PCO 711 (Edwards), p. 1 PCO 711: CLINICAL PSYCHOPATHOLOGY AND PERSONALITY Spring 2013 ▪ 3 Credit Hours Updated 12.3.12 Instructor: Jodie Edwards, PhD, PC Email: jodie.edwards@ccuniversity.edu Cell Phone: 513-240-7722 Office: Counseling Center COURSE DESCRIPTION This course is provides an advanced study of abnormal behavior, personality disorders, and psychopathological conditions specific to development phases throughout the life span, and their application to counseling practice. Required prerequisites: PCO 510 Basic Counseling Theories and Methods and PCO 690 Diagnosis of Mental and Emotional Disorders. COURSE OBJECTIVES 1. Students will understand factors that influence normal and abnormal behavior, including spirituality, crises, disability, exceptional behavior, addictions, and psychopathology. [CACREP II.G.3.c, f, g; CMHC A.6; MAC 2.i] 2. Students will understand diagnoses, diagnostic tool bias, etiology, treatment, and prevention of mental and emotional disorders. [CMHC C.2, 4; G.1; K.2, 4; MAC 2.i] 3. Students will understand how to use current counseling theories to conceptualize client issues and select appropriate interventions and modalities. [CACREP II.G.5.c; CMHC C.7; MAC 2.i] 4. Students will understand how current research and literature can inform evidence-based practice with specific populations. [CACREP II.G.8.e; CMHC E.3, I.1, I.3, J.1; MAC 2.i] 5. Students will understand the interpersonal model of conceptualizing, treating, and preventing suicide. [CACREP II.G.5.g; MAC 2.i] METHOD OF INSTRUCTION In general, the class will follow a seminar format. A seminar format involves advanced students working together, discussing assignments, and exchanging information. Active participation is required to help develop a richer understanding of the etiology and treatment of mental disorders. Learning will be facilitated via discussion of readings, application to cases, presentations, and quizzes. It is essential that students prepare for class by reading assigned material prior to class. REQUIRED MATERIALS Moodle and Email: All students enrolled in this course are required to check Moodle and their email weekly for the duration of the course. Course announcements, changes to the syllabus, and memos from the instructor will be distributed via Moodle and/or email. Students are responsible for all information distributed in this manner. Required Texts: Maddux, J. E., & Winstead, B. A. (2008). Psychopathology: Foundations for a contemporary understanding (2nd ed.) Mahwah, NJ. Lawrence Erlbaum. PCO 711 (Edwards), p. 2 Supplemental Text for Reference: Yarhouse, M. A., Butman, R. E. & McRay, B. W. (2005). Modern psychopathologies: A comprehensive Christian appraisal. Downers Grove, IL: InterVarsity Press. Download from Moodle: Avia, M. D., & Ruiz, M. A. (2005). Recommendations for the treatment of hypochondriac patients. Journal of Contemporary Psychotherapy, 35, 301-313. Chard, K. M., & Buckley, A. F. (2010) Cognitive-behavioral treatments for trauma-related disorders. In R. A. Lanius, E. Vermetten, & C. Pain (Eds.), The impact of early life trauma and disease: The hidden epidemic (pp. 268-277). Cambridge: Cambridge University Press. Choate, L. H. (2008). Dangerous relationships in adulthood: Women and intimate partner violence. In L. H. Choate (Ed.), Girls’ and women’s wellness: Contemporary counseling issues and interventions. Alexandria, VA: American Counseling Association. Christensen, A. et al. (2004). Traditional versus integrative behavioral couple therapy for significantly and chronically distressed married couples. Journal of Consulting and Clinical Psychology, 72, 176-191. Craske, M. G., & Barlow, D. H. (2000). Mastery of your anxiety and panic: Client workbook for anxiety and panic (3rd ed). San Antonio, TX: Psychological Corporation. Craske, M. G., & Barlow, D. H. (2008). Panic disorder and agoraphobia. In D. H. Barlow (Ed.), Clinical handbook of psychological disorders: A step-by-step treatment manual (4th ed.). New York: Guildford Press. Fairburn, C. G., Cooper, Z., Shafran, R., & Wilson, G. T. (2008). Eating disorders: A transdiagnostic protocol. In D. H. Barlow (Ed.), Clinical handbook of psychological disorders (4th ed.). New York: Guilford Press. Hirakata, P. (2009). Narratives of dissociation: Insights into the treatment of dissociation in individuals who were sexually abused as children. Journal of Trauma and Dissociation, 10, 297-314. Johnson, S., Hunsely, J., Greenberg, L., & Schindler, D. (1999). Clinical Psychology: Science and Practice, 6, 67-79. Johnson, S. (2007). A new ear for couple therapy: Theory, research, and practice in