1 DRAFT SYLLABUS European Clinical Psychology Summer 2013, Session 2 DIS 3 credits Course Instructors Instructor : Karina Kehlet Lins Email: kl@karinalins.com EUROPEAN CLINICAL PSYCHOLOGY Draft Syllabus Summer 2013, Session 2 June 16 th July 5 th Classroom: TBA Systemic/Family- and Relational Psychotherapist, University Hospitals Leuven, Belgium. Behavior- and Communications Trainer, artop- Institute at the Humboldt University Berlin, Germany. Lic. Klin. Psych. (MA in Clinical Psychology), Free University of Brussels, Belgium. B.Sc. in Psychology, University of Essex, UK. I'm a native Dane who grew up abroad. I studied psychology and systemic therapy at Universities in Connecticut (USA), Colchester (UK), Brussels and Leuven (BE). I have worked in Brussels, Berlin, and Copenhagen. My work as a psychotherapist has mainly been couples counseling, although I do see individual clients too. With DIS since 2011. DIS Contact Psychology program assistant: Manya Steinfeld Email: ms@dis.dk Phone: +45 3376 5438 Course Description Prerequisites: A course in Abnormal Psychology at university level. In this course, we will work in the field of clinical/abnormal psychology and focus on the way we approach the field within a European/Danish context. We will cover contemporary theories on abnormality, some of the main psychological disorders (focusing on adult mental health), empirically supported assessment and treatment approaches as well as ethical issues. Applying a macro-level analysis we will discuss controversial issues in the field of clinical psychology and consider the differences in US and Danish approaches to diagnostics and treatment. What are the implications of having different diagnostic systems, and does this influence the ways we think about abnormality and health? Do we see differences in clinical practices and health systems reflected in our two different diagnostic systems (DSM IV in the US and ICD-10 in Europe) and what are the possible consequences? A main ambition of the course is to make the theoretical and philosophical discussions concrete and
2 DRAFT SYLLABUS European Clinical Psychology Summer 2013, Session 2 DIS 3 credits applicable to real-life scenarios. The students should be able to analyze strengths and weaknesses regarding the chosen approaches toward a problem by comparison of other theories, methods and empirical knowledge. Critical thinking, reflection and discussion are a major part of the course. Objectives Overarching the other goals, the primary aim with this class is to convey to students an approach to thinking about clinical psychology specifically, but also an approach to thinking about psychology and its role in society more broadly. In this course, students will be asked to reflect critically upon the material they encounter and always consider the surrounding context. The syllabus promises hard work, but it also promises that students will have fun if they engage in the course activities and share their enthusiasm for learning. More specifically, it is the aim of the course that the students will: become familiar with important concepts and issues surrounding the field of clinical psychology as well as various theories of abnormality. become familiar with some of the most prevalent mental disorders, assessment practices, diagnosis and treatment approaches and understand the links between these different approaches and their potential impact on clients. become more knowledgeable about the controversial issues in clinical psychology and different psychological, philosophical, historical, cultural and political perspectives on abnormality. become more aware of ethical issues important for the practice of therapy. become more knowledgeable about the practical side of therapy and the factors important to consider when meeting a client. Code of Conduct One of the main objectives of this class is to become familiar with the various concepts, theories and controversial issues pertaining to the field of clinical psychology. In this context, critical thinking and reflexivity on your own part is crucial. If you are not willing to critically explore your own attitudes and engage fully in discussions and other class activities, it will be difficult for you to meet the course objectives and, moreover, you probably will not learn as much as you otherwise would have. It is of special importance that you draw on scientific research and valid theory whenever possible. The following rules of discussion should be followed: 1) What is said in this class is confidential. You may share ideas and experiences with people outside the class, but no information referring to personal identities should be revealed.
