1 Abnormal Psychology Psych 32 – Fall 2015 Instructor: Ellen J Wright, PhD Office and Office Hours: Brown 128, M 1-2:30pm, W 9-10:30am, or by appointment Office Phone #: 781-736-2809 Email ejwright@brandeis.edu (best way to contact) Classroom: Olin-Sang 101, Class time: TuTh 3:30-4:50 Graduate Teaching Fellow: Franklyn Graham Office and Office Hours: Brown 15, office hours – Th 5:45–7:15pm, or by appointment Email: fjgraham@brandeis.edu Graduate Teaching Fellow: Luke Hanlin Office and Office Hours: Brown 103, office hours – W 5:00–6:30pm, or by appointment Email: lhanlin@brandeis.edu Undergraduate Teaching Fellow: Megan Chan Office and Office Hours: Library Green room, office hours – Tu 1-2pm, or by appointment Email: mchan68@brandeis.edu Required Texts: Barlow, D., & Durand, V. (2011). Abnormal psychology: An integrative approach. Cengage learning. 7th ed. (or the 6th ed.1) Recommended case study book: Clipson, C. R., & Steer, J. M. (1998). Case studies in abnormal psychology. Houghton Mifflin Company. Explanation of Reading Assignments: Required: Minimal reading for the course. These are on the course Latté webpage. Recommended: A more thorough exposition of the material that is covered briefly in the required readings or in class. This is helpful to those who want a fuller understanding of the material in the course and provides a source of ideas for the optional paper. Course Objectives To gain an understanding of those behaviors and syndromes that have traditionally fallen under the heading of “abnormal” or “psychopathological” To gain an understanding of the very exciting research on the etiology, dynamics, description, and course of “maladaptive” behavior To gain an understanding of how nature and nurture interact in the process of developing “maladaptive” behavior, and to understand the factors that affect developmental trajectories (including risk and protective factors) To learn how to evaluate the clinical evidence regarding psychopathology Obviously, these are big goals. I hope to get the ball rolling to help you become life-long learners who are excited by the world you see, yet skeptical about explanations you receive. 1 Please note that the earlier edition of the text does not cover the DSM-V, so much of the actual diagnoses is out of date 2 Attendance: Attendance of this class is NOT mandatory. The professor (sometimes erroneously) assumes that presence in a college class is synonymous with adulthood. However, the text material will NOT duplicate the lecture material, as the professor (also often erroneously) assumes the students can and will read the assigned information and would like more from the course than that. Further, test questions will be sampled from lecture and assigned text readings. We will NOT repeat lectures on an individual basis. Special Needs If you are a student with a documented disability on record at Brandeis University and wish to have a reasonable accommodation made for you in this class, please see me immediately. Academic Honesty: You are expected to be honest in all of your academic work. The University policy on academic honesty is distributed annually as section 5 of the Rights and Responsibilities handbook. Instances of alleged dishonesty will be forwarded to the Office of Campus Life for possible referral to the Student Judicial System. Potential sanctions include failure in the course and suspension from the University. If you have any questions about my expectations, please ask. Course Requirements 1. Exams: You will have two in-class examinations, with the second exam occurring during finals week. Both tests will be worth 100 points each, and will include a combination of multiple choice, matching, and shortanswer questions. Each exam is a unit exam (no comprehensive exams). Lecture, all in-class materials and discussions, and reading assignments will be covered in both exams. The second test will include a case history component worth an additional 50 points. The case study portion is to be accomplished independently and uploaded no later than midnight of the final exam. The ONLY excuses acceptable for missing an exam is illness (documented by a note from a physician), funeral of close friend/relative (documented by a funeral notice or funeral bulletin), mandatory religious obligations or other unavoidable circumstances or University activities. If you must be away at the time of an examination, you may schedule an early exam. You will receive a review sheet (posted on Latte) that will serve as a general guide. Test questions will not be limited to this review sheet, but the short questions posed on the review sheet and the case history practice should help prepare you for the short-answer questions and the case history segment. 