FARMINGDALE STATE COLLEGE DEPARTMENT: PSYCHOLOGY PREPARED BY: PSYCHOLOGY DEPT. DATE: FALL 2014 COURSE TITLE: Abnormal Psychology COURSE CODE: PSY 315 CREDITS: 3 CONTACT HOURS: 45 CATALOG DESCRIPTION: In this course the student will learn about concepts, theories, and issues in psychopathology (the study of mental illness and behavioral disorders). Topics will include historical background, mental health professionals, legal issues, normality/abnormality, etiology/assessment/ diagnosis/therapy, anxiety/stress/depression, personality disorders, sexual deviance, schizophrenia, neurological dysfunction, substance abuse, and psychophysiological disorders. The applications of psychology to personal problem solving will also be explored. Prerequisite(s): PSY 101 (3,0) Credits: 3 PREREQUISITES: PSY 101, PSY 130, or PSY 131 or permission from Department Chairperson. REQUIRED FOR: CJ ELECTIVE FOR: All curricula with a social science elective TEXTS CURRENTLY IN USE: Abnormal Psychology 6th Edition, Nolen-Hoeksema, Susan (2014), Mc- Graw Hill Higher Education JUSTIFICATION PSY 315 ABNORMAL PSYCHOLOGY PSY 315 fulfills the intent of the Social and Behavioral Science competency area by applying a scientific and research perspective to intra and interpersonal variations in the human experience. Abnormal Psychology concerns itself especially with those variations in human behavior that deviate from cultural or societal expectations. It traces the evolution of historical changes in attitudes toward and treatment of those individuals whose interpersonal responses and behavioral patterns have been problematic for themselves and for society. This course explores the reciprocal impact of the mentally disordered individual on society and the influence of society on abnormal behavior. Culture-bound syndromes are discussed as a way of demonstrating the significant role played by sociocultural factors in labeling behavior as normal or abnormal. Contemporary psychopharmacological treatment of the mentally ill is shown to be the result of significant research findings regarding the biological basis of psychopathology. The clinical picture of abnormal psychology has changed considerably due to the influence of scientific and technological developments in assessment and diagnosis. Public policy and legal rulings have had profound effects on issues such as commitment, deinstitutionalization, the mentally ill in the community, the rights of confined individuals, and the protection of society. Statistical data are presented to show the increasing prevalence of mental illness and psychological disorder in the population and the significant problem this has created for individuals, families and the community. Students in Abnormal Psychology are encouraged to share their experiences and engage in personal problem solving. With increased awareness and insight into these issues, they will be able to generate constructive solutions to the serious societal problems discussed in this course. Learning the dynamics of the normality-abnormality continuum will contribute to student’s understanding of the diverse human motivations and behaviors that they encounter on a daily basis. By studying the reasons for the many variations, both normal and abnormal, in human behavior, PSY 235 provides the student with the skills to function more adaptively in typical societal settings-school, home, workplace-as well as in their interpersonal relationships. BEHAVIORAL OBJECTIVES PSY335 ABNORMAL PSYCHOLOGY When studying Abnormal Psychology, the student will be able to: 1) 2) 3) 4) 5) 6) 7) 8) 9) 10) Define the following terms: abnormal, psychopathology, psychotherapy, clinician, therapist, mental illness, psychological disorder, case history. Describe the work of a mental health professional; compare the educational requirements and professional credentials of the following: psychiatrist, psychologist, psychiatric social workers, psychiatric nurse practitioner. Relate the historical chronology of attitudes toward the treatment of the mentally ill from ancient times to the present, including the transition from supernatural (e.g., demonology, witchcraft) through psychogenic to biological etiology. Compare and contrast the following theoretical perspectives on psychopathology: psychodynamic, behavioral, humanistic, existential, cognitive, systemic. Explain the biological basis of mental illness in terms of brain structure and neurochemical transmission. Discuss how technological developments have improved the diagnosis and treatment of mental illness. Describe the research methodology used in the study of abnormal behavior including clinical case studies, research protocols, and experimental method. Explain how the scientist-practitioner integrates scientific research with client treatment. Define statistical terms such as prevalence and incidence data, reliability, validity, longitudinal, crosssectional. Discuss the importance of informed consent, confidentiality and ethical guidelines in conducting research on mentally ill individuals. Define assessment and classification and explain the process of psychological diagnosis; compare assessment procedures including: clinical interview, psychological testing, mental status exam, personality inventories, behavioral rating scales. Explain the multiaxial diagnostic system of DSM IV. Explain the significance of social, cultural, and cross-cultural influences on psychological disorders and the importance of understanding these factors in etiology, assessment and treatment. Discuss the societal norms definition which focuses on violation of cultural values as a disorder. Define and give examples of culture-bound syndromes. Explain how cultures may define or react to mental disorders in a variety of ways, and use different treatment techniques based on cultural values. List the behavioral criteria and symptoms for the anxiety disorders: panic and phobic disorders, obsessive-compulsive disorders, posttraumatic stress disorder. Discuss the gender specific aspects of agoraphobia in relation to the traditional social roles of women. Discuss the etiology and clinical pattern of the dissociative and somatoform disorders especially in relation to the historical concept of hysteria. Describe the influence of cultural and gender-specific factors in hypochondria and body dysmorphic disorder. 