COURSE NUMBER: PP8010 COURSE NAME: Cognitive Behavioral Theory/Therapy TERM: Fall 2007 INSTRUCTOR: Nan Rothrock, PhD PHONE: (773) 540-2712 EMAIL: nanrothrock@yahoo.com FAX: (847) 570-8019 ALT PHONE: (773) 334-0920 REQUIRED TEXTS: Title Author(s) Copyright Publisher ISBN Edition Cognitive Theory: Basics & Beyond Beck, J.S. 1995 Guilford Press 0-89862-847-4 Title Author(s) Copyright Publisher ISBN Edition Clinical Behavior Therapy Goldfried, M.R. & Davidson, G.C. 1994 Wiley & Sons 0-471-07633-3 “Expanded Edition” Title Skills Training Manual for Treating Borderline Personality Disorder Author(s) Linehan, M Copyright 1993 Publisher Guilford Press ISBN 0-89862-034-1 Edition This Course Requires the Purchase of a Course Packet: YES NO Argosy University COURSE SYLLABUS PP8010 Cognitive Behavioral Theory/Therapy Fall 2007, Wednesdays 6;00 to 8:45pm Faculty Information Faculty Name: Nan Rothrock, PhD Campus: Chicago Contact Information: nanrothrock@yahoo.com; (773) 540-2712 Office Hours: by appointment Short Faculty Bio Dr. Rothrock is a clinical health psychologist with an interest in adjustment to chronic illness and quality of life. She received her doctorate from the University of Iowa. After completing a clinical internship at the University of Chicago Medical Center, she trained as the Harris Postdoctoral Fellow in Psychosocial Oncology at Evanston Northwestern Healthcare. She is currently a research scientist at the Center on Outcomes, Research, and Education at Evanston Northwestern Healthcare. Her work focuses on symptom monitoring and management in advanced cancer, cancer screening behavior, and measurement of quality of life. Her clinical interests are in adjustment to chronic illness, particularly cancer. Course description: This course is a basic theory and intervention course that presents the major concepts and applications of cognitive behavior theories. The curriculum will focus on mastering behavioral and cognitive theory, learning to apply the theory to clinical cases, and introduce interventions. After taking this course, students should feel competent to conduct a CBT Course Pre-requisites: None Required Textbook: Beck, J.S. (1995). Cognitive Theory: Basics & Beyond. New York: Guilford. ISBN: 0-89862847-4. Goldfried, M.R. & Davidson, G.C. (1994). Clinical Behavior Therapy. New York. Wiley & Sons. ISBN: 0-471-07633-3. Linehan, M. (1993). Skills Training Manual for Treating Borderline Personality Disorder. New York: Guilford Press. ISBN: 0-89862-034-1. : Technology: Pentium III CPU/ Windows 98; 128MB RAM printer; Microsoft Office: Acrobat (full version); Microsoft Internet Explorer 5.5 (PC), 5.0 (MAC), or Netscape Navigator 4.08; Norton Antivirus. Course length: 15 Weeks Page 2 Contact Hours: 45 Hours Credit Value: 3.0 Program Outcomes: The Doctoral program in Clinical Psychology at Argosy University Chicago Campus is an APA accredited program (APA, 750 First St. NE, Washington, DC 20002, 202-336-5500). This program is designed to educate and train students so that they may eventually be able to function effectively as clinical psychologists. To ensure that students are prepared adequately, the curriculum provides for the meaningful integration of theory, training and practice. The Clinical Psychology program at Argosy University Chicago Campus emphasizes the development of attitudes, knowledge, and skills essential in the formation of professional psychologists who are committed to the ethical provision of quality services. Specific objectives of the program include the following: Goal 1: Prepare professional psychologists to accurately, effectively, and ethically select, administer, score, interpret, and communicate findings of appropriate assessment methods informed by accepted psychometric standards and sensitive to the diverse characteristics and needs of clients. o Objective 1a: Accurately and ethically administer and score various psychodiagnostic instruments. o Objective 1b: Accurately interpret and synthesize assessment data in the context of diversity factors, referral questions, and specific objectives of the assessment, and organize and communicate results in writing and orally. o Objective 1c: Examine psychometric properties of psychological assessment instruments, and use that knowledge to evaluate, select, administer, and interpret psychological tests and measures appropriate for the client, the referral question, and the objectives of the assessment. Goal 2: Prepare professional psychologists to select, implement, and evaluate psychological interventions consistent with current ethical, evidence-based, and professional standards, within a theoretical framework, and with sensitivity to the interpersonal processes of the therapeutic relationship and the