2. Forum questions: Each section will include a series of forum questions designed to provoke critical thinking about the research readings posted to Latté. Forum questions will be posted and students are expected to post at least once on each section throughout the course of the semester. 3. Creative assignment: Literature plays a critical role in each culture’s view of “abnormal behavior”. For this assignment, you are expected to choose one of the books listed below and complete the assigned essay (essay questions will be posted on Latté). Topic due 9/17, Creative Project Due – 11/3 Choice of... Jamison, K. R. (1997). An unquiet mind: A memoir of moods and madness. Random House. Lamb, W. (1992). She's come undone. NY: Washington Square Press. Hornbacher, M. (1998). Wasted. Harper. Lamb, W. (2008). I know this much is true. Harper Perennial. Harris, T. (1993). Silence of the lambs. Mass Market Paperback. (Potentially one other option – A Yellow Raft in Blue Water, Michael Dorris) Journal Assignment: 2 points each, total possible 14 points 3 I would like you to keep a journal regarding your experiences in learning about abnormal psychology. Once every two weeks, please use the following questions to provide a brief reaction to the course material. Use a word document to complete the assignment so that it may be uploaded. o What is the most significant fact that I learned about abnormal psychology in the past two weeks? o What did I learn this week about the field of abnormal psychology that changed my existing perceptions (e.g., what “myth” did I once believe that I now see differently)? o One idea I had for a research study in abnormal psychology is _______. For full credit, your reactions must be uploaded on Latté every two weeks. Please remember that you should only disclose information that you are comfortable with me reading! Please Note: The content in this syllabus is tentative. The instructor maintains the right to make changes to the readings and the timing of the content as the course progresses. This need will be dictated by the interest of the class and the uncontrollable loquacity of the instructor. We will cover as much material as we can, but I will go neither so quickly that students are lost, nor so slowly that the lecture becomes unbearably repetitive. However, assignment and exam dates are inflexible. TOPICS Dates Topics 8/27 Introduction - Abnormal Behavior in Historical Text 1 Context 9/1 9/3 An Integrative Approach to Psychopathology (Paradigms contd.) Text 2 Rosenhan, Szasz, Spitzer, Kendler 9/8 Text 3,4, Ausubel, Snyder et al. 9/10 Clinical Assessment and Diagnosis, Research Methods Brandeis Monday – no class 9/15 9/17 Rosh Hashanah Case Dynamics and Coping 9/22 Anxiety, Trauma, and Stressor-Related and Obsessive-Compulsive Related Disorders Anxiety (contd.) Text 5, Moffitt et al., Nestadt et al., 9/29 10/1 Brandeis Monday – no class Somatic Symptom and Related Disorders and Dissociative Disorders Text 6, Lilienfeld & Lynn 10/6 10/8 Physical Disorders and Health Psychology Substance-Related, Addictive and ImpulseControl Disorders Text 9, Adler & Matthews Text 11 10/13 10/15 Substance (contd.) Midterm Exam 9/24 Readings Assignments/Due Dates Upload journal #1 Lazarus Creative Paper Topic due Upload journal #2 Upload journal #3 4 Dates Topics Readings 10/20 10/22 Personality Disorders PDs (contd.) Text 12 Blackburn; Waldman & Rhee 10/27 10/29 PDs (contd.) Mood Disorders and Suicide Text 7, 11/3 MDs (contd.) Alloy et al. 11/5 MDs (contd.) Flynn et al., Gotlib & Robinson 11/10 11/12 Eating and Sleep-Wake Disorders EDs (contd.) Text 8 Fairburn, Fladung et al. 11/17 11/19 EDs (contd.) Sexual Dysfunctions, Paraphilic Disorders and Gender Dysphoria Text 15 11/24 11/26 Schizophrenia Spectrum and Other Psychotic Disorders Thanksgiving 12/1 12/3 Sz & PsyD (contd.) Sz & PsyD (contd.) 