3 DRAFT SYLLABUS European Clinical Psychology Summer 2013, Session 2 DIS 3 credits 2) In discussion, it is appropriate to acknowledge differences in convictions or feelings, but with the understanding that there is no correct opinion or feeling. Everyone should be treated with civility and respect. 3) Everyone has the right to challenge someone's factual statements on the accuracy of the facts. To establish a positive learning environment, it is important that everyone is present (in body and mind) and not distracted by technology or other disruptive behaviors. Policies Attendance You are expected to attend all DIS classes when scheduled. If you miss multiple classes the Director of Teaching and Learning, and the Director of Student Affairs will be notified and they will follow-up with you to make sure that all is well. Absences will jeopardize your grade and your standing at DIS. Allowances will be made in cases of illness, but in the case of multiple absences you will need to provide a doctor s note. Use of computers, iphones, cell phones etc. in class Computers and iphones are not allowed in class. In case of uses such as Facebook, emails or internet surfing, it will have a negative impact on your participation grade. Cell phones are to be shut off during class and texting/sms'ing etc during class will have a negative impact on your participation grade. Academic Honesty: Plagiarism and Violating the Rules of an Assignment DIS expects that students abide by the highest standards of intellectual honesty in all academic work. DIS assumes that all students do their own work and credit all work or thought taken from others. Academic dishonesty will result in a final course grade of F and can result in dismissal. The students home universities will be notified. DIS reserves the right to request that written student assignments be turned in electronic form for submission to plagiarism detection software. See the Academic Handbook for more information, or ask your instructor if you have questions. Disability and resource statement: Any student who has a need for accommodation based on the impact of a disability should contact Sean Green (sgr@dis.dk) to coordinate this. In order to receive accommodations, students should inform the instructor of approved DIS accommodations within the first two weeks of classes Course Components 1) Field Studies
4 DRAFT SYLLABUS European Clinical Psychology Summer 2013, Session 2 DIS 3 credits Field studies serve to complement your course work by placing you in the professional field to compare, extend and rethink what we read about, discuss in seminar, and encounter in practicum. Learning through field study is supported by advance preparation. Please be ready for field study by completing all readings and preparing questions in advance. 2) Study Tour Sunday, June 23 Friday, June 28: Long Study Tour to Brussels Study tours allow you to approach your area of study in a hands-on and experiential manner, combining theory with real-life experience and cultural perspective. They also give you the chance to see Europe in a meaningful way and to visit people and places you would never otherwise have access to. Course resources 1) Required materials Pomerantz A.M., (2011), Clinical Psychology, USA, Sage Publications Readings posted on blackboard/handouts 2) Readings The schedule will list reading materials for each class meeting. Moreover, during the course of the semester, as I get to know you better, I might assign extra readings that are of interest and relevance to our discussions in class. You are expected to be prepared for each class by having read and thought about the material before coming to class. By reading the material beforehand, you will better understand the points I make in class, you will be best prepared for discussion, and you will be able to ask thoughtful and productive questions. Classes will consider a few specific topics in depth and will typically not repeat the assigned readings. Thus, most of the material in the text you will learn on your own outside of class. It is imperative that you keep up with the readings and ask questions about text book material you find confusing or unclear. Any material presented in class or in the assigned readings is fair game for the exams.
5 DRAFT SYLLABUS European Clinical Psychology Summer 2013, Session 2 DIS 3 credits Assignments, Evaluation and Grading Assignments Percentage of Grade Participation and attendance 25% Mid-term assignment 35% Final Assessment (Case Paper) 40% Total 100% Grades will be based on the percentage of total points earned by each student and will assigned as follows: A = 93 100% B- = 80 82% D+ = 67 69% A- = 90 92% B+ = 87 89% B = 83 86% C+ = 77 79% C = 73 76% C- = 70 72% D = 63 66% D- = 60 62% F = 59% or below Participation and Attendance (25%) Your attendance and active participation are essential in this course. Class meetings will be a mixture of lectures, group activities, debates, and videos; questions and discussion are expected, in fact, required. This means that you must ask questions, answer questions, offer opinions and other viewpoints, draw on materials from other classes, etc. I also expect you to come prepared to class and have done the required readings and homework. In short, I expect you to take an active role in your own learning. Attendance: You must attend every class. Excused absences only include serious illness. All other absences are unexcused Tardiness: Please arrive several minutes before class begins. It is very distracting when students arrive late, it is hard for you to follow the lecture if you miss the opening minutes, and it is especially rude if we have guest speakers and frustrating when we are on a field trip. Plan ahead so that you leave plenty of time to get to class on time (even if you experience transportation problems). Two tardies equals one unexcused absence. To summarize: class participation is a major component of the course, you will need to be present and participating to receive full credit. Mid-term assignment (35%) The questions will be based on both the lectures and literature from the classroom. The finished assignment is to be handed in (date TBA) at the beginning of class in a printed version.
