PSYC621 SYLLABUS, PAGE 1 PSYCHOLOGY 621/694A CLINICAL ASSESSMENT Fall, 2008 Mondays, 3:00 P.M. –6:00 P.M. ROOM 323 PSYCHOLOGY Instructor: John J.B. Allen, Ph.D. Room 424 Psychology 621-4992 [email protected] Office Hours: Thursdays 4-5, or by appointment Overview The objective of this course is to provide students with a fundamental background in assessment and measurement, and to prepare students to function in clinical assessment settings. This didactic portion of the course (621) will cover those topics that will give students sufficient background, knowledge, and skills to function as an apprentice in an applied setting, to use assessment instruments in research settings, and to construct and evaluate assessment instruments and their application. To that end, this portion of the course will cover the following: ¾ Diagnosis and differential diagnosis using the DSM-IV-TR; ¾ Psychometric issues associated with inferring