concert. Journal of Systemic Therapies, 26, 5-16. Joiner, T. E. Jr. (2009). The interpersonal theory of suicide: Guidance for working with suicidal clients (Introduction). Washington, DC: American Psychological Association. Karlin, B. E. (2011). Cognitive behavioral therapy with older adults. In K. H. Sorocco & S. Lauderdale (Eds.), Cognitive behavior therapy with older adults: Innovations across care settings. New York: Springer Publishing. Linehan, M. M., & Dexter-Mazza, E. T. (2008). Dialectical behavior therapy for borderline personality disorder. In D. H. Barlow (Ed.), Clinical handbook of psychological disorders (4th ed.). New York: Guilford Press. Lyddon, W. J., & Sherry, A. (2001). Developmental personality styles: An attachment theory conceptualization of personality disorders. Journal of Counseling and Development, 79, 405-414. Margolin, G. & Vickerman, K. A. (2007). Posttraumatic stress in children and adolescents exposed to family violence: I. Overview and issues. Professional Psychology: Research and Practice, 38, 613619. Miller, W. R. (1995). Motivational enhancement therapy with drug abusers. National Institute on Drug Abuse treatment manual. Rando, T. A. (1993). Treatment of complicated mourning (Chapter 2). Champaign, IL: Research Press. Schwartz, J. M. (1996). Brain lock: Free yourself from obsessive-compulsive behavior (Introduction). New York: Harper Collins. PCO 711 (Edwards), p. 3 Shallcross, L. (2012). A loss like no other. Counseling Today, 54, 26-31. Snyder, D. K. & Halford, W. K. (2012). Evidence-based couple therapy: Current status and future directions. Journal of Family Therapy, 24, 229-249. Strobel, L. (2000). The case for faith: A journalist investigates the toughest objections to Christianity (Chapter 2). Grand Rapids, MI: Zondervan. Suppes, T., & Dennehy, E. B. (2012). Bipolar disorder: Assessment and treatment. Sudberry, MA: Jones & Bartlett Learning. Tarrier, N. (2008). Schizophrenia and other psychotic disorders. In D. H. Barlow (Ed.), Clinical handbook of psychological disorders (4th ed.). New York: Guilford Press. Vickerman, K. A., & Margolin, G. (2007). Posttraumatic stress in children and adolescents exposed to family violence: II. Treatment. Professional Psychology: Research and Practice, 38, 620-628. Webster-Stratton, C. (2005). The incredible years: A trouble-shooting guide for parents of children aged 2-8 years. Seattle, WA: The Incredible Years. Yarhouse, M.A., Butman, R. E., & McRay, B. W. (2005). Modern psychopathologies: A comprehensive Christian appraisal (Chapter 4). Downers Grove, IL: InterVarsity Press. Young, J. E., Rygh, J. L., Weinberger, A. D., & Beck, A. T. (2008). Cognitive therapy for depression. In D. H. Barlow (Ed.), Clinical handbook of psychological disorders (4th ed.). New York: Guilford Press. GRADING/EVALUATION* Assignment Discussion leader and handout (1 x 90) Discussion cards (14 x 5 points each) Quizzes (12 x 20 points each) Treatment presentation and handout Total Points 90 70 240 100 500 A AB+ B BC+ C CD+ D DF Points 475-500 460-474 445-459 430-444 415-429 400-414 385-399 370-384 355-369 340-354 325-339 ≤ 324 Percentage 95-100% 92-94.99% 89-91.99% 86-88.99% 83-85.99% 80-82.99% 77-79.99% 74-76.99% 71-73.99% 68-70.99% 65-67.99% < 64.99% *MAC students: In accordance with rule 4757-3-01, J-1, from the Ohio Counselor, Social Worker, & Marriage and Family Therapist Board, you must receive a B- or higher in this course for it to count toward licensure. Discussion Leader and Handout: Once during the semester, you will lead or co-lead the class discussion. While all class members are expected to actively participate in generating discussion, discussion leaders will make a special effort to synthesize the readings and assist class members in integrating and applying the material. Leaders should create a handout that outlines (a) etiology from a biopsychosocial perspective, (b) empirically supported treatments, and (c) relevant Christian perspectives. An example handout will be provided. Discussion leaders are strongly encouraged to consult additional sources (e.g., Yarhouse et al. (2005) to derive discussion points for Christian perspective) to share extra information with the class. Handouts should not exceed 3 pages (outline format, single-spaced). Please see Moodle PCO 711 (Edwards), p. 4 for Discussion Leader Grading Form. Leading the discussion and creating a handout is worth 90 points (18% of final grade). [Objectives 1-5] Discussion Questions: To help ensure that you read and are prepared for discussions, you will turn in a discussion question for each assigned reading at the beginning of every class starting