12/8 Sz & PsyD (contd.) Assignments/Due Dates Upload journal #4 Creative Paper due Upload journal #5 Upload journal #6 Text 13 Upload journal #7 Final Exam + Case Study – Exam period I. Introduction Required Readings: Barlow & Durand (2014). Chapters 1 through 4. Clipson & Steer (1998): Case #1. Ausubel, D. (1961). Personality disorder is disease. American Psychologist, 16, 69-74. Kendler, K.S. (2005). Toward a philosophical structure for psychiatry. American Journal of Psychiatry, 162, 433-440. Rosenhan, D. L. (1973). On being sane in insane places. Science, 179, 250-258. Spitzer, R. L. (1976). More on pseudoscience in science and the case for psychiatric diagnosis. Archives of General Psychiatry, 33, 459-470. Snyder, C. R., Shenkel, R. J., & Lowery, C. R. (1977). Acceptance of personality interpretations: The "Barnum Effect" and beyond. Journal of Consulting and Clinical Psychology, 45, 104-114. Szasz, T. S. (1960). The myth of mental illness. American Psychologist, 15, 113-118. Recommended Readings: Bromberg, W. (1959). The mind of man: A history of psychotherapy and psycho-analysis. New York: Harper & Row. Eysenck, H. J. (1986). A critique of contemporary classification and diagnosis. In T. Millon & G. Klerman (Eds.), Contemporary directions in psychopathology. New York: Guilford Press. 5 Grove, W. M., & Meehl, P. E. (1996). Comparative efficiency of informal (subjective, impressionistic) and formal (mechanical, algorithmic) prediction procedures: The clinical-statistical controversy. Psychology, Public Policy, and Law, 2, 293-323. Grove, W. M., Zald, D. H., Lebow, B. S., Snitz, B. E., & Nelson, C. (2000). Clinical versus mechanical prediction: A meta-analysis. Psychological Assessment, 12, 19-30. Lilienfeld, S. O., & Marino, L. (1995). Mental disorder as a Roschian concept: A critique of Wakefield’s ‘harmful dysfunction’ analysis. Journal of Abnormal Psychology, 104, 411-420. Nathan, P. E., & Langenbucher, J. W. (1999). Psychopathology: Description and classification. Annual Review of Psychology, 50, 79-107. Raulin, M. L., & Lilienfeld, S. O. (1999). Research methods for studying psychopathology. In T. Millon, P. H. Blaney, and R. D. Davis (Eds.), Oxford textbook of psychopathology (pp 49-78). New York: Oxford University Press. Wakefield, J. C. (1992). The concept of mental disorder: On the boundary between biological facts and social values. American Psychologist, 47, 373-388. II. Stress, Coping, Anxiety Disorders Required Readings: Barlow & Durand (2014). Chapters 5, 6 Clipson & Steer (1998): Cases #2, 3, 4 Lazarus, R. S. (2000). Toward better research on stress and coping. American Psychologist, 55, 665-673. Lilienfeld, S. O., & Lynn, S. J. (2003). Dissociative Identity Disorder: Multiple personalities, multiple controversies. In S. O. Lilienfeld, S. J. Lynn, & J. M. Lohr (Eds.), Science and pseudoscience in clinical psychology (pp. 109-142). New York: Guilford Press. Moffitt, T. E., Harrington, H., Caspi, A., Kim-Cohen, J., Goldberg, D., Gregory, A. M., & Poulton, R. (2007). Depression and Generalized Anxiety Disorder: Cumulative and sequential comorbidity in a birth cohort followed prospectively to age 32 years. Archives of General Psychiatry, 64, 651-660. Recommended Readings: Copeland, W. E., Keeler, G., Angold, A., & Costello, E. J. (2007). Traumatic events and posttraumatic stress in childhood. Archives of General Psychiatry, 64, 577-584. Cramer, P. (2000). Defense mechanisms in psychology today: Further processes for adaptation. American Psychologist, 55, 637-646. Craske, M. G., & Barlow, D. H. (2001). Panic disorder and agoraphobia. In D. H. Barlow (Ed.). Clinical handbook of psychological disorders (pp. 1-59). New York: The Guilford Press. Hirsch, C.R., & Clark, D.M. (2004). Information-processing bias in social phobia. Clinical Psychology Review, 24, 799-825. Nestadt, G., Samuels, J., Riddle, M., Bienvenu, O. J., Liang, K. Y., LaBuda, M., Walkup, J., Grados, M., & Hoehn-Saric, R. (2000). A family study of obsessive-compulsive disorder. Archives of General Psychiatry, 57, 358-363. Rachman, S. (1997). A cognitive theory of obsessions. Behaviour Research and Therapy, 35, 793-802. Rapoport, J. L., & Fiske, A. (1998). The new biology of obsessive-compulsive disorder: Implications for evolutionary psychology. Perspectives in Biology and Medicine, 41, 159-175. Roth, W.T., Wilhelm, F.H., & Pettit, D. (2005). Are current theories of panic falsifiable? Psychological Bulletin, 131, 171-192. Somerfield, M. R., & McCrae, R. R. (2000). Stress and coping research: Methodological challenges, theoretical advances, and clinical applications. American Psychologist, 55, 620-625. Spanos, N.P. (1994). Multiple identity enactments and multiple personality disorder: A sociocognitive perspective. Psychological Bulletin, 116, 143-165. Yehuda, R. (2002). Post-traumatic Stress Disorder. New England Journal of Medicine, 346, 108-114. 