Office: 2019 David King Hall Time: 9:00-11:40 Am

Psyc822

Meier, Lisa J.

Fall 2003

PSYCHOLOGY 822: PSYCHOPATHOLOGY I

FALL 2003

Instructor: Lisa J. Meier, Ph.D. Day: Friday

Office: 2019 David King Hall Time: 9:00-11:40 am

Phone: 703-993-3590 Off Campus: 301-320-2417 Place: Clinic

Office Hours: Tues and Thurs 12:15-1:15

email:

I. Goals of the course

This course will focus on definition, classification, and differential diagnosis of the major psychiatric disorders as defined by DSM-IV-TR and the major questions and controversies related to psychiatric diagnosis. The course will also include some review of the current research on classification and description of the various disorders. The course will briefly present assessment instruments often used as part of diagnosis and treatment, particularly structured interviews and self-report scales. While the controversy surrounding the utility and validity of a diagnostic system for the classification of mental disorders will be discussed, you will be expected to achieve a reasonable familiarity with the DSM-IV-TR as this system is currently the standard of practice in the field of clinical psychology for the diagnosis of psychiatric disorders. I am a practicing licensed clinical psychologist and the course will be taught from the perspective of a clinician.

II.  Readings

Required

American Psychiatric Association (2000). Diagnostic and Statistical Manual of Mental Disorders (Fourth Edition--Text Revision). Washington, D.C.: American Psychiatric Association.

Hersen, M., & Turner, S. M. (2003). Adult psychopathology and Diagnosis (4th ed.). NJ: Wiley & Sons.

Articles listed in the Bibliography of this syllabus. Articles will be placed on electronic reserve in the library. You will be given instructions on how to access the electronic reserve from your computer.

Recommended

Frances, A., & Ross, R. (2001). DSM-IV-TR Case studies: A clinical guide to differential diagnosis. Washington, DC: American Psychiatric Press.

III. Examinations and grades

A.  There will be two tests during the semester, as indicated on the schedule below. Test questions will be identification, definition, differential diagnosis, explanation of concepts and terms, and summaries of information from assigned readings. Tests will not take the entire class period. Each test will take approximately 50 minutes. The rest of the class period will be used to begin the next topic. New topics will not be included on the tests. Each test will count 20% toward the semester grade.

B.  There will be a final (take-home) exam consisting of essay-type questions covering the entire semester. The exam will be structured similar to Comprehensive exams (with one required question and a choice of two out of three others). Counts 30% toward the semester grade.

C.  Class participation will account for 10% of your grade. You are expected to come to class having already read the assigned material and prepared to make comments, raise questions, and offer opinions on the comments and questions of others.

D.  The remaining 20% of the semester grade will be based upon a paper and class presentation. The paper should rely on the available current literature, follow APA publication guidelines, and be approximately 8-12 (typed, double-spaced) pages (of text) in length. The paper must be submitted to me at the time of the class presentation. The topic of the paper will be one of the current controversies in the field of clinical psychology. Topics include: The consequences (stigma?) of psychiatric labels versus validity and/or utility of psychiatric labels; Positive psychology and an emphasis on mental health versus focus on identifying mental illness; Cross-cultural implications of a classification system of psychiatric disorders, pros and cons; Medical/Biological “versus” social construction model of psychiatric illness. You may use information from the required readings in your presentations and in your paper but you must also locate additional references. The topics are selected because they are controversial and reflect current issues in the field of psychopathology and diagnosis . On the first day of class you will be assigned a partner in the class to work with. Each of you will write your own paper but the class presentation will be a joint effort.

The George Mason University Honor System and Code will be adhered to in this course.