the second week. Please have your discussion questions prepared prior to the start of class. Type or neatly write your discussion questions on a single sheet of paper as formatted below. You will receive up to 5 points for your discussion questions, depending on quality. You will receive a maximum total of 70 points for discussion questions over the course of the semester (14% of final grade). You cannot turn in discussion questions if absent from class. Please format as indicated below. [Objectives 1-5] Your Name Date Author (Date) Question Author (Date) Question Quizzes: To ensure mastery and comprehension of material, each week there will be a quiz at the beginning of class. At least 12 quizzes will be given (worth 20 points each); if more than 12 quizzes are given, you can drop your lowest quiz score(s). Quiz items may be multiple choice, true/false, fill-in-theblank, short answer, and essay. There will be a 15-minute time limit for taking the quiz. You cannot make up these in-class quizzes if absent or late. Quizzes are worth a total of 240 points (48% of final grade). [Objectives 1-5] Treatment Presentation and Handout: You will do a 30-minute presentation about a specific treatment. A list of suggested presentation topics will be provided. For example, you may present about how acceptance and commitment therapy is done with clients who have panic disorder. You should provide all class members with a 1-2 page handout that summarizes the treatment and lists a minimum of 3 scholarly resources you consulted about the treatment. You may consult websites and list them as resources, but they will not count toward your 3 scholarly references. If you use PowerPoint, a printout of your slides may serve as your handout as long as they contain adequate information about the treatment. The presentation and handout are worth a total of 100 points (20% of your grade). Please see Moodle for a Presentation Grading Form and more information. [Objectives 2-4] IMPORTANT NOTES Attendance and Participation: Because active discussion and experiential exercises are integral parts of the learning experiences in this course, class attendance is expected and participation in class activities and assignments is critical to your success in the course. If, for any reason, you are unable to attend class, you are still held responsible for all in-class material and any announcements made during class. Per the university’s policy (see the CCU student handbook), you have two days that are excused without penalty. If you miss three days, an additional assignment will be added. If you miss more than three classes, you will be dropped from the class and will be required to reapply for readmission to the class. A decision about your return to the class will be decided by the counseling academic committee. Because PCO 711 (Edwards), p. 5 class time should be a priority, absences for lateness will be assigned as follows: 15 minutes late = ¼ day absence, 30 minutes late = ½ day absence, and over 45 minutes = 1 day absence. Late Assignments: Out of respect for the hard work that everyone puts into the course, late assignments will NOT be accepted unless there is a serious personal medical or family emergency (e.g., hospitalization, death in the family) that can be substantiated with documentation. In the rare event that a late assignment is accepted, there will be a deduction of 10% of the points each day it is late. I understand that unexpected life events occur, but I hold this policy to encourage the development of positive professional behavior. Therefore, please do not wait until the last minute to do your assignments because regular life stressors will not be accepted as reasons to turn work in late. I invite you to talk with me about any challenges you face in completing your assignments. Christian Component: As we strive to provide a biblically-based approach to counseling, we expect you to evaluate all readings and discussions from a Christian perspective and work to integrate biblical truth into your life, thought, and work. Student Conduct: Except under unusual circumstances, you should not arrive late or leave early. Cell phones should be turned off. You should not IM, text-message, or surf the web during class. During discussions, everyone is expected to be respectful of themselves and others. Keep in mind that it may not be appropriate to disclose your own psychological struggles to the class. If you become distressed about any material/discussions, please talk with me and/or make an appointment to see a counselor. Accommodations: Students with special needs should speak with me or