DSM IV- New Developments-Clinical and Multicultural
Applications
SW 223
INSTRUCTOR: Doris Jones, LCSW
e-mail: dorismariejones@yahoo.com
Wednesday Evenings Phone: (916) 300-6361
Spring 2008
ClassTime: 6:30 - 9:15
Office hours: 5:00 -6:00 PM wednesdays
Location: BRH 214
COURSE OUTLINE
Course Overview:
Social Work 223 is designed for the Social Work graduate student as a context of investigation
and advanced study of a specific advanced practice topic of interest. This three unit elective
course will focus on and ultimately require an advanced understanding of the clinical application
of the DSM IV-TR. This class will introduce you to the structure and uses of the DSM-IV-TR. In
this class we will focus on the etiology, terminology, classification, assessment, signs, symptoms
and criteria for differential diagnosis. This class will identify the limits and weakness of the DSMIV-TR approaches especially in reference to cultural and gender differences affecting disorders,
diagnosis and interventions. This course will focus on learning to conceptualize a case, provide
an accurate five axis diagnosis and develop skills in implementing appropriate treatment services
for specific clinical problems seen in practice.
Course Objectives:
At the conclusion of this class, the student will be able to display mastery of the following clinical
social work practice concepts:
1) Advanced understanding and accurate use of the DSM IV -TR when performing differential
diagnosis;
2) Integrate cross cultural studies and their implications for the assessment and diagnosis of
mental illness;
3) Display written and verbal competence in the articulation of the biological-social-psychologicalcultural etiological dimensions of mood, anxiety, personality disorders, schizophrenia and
psychosis.
4) Display practice application understanding of specific medications for specific disorders and
intervention concerns with special populations.
5) Understand the DSM IV-TR multi-axial system, and how it is used to determine appropriate
diagnosis on the 5-axis model, using Psychiatric interview to obtain client information and the
DSM IV-TR diagnostic categories .
6) Develop case conceptualization skills.
7) Demonstrate understanding of and application of the ethical issues involved in diagnosis.
8). Understand the incidence of prevalence, risk factors, signs, symptoms, course and prognosis
of major mental health disorders.
9) Students will learn to appreciate cultural diversity by considering abnormality from a
Multicultural perspective.
10) Students will develop a sensitivity to the myths and discriminatory attitudes and behaviors
directed to individuals with mental illness.
Course Expectations:
Students take responsibility for learning by:
1. Completing assigned readings as noted on the course outline.
2. Submitting completed, well prepared assignments on the due date.
3. Contact the instructor for individual assistance throughout the semester.
4. Contact the instructor if you will not be able to attend class
5. Provide the instructor with a current phone number and e-mail address
Instructor’s responsibility:
1. Instructor will lecture and students will participate
2. Instructor will be prepared at each class
3. Instructor will present information to class in a clear concise manner
and give out in a written format and additions or changes to the syllabus.
4. Instructor is flexible and open to feedback from class regarding the class
format and open to making adjustment.
5. Instructor will be available to students one hour before class on Wednesdays and
because I am an Adjunct Professor , my time on campus is limited, I am available
by telephone and e-mail and will get back to you in a timely manner.
Course Format:
This course is structured like a workshop, or professional seminar on this critical clinical area
of practice. You will be responsible for reading and preparing for class each week. This course
will require a great deal of reading . Lectures will only cover a portion of the material presented in
the text. Weekly quizzes will be given to clarify reading materials as well as encouraging students
to keep up with assigned materials. Class time will be used for instructor led discussions,
experiential exercises, small group discussions, review of movies and individuals in the media.
This class will involve each student presenting his/her ideas and your ideas are very critical to the
class discussions.
Required Course Texts:
1 DSM-IV-TR, 4th edition American Psychiatric Publishing Co. (check half.com)
Recommended Texts:
1. Morrison, James, The First Interview: Revised for the DSM-IV, The Guilford
Press, 1995, ISBN # 0-89862-569-6. Amazon Used $10.56 (This is an
AWESOME book if you have not had a great deal of exposure to person’s with a
mental illness, and/or have not conducted initial interviews, or mental status
examinations, and are thus unsure of what you are looking for and how to ask
the questions to solicit vital information.)
2. Fauman, Michael A., Study Guide to DSM-IV-TR, American Psychiatric
Publishing Company, 2002, ISBN # 1-585-62-046-7. (This book is not as good as
the Morrison Text in providing you with the format for decision making when
using the DSM IV).
3. Morrison, James. Diagnosis Made Easier, Guilford Press. 2007 , ISBN #
978-1-59385-331-0. Great reference book
4. Frances, Allen and Ross, Ruth. DSM-IV-TR Case Studies. American
Psychiatric
Publishing Company. 2001. ISBN# 1-58562-049-1. Great book for case
application
Course Assignments:
1. End of Module In-Class Quizzes. Quizzes will be given at the end of
class
and will only include material from the module studied. Quizzes will be
about ten to fifteen minutes. Quizzes will be multiple choice .No quiz on
module one and eight..