diverse characteristics and needs of clients. o Objective 2a: Synthesize the foundations of clinical psychology, including psychopathology, human development, diagnosis, diversity, ethics, and various therapeutic models in clinical applications. o Objective 2b: Select, plan, and implement ethical and evidence-based interventions with sensitivity to the diverse characteristics and needs of clients. o Objective 2c: Demonstrate knowledge, skills, and attitudes to effectively implement and participate in psychological consultation and supervision. Objective 2d: Demonstrate personal development and self-reflective capacity, including growth of interpersonal skills, and therapeutic relationships. Goal 3: Prepare professional psychologists to analyze the complexity and multidimensionality of human diversity, and demonstrate the knowledge, skills, and attitudes necessary to understand diverse worldviews and the potential meaning of social, cultural, and individual differences for professional psychological services. Goal 4: Prepare professional psychologists to examine the historical context and the current body of knowledge of biological, cognitive, affective, developmental, and social Page 3 bases of human functioning. Goal 5: Prepare professional psychologists to critically evaluate the current and evolving body of scholarly literature in psychology to inform professional practice. The Master’s Program in Clinical Psychology has been designed to educate and train students to enter a professional career as MA level practitioners. Argosy University/Chicago Campus provides students an educational program with all the necessary theoretical and clinical elements that will allow them to be effective members of a mental health team. The program introduces students to basic clinical skills that integrate individual and group theoretical foundations of applied psychology into appropriate client interactions and intervention skills. In addition, the Program offers excellent preparation for those considering application to the Doctoral Program in Clinical Psychology. Course Objectives: a. Gain the ability to write a clear, effective behavioral contract. This entails specifying appropriate target behaviors and effective steps to achieve the target behavior. b. Develop an understanding of basic behavioral concepts including schedules of reinforcement as well as reinforcement and punishment paradigms. c. Gain the ability to conduct a behavioral assessment interview including the use of Arnold Lazarus’s BASIC-ID model. d. Develop an understanding of the behavioral approach to the therapeutic relationship. e. Learn the cognitive-behavioral theories of Aaron T. Beck and Albert Ellis. Understand the concept of depressogenic and anxiogenic thoughts. Know the typical thought schemas underlying some personality disorders. f. Understand how gender and cultural factors relate to cognitive-behavioral therapy and be able to integrate at least one culture's (e.g. African American, Asian, disability) behavioral tendencies into a behavioral assessment and treatment plan. Class Outline Please have all readings done by the day for which they are assigned. The class is designed such that we will be having extended discussions that assume the completion of the readings. This schedule is a guideline and the lecture content will modified as needed to accommodate discussion time. 1 Date 9/5/07 2 9/12/07 Topics Overview of the course, introduction to CBT, assessment, BASIC ID, stages of change, motivational interviewing Functional analysis, therapeutic relationship, conditioning Readings Assignments Goldfried & Davidson 1-4 Page 4 Continue conditioning, behavioral contracts begin cognitive theory, case conceptualization 9/26/07 Continue cognitive theory, Beck’s CBT & Ellis’ REBT 10/3/07 Cognitive interventions, behavioral interventions 10/10/07 Relaxation training, CBT with anxiety disorders 10/17/07 Anxiety – phobias, systematic desensitization, OCD, children and adolescents G&D 10; Beck 1-3 8 10/24/07 Depression – theory Beck 8-10 9 10/31/07 Depression cont. CBT with children and adolescents, MBCT 11/7/07 Interface issues, homework, obstacles to treatment, CBT for eating disorders 11/14/07 Culturally responsive CBT Beck 12 3 4 5 6 7 10 11 12 13 14 15 9/19/07 Assigned article (Freeman) G&D 7,8; Beck 6,7 G&D 5,6,11; Beck 13 Assigned articles Relaxation tape/CD assigned Relaxation tape/CD due Midterm exam assigned Midterm exam due Presentation chapter assigned Beck 11, 14 11/21/07 No class – Happy Thanksgiving 11/28/07 Treatment planning, relapse Beck 16; Linehan 1, prevention, personality 4-5 disorders 12/5/07 Dialectical Behavior Therapy Linehan 7,8 12/12/07 Conclusion Class presentations on assigned chapters from