provide documentation to the office of Student Retention specifying the accommodations they require to help assure success in class. Academic Dishonesty: Cheating, plagiarism, and all other forms of academic dishonesty will NOT be tolerated. All incidents of academic dishonesty will be dealt with in accordance to university regulations (see CCU student handbook), which will include failure of class and additional action by the academic committee. Flexibility Clause: This syllabus is NOT a binding contract. The dates of lectures, exams, projects, etc. may be revised as the term progresses. All modifications to the syllabus will be announced in class and/or via Moodle. PCO 711 (Edwards), p. 6 COURSE SCHEDULE Date 1.22 Topic* Introduction to the course Discussion Leader(s) ----- Presenter ----- 1.29 Conceptualizing Psychopathology & Biological Bases of Psychopathology Maddux et al. (M & W, Chapter 1) Smith (M & W, Chapter 1) Yarhouse et al. Jodie ----- 2.5 Anxiety Disorders Williams (M & W, Chapter 8) Craske & Barlow (2000), pp. 25-28 Craske & Barlow (2008), pp. 24-51 Chard & Buckley (2010) Schwartz, J. M. (1996) 2.12 Mood Disorders & Suicide Alloy et al. (M & W, Chapter 9) Young et al. (2008) Joiner et al. (2009) Suppes & Dennehy (2012) 2.19 Grief, Loss, & Suffering Rando (1993) Strobel (2000) Shallcross (2012) Podcast by Shear 2.26 Couple Distress Snyder & Halford (2012) Johnson (2007) Johnson et al. (1999) Christensen et al. (2004) 3.5 3.12 Spring Break – No Class Meeting Schizophrenia Kestler et al. (M & W, Chapter 10) Tarrier (2008) 3.19 Personality Disorders Presnall & Widiger (M & W, Chap. 11) Lyddon & Sherry (2001) Linehan & Dexter-Mazza (2008) Topic* Discussion Leader(s) Presenter Date PCO 711 (Edwards), p. 7 3.26 Sexual Dysfunctions & Disorders Gosselin (M & W, Chapter 12) Sensate Focus reading TBA EFT casebook reading TBA 4.2 ONLINE – NO CLASS MEETING Intimate Partner & Family Violence Choate (2008) Margolin & Vickerman (2007) Vickerman & Margolin (2007) 4.9 Somatoform & Dissociative Disorders Eifert et al. (M & W, Chapter 13) Hirikata (2009) Chronic pain reading TBA? 4.16 Substance Use Disorders Klostermann & Kelly (M & W Chapter 14) Miller (1995, pp. 1-30) 4.23 Mental Health & Aging Fiske et al. (M & W, Chapter 15) Karlin (2011) 4.30 Disorders of Childhood Kimonis & Frick (M & W, Chapter 17) Ollendick & Sander (M & W, Chapter 18) Webster-Stratton (2005) 5.7 Eating Disorders McFarlane et al. (M & W, Chapter 20) Fairburn et al. (2008) 5.14 Finals Week – No Class Meeting ----- ----- *Course objectives 1-4 are covered weekly as they pertain to the topic. Objective 5 is covered under the topic Mood Disorders & Suicide. PCO 711 (Edwards), p. 8 Appendix – Objectives The course objectives are addressed each week through the readings, discussions, quizzes, and presentations: MAC 2.i – Demonstrate competency in psychopathology, prevention, and treatment CACREP Sec. II, G, 3 relating to parts C, F, & G of the core component of Human Development, including understanding effects or crisis, trauma, and disaster on all ages; understanding aspects of developmental crises, disability, exceptional behavior, addictive behavior, and psychopathology; and understanding situation and environmental factors that affect both normal and abnormal behavior. CACREP Sec. II, G, 5 relating to parts C of the core component of Helping Relationships, including understanding aspects of counseling theories that provide the student with a consistent models to conceptualize client presentation and select appropriate counseling interventions. Section II, G, 5, part G about suicide prevention is also covered. CACREP Sec. II, G, 8 relating to part E, including using research to inform evidence-based practice. The following CACREP CMHC guidelines are also covered in the course: o A.6 – Coexistence of substance use disorders with psychological and medical disorders o C.2, 4 – Etiology, diagnosis, treatment, and prevention of mental and emotional disorders o C.7 – Knows the principles, models, and documentation formats of biopsychosocial case conceptualization and treatment planning o E.3 – Empirically supported treatments for specific populations o G.1 – Diagnoses and treatment plans o I.1 – Critically evaluate research relevant to counseling practice o I.3 – Knows evidence-based treatments and basic strategies for evaluation counseling outcomes in clinical mental health counseling o J.1 – Applies relevant research findings to inform the practice of clinical mental health counseling o K. 2, 4 – Diagnosis and preferred treatment modalities/placement; bias in diagnostic tools with specific populations