2. Small Study Group. First day of class we will form groups of three for
class work. Groups will analyze and diagnose case as assigned by the
instructor, as well as review class assignments , role plays and answer
questions as assigned in class for discussions.
3. Film Analysis. Each student will watch an assigned film and identify
the disorder presented in the film. Films will be assigned with clear
guidelines for completing the assignment.
.
4. Case Formulation Assignment: This assignment will facilitate the
student with the opportunity to develop case conceptualization skills in
assessing an actual clinical case.
Each student will be assigned by the instructor a case vignette which will
provide clinical data which will allow the student to develop a diagnostic
formulation for the case. Guidelines for the case formulation will be given
to each student in class.
5. Class Participation: Each student is expected to participate in class.
Your ideas are very important and welcomed in the classroom.
ASSESSMENT OF PERFORMANCE/GRADING:
A. QUIZZES-----------------B. FILM ANALYSIS
C. CASE FORMULATION
D. SMALL GROUP
E. CLASS PART.
TOTAL:
900-1000
800-900
700-600
500-400
100 PTS. X 6 600 PTS
100 PTS X 1 100 PTS
100 PTS. X 1 100 PTS
100 PTS.
100 PTS
100 PTS.
100 PTS
1,000 PTS FOR CLASS
A
B
C
D
ATTENDANCE: Because of the nature of this class it is difficult to
make up for the experiences missed during class time, therefore coming
to class is a critical responsibility. If you miss more than two (2) classes
your final grade will be lowered one full grade. Three (3) classes or more
will mean you will not receive credit for the course.
.
DISABILITY ACCOMMODATION: If you would like to
request academic accommodations due to a disability, please contact
Services to Students with Disabilities. If you have a letter from Services
to Students with Disabilities please present the letter to me so we can
discuss needed accommodations for class.
Course Outline
MODULE ONE: JANUARY 30, 2008.
WELCOME
INTRODUCTIONS
REVIEW OF SYLLABUS
Understanding the DSM IV-TR
A. History of the DSM
B. Use of the Manual and Classification System
C. Issues in the use of the DSM-IV
D. Understanding the Multiaxial Assessment
E. The Psychiatric Interview
F. Culture, Age and Gender Related Information
CLASS READING: DSM IV-TR : Pages xxiii to page 37
ADDITIONAL READING FROM RECOMMENDED READING LIST: The First Interview:
Chapters 5. 8,9, 10, 11, 12, 13, and 14
MODULE TWO: FEBRUARY 6th THRU FEBRUARY 13th, 2008
Delirium, Dementia, and Other Anmestic and Other Cognitive Disorders
A. Diagnostic Features
B. Associated Features and Disorders
C. Culture, Age and Gender Features
D. Prevalence
E. Diagnostic Criteria
F. Differential Diagnosis
G. Case Application
H. DSM Definitions
Mental Disorders Due to a General Medical Condition
A. Diagnostic Features
B. Diagnostic Criteria
C. Coding Notes
D. Decision Tree for Differential Diagnosis
E. Case Application: multi-axial assessment
F. DSM Definitions
Substance Related Disorder
A. DSM Definition of Substance Abuse Disorder
B. Criteria for Substance Abuse
C. Etiology of the Problem
D. Diagnostic Features
E. Culture, Age and Gender Features
F. Decision Tree for Differential Diagnosis
G. Case Application: multi-axial assessment
CLASS READING: DSM-IV-TR PAGES: 135-295
ADDITIONAL READING FROM RECOMMENDED READING LIST: DIAGNOSIS MADE
EASIER BY JAMES MORRISON. PAGES 235-247.
ADDITIONAL READING FROM RECOMMEDED READING LIST: FAUMAN, STUDY GUIDE
TO DSM-IV-TR. PAGES 61-169
QUIZ 1: ON MODULE TWO: 15 MINUTES BEFORE CLASS ENDS
SMALL GROUP ASSIGNMENT FOR MODULE THREE WILL BE PROVIDED TO CLASS AT
THE END OF MODULE TWO.
MODULE THREE: FEBRUARY 20TH, 2008
Schizophrenia and Other Psychotic Disorders
A. DSM Definition
B. Criteria for Psychotic Disorders
C. Psychotic Characteristics and Symptoms
D. Culture and Gender Features
E. Biology and Etiology
F. Misdiagnosis and treatment
G. Decision Tree for Differential Diagnosis
H. Case Application: Multi-Axial Assessment
CLASS READING: DSM-IV-TR PAGES : 297-343
ADDITIONAL READING FROM RECOMMENDED READING LIST: FAUMAN, STUDY GUIDE
TO DSM-IV-TR. PAGES 143-169.
SMALL GROUP ASSIGNMENT FOR MODULE FOUR WILL BE PROVIDED AT THE END OF
MODULE THREE.
QUIZ 2: AT THE BEGINNING OF MODULE FOUR FEBRUARY 27TH, 2008
MODULE FOUR: FEBRUARY 27TH, 2008 TO MARCH 5TH, 2008.
