stress and depression. Annual Review of Clinical Psychology, 1, 293-319. Joiner, T. E. Jr. (2002). Depression in its interpersonal context. (pp. 295-313). In I. H. Gotlib & C. L. Hammen (Eds.), Handbook of depression. New York: Guilford Press. Scher, C. D., Ingram, R. E., & Segal, Z. V. (2005). Cognitive reactivity and vulnerability: Empirical evaluation of construct activation and cognitive diathesis in unipolar depression. Clinical Psychology Review, 25, 487-510. Thase, M. E. (2002). Biological aspects of depression. (pp. 192-218). In I. H. Gotlib & C. L. Hammen (Eds.), Handbook of depression. New York: Guilford Press. Mood Disorders: Bipolar Disorder and Seasonal Affective Disorder Alloy, L. B., Abramson, L. Y., Urosevic, S., Walshaw, P. D., Nusslock, R., & Neeren, A. M. (2005). The psychosocial context of bipolar disorder: Environmental, cognitive, and developmental risk factors. Clinical Psychology Review, 25, 1043-1075. Abnormal Psychology- WIN 2014 10 Cueller, A. K., Johnson, S. L., & Winters, R. (2005). Distinctions between unipolar and bipolar depression. Clinical Psychology Review, 25, 307-339. Newman, C. F., Leahy, R. L., Beck, A. T., Reilly-Harrington, N. A., & Gyulai, L. (2002). Chapter 1: Bipolar disorder: Diagnostic, epidemiologic, etiologic, and prognostic issues (pp. 3-23). Bipolar disorder. Washington, DC: American Psychological Association. Rohan, K. J., Sigmon, S. T., & Dorhofer, D. M. (2003). Cognitive-behavioral factors in seasonal affective disorder. Journal of Consulting and Clinical Psychology, 71, 22-30. Eating Disorders: Anorexia Nervosa, Bulimia Nervosa, Binge Eating Disorder Fairburn, C. G., Cooper, Z., & Shafran, R. (2003). Cognitive behavior therapy for eating disorders: A “trans diagnostic” theory and treatment. Behaviour Research and Therapy, 41, 509-528. Keel, P. K., & Klump, K. L. (2003). Are eating disorders culture-bound syndromes?: Implications for conceptualizing their etiology. Psychological Bulletin, 129, 747-769. Polivy, J., & Herman, C. P. (2002). Causes of eating disorders. Annual Review of Psychology, 53, 187213. Stice, E. (2002). Risk and maintenance factors for eating pathology: A meta-analytic review. Psychological Bulletin, 128, 825-848. Personality Disorders Cale, E. M., & Lilienfield, S. O. (2002). Sex differences in psychopathy and antisocial personality disorder: A review and integration. Clinical Psychology Review, 22, 1179-1207. Haslam, N. (2003). The dimensional view of personality disorders: A review of the taxometric evidence. Clinical Psychology Review, 23, 75-93. Lieb, K., Zanarini, M. C., Schmahl, C., Linehan, M. M., & Bohus, M. (2004). Borderline personality disorder. The Lancet, 364, 453-461. Skodol, A. E. et al. (2005). Dimensional representations of DSM-IV personality disorders: Relationships to functional impairment. American Journal of Psychiatry, 162, 1919-1925. ATTENTION STUDENTS WITH DISABILITIES: If you have a documented disability that requires accommodations, you will need to register with Student Disability Services (SDS) for coordination of your academic accommodations. The Student Disability Services (SDS) office is located at 1600 David Adamany Undergraduate Library in the Abnormal Psychology- WIN 2014 11 Student Academic Success Services department. SDS telephone number is 313-577-1851 or 313-5773365 (TDD only). Once you have your accommodations in place, I will be glad to meet with you privately during my office hours to discuss your special needs. Student Disability Services’ mission is to assist the university in creating an accessible community where students with disabilities have an equal opportunity to fully participate in their educational experience at Wayne State University. Please be aware that a delay in getting SDS accommodation letters for the current semester may hinder the availability or facilitation of those accommodations in a timely manner. Therefore, it is in your best interest to get your accommodation letters as early in the semester as possible. NOTE: The National Rehabilitation Association provides guidelines to use when writing or speaking about persons with disabilities. Please try to incorporate these suggestions into your written and spoken communication. 1) Avoid using adjectives as nouns, such as in: "the disabled", "the deaf", "the blind", the "handicapped", etc. It is more acceptable to say, "People who are deaf", or "persons with disabilities". 2) Where possible emphasize the importance of the individual rather than the disability by saying "person" or "individual" before describing the disability. For example, say, "Persons with disabilities" or "people with learning disabilities", rather than "learning disabled people". 