6 III. Psychophysiological Disorders Required Readings: Barlow & Durand (2014). Chapter 9 Clipson & Steer (1998): Case: 8 Recommended Readings: Adler, N., & Matthews, K. (1994). Health psychology: Why do some people get sick and others stay well? In L. Porter & M.R. Rosenweig, (Eds.) Annual Review of Psychology, 45, 229-259. Everly, G. S. (1986). A biopsychosocial analysis of psychosomatic disease. In T. Millon & G. Klerman (Eds.), Contemporary directions in psychopathology. New York: Guilford Press. IV. Substance Issues and Personality Disorders Required Readings: Barlow & Durand (2014). Chapters 9, 11, 12 Clipson & Steer (1998): Cases #12 & 13. Blackburn, R. (2006). Other theoretical models of psychopathy. In C. Patrick (Ed.), Handbook of psychopathy, pp. 35-57. New York: Wiley. Recommended Readings: Battle, C. L., Shea, M. T., Johnson, D. M., Yen, S., Zlotnick, C., Zanarini, M.C. et al. (2004). Childhood maltreatment associated with adult personality disorders: Findings from the collaborative longitudinal personality disorders study. Journal of Personality Disorders, 18, 193-211. Hare, R. D. (1998). Psychopaths and their nature: Implications for the mental health and criminal justice system. In T. Millon, E. Simonson, M. Birket-Smith, & R.D. Davis, (Eds.), Psychopathy: Antisocial, criminal, and violent behavior (pp. 188–212). New York: Guilford Press. Iacono, W. G., Malone, S. M., & McGue, M. (2003). Substance use disorders, externalizing psychopathology, and P300 event-related potential amplitude. International Journal of Psychophysiology, 48, 147-178. Krueger, R. F., Markon, K. E., Patrick, C. J., & Iacono, W. G. (2005). Externalizing psychopathology in adulthood: A dimensional-spectrum conceptualization and its implications for DSM-V. Journal of Abnormal Psychology, 114(4), 537-550. Lenzenweger, M. F., & Clarkin, J. E. (1996). The personality disorders: History, classification, and research issues. In J. E Clarkin & M. F Lenzenweger, (Eds.), Major theories of personality disorder (pp. 1-35). New York: The Guilford Press. Pettit, G. S., & Dodge, K. A. (Eds.). (2003). Violent children [Special Issue]. Developmental Psychology, 39(2). Waldman, I. D., & Rhee, S. H. (2006). Genetic and environmental influences on psychopathy and antisocial behavior. In C. l (Ed.), Handbook of psychopathy, pp. 205-228. New York: Wiley. Widiger, T. A. & Simonsen, E. (2005). Alternative dimensional models of personality disorder: Finding a common ground. Journal of Personality Disorders, 19, 110-130. V. Mood and Eating Disorders Required Readings: Barlow & Durand (2014). Chapters 7, 8 (pp. 268-295) Clipson & Steer (1998): Cases #5, 6, 15. Alloy, L. B., Abramson, L. Y., Walshaw, P. D., Gerstein, R. K., Keyser, J. D., Whitehouse, W. G., Urosevic, S., Nusslock, R., Hogan, M. E., & Harmon-Jones, E. (2009). Behavioral approach system (BAS)–relevant cognitive styles and bipolar spectrum disorders: Concurrent and prospective associations. Journal of Abnormal Psychology, 118, 459-471. Flynn, M., Kecmanovic, J., & Alloy, L.B. (2010). An examination of integrated cognitive-interpersonal vulnerability to depression: The role of rumination, perceived social support, and interpersonal stress generation. Cognitive Therapy Research, 34, 456–466. Gotlib, I.H., & Robinson, L.A. (1982). Responses to depressed individuals: Discrepancies between self-report and observer-rated behavior, Journal of Abnormal Psychology, 91, 231-240. Recommended Readings: 7 Cuellar, A.K., Johnson, S.L., & Winters, R. (2005). Distinctions between bipolar and unipolar depression. Clinical Psychology Review, 25, 307-339. Davidson, R. J., Pizzagalli, D., Nitschke, J. B., & Putnam, K. (2002). Depression: Perspectives from affective neuroscience. Annual Review of Psychology, 53, 545-574. Fairburn, C.G. et al. (2007). The severity and