MOOD DISORDERS/ADJUSTMENT DISORDER
A. 15 MINUTES QUIZ 2 FEBRUARY 27TH, 2008
B. DSM definitions
C. Criteria for Diagnosis
D. Characteristics and Symptoms
E. Culture , age and gender features
F. Decision Tree For Differential Diagnosis
G. Case Application/multi-axial assessment
Quiz 3: End of class March 5th, 2008
SMALL GROUP QUESTION FOR DISCUSSION WILL BE ASSIGED FOR MODULE FIVE AT
THE END OF MODULE FOUR.
READING ASSIGNMENT:
DSM-IV-TR PAGES: 345-426
DSM IV TR PAGES 679-683
ADDITIONAL READING FROM THE RECOMMENDED LIST:
FAUMAN, STUDY GUIDE TO DSM-IV-TR PAGES 171-213 : 367-374
MORRISON, DIAGNOSIS MADE EASIER. PAGES: 127-163
MODULE FIVE: MARCH 12TH THRU 19TH, 2008
Disorders usually First Diagnosed in Infancy, Childhood and Adolescence
A. DSM Definition
B Diagnostic Features
C. Culture, Age and Gender Features
D. Severity of symptoms
E. Differential Diagnosis
F. Common problems in making a diagnosis
G. Case Applications/multi-axial assessment
QUIZ 4: END OF CLASS MARCH 19TH, 2008
READING ASSIGNMENTS:
DSM-IV-TR PAGES: 39-133
ADDITIONAL READNG FROM THE RECOMMENDED LIST:
FAUMAN, STUDY GUIDE TO DSM-IV-TR PAGES 21-60
MID TERM GRADE : AVERAGE OF FOUR IN CLASS QUIZZES, SMALL GROUP
PARTICIPATION AND INDIVIDUAL CLASS PARTICIPATION
SMALL GROUP ASSIGNMENT FOR MODULE SIX WILL BE ASSIGNED AFTER MODULE
FIVE.
SPRING BREAK: APRIL 2ND 2008 HAVE A GREAT
HOLIDAY!!!!!!!!!!!!
MODULE SIX: MARCH 26th 2008 THRU APRIL 9th, 2008
ANXIETY DISORDERS
A. DSM Definition
B. Diagnostic features
C. Criteria for diagnosis
D. Culture, age and gender features
E. Decision Tree for Anxiety Disorders
F Case Application/ multi-axial assessment
QUIZ 5 AT THE END OF CLASS : APRIL 9TH, 2008
READING ASSIGNMENT:
DSM-IV-TR PAGES 429-484
ADDITIONAL READING FROM RECOMMENDED LIST:
FAUMAN, STUDY GUIDE TO DSM-IV-TR PAGES:215-246
MORRISON, DIAGNOSIS MADE EASIER, PAGES 164-181
SMALL GROUP ASSIGNMENT FOR MODULE SEVEN WILL BE ASSIGNED AT THE END OF
MODULE SIX.
MODULE SEVEN: APRIL 16TH, 2008 THRU APRIL 30TH, 2008
PERSONALITY DISORDERS
A. DSM Definition
B. Diagnostic features
C. Criteria for Diagnosis
D. Culture, age and gender features
E. The three clusters of disorders
F. Differential Diagnosis
G. Case Application/ multi-axial diagnosis
Eating Disorders
A. DSM definition
B. Diagnostic features
C. Criteria for Diagnosis
D. Culture, age and gender features
E. Differential Diagnosis
F. Case Application/multi/axial assessment
SUBMISSION OF FILM ANALYSIS: APRIL 16TH,
2008
Quiz 6: AT THE END OF CLASS ON THE 30TH OF APRIL
SMALL GROUP ASSIGNMENT FOR MODULE EIGHT WILL BE ASSIGNED AT THE END
MODULE SEVEN.
READING ASSIGNMENT:
DSM IV TR PAGES : EATING DISORDERS- 583-595 PERSONALITY DISORDER-685-729
ADDITIONAL READING FROM THE RECOMMENDED LIST:
FURMAN: STUDY GUIDE TO DSM IV TR PAGES 319-331 EATING DISORDERS
PERSONALITY DISORDERS- 375-404
MODULE EIGHT: MAY 7TH 2008 TO MAY 14TH, 2008
SEXUAL AND GENDER IDENTITY DISORDERS/DISSOCIATIVE DISORDERS/SLEEP
DISORDERS/IMPULSE CONTROL
A. DSM Definition
B. Diagnostic features
C. Criteria for diagnosis
D. Culture, age and gender features
E. Differential diagnosis
F. Case Application/multi-axial assessment
MAY 14TH, OPEN DISCUSSION ON ANY AREA COVERED DURING THE SEMESTER.
SUBMISSION OF CASE FORMULATION PAPER:
MAY 14TH, 2008
HAVE A MARVELOUS SUMMER
CONGRATULATIONS TO THE GRADUATES