TREATMENT OF TRAUMA Fall, 2014 APP 662 Thursdays, 5:30-8 p.m. Instructor: Karyn Harvey, Ph.D. Email: kharvey@ubalt.edu And: kharvey@thearcbaltimore.org Phone: (443) 807-0166 Office hours – appointments should be scheduled for after class. WebTycho: On UB's home page www.ubalt.edu Welcome to Treatment of Trauma! This course is designed to provide students with knowledge and exposure to the current approaches to treatment of trauma being used by clinicians. Course Objectives: At the conclusion of this course, the students will be able to: 1. Discuss the history of trauma and the identification of Post Traumatic Stress Disorder(PTSD) as a psychological condition. 2. Describe basic aspects of the neurological effects of trauma and the implications of those effects. 3. Identify the effects of trauma and the differences in effects according to the intensity and duration of traumatic events. 4. Discuss the effects of acute stress on the human psyche; including child abuse and combat exposure. 5. Identify the essential components of recovery. 6. Discuss the approach, philosophy and reported effects of EMDR. 7. Identify the essential components of Cognitive Behavioral Therapy (CBT) as applied to individuals with PTSD. 8. Discuss the adaptation of treatment to specialized populations. 9. Identify a variety of treatment modalities currently used to treat PTSD. Required Readings Herman, J. (1997).Trauma and Recovery. New York: Basic Books. Perry, B.D.and Szalavitz,M.(2006). The Boy Who Was Raised as a Dog.New York: Basic Books. Online: LeDoux, J. (1996). The Emotional Brain. New York: Simon And Schuster. Chapter 8. Seigel, D. (2009). The Mindful Therapist.New York: W.W. Norton and Company. Chapter 10. Shapiro, F. and Forrest, M.S. (2004) EMDR. New York: Basic Books. Van der Kolk, B. Traumatic Stress New York: Guildford Press. Chapter1. Also Developmental Trauma Disorder. Expectations: Students are expected to develop and demonstrate skills in independent learning, including library and electronic research, critical thinking about assigned readings, and professional-level writing skills. Students are expected to come to class having read the required materials and having prepared comments, insights or questions for discussion. Papers are to be well-written and well-prepared. There is a final paper and presentation that will largely determine the overall grade. Presentations are expected to be done in a professional manner to prepare the student for future presentations at conferences and seminars. Course Requirements Specific Requirements Percent of Grade Paper 1 10% Paper 2 10% Paper 3 15% Paper 425% Presentation15% Final Exam15% Participation 10% Total Percent 100 Requirements Explained Attendance in weekly class meetings is required. If more than three classes are missed, your final course grade will be reduced by ½ letter grade (e.g., A to A-) for each additional missed class and/or, at the instructor's discretion, you may be administratively withdrawn from the class. Active participation in class discussions and activities is required for each person to form an ethical, evolving professional identity as a counselor or psychologist. While the instructor will bring information to the class, it is each student’s responsibility to have completed assigned readings prior to each class, and to integrate lecture/discussion information with the reading and his/her own personal experience. Your participation grade will be based on the quality of your interactions with your classmates in meaningful discussions. Exam: There is one final exam which will consist of 4 to 5 essays on topics relating to trauma covered throughout the semester. A missed exams can be made up only for in emergency situations. You must notify the instructor, personally, by phone or e-mail BEFORE the exam, and you must supply documentation (doctor’s note, tow truck receipt, etc.) supporting your emergency’s status. An unexcused absence will result in the grade of zero for the examination. Papers. Three papers are required in this class. All must conform to APA style, including, and especially, proper referencing format (see "Expectation for Written Work" below). The topics are described below: Paper 1: A 2 page paper of your “thoughts and impressions” on the readings. 2 to 3 pages. Paper2: Paper#2should be a 4 to 5 page analysis of a movie based on a protagonist who endured trauma. The paper should analyze the effect of the trauma on the protagonist and the accuracy of that depiction based on the readings. Paper 3: Paper # 3 is a 4 to 5 paper on the effects of trauma on a specialized population: for example, Iraq vets, or trauma and children of drug addicted parents, or trauma and individuals with intellectual disabilities. Paper 4: This is a ten to 15 page paper on a specific type of treatment of trauma; such as EMDR, or Exposure therapy or hypnosis, etc. You must get approval for the type of treatment that you are writing about on or before November 11th. Expectations for Written Assignments All written assignments are due on the date stated on the syllabus. Unexcused late papers will be subjected to a 10% grade reduction per day. In cases of excused late assignments, you must communicate