IV.  Tentative Schedule of Class Topics

DATE / TOPIC / READINGS
8/29/03 / Introduction to DSM-IV-TR / DSM-IV-TR Introduction, pp. xxiii-xxxv;
Cautionary Statement, p. xxxvii
Use of the Manual, pp. 1-12
Multiaxial Assessment, pp.27-37
Case Book 387-417
Nathan, (1999); First, (2002); Regier et al (2002)
9/5/03 / Organic Mental Disorders
Psychological Factors/Medical Illnesses / DSM-IV-TR pp. 135-180; 181-190; 731-736;
746-747
Hersen & Turner, Ch. 5
Perry, (1990); Teri & Wagner (1992)
Case Book pp. 13-15; 58-60; 70-72; 169-171
9/12/03 / First Presentation: Medical and Biological vs. Social Constructionist view of mental illness (first half of class)
Substance-Related Disorders / Gorenstein (1984); Grob (1991); Wakefield, (1992)
DSM-IV-TR pp. 191-295; 748-749
Hersen & Turner Ch. 6 & 7
Newcomb, et al (2001)
Case Book 42-43; 81-83; 139-140; 167-169;174-175
9/19/03 / Schizophrenia and Psychotic Disorders / DSM-IV-TR pp. 297-342; 750-751
Hersen & Turner Ch. 8
Andreasen, (1995); Arndt (1995); Kendler, (1998); Brekke & Barrio (1997)
Case Book pp. 5-7; 10-13; 20-23; 32-35; 51-53; 60-62; 74-76; 101-103; 103-105; 137-139;177-179
9/26/03 / Test 1
Impulse Control Disorders / DSM-IV-TR pp. 663-677;
Shapira et al, (2003)
Case Book pp. 28-30; 31-32; 53-55; 63-65
10/03/03 / Mood Disorders / DSM-IV-TR pp. 345-428; 752-753
Hersen & Turner, Ch. 9 -10
Judd et al, (2003)
Case Book pp. 18-20, 23-25,67-70, 91-93,110-112, 118-121, 122-124,131-134, 155-157, 209-211, 255-257
10/10/03 / Anxiety Disorders / DSM-IV-TR 429-484; 754-755
Hersen & Turner, Ch. 11
Joiner et al, (1999); Zimbarg & Barlow (1996)
Case Book pp. 15-17, 35-36, 49-51, 65-67, 76-78, 79-81, 112-114, 141-143, 148-150, 162-164, 201-203, 224-225, 242-243
10/17/03 / Second Presentation: Psychiatric Labels
Dissociative Disorders / Wahl, (1999); Kendall & Jablensky (2003); Metha & Farina, (1997);
DSM-IV-TR pp. 519-533;
Hersen & Turner Ch. 13
Putman, (1986); Scroppo et al (1998)
Case Book pp. 56-58; 130-131; 143-147
10/24/03 / Test 2
Somatoform and Factitious Disorders / DSM-IV-TR pp. 485-517; 756-757
Hersen & Turner Ch. 12
Case Book pp. 7-10; 88-90; 200-201
10/31/03 / Sexual and Gender Identity Disorders / DSM-IV-TR pp.535-582
Hersen & Turner Ch. 14
Bailey, (1999); Palace, (1995)
Case Book pp. 86-88; 117-120; 153-154; 164-165; 171-174
11/07/03 / Third Presentation: Cross Cultural Implications of a Classification System
Eating Disorders and Sleep Disorders / DSM-IV-TR Outline for Cultural Formulation pp. 897-903
Lopez-Ibor (2003); Lopez & Guarnaccia, (2000); Mezzich et al (1999)
Case Book 419-477
DSM-IV-TR pp.583-595; 597-661
Hersen & Turner Ch. 15 & 16
Kerr et al (1991)
Case Book pp. 25-28; 40-42; 47-49;96-101; 115-116; 126-129
11/14/03 / Disorders First Evident in Childhood / DSM-IV-TR pp. 39-134
American Academy of Pediatrics (2000); Charlot (2003); Lilienfeld, (2003)
Case Book pp. 72-74; 309-385
11/21/03 / Personality Disorders / DSM-IV-TR pp. 685-729
Hersen & Turner Ch. 17
Samuels, et al (2002); Skodol, et al (2002)
Case Book pp. 37-39; 84-86; 93-96; 105-109; 124-126; 135-137; 147-148; 159-161; 166-167
11/28/03 / Thanksgiving Break
12/5/03 / Fourth Presentation: Positive Psychology vs. Mental Illness
Adjustment Disorders; V-Codes; Structured Interviews / Maddux, (2002)
DSM-IV-TR pp. 679-683; 731-743;
Case Book 150-152
Hersen & Turner Ch. 3
12/12/03 / Final Exam / In my mailbox at clinic by noon