11) 12) 13) 14) 15) 16) 17) 18) 19) 20) 21) 22) Trace the development of the relatively new areas of behavioral medicine and health psychology. Using examples, describe how psychological factors affect medical conditions via the immune system and how stress and lifestyle patterns affect mental and physical health. Compare behavioral patterns of diverse social groups and minorities to understand the prevalence and incidence data for psychophysiological disorders. Explain the importance of coping skills, stress management techniques, and perceived control in treating stress related disorders. Give examples of the DSM IV criteria for mood disorders and explain how all cultures claim some form of these disorders. Define bipolar, depression, mania and “chemical imbalance.” Discuss suicidal behavior patterns in terms of risk factors and social influences. Discuss eating disorders in terms of culture and gender specificity. State the DSM IV criteria for anorexia, bulimia and binge eating disorder. Discuss eating disorders in relation to body image disturbance and social influences. Define and give examples of paraphilias and gender identity disorders and show how these disorders may be influenced by social and cultural factors. Compare and contrast the difference substance use disorders (including alcoholism) in terms of symptoms, tolerance and dependence. Explore the influence of sociocultural factors on drug-seeking behaviors, intervention and treatment. Explain the concept of a personality disorder in terms of characteristic and dysfunctional behavior patterns. Compare and contrast the personality disorders in terms of comorbidity, gender-specificity, and prognosis. Trace the historical development of schizophrenia and describe the typical cognitive, behavioral and affective symptoms. Define delusion and hallucination and give example of each. Describe the evolution from psychogenic to biological etiology, changes in treatment techniques, and the emergence of psychopharmacology. Define the concept of mental retardation in terms of intellectual deficit and adaptive functioning. Discuss etiology including cultural-familial retardation, genetic defects and environmental causes. Define and give examples of the cognitive disorders. Discuss the onset of dementia, especially Alzheimer’s disease, and its impact on the individual, family and society. Define and give examples of the pervasive development disorders. Tract eh historical development of the etiology and treatment of autism. Discuss the prediction of dangerousness and the ways in which the legal system deals with mentally ill persons. Show how the state must balance individual rights against the protection of society. Compare civil vs. criminal commitment. Define deinstitutionalization and trace the history of confinement of the mentally ill. Explain the meaning of the “insanity plea” and its consequences. Tract the development of treatment of mental illness. Give examples of different types of therapy as well as biologically based treatments, and discuss their effectiveness. List the different types of medications available for anxiety, depress, and psychosis. COURSE OUTLINE COURSE DESCRIPTION: This course will focus on an exploration of psychopathology, i.e., those behaviors considered by society to be maladaptive. Current issues in mental health will be discussed in relation to historical, legal and ethical contexts. Theoretical perspectives on psychological disorders and the biochemical basis of mental illness will form the foundation for course material on etiology, assessment, diagnosis and treatment. The description of mental disorders will conform to the current DSM IV classification system. UNIT I The Study of Abnormal Behavior: definition, statistical criteria, incidence, epidemiology, stereotypes of the mentally ill; historical chronology--superstition to science: attitudes toward and treatment of the mentally ill Mental health professionals: psychiatrists, psychologists, psychotherapists Models of Psychopathology: biogenic, psychodynamic, behavioral, humanistic, existential, cognitive, systemic Assessment and Classification: psychological tests, DSM IV The Scientific Method in Abnormal Psychology: clinical research, case studies, ethical issues in research UNIT II Anxiety and Stress: Panic and phobic disorders, obsessive-compulsive disorders, post-traumatic stress disorder Dissociative disorders: amnesia, multiple-personality Somatoform disorders: somatization, conversion, hypochondria, body dysmorphic disorder Psychological factors affecting medical conditions: stress and the immune system, coronary heart disease, hypertension, ulcers, migraine headaches; relaxation training, biofeedback UNIT III Personality disorders: paranoid, schizoid, schizotypal, antisocial, borderline, histrionic, narcissistic, avoidant, dependent, obsessive-compulsive Impulse control disorders: intermittent explosive, kleptomania, pathological gambling, pyromania, trichotillomania Substance-related disorders: alcoholism, substance abuse, the addiction process, self-help groups Sexual and gender identity disorders: paraphilias, pedophilia, fetishism, transvestism, transsexualism, rape, incest; issues related to homosexuality sexual dysfunction: sexual response cycle, male and female disorders of desire, arousal and orgasm UNIT IV Mood disorders: depression, mania, bipolar disorder, suicide Schizophrenia: delusions, hallucinations; speech, thought, and behavioral disturbance; paranoid, disorganized and catatonic types; genetic and high-risk studies; the dopamine hypothesis; antipsychotic medication UNIT V Organic disorders: assessment of brain damage, dementia, delirium, Alzheimer's disease, epilepsy, disorders associated with aging Developmental problems: autism, attention deficit hyperactive disorder, separation anxiety, childhood depression; eating disorders Mental retardation: etiology, diagnosis, IQ levels, Down Syndrome, fetal alcohol syndrome, intervention programs UNIT VI Treatment techniques: Electroconvulsive therapy, psychosurgery, psychopharmacology Therapy: psychotherapy, psychoanalysis, behavior modification, cognitive restructuring, marital/family therapy, group therapy Community psychology: mental health centers, prevention programs, paraprofessionals, selfhelp/support groups Legal and ethical issues in abnormal psychology: insanity defense, commitment, deinstitutionalization; the therapist/client relationship and confidentiality