`Argosy University COURSE SYLLABUS Course Number: 8661 C1 Course Name: Eating Disorders Faculty Information Faculty Name: Mary E. Connors, Ph.D., ABPP Campus: Chicago Contact Information: 312 372-5501; maryeconnors@sbcglobal.net; mconnors@argosy.edu; connors@integrativehealthpartners.org. Office Hours: by appointment Short Faculty Bio: Dr. Connors has been teaching at ISPP since 1989 and was a half time Professor for a number of years. She is Co-Director of Integrative Health Partners, a private practice group specializing in mindfulness based integrative treatment (integrativehealthpartners.org). Dr Connors has written a number of articles about eating disorders and coauthored a book on bulimia nervosa. She is the author of Symptom-focused dynamic psychotherapy, which was published by The Analytic Press in 2006. Course description: This course presents a biopsychosocial perspective on eating disorders, with particular attention to the sociocultural issues leading to high prevalence rates for women. Various perspectives on obesity will be presented, with attention to diversity issues, the current environment, and public health. Bulimia nervosa, anorexia nervosa, and binge eating disorder will be discussed. A model of symptom focused dynamic psychotherapy will be presented in which specific techniques for eating disorder symptom management are combined with a relational psychotherapy. Course length: 7 Weeks Contact Hours: 17.5 Hours Credit Value: 1.5 Technology Argosy University encourages the use of technology throughout the curriculum. This course will use CD’s and DVD’s for instructional purposes. Students will be provided with various web resources for accessing obesity statistics, nutritional data, and materials on eating disorders. The use of technology in treatment (such as emailing patients with eating disorders) will be discussed. Examples of hardware/software you might need access to for the course include: 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. Page 1 Course Objective Describe biopsychosocial risk and protective factors for developing an eating disorder Contrast and integrate concepts of obesity as a diversity issue and as a public health problem Identify and differentiate among various eating disorder diagnoses Select, implement, and justify a multidimensional treatment plan for a client with complex difficulties Examine and appraise emerging treatment models Program Goal Goal 3 Diversity; Goal 4 – Scientific Foundations Goal 3 – Diversity; Goal 5 - Scholarship Goal 1 Assessment Goal 2 Intervention Method of Assessment Quiz, Short Essay, Final, and Class Discussions Goal 2 – Intervention; Goal 4 – Scientific Foundations; Goal 5 Scholarship Final, Class Discussions Short Essay, Class Discussions Quiz, Short Essay, Final Final 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 Page 2 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 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. Evidenced Based Practice Course materials reflect scientific data in presenting a biopsychosocial model for understanding eating disorders and the diversity of weight status. Therapeutic techniques with strong empirical support in the treatment of eating disorders such as cognitive behavioral interventions are emphasized. However, research has also demonstrated the limitations of such treatments with complex eating disorders and comorbid conditions. An individually tailored integrative approach on which the course author has published will be presented. The course author is a member of a professional organization for clinicians who treat eating disorders, the Academy for Eating Disorders, and has access to the latest research findings through their listserve. Relevant current findings will be included in class discussions. Page 3 Course Assignments October 27 Week 1 The continuum of eating disorders 1) DSM IV-TR, 583-595, 785-787. 2) Wadden, T., et al. (2002). Obesity: responding to the global epidemic. Journal of Consulting and Clinical Psychology, 70, 510-525. 3) Walsh, B., et al. (2003). Binge eating disorder. Brochure prepared for continuing education through the University of South Florida and the Academy for Eating Disorders. 4) Chavez, M., & Insel, T. (2007) Eating disorders: National Institute of Mental Health’s perspective. American Psychologist, 62, 159-166. DOCUMENTARY FILM: THIN November 3 Week 2 Sociocultural issues in eating disorders 1) Anderson-Fye, E., & Becker, A. (2004). Sociocultural aspects of eating disorders. In J.K Thompson (Ed.) Handbook of eating disorders and obesity (pp. 565-589). Hoboken, NJ: Wiley. 2) Levine, M., & Harrison, K. (2004). Media’s role in the perpetuation and prevention of negative body image and disordered eating. In J.K. Thompson (Ed.) Handbook of eating disorders and obesity (pp. 695-717). Hoboken, NJ: Wiley. 3) Spake, A. (2002). Supersize America. U.S. News and World Report, August 19, 42-47. 4) Neumark-Sztainer, D. (2004). Can we simultaneously work toward the prevention of obesity and eating disorders in children and adolescents? International Journal of Eating Disorders, 38, 220-227. DOCUMENTARY FILM: THIN (continued). November 10 Class 3 Biopsychosocial etiology of eating disorders 1) Connors, M. (1996). Developmental vulnerabilities for eating disorders. In M. Levine et al. (Eds.) Developmental psychopathology of eating disorders (pp. 285-310). Hillsdale, NJ: Erlbaum. 