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Lifespan Psychopathology: CHP 6476

College of Public Health & Health Professions

Department of Clinical and Health Psychology

Fall 2008 - 10:00 - 12:00 MW

Room: HPNP G111

Instructors

James H. Johnson Ph.D, ABPP

Duane Dede, Ph.D.

Johnson E-Mail: jhj@phhp.ufl.edu             Dede E-Mail: ddede@phhp.ufl.edu

Course/Website Location: http://www.ClinicalChild.com

Office Phone Numbers:  273 - 6144  (Johnson)  273 - 5267 (Dede)

Child and Adolescent Related Power Points

 

Introduction to Life Span

         Psychopathology (A Child Perspective)  

 

 

 

 

Risk Factors in Child

 

                 Psychopathology

 

 

 

 

Adult Related Power Points

 

Introduction

 

Other Psychotic Disorders

Course Overview or Purpose

This course is designed to familiarize the student with the range of child, adolescent, and adult psychological disorders seen in clinical practice across the lifespan. Emphasis will be placed on developmental factors, diagnostic issues, theoretical formulations, etiology, evidence-based treatments, and research findings related to each of these conditions. Issues such as comorbidity (simultaneous presentation of two or more disorders), cultural influences on the expression of mental disorders, and psychological factors related to physical conditions will also be considered. The clinical manifestations of each of these conditions will be illustrated through the use of case examples and or video presentation.

PowerPoint presentations will be used for lectures and will be made available prior to class time on the course website.

Course Objectives and/or Goals

Upon successful completion of the course, students will be able to:

demonstrate knowledge of diagnostic criteria for various forms of psychopathology as these are reflected in children, adolescents, and adults

demonstrate knowledge of etiological factors and theoretical perspectives relevant to these forms of psychopathology

demonstrate knowledge the relevance of developmental factors as they are related to the manifestations of these disorders across the life span

demonstrate knowledge of current research findings relevant to these disorders

demonstrate an understanding of the relevance of cultural factors to the development, diagnosis, outcome and treatment of these conditions, and

demonstrate knowledge of evidence-based assessments and treatments for the range of disorders considered.

Class Format

Over the course of the semester, the class will consist of one two-hour class dealing with various common forms of psychopathology as these are reflected in children and adolescents and a second two-hour class meeting focusing on various forms of psychopathology as they are reflected in adults of varying ages. Faculty members teaching the two sections of the class will be individuals with specific expertise in the areas of child/adolescent and adult psychopathology, respectively. Class format will consist of combinations of lectures, group discussions, presentation of clinical case material and demonstrations. In addition, adult psychopathology lectures will be supplemented by a brief "movie night" (attendance is optional but encouraged) which will include viewing and discussions of cinematic depiction of psychopathology and its social context. A list of movies has been identified and additional ideas will be solicited from participants. Likewise, child/adolescent psychopathology lectures will be supplemented by videotape presentations that depict the clinical characteristics of a range of classic childhood disorders. Attendance and active participation in class sessions is required.

Course Materials

Adult Related Readings

The following texts are required and may be purchased in the HSC Bookstore:

Sadock, B.J., & Sadock, V. A. (Eds.) Kaplan and Sadock’s Synopsis of Psychiatry (9th Ed.). New York: Williams & Wilkins, 2003.

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

A listing of additional readings for the adult-focused portion of this course is provided in the Addendum to this syllabus. These readings can be found on the student share drive in a folder devoted to this course, labeled "Lifespan Psychopathology" under the heading of "Dede Required Readings".

Child/Adolescent Related Readings

No text is required. A listing of required readings for the child/adolescent portion of this course is provided in the Addendum to this syllabus. These readings can be found on the student share drive in a folder devoted to this course, labeled "Lifespan Psychopathology", under the heading of "Johnson Required Readings" (a folder of recommended readings is also on the share drive for those students wanting exposure to a broader range of literature).

Course Requirements/Evaluation/Grading

Grades will be based on the results of mid-term and final examinations, related to material covered in both the child/adolescent and adult tracks of the course. Each of these four exams will be worth a total of 100 points (Total for the course = 400) and will consist of a mixture of short answer, listing, and essay questions related to research relevant to various disorders, assessment, diagnostic, treatment, or other issues relevant to a life span conceptualization of psychopathology. Exams will be based on information from readings, case examples, classroom video presentations, lectures, and class discussion. Grades will be determined based on the average of scores obtained on the four exams (and class presentations in the adult section of the class) using the following scale for determining grades:

A = 90 - 100 points

B = 80 - 89 points

C = 70 - 79 points

D = 60 - 69 points

F = < 60 points

Topical Outline for the Course

Week 1 (August 25th and 27th)

Introduction – Developmental and Risk Factors in Childhood Psychopathology.