Lisa J. Meier, Ph.D.

Bibliography for Psyc 822 Fall 2003

To be placed on electronic reserve

American Academy of Pediatrics (2000). Clinical Practice Guideline: Diagnosis and evaluation of the child with Attention Deficit/Hyperactivity Disorder. Pediatrics, 105, 1158-1170.

Andreasen, N., Arndt, S., Alliger, R., Miller, D., & Flaum, M. (1995). Symptoms of schizophrenia: Methods, meanings, and mechanisms. Archives of General Psychiatry, 52, 341-351.

Arndt, S. et al. (1995). A longititudinal study of symptom dimensions in schizophrenia: Prediction and patterns of change. Archives of General Psychiatry, 52, 352-360.

Bailey, J. M. (1999). Homosexuality and mental illness. Archives of General Psychiatry, 56, 883-884.

Brekke, J. S., & Barrio, C. (1997). Cross-ethnic symptom differences in schizophrenia: The influence of culture and minority status. Schizophrenia Bulletin, 23, 305-316.

Charlot, L. (2003). Mission impossible: Developing an accurate classification of psychiatric disorders for individuals with developmental disabilities. Mental Health Aspects of Developmental Disabilities, 6(1), 26-35.

First, M.B. (2002). The DSM series and experience with DSM-IV. Psychopathology, 35(2-3), 67-71.

Gorenstein, E. E. (1984). Debating mental illness: Implications for science, medicine, and social policy. American Psychologist, 39, 50-56.

Grob, G. N. (1991). Origins of the DSM-I: A study in appearance and reality. American Journal of Psychiatry, 148, 421-431.

Joiner, T. E. et al. (1999). Physiological hyperarousal: Construct validity of a central aspect of the tripartite model of depression and anxiety. Journal of Abnormal Psychology, 108, 290-298.

Judd, L.L., Akiskal, H.S., Schettler, P.J., Coryell, W., Maser, J., Rice, J.A., Solomon, D.A., & Keller, M.B. (2003). The comparative clinical phenotype and long term longitudinal episode course of bipolar I and II: A clinical spectrum or distinct disorders?

Journal of Affective Disorders, 73(1-2), 19-32.

Kerr, J., Skok, R. L., & McLaughlin, T. F. (1991). Characteristics common to females who exhibit anorexic or bulimic behavior: A review of the literature. Journal of Clinical Psychology, 47, 846-853.

Kendell, R., & Jablensky, A. (2003). Distinguishing between the validity and utility of psychiatric diagnoses. American Journal of Psychiatry, 160(1), 4-12.

Kendler, K. S. (1998). The structure of psychosis: Syndromes and dimensions. Archives of General Psychiatry, 55, 508-509.

Lilienfeld, S.O. (2003). Comorbidity between and within childhood externalizing and internalizing disorders: Reflections and directions. Journal of Abnormal Child Psychology, 31(1), 285-291.

Lopez-Ibor, J.J.,Jr. (2003). Cultural adaptations of current psychiatric classifications: Are they the solution? Psychopathology, 36(3), 114-119.

Lopez, S. R., & Guarnaccia, P. J. J. (2000). Cultural psychopathology: Uncovering the social world of mental illness. Annual Review of Psychology, 51, 571-598.