3) Avoid using descriptors such as "unfortunate", "pitiful", "poor", and other such value laden words. When possible, use descriptors, which emphasize person ability, such as: "uses a wheelchair or braces" rather than "confined to a wheelchair", since wheelchair enables mobility; without it, the person is confined to bed. 4) Do not sensationalize the onset or effects of a disability with phrases such as: "afflicted with" or "suffering from". had_____________", It is more acceptable, and accurate to say, "the person has or "the person has experienced______________", or a person with___________". 5) Avoid implying sickness when discussing disabling conditions. To the general public, "disease" has connotations of being unsightly and contagious. A disability itself is not a disease, nor is the Abnormal Psychology- WIN 2014 12 person with the disability necessarily chronically ill. ATTENDANCE POLICY All students are expected to attend class, be punctual, and remain in class until the day’s work is completed. It is also expected as a part of attendance that students will appear attentive to the instructor and respectful of other students, and will not talk, read material other than the textbook, or engage in other activities that interfere with the course while the class is meeting. If the instructor begins to note problems with attendance or behaviour that interferes with the teaching process, this will be noted and the student will be made aware of the problem. At that point the instructor will begin to document the student’s attendance and disruptive behaviour and if further problems are noted the student’s grade will be lowered by one letter. STATEMENT OF PROFESSIONALISM “The College of Education requires students to be effective counselors, to behave in an ethical manner at all times (see the statement on Ethical Dimensions of Counseling in the Rehabilitation Counseling Handbook as well as the Practicum and Internship Handbook). Your behavior must be appropriate at all times. Active participation in all class activities and discussion is expected. Come to class with ideas, agreements or disagreements on the reading assignments. We expect you to question our ideas and those of your peers. Professional dress, behavior, and language are required at all times. Please put all electronic devices on vibrate or turn off during class and when in your assigned school. The Student Code of Conduct can be viewed at: http://www.doso.wayne.edu/codeofconduct.pdf ACADEMIC MISCONDUCT/ETHICAL VIOLATIONS All acts of dishonesty (plagiarism, copying, etc.) in any work for any course will constitute academic misconduct. In this regard, the Academic Regulations Policy noted in the College of Education Graduate Programs and University Graduate programs Catalogue will be followed in the event of any acts of academic misconduct. In addition, students need to be aware that the professor has at his or her discretion the aright to reduce a students’ grade for that class, assign a failing grade, or report the student to the Dean of the College of Education, which could result in removal from the program. Plagiarism Plagiarism is using others’ ideas and words without clearly acknowledging the source of that information. Abnormal Psychology- WIN 2014 13 Whenever you incorporate other people ideas or writings into your own writing, it is extremely important to give credit to those individuals by referencing their names. How can students avoid plagiarism? To avoid plagiarism, you must give credit whenever you use • • • • another person’s idea, opinion, or theory; any facts, statistics, graphs, drawings—any pieces of information—that are not common knowledge; quotation of another person’s actual spoken or written words; or paraphrase of another person’s spoken or written words. Strategies for Avoiding Plagiarism 1. Put in quotations everything that comes directly from the text especially when taking notes. 2. Paraphrase, but be sure you are not just rearranging or replacing a few words. 3. Check your paraphrase against the original text to be sure you have not accidentally used the same phrases or words, and that the information is accurate. (The section on plagiarism is produced by the Writing Tutorial Services, Indiana University, Bloomington, IN) The College of Education’s grade appeal policy is available at: http://coe.wayne.edu/current/grade-appeal.php RELIGIOUS OBSERVANCES POLICY Because of the extraordinary variety of religious affiliations represented in the University student body and staff, the Wayne State University calendar makes no provision for religious holidays. It is University policy, however, to respect the faith and religious obligations of the individual. Students who find that their classes or examinations involve conflicts with their religious observances are expected to notify their instructors well in advance so that alternative arrangements as suitable as possible may be worked out. Abnormal Psychology- WIN 2014 14