Introduction - Lifespan Issues in Psychopathology, Diagnosis and Classification of Psychological Disorders

Week 2 (September 3rd Only - No Class -Labor Day)

Other Psychotic Disorders, Dissociative Disorders and Impulse Disorders

Week 3 (September 8th and 10th)

Attention Deficit Hyperactivity Disorder in Childhood and Adolescence

Delirium, Dementia and other Cognitive Disorders

Week 4 (September 15th and 17th)

Attention Deficit Hyperactivity Disorder (Continued)

Anxiety Disorders in early, middle, and later adulthood*

Week 5 (September 22nd and 24th)

Anxiety Disorders in Childhood and Adolescence

Substance Disorders

Week 6 (September 29th and October 1st)

Pervasive Developmental Disorders in Childhood and Adolescence

Schizophrenia*

Week 7 (October 6th and 8th)

Pervasive Developmental Disorders (Continued.)

Video and (3 presentations)

Week 8 (October 13th and 15th)

Mid-Term Exam (Child - Johnson)

Somataform Disorders, Factitious Disorders & Sleep Disorders

Week 9 (October 20th and 22nd)

Eliminative Disorders: Enuresis and Encopresis

Mid-Term Exam (Adult - Dede)

Week 10 (October 27th and 29th)

Childhood and Adolescent Mood Disorders

Mood Disorders I

Week 11 (November 3rd and 5th)

Childhood and Adolescent Mood Disorders (Continued)

Mood Disorders (Continued)

Week 12 (November 10th and 12th)

Oppositional Deviant, Conduct Disorder, and Juvenile Delinquency

Personality Disorders*

Week 13 (November 17th and 19th)

Pediatric Psychology

Eating Disorders*(2 presentations)

Week 14 (November 24th and 26th (No Class 11/26)

Pediatric Psychology (Continued)

Week 15 (December 1st and 3rd)

Special Topics in Child Psychopathology

Student presentations-12/3 (3-4) and review for final

Week 16 Final Exams (December 8th)

Statement of University’s Honesty Policy (cheating; use of copyrighted materials)

Academic Integrity – Students are expected to act in accordance with the University of Florida policy on academic integrity (see Student Conduct Code, the Graduate Student Handbook or this web site for more details:

www.dso.ufl.edu/judicial/procedures/academicguide.php).

Cheating, lying, misrepresentation, or plagiarism in any form is unacceptable and inexcusable behavior.

We, the members of the University of Florida community, pledge to hold ourselves and our peers to the highest standards of honesty and integrity.

Policy Related to Class Attendance

Attendance is expected as a part of the student’s professional training. Students are expected to arrive for class on time and to remain for the full class period. Please silence or turn off cell phones or pagers. Students needing to miss class should make prior arrangements with the instruction.

Policy Related to Make-up Exams or Other Work

Students who must miss an exam or paper deadline because of conflicting professional or personal commitment must make prior arrangements with the instructor. If an examination must be missed because of illness, a doctor’s note is required.

Statement Related to Accommodations for Students with Disabilities

If you require classroom accommodation because of a disability, you must first register with the Dean of Students Office (http://oss.ufl.edu/). The Dean of Students Office will provide documentation to you, which you then give to the instructor when requesting accommodation. The College is committed to providing reasonable accommodations to assist students in their coursework.

Counseling and Student Health

Students may occasionally have personal issues that arise in the course of pursuing higher education or that may interfere with their academic performance. If you find yourself facing problems affecting your coursework, you are encouraged to talk with an instructor and to seek confidential assistance at the University of Florida Counseling Center, 352-392-1575, or Student Mental Health Services, 352-392-1171. Visit their web sites for more information: http://www.counsel.ufl.edu/ or http://www.health.ufl.edu/shcc/smhs/index.htm#urgent

The Student Health Care Center at Shands is a satellite clinic of the main Student Health Care Center located on Fletcher Drive on campus. Student Health at Shands offers a variety of clinical services, including primary care, women's health care, immunizations, mental health care, and pharmacy services. The clinic is located on the second floor of the Dental Tower in the Health Science Center. For more information, contact the clinic at 392-0627 or check out the web site at: www.health.ufl.edu/shcc

Crisis intervention is always available 24/7 from: Alachua County Crisis Center: (352) 264-6789.

Posting of Syllabus

The course syllabus will be posted on the course website and will be submitted to the departmental office to document compliance.

Addendum

Required Adult Psychopathology Readings

Introduction: Life Span issues in Psychopathology, Diagnosis and Classification – Week 1

Gottesman, I. (2001). Psychopathology through a life span-genetic prism. American Psychologist, 56 (11), 867 - 878.

Achenbach, T.M. & Rescorla, L.A. (2006). Developmental issues in assessment, taxonomy, and diagnosis of psychopathology. In D. Chicchetti and D. Cohen (Eds.) Developmental Psychopathology, Volume 1: Theory and Method (2nd Edition), Hoboken, NJ, Wiley, 139 – 180.