with me prior to the due date, to set up a date by which the assignment will be turned in. Extensions to due dates will be granted only for dire unforeseen situations. All papers should be submitted in hard copy. All written work must conform to APA standards for appropriate referencing. In addition, papers must meet graduate-level standards for quality of writing, including grammar, spelling, sentence structure, and paragraph construction. If any paper does not meet these standards, it will be returned to you without a grade. In the first instance, you will have one week to rewrite and resubmit the paper, with a 10% grade reduction. In all other and subsequent papers, quality of writing will be weighted equally with content in determining your grade. Achievement and Learning Center staff members are available in AC 113 daily, 9-5, to assist you with improving your writing skills and with any of your papers. If you have any qualms about your writing, including proper use of APA style, I strongly suggest you take your papers to the Center for review prior to handing them in. Also, I encourage you to communicate with each other as you develop your ideas for your papers. Trading drafts of your papers for review and comment by your peers prior to submitting them is also encouraged. However, note that if you use an idea or even a unique phrase gleaned from one of your classmates, you must give the classmate credit for that idea or phrase in your paper, otherwise you are committing plagiarism (see Recommended Readings, above). Another system for preventing plagiarism is UB's online tutorial. Completing the University’s On-Line Plagiarism Tutorial is a requirement for all new and readmitted undergraduate and graduate students. The tutorial must be completed before registration for the next term can occur. Since academic honesty should be continually on the mind of all students, I am requiring that students in this class, take the tutorial by midsemester. So that you will be appropriately credited with completion of the tutorial, please should enter the tutorial through the “UB Student” button. You may access the tutorial at: http://www.ubalt.edu/plagiarism/ Plagiarism is a very serious offense. To avoid it you must document any and all source materials according to APA standards. Failure to use proper reference citations constitutes plagiarism, and the sanction for any act of plagiarism is an automatic "F" for the assignment. Such an assignment may not be corrected and resubmitted. Additional sanctions are possible, including dismissal from the course with a grade of "F" AND referral to Academic Affairs for a hearing and possible further sanctions, including expulsion from the University. The definition of plagiarism and procedures for how it is handled at UB are outlined in the Student Handbook, which is available online or in the Dean's office (AC 200). Academic Integrity and Student Responsibilities Each student is responsible for personal academic integrity, and thus avoidance of such misconduct as cheating, plagiarism, falsification or attempts of these acts. Any violation of the University of Baltimore Academic Integrity Policy will result in a minimum sanction of zero for the work and may include other sanctions, with a maximum being expulsion from the University. Accommodations/Academic Adjustment Anyone who requires special accommodations because of a disability registered with the Office of Disability Support Services must present the appropriate form from that Office to the instructor as soon as possible. Course Outline Class 1 2 Date 9/2 Topic and Activity Introduction to class – Overview of Trauma and Treatment 9/9 What Is Trauma? – History and Definition 3 9/16 On-line Class – The Effects of Trauma Email to kharvey@thearcbaltimore.org a 2 page thought paper 4 9/23 The Biology of Trauma 5 9/30 On-Line Class – Watch a movie about someone who has bee traumatized or has lived with complex trauma. Write a paper analyzing the effect of the trauma and the psychological accuracy of the movie. Trauma and Veterans 6 10/7 Paper #1 due- Assigned Reading & Projects Syllabus Chapters 1 and 2 of Trauma and Recovery by Judith Herman Chapter 3 of Trauma and Recovery and Chapters 1, 2 and 6 of The Boy Who was Raised as a Dog Chapter 8 -The Emotional Brain By Joseph LeDoux Chapter 10 - The Mindful Therapist – by Daniel Siegel Chapter 4 ,5 and 6 – Trauma and Recovery by Judith Herman Chapters 2, 3 and 8 .Soft Spots by Clint Van Winkle - 6 10/21 Section 2 – Treatment The 3 Elements of Recovery Chapters 7, 8,9 and 10 in Trauma and Recovery by Judith Herman 7 10/28 EMDR – Chapters 1 -5 -EMDR by Francine Shapiro 8 11/4 -Developmental Trauma and Bess Van Der Kolk 10/24 – no class 9 11/11 Dissociative Disorders and Cognitive Behavioral Interventions 10 11/18 11 11/25 Presentations 12 13 14 12/2 12/9 12/16 Chapter 1 – VanderKolk – Traumatic Stress Article – Developmental Trauma Disorder Chapter 2 The Treatment of Traumatized Adults and Children by Rubin and Springer Presentations Presentations Presentations- Final Paper Due – Get Final Exam Presentations Final Exam Due The instructor reserves the right to change this syllabus at any time during the semester.