Psychopathology MCP Course Syllabus Fall, 2011 Thursdays 8:30am-11:30am. Professor: Todd Troutman Psy.D.

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1 California Institute of Integral Studies Psychopathology MCP Course Syllabus Fall, 2011 Thursdays 8:30am-11:30am Professor: Todd Troutman Psy.D. Address: Office Number: Office Address: 66 Mint St, First Floor, San Francisco, CA Office Hours: By Appointment Course Description This course involves a careful examination of the various psychological disorders that comprise the polythetic system of the Diagnostic and Statistical Manual of Mental Disorders (4 th Edition Text Revision). The biological, psychological, and social contexts in which the development, expression, and maintence of psychological disorders occur will be elucidated through readings, lectures, dicussions, and clinical case presentations. By contextualizing the contents of the DSM-IV TR students will learn to utilize it s multiaxial system to make accurate diagnoses that properly inform treatment. Parallel to the Biopsychosocial study of the DSM-IV TR will be a careful examination of character or personality formation and it s relationship to clinical diagnosis. Learning Objectives Upon completion of this course students will have achieved several learning objectives that include: 1. A solid grounding in the conceptual and theoretical underpinnings of diagnosis from a biological, psychological (i.e., psychoanalytic, cognitivebehavioral, family systems), and social (cultural and sociological) perspective. 2. An ability to accurately diagnose using the DSM-IV TR multiaxial system. 3. An ability to identify and consider the differential diagnoses. 4. A theoretical framework for understanding character and personality formation, and its relationship to DSM-IV TR diagnosis. Criteria for Evaluation - Class Participation. Students will be required to complete assigned readings (when reading the DSM-IV DO NOT feel like you need to read every word. It is impossible to take in all the data presented in the DSM in one reading. Just try to let the information wash over you and take in the key points) and come to class prepared to discuss the readings. The instructor and his colleagues will present

2 ongoing case presentations of their own clinical work to illustrate the material discussed in class. It is important that students utilize these presentations to develop ideas and ask questions. - Students will write a 5-page paper on a diagnostic category of interest to them (i.e., mood disorders, anxiety disorders, personality disorders). The paper should be double-spaced and include 4-6 references. At least 3 of these should be journal articles or books published within the last 5 years. - There will be both a Midterm and Final Exam designed to assess your acquisition of the material discussed in class. These exams will focus primarily on the structure, organization and classification system of the DSM-IV TR. Required Texts: American Psychiatric Association (2000). Diagnostic and Statistical Manual of Mental Disorders, 4 th Edition, Text Revision, (DSM-IV TR). Washington, DC: American Psychiatric Press. McWilliams, Nancy (2011). Psychoanalytic Diagnosis: Understanding Personality Structure in the Clinical Process, 2 nd Edition. The Guilford Press. Course Outline: Week One: Getting to know each other. Introduction to the concept of psychopathology. Week Two: DSM-IV: Introduction/Use of the Manual pgs xxiii-12 and Multiaxial Assessment pgs McWilliams, Chapters 1 and 2: Why Diagnose? Week Three: The Developmental Context: The Biological, The Psychological and The Social: Neuropsychological Development, Attachment and Functional Emotional Development McWilliams, Chapter 2: Psychoanalytic Character Diagnosis. DSM-IV: Disorders of Childhood pgs Child Case Presentation

3 Class Four: Levels of Psychological Organization and Defensive Processes McWilliams, Chapter s 3, 4, and 5 Class Five: Mood Disorders DSM-IV: Mood Disorders pgs McWilliams, Chapter 11: Manic and Depressive Personalities Class Six: Anxiety Disorders Class Seven: Midterm DSM-IV: Anxiety Disorders pgs McWilliams, Chapter 13 and 14: The Obsessive and Compulsive Personalities and the Hysterical (Histrionic) Personalities Delirium/Dementia, Amnesic Disorders and Substance Related Disorders DSM-IV pgs and Class Eight: The Psychopathic Personality McWilliams, Chapter 7: The Psychopathic (Antisocial) Personality Clinical Case Presentation: Understanding Mood, Anxiety and Character In the Clinical Process: Classes Nine: Psychotic Spectrum Disorders DSM-IV pgs McWilliams, Chapter 9 and 10: The Schizoid and Paranoid Personalities Clinical Case Presentations: Working with Psychosis Class Ten: Understanding Somatization, Hypocondriacal States, and Dissociation DSM-IV pgs , McWilliams, Chapter 15: Dissociative Personalities

4 Class Eleven: Sex and Gender DSM-IV pgs Clinical Case Presentation: Working with Gender Class Twelve: Eating Disorders and Sleep Disorders DSM-IV pgs Clinical Case Presentation: Working with Eating Disorders Class Thirteen: Self-Destructive Psychological Processes: Addiction to near death McWilliams, Chapter 12: Masochistic (Self-Defeating) Personalities Clinical Case Presentation: Working with Self-Destructive Psychological Processes Class Fourteen: Narcissism: A Cultural and Relational Phenomenon McWilliams, Chapter 8: Narcissistic Personalities Clinical Case Presentation: Working with Narcissistic States Class Fifteen: Final Exam Papers Due Mid-semester Evaluation of Instruction: Halfway through the course, students are to be given the opportunity to provide informal, verbal comments to the instructor in a constructive spirit. This is a time for the instructor to receive feedback on his or her efforts, and also a time for students to reflect upon their own. This conversation is to be facilitated by a student chosen by the class. The instructor is to leave the room (or be offline if the course is an online one) while the facilitator is selected.

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