status of eating disorder NOS: Implications for DSM-V. Behaviour Research and Therapy, 45, 1705-1715. Fairburn, C.G. et al. (2003). Understanding persistence in Bulimia Nervosa: A 5-year naturalistic study. Journal of Consulting and Clinical Psychology, 71, 103-109 Fladung et al. (2010). A neural signature of Anorexia Nervosa in the ventral striatal reward system. American Journal of Psychiatry, 167, 206–212. Gotlib, I. H., Krasnoperova, E., Yue, D. N., & Joormann, J. (2004). Attentional biases for negative interpersonal stimuli in clinical depression. Journal of Abnormal Psychology, 113, 127-135. Hatch et al. (2010). Emotion brain alterations in Anorexia Nervosa: A candidate biological marker and implications for treatment. Journal of Psychiatry and Neuroscience, 35, 267-274. Kessler, R. et al. (2003). The epidemiology of major depression disorder: Results from the National Comorbidity Survey Replication. Journal of the American Medical Association, 289, 3095-3105. Lewinsohn, P. M., Allen, M. B., Seeley, J. R., & Gotlib, I. H. (1999). First onset versus recurrence of depression: Differential processes of psychosocial risk. Journal of Abnormal Psychology, 108, 483-489. Monroe, S. M., Slavich, G. M., Torres, L. D., & Gotlib, I. H. (2007). Major life events and major chronic difficulties are differentially associated with history of major depressive episodes. Journal of Abnormal Psychology, 116, 116-124. Nesse, R. M. (2000). Is depression an adaptation? Archives of General Psychiatry, 57, 14-20. Nolen-Hoeksema, S. (1987). Sex differences in unipolar depression: Evidence and theory. Psychological Bulletin, 101, 259-282. Paul, T., Schroeter, K., Dahme, B., & Nutzinger, D.O. (2002). Self-injurious behavior in women with eating disorders. American Journal of Psychiatry, 159, 408-411. V. Eating Disorders, Sleep-Wake Disorders, Sexual Dysfunctions Text 8 (contd.) and 15 VII. Schizophrenia Required Readings: Barlow & Durand (2014). Chapter 13 Clipson & Steer (1998): Case #7. Erlenmeyer-Kimling, L., Roberts, S. A., Rock, D. (2004) Longitudinal prediction of schizophrenia in a prospective high-risk study. In L. F. DiLalla (Ed.), Behavior genetics principles: Perspectives in development, personality, and psychopathology (pp. 135-144). Washington, DC: American Psychological Association. Walker, E., Kestler, L., Bollini, A., & Hochman, K. M. (2004). Schizophrenia: Etiology and course. Annual Review of Psychology, 55, 401-430. Recommended Readings: Andreasen, N. C., Paradiso, S., & O’Leary, D. S. (1998). “Cognitive Dysmetria” an integrative theory of schizophrenia: A dysfunction in cortical-subcortical-cerebella circuitry. Schizophrenia Bulletin, 24, 203218. Fowles, D.C. (19920. Schizophrenia: Diathesis-stress revisited. Annual Review of Psychology, 43, 303-336. Gottesman, I. I., & Moldin, S. O. (1998). Genotypes, genes, genesis, and pathogenesis in schizophrenia. In M. F. Lenzenweger & R. H. Dworkin (Eds.), Origins and development of schizophrenia: Advances in experimental psychopathology (pp. 247-295). Washington DC: APA Press. Heston, L.L. (1966). Psychiatric disorders in foster home reared children of schizophrenic mothers. British Journal of Psychiatry, 112, 819-826. Hooley, J. M., & Gotlib, I. H. (2000). A diathesis-stress conceptualization of expressed emotion and clinical outcome. Applied & Preventive Psychology, 9, 135-151. Kempf, L., Hussain, N., & Potash, J.B. (2005). Mood disorder with psychotic features, schizoaffective disorder, and schizophrenia with mood features: Trouble at the borders. International Review of Psychiatry, 17(1), 9-19. 8 Knight, R.A. & Valner, J.B. (1993). Affective deficits in schizophrenia. In C. G. Costello (Ed.), Symptoms of Schizophrenia. New York: John Wiley. Meehl, P.E. (1990). Toward an integrated theory of schizotaxia, schizotypy, and schizophrenia. Journal of Personality Disorders, 4, 1-99. Sullivan, P. F., Kendler, K. S., & Neale, M. C. (2003). Archives of General Psychiatry, 60, 1187-1192. VII. Treatment - Psychotherapy, Behavior Modification, etc. We will not have time to discuss treatment in class, with the exception of some brief summaries of standard therapeutic practice associated with each set of disorders. Chapter 16 is a brief introduction to various methods and can be read at your leisure. However, this chapter is not required.