Youngstrom, E. (2008).  Evidence-based strategies for the assessment of developmental psychopathology: measuring prediction, prescription, and process.  In E.W. Craighead, D.J. Miklowitz, & L.W. Craighead (Eds.), Psychopathology: History, diagnosis, and empirical foundations.  Hoboken, NJ: Wiley

Delerium, Dementia and other Cognitive Disorders – Week 3

Collins, M., Grindell, S., Lovell, M.R., Dede, D.E, Moser, D.J., Phalin, B.R., Nogle, S., Wasik, M., Cordry, D., Daugherty, M.K., Sears, S.F., Nicolette, G., Indelicato, P. & McKeag., D.B.  (1999) Relationship between concussion and neuropsychological performance in college football players.  JAMA, 282: 964-970.

Roman, G.C., Sachdev, P., Royal, D.R., Bullock, R.A., Orgogozo, J., Lopea-Pousa, S., Arizaga, R., and Wallin, A. (2004).  Vascular cognitive disorder: a new diagnostic category updating vascular cognitive impairment and vascular dementia.  Journal of Neurological Sciences, 226: 81-87.

Satz, P. (1993).  Brain reserve capacity on symptom onset after brain injury: A formulation and review of evidence for threshold theory.  Neuropsychology, 7: 273-295.

Substance Disorders - Week 5

Mintzer, M.Z., Copersino, M.L. and Stitzer, M.L. (2005).  Opiod abuse and cognitive performance.  Drug and Alcohol Dependence, 78: 225-230.

Mood Disorders – Weeks 10 and 11

Baune, B. T., Suslow, T., Arolt., V. and Berger, K. (2007). The relationship between psychological dimensions of depressive symptoms and cognitive functioning in the elderly: The MEMO-Study.  Journal of Psychiatric Research, 41: 247-254.

Miklowitz, D.J. and Cicchetti, D. (2006). Toward a life span developmental psychopathology perspective on bipolar disorder. Development and psychopathology, 18, 935 – 938.

Required Child/Adolescent Psychopathology Readings

General Reading

Huey, Jr., S. J. and Polo, A. J. (2008). Evidence-Based Psychosocial Treatments for Ethnic Minority Youth. Journal of Clinical Child and Adolescent Psychology, 37 (1), 262 - 301.

Introduction: Developmental and Risk Factors in Child Psychopathology - Week 1 and 2

Schroeder, C.S. & Gordon, B.N. (2002). Development of psychopathology. In C. S. Schoeder and B. N. Gordon (2002). Assessment and Treatment of Childhood Problems: A Clinician’s guide (2nd ED), New York: Guilford, 1 – 39.

Mash, E. J. & Hunsley, J (2005). Evidence-based assessment of child and adolescent disorders: Issues and challenge, Journal of Clinical Child and Adolescent Psychology, 34, 363 – 379.

Muris, P. & Ollendick, T. H. (2005). The role of temperament in the etiology of child psychopathology. Clinical Child and Family Psychology Review, 8 (4), 271- 89.

Greene, S. M., Sullivan, K. & Anderson, E. R. (2008). Divorce and Custody. In M. C. Hersen and A. M. Gross, Eds. Handbook of Clinical Psychology: Children and Adolescents, New York: John Wiley & Sons (pp. 833 - 855).

Wekerle, C., MacMillan, H. L., Leung, E. and Jamieson, E. (2008). Child Maltreatment. In M. C. Hersen & A. M. Gross, Eds. Handbook of Clinical Psychology: Children and Adolescents, New York: John Wiley & Sons (pp. 856 - 903).

Burns, B. J., Kolko, D. J., Putnam, F. W. and Amaya-Jackson, L. (2008). Evidence-Based Psychosocial Treatments for Children and Adolescents Exposed to Traumatic Events. Journal of Clinical Child and Adolescent Psychology, 37 (1), 156 - 183.

Attention Deficit Hyperactivity Disorder – Week 3 and 4

Pelham, W.E., Fabiano, G.A., and Massetti, G.M. (2005). Evidence-based assessment of Attention Deficit Hyperactivity Disorder. Journal of Clinical Child and Adolescent Psychology, 34, 449 – 476.

Pelham, W. E. and Faviano, G. A. (2008). Evidence-Based Psychosocial Treatments for Attention-Deficit/Hyperactivity Disorder. Journal of Clinical Child and Adolescent Psychology, 37 (1), 184 - 214.

Wolraich, M. Charles J. Wibbelsman, C. J., Brown, T. E., Evans, S.W., Gotlieb, E. M., Knight, J. R., Ross, E. C., Shubiner, H. H., Wender, E. H., and Wilens, T. (2005). Attention-deficit/hyperactivity disorder among adolescents: a review of the diagnosis, treatment, and clinical implications, Pediatrics; 115:1734-1746.