6 DRAFT SYLLABUS European Clinical Psychology Summer 2013, Session 2 DIS 3 credits Final Assessment (Case Paper) (45%) The final assessment will be a thorough rapport based on your case. After you have chosen a case, you are to focus on this and complete a journal, similar to that of a clinical hospital journal. The final assessment is to be handed in (date TBA). You will have to email me the final assessment. The parts in question are: Part Pages Percent significance Short summary of incoming 0.5 5% referral. Give GAF and MADRS Score. Diagnose using both DSM 0.5-1 10% IV and ICD-10 and argue why you have chosen the particular diagnose. Incoming session, which 1 10% questions did you prepare? What information did you gather from your client? What are your reflections? MINI Plus rapport, standardized page. 1 10% Treatment plan. Which therapeutic direction did you choose, why and how would you set up a treatment plan for the next 3 sessions using this therapeutic direction. 2 articles of own choice for the relevant therapeutic direction and diagnosis should be chosen. Research papers. Find two research papers relevant for your case. Sum them up briefly and explain how they relate to your case. Discussion, round up and reflections. Which ethical considerations do you have to consider? Do you have any recommendations for your case? Any particular 1-2 15% 1-2 20% 3-4 30%
7 DRAFT SYLLABUS European Clinical Psychology Summer 2013, Session 2 DIS 3 credits points of interest? Treatment considerations? You should find two research articles, one that supports your case and one that does not. THE FINAL ASSESSMENT HAS TO BE MINIMUM 8 AND MAXIMUM 11.5 PAGES. Focus mainly on the last two parts, your chosen research papers and the discussion. This is where you can really shine with your reflections and use all the lecture material as well as your two articles of choice to emphasize your points. You are to reflect on your own, not only cite the articles you have read and the points made in the classes. Remember a valid argument, well argued, is sometimes more interesting than the mere facts! Here are some helpful points with regards to critical thinking; - Adoption of a questioning attitude and careful scrutiny of claims and arguments in the light of evidence. 1. Maintain a skeptical attitude. 2. Consider the definitions of terms. 3. Weigh the assumptions or premises on which arguments are based. 4. Bear in mind that correlation is not causation. 5. Consider the kinds of evidence on which conclusions are based. 6. Do not oversimplify. 7. Do not over generalize. Lecture Schedule: Class 1. Introduction, explanation of assignments and final assessment, assignment to group for tour presentation, choose case Reading: Pomerantz (2011) Ch.1 Class 2. Abnormality Video- BBC How mad are you? - Group discussions. Reading: Pomerantz (2011) Ch.2, 3. And:
8 DRAFT SYLLABUS European Clinical Psychology Summer 2013, Session 2 DIS 3 credits Article: Rosenhan D. L, (1973) On being sane in insane places, Science, New Series, Vol. 179, No. 4070 (Jan. 19), pp. 250-258 http://www.bonkersinstitute.org/rosenhan.html Article: Millon T., (1975), Reflections on Rosenhan s On being Sane in Insane Places, Journal of Abnormal Psychology, Vol. 84, No. 5. pp. 456-461 http://psycnet.apa.org/journals/abn/84/5/456.pdf Class 3. DSM VI and ICD 10+ GAF + Montgomery and Asberg Depression Rating Scale- MADRS Reading: Pomerantz (2011) Ch. 7 AND http://www.who.int/classifications/icd/en/bluebook.pdf AND Handouts (given out at the beginning of the session or posted to blackboard no later than 15.00) Class 4. Field trip Sct. Hans Hospital Morning leave with train 9.00, at hospital 11.00 Reading: Moncrieff J., Dillon J. & Rapley M., (2011), What is to be done?, in: De-Medicalizing Misery- Psychiatry, Psychology and the Human Condition, ch. 19, 2, Palgrave Macmillan. Class 5. Psychoanalytical approach- external lecturer Reading: Pomerantz (2011) Ch. 12 & article Psychoanalysis AND Handout: Leiper R., (2006), Psychodynamic formulation. A prince betrayed and disinherited., in: Formulation in Psychology and Psychotherapy- Making Sense of People s Problems, ch. 3., 2, Routledge. (Given out at the beginning of the session or posted to blackboard no later than 15.00)
9 DRAFT SYLLABUS European Clinical Psychology Summer 2013, Session 2 DIS 3 credits Brussels study tour Class 6. Cognitive therapy lecture Reading: Pomerantz (2011) Ch.14 & 15 AND Handout: Dudley R. & Kuyken W., (2006), Formulation in cognitive- behavioural therapy. There is nothing either good or bad, but thinking makes it so., in: Formulation in Psychology and Psychotherapy- Making Sense of People s Problems, ch. 2., Routledge. (Given out at the beginning of the session or posted to blackboard no later than 15.00) Class 7. Narrative therapy lecture Reading: Mini- International Neuropsychiatric Interview- MINI Plus Sheehan D.V et al, (1998), The Mini- International Neuropsychiatric Interview (M.I.N.I): The Development and Validation of a Structured Diagnostic Psychiatric Interview for DSM-IV and ICD-10, Journal of Clinical Psychiatry, 59,pp 22-33. (Given out at the beginning of the session or posted to blackboard not later than 15.00) Class 8. Lunch outside- clinical interview with reflecting teams/ case discussion Meet at park, Kongens have (in case of rain other location inside, to be announced) Reading: Pomerantz (2011) Ch. 8 Class 9. Practice with actor Class 10. Ethical issues and round up Reading: Pomerantz (2011) Ch. 5