2) Strober, M. (1991). Disorders of the self in anorexia nervosa. In C. Johnson (Ed.) Psychodynamic treatment of anorexia nervosa and bulimia (pp. 354-373). New York: Guilford. 3) Sands, S. (1989). Eating disorders and female development. In A. Goldberg (Ed.) Dimensions of self experience: Progress in self psychology, v. 5 (pp. 75-103). New York: Analytic Press. 4) Sohn, E. (2002). The hunger artists. U.S. News and World Report, June 10, 45-50. The short essay assignment will be handed out during this class. DVD R. Weiner, Teenage Eating Disorders (APA Series III) November 17 Class 4 Diagnostic and assessment issues, initial stages of treatment 1) Netemeyer, S., & Williamson, D. (2001). Assessment of eating disturbance in children and adolescents with eating disorders and obesity. In J. Thompson & L. Smolak (Eds.) Page 4 Body image, eating disorders, and obesity in youth (pp. 215-233). Washington, DC: APA. 2) Johnson, C., & Connors, M. (1987). Etiology and treatment of bulimia nervosa: A biopsychosocial perspective. New York: Basic Books, 153-173. 3) Lebow, J. (2002). Transformation now! (Or maybe later). Psychotherapy Networker, Jan/Feb, 31-32. 4) Articles on excessive exercise by Thompson, Forman, and Soldata, in The Renfrew Center Foundation Perspective, Winter, 2005, 1, 7-9, 12-16. 5) Nordbo, R., Espeset, E., Gullikson, K., Skarderud, F., & Holte, A. (2006). The meaning of self-starvation: Qualitative study of patients’ perception of anorexia nervosa. International Journal of Eating Disorders, 39, 556-564. The short essay and quiz will be collected. November 24 Class 5 Symptom focused treatment 1) Fairburn, C., et al. (1993). Cognitive behavioral therapy for binge eating and bulimia nervosa. In C. Fairburn & G.T. Wilson (Eds.) Binge eating (pp. 361-404). New York: Guilford. 2) Johnson, C., Connors, M., & Tobin, D. (1987). Symptom management of bulimia. Journal of Consulting and Clinical Psychology, 55, 668-676. 3) Sparnon, J., & Hornyak, L. (1989). Structured eating experiences in the inpatient treatment of anorexia nervosa. In L. Hornyak & E. Baker (Eds.) Experiential therapies for eating disorders (pp. 207-233). New York: Guilford. December 1 Class 6 Relational issues 1) Stern, S. (1991). Managing opposing currents: An interpersonal psychoanalytic technique. In C. Johnson (Ed.) Psychodynamic treatment of anorexia nervosa and bulimia (pp. 86-105). New York: Guilford. 2) Zerbe, K. (1996). Feminist psychodynamic psychotherapy of eating disorders. Psychiatric Clinics of North America, 19, 811-827. 3) Bulik, C., & Kendler, K. (2000). “I am what I (don’t) eat: Establishing an identity independent of an eating disorder. American Journal of Psychiatry, 157, 1755-1760. December 8 Class 7 Integrative treatment and future directions 1) Kristeller, J., & Hallett, C. (1999). An exploratory study of a meditation-based intervention for binge eating disorder. Journal of Health Psychology, 4, 357-363. 2) Stewart, T. 2004). Light on body image treatment: Acceptance through mindfulness. Behavior Modification, 28, 783-811. 3) Yager, J. (2001). E-mail as a therapeutic adjunct in the outpatient treatment of anorexia nervosa. International Journal of Eating Disorders, 29, 125-138. 4) Tozzi, F., et al. (2003). Causes and recovery in anorexia nervosa. International Journal of Eating Disorders, 33, 143-154. Exams will be collected. Page 5 Grading Criteria I expect that students will read all assigned material by the appropriate class period and will actively participate in class discussion. Attendance at every class is strongly recommended. Please notify me by phone, email, or in person if an absence is unavoidable. Students who miss more than one class may not be able to receive credit for the course. There will be two written assignments and a multiple choice quiz. The first assignment is a three page essay on risk factors that will be distributed on week 3 and collected on week 4. The take home quiz will also be handed in at that time (it is included in the packet in the Walsh et al. article on Binge Eating Disorder). The second assignment is a ten page final exam consisting of several questions intended to encourage an integrative perspective on course readings. The final provides case material and requires students to generate diagnostic considerations and construct a treatment plan. It will be distributed on week 5 and collected on week 7. Exams will be graded on the basis of depth and breadth of understanding and use of sources, ability to integrate theory and practice in a coherent fashion, and overall quality of organization and writing. Grading Scale Grading requirements 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 Attendance/participation Short Essay Take home quiz Final exam 10% 20% 10% 60% Total 100% 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. Page 6 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 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. Page 7 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 8 Acknowledgement of Syllabus Content I, _______________________________________, have read and understood the course syllabus for Eating Disorders at Argosy University taught by Dr. Mary Connors. I hereby agree to the terms stated in this syllabus. _____________________________________________ Signature Printed Name ____________ Date Page 9