Hays & Iwamasa Final project due Grading Criteria Attendance Class attendance is required. Having more than one unexcused absence is ground for an incomplete or course failure. More than one excused absence (planned absence discussed ahead of time with the instructor) or frequent tardiness will negatively affect your participation grade. Grading There will be one midterm exam (30%), final project (40%), a relaxation tape/CD (5%), a short in-class application of CBT in the real world (5%), short class presentation on a book chapter Page 5 (10%), and class participation (10%). Your participation grade will include attendance and quality of participation. Papers must be turned in on time or points will be deducted per late day. Grading of your written work will include writing style, APA style, grammar, and editing. If you are uncertain about APA style or would like assistance to strengthen your writing skills, contact the Argosy Academic Resource Center. Grading Scale A AB+ B BC+ C CD+ D DF 100 – 93 92 – 90 89 – 88 87 – 83 82 – 80 79 – 78 77 - 73 72 – 70 69 – 68 67 – 63 62 – 60 59 and below Grading requirements Attendance/participation 10% CBT in the Real World 5% Relaxation tape/CD 5% Midterm Exam 30% In class presentation 10% Final Project 40% TOTAL 100% Page 6 CBT In The Real World Each student will sign up to present in class an example of cognitive behavioral theory or learning principles in action in the real world. This short presentation will occur at the beginning of each class period. Midterm Exam The midterm will consist of a clinical case that you will conceptualize from a cognitive behavioral perspective. Details will be discussed when assigned. This is worth 30% of your final grade. Please limit your papers to a maximum of 8 pages, double spaced. Class Presentation In 2006, Hays and Iwamasa published a book on conducting culturally responsive cognitive behavioral therapy. Teams of students will be assigned a chapter from the text to summarize in a brief class presentation. Details will be discussed when assigned. This is worth 10% of your final grade. Final Project The final project for this class will be a treatment project on yourself and a written report about your experience, both as therapist and client. The goal of this project is to deepen your understanding of cognitive behavioral techniques by applying them to yourself. Several kinds of projects are possible. For example: a stress management program, self-control projects in which you try to modify test anxiety, eating, smoking, exercise, nail-biting behavior; an assertiveness training project, contingency management project where others (children or adults that you may contract with) are involved. Choose something manageable given the scope of this project. As part of your approach, you must use a behavioral contract and examine your beliefs. You need to concentrate on all aspects of this project so do not select a behavior that is so emotionally charged that you are distracted. You may use a manual created for your type of behavior modification or you may create the intervention. The intervention should have some basis in clinical literature. We encourage creativity in your project ideas and will let you know if they are too creative. You are encouraged to review your topic choice with the instructor before beginning. You must get permission from an instructor to use a client other than yourself (though this is not recommended). This project is worth 40% of your grade and should not be longer than 15 pages of double-spaced text (graphs and references excluded). One purpose of this paper is to help you to get in touch with the complex issues of “resistance to change.” Did you implement your program immediately and diligently? Why or why not? What were the motivational issues involved? How did you work to overcome any problems you had with your initial treatment plan? Your program should involve a serious effort—a minimum of 1 to 1 1/2 hours of homework per week. Measurement techniques may include formal assessment (e.g., the Beck Depression Inventory), SUDS scales (subjective units of distress), or behavioral measures (e.g. counting the number of times an event occurs). You must use a behavioral contract as part of your intervention. Although there is a quantitative element to the paper (i.e. graphing an outcome), we are more interested in the subjective aspect of your experience. What was it like being the client? The therapist to a client like the one you were treating (i.e. you)? How did your gender and cultural background impact the treatment? Did you experience any surprises? How did your experience inform you about the reactions of a typical client? Optionally, you may wish to share Page 7 the feelings