Livingston, R. (1999). Cultural issues in diagnosis and treatment of ADHD. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 1591 - 1594.

Barkley, R., Fischer, M., Smallish, L., and Fletcher, K. (2006). Young adult outcome of hyperactive children: Adaptive functioning in major life activities.  Journal of the American Academy of Child Adolescent Psychiatry, 45(2):192-202.

Child/Adolescent Anxiety Disorders – Week 5

Silverman, W.K. & Ollenick, T.H. (2005). Evidence-based assessment of anxiety and its disorders in children and adolescents. Journal of Clinical Child and Adolescent Psychology, 34, 380 – 411.

Silverman, W. K., Pina, A. A. and Viswssvaran, C. (2008). Evidence-Based Psychosocial Treatments for Phobic and Anxiety Disorders in Children and Adolescents. Journal of Clinical Child and Adolescent Psychology, 37 (1), 105 - 130.

Barrett, P. M., Farrell, L., Pina, A. A.., Peris, T. S., and Piacentini, J. (2008). Evidence-Based Psychosocial Treatments for Child and Adolescent Obsessive-Compulsive Disorder. Journal of Clinical Child and Adolescent Psychology, 37 (1), 131 -155.

Pervasive Developmental Disorders - Weeks 6 and 7

Gillis, J. M. & Romanczyk (2008). Autism Spectrum Disorders and Related Developmental Disabilities. In M. C. Hersen and A. M. Gross, Eds. Handbook of Clinical Psychology: Children and Adolescents, New York: John Wiley & Sons (pp. 904 - 936).

Ozonoff, S., Goodlin-Jones, B.L. and Solomon, M. (2005) Evidence-based assessment for autistic spectrum disorders in children and adolescents. Journal of Clinical Child and Adolescent Psychology, 34, 523-540.

Rogers, S. J. and Vismara, L. A. (2008). Evidence-Based Comprehensive Treatments for Early Autism. Journal of Clinical Child and Adolescent Psychology, 37 (1), 8 – 38.

Howlin, P., Goode, S., Hutton, J. and Rutter, M. (2004). Adult outcome for children with autism. Journal of Child Psychology and Psychiatry, 45, 212 - 229.

Eliminative Disorders: Enuresis and Encopresis - Week 9

Fritz, G., Rockney, R., et al (2004) Summary of the practice parameters for the assessment and treatment of children and adolescents with enuresis, Journal of the American Academy of Child and Adolescent Psychiatry, 43, 123 - 125.

Child/Adolescent Mood Disorders – Weeks 10 and 11

Klein, D.N., Dougherty, L.R., and Olino, T.M. (2005). Toward guidelines for evidence-based assessment of depression in children and adolescents. Journal of Clinical Child and Adolescent Psychology, 34, 412-432.

David-Ferdon, C. and Kaslow, N.J. (2008). Evidence-Based Psychosocial Treatments for Child and Adolescent Depression. Journal of Clinical Child and Adolescent Psychology, 37 (1), 62 - 104.

Pavuluri, M. N., Birmaher, B., and Naylor, M. W. (2006). Pediatric bipolar disorder: a review of the past 10 years. Journal of the American Academy of Child and Adolescent Psychiatry, 44(9):846-871.

Carlson, G.A. (2005). Early onset bipolar disorder: clinical and research considerations. Journal of Clinical Child and Adolescent Psychology, 34, 333-43.

Youngstrom, E.A., Findling, R.L., Youngstrom, J.K. and Calabrese, J. R. (2005). Toward an evidence-based assessment of pediatric bipolar disorder. Journal of Clinical Child and Adolescent Psychology, 34, 433-448.

Oppositional Defiant/Conduct Disorder/Juvenile Delinquency - Week 12

McMahon, R.J. & Frick, P. J. (2005). Evidence-based assessment of conduct problems in children and adolescents, Journal of Clinical Child and Adolescent Psychology, 34, 477-505.

Eyberg, S. M., Nelson, M. M., and Boggs, S. R. (2008). Evidence-Based Psychosocial Treatments for Children and Adolescents with Disruptive Behavior. Journal of Clinical Child and Adolescent Psychology, 37 (1), 215 - 237.

Overview of Pediatric Psychology – Weeks 13 and 14

Mullins, L. & Chaney,, J. M. (2001). Pediatric psychology: Contemporary issues. In E. Walker & M. Roberts (Eds.), Handbook of Clinical Child Psychology (Third Edition), New York: Wiley.

Beale, I. L. (2005). Scholarly literature review: Efficacy of psychological interventions for Pediatric Chronic Illnesses. Journal of Pediatric Psychology, 31: 437-451

 ADHD Treatment; Psi Chi Presentation; Reader Dissertation