Maddux, J. (2002). Stopping the "madness": Positive psychology and the deconstruction of the illness ideology and the DSM. In C. R. Snyder & S. J. Lopez (Eds.). Handbook of positive psychology (pp. 13-25). New York: Oxford University Press.

Metha, S., & Farina, A. (1997). Is being “sick” really better? Effect of the disease view of mental disorder on stigma. Journal of Social and Clinical Psychology, 16, 405-419.

Mezzich, J. E., Kirmayer, L. J., Kleinman, A., Fabrega, H., Parron, D. L., Good, B. J., Lin, K., & Manson, S. (1999). The place of culture in DSM-IV. Journal of Nervous and Mental Disease, 187, 457-464.

Nathan, P. E., & Lagenbucher, J.W. (1999). Psychopathology: Description and classification. Annual Review of Psychology, 50, 79-107.

Newcomb, M. D., Galaif, E. R., & Locke, T. F. (2001). Substance use diagnoses within a community sample of adults: Distinction, co-morbidity, and progression over time. Professional Psychology: Research and Practice, 32, 239-247.

Palace, E. M. (1995). A cognitive-physiological process model of sexual arousal and response. Clinical Psychology: Science and Practice, 2, 370-384.

Perry, S. (1990). Organic mental disorders caused by HIV: Update on early diagnosis and treatment. American Journal of Psychiatry, 147, 696-710.

Putnam, F. W., Guroff, J. J., Silberman, E. K., Barban, L., & Post, R. M. (1986). The clinical phenomenology of multiple personality disorder: Review of 100 recent cases. Journal of Clinical Psychiatry, 47, 285-293.

Regier, D.A., Narrow, W.E., First, M.B., & Marshall, T. (2002). The APA classification of mental disorders: Future perspectives. Psychopathology, 35(2-3), 166-170.

Samuels, J., Eaton, W.W., Bienvenu, O.J., Brown, C., Costa, P.T., Jr., & Nestadt, G. (2002). Brittish Journal of Psychiatry, 180(6), 536-542.

Scroppo, J. C. et al (1998). Identifying dissociative identity disorder: A self-report and projective study. Journal of Abnormal Psychology, 107, 272-284.

Shapira, N.E., Lessig, M.C., Goldsmith, T.D., Szabo, S.T., Lazorits, M., Gold, M.S., & Stein, D.J. (2003). Problematic internet use: Proposed classification and diagnostic criteria. Depression & Anxiety, 17(4), 207-216.

Skodol, A. E., Gunderson, J. G., McGlashan, T. H., Dyck, I. R., Stout, R. L., Bender, D. S., Grilo, C. M, Shea, M. T., Zanarini, M. C., Morey, L. C., Sanislow, C. A., & Oldham, J. M. (2002). Functional impairment in patients with Schizotypal, Borderline, Avoidant, or Obsessive-Compulsive Personality Disorder. American Journal of Psychiatry, 159, 276-283.

Teri, L., & Wagner, A. (1992). Alzheimer’s Disease and depression. Journal of Consulting and Clinical Psychology, 60, 379-391.

Uestuen, T.B. (2002). WHO perspectives on international classification. Psychopathology, 35(2-3), 62-66.

Wahl, O. F. (1999). Telling is risky business: Mental health consumers confront stigma. New Brunswick, NJ: Rutgers University Press.

Chap. 4: Isolation and rejection, pp. 43-60.

Chap. 5: Discouragement and lowered goals, pp. 61-78.

Chap. 8: Impact of stigma, pp. 127-142.

Wakefield, J. C. (1992). The concept of mental disorder: On the boundary between facts and social values. American Psychologist, 47, 416-424.

Zinbarg, R. E., & Barlow, D. H. (1996). Structure of anxiety and anxiety disorders: A hierarchical model. Journal of Abnormal Psychology, 105, 181-193.