you had towards the person who assigned the original assignment (i.e. the instructor), which is another layer of interface issues. Library Resources Argosy University’s core online collection features more than 21,000 full-text journals, 23,000 electronic books and other content covering all academic subject areas including Business & Economics, Career & General Education, Computers, Engineering & Applied Science, Humanities, Science, Medicine & Allied Health, and Social & Behavior Sciences. All electronic resources can be accessed through the library’s website at www.auchicagolib.org. User IDs and passwords are distributed during orientation, but can also be obtained at the circulation desk, calling 312-777-7653, or by e-mail at auchilibrary@argosyu.edu. In addition to online resources, Argosy University’s onsite collections contain a wealth of subject-specific research materials searchable in the Library Online Catalog. Catalog searching is easily limited to individual campus collections. Alternatively, students can search combined collections of all Argosy University Libraries. Students are encouraged to seek research and reference assistance from campus librarians. Information Literacy: Argosy University’s Information Literacy Tutorial was developed to teach fundamental and transferable research skills, including selecting sources appropriate for academic-level research, searching periodical indexes and search engines, and evaluating and citing information. In the tutorial, students study concepts and practice them through interactions. At the conclusion of each module, they can test their comprehension and receive immediate feedback. Each module takes less than 20 minutes to complete. Please view the tutorial at http://library.argosyu.edu/infolit/ Academic Policies Academic Dishonesty/Plagiarism: In an effort to foster a spirit of honesty and integrity during the learning process, Argosy University requires that the submission of all course assignments represent the original work produced by that student. All sources must be documented through normal scholarly references/citations and all work must be submitted using the Publication Manual of the American Psychological Association, 5th Edition (2001). Washington DC: American Psychological Association (APA) format. Please refer to Appendix A in the Publication Manual of the American Psychological Association, 5th Edition for thesis and paper format. Students are encouraged to purchase this manual (required in some courses) and become familiar with its content as well as consult the Argosy University catalog for further information regarding academic dishonesty and plagiarism. Scholarly writing: The faculty at Argosy University is dedicated to providing a learning environment that supports scholarly and ethical writing, free from academic dishonesty and plagiarism. This includes the proper and appropriate referencing of all sources. You may be asked to submit your course assignments through “Turnitin,” (www.turnitin.com), an online resource established to help educators develop writing/research skills and detect potential cases Page 8 of academic dishonesty. Turnitin compares submitted papers to billions of pages of content and provides a comparison report to your instructor. This comparison detects papers that share common information and duplicative language. Americans with Disabilities Act Policy It is the policy of Argosy University to make reasonable accommodations for qualified students with disabilities, in accordance with the Americans with Disabilities Act (ADA). If a student with disabilities needs accommodations, the student must notify the Director of Student Services. Procedures for documenting student disability and the development of reasonable accommodations will be provided to the student upon request. Students will be notified by the Director of Student Services when each request for accommodation is approved or denied in writing via a designated form. To receive accommodation in class, it is the student’s responsibility to present the form (at his or her discretion) to the instructor. In an effort to protect student privacy, the Department of Student Services will not discuss the accommodation needs of any student with instructors. Faculty may not make accommodations for individuals who have not been approved in this manner. The Argosy University Statement Regarding Diversity Argosy University prepares students to serve populations with diverse social, ethnic, economic, and educational experiences. Both the academic and training curricula are designed to provide an environment in which students can develop the skills and attitudes essential to working with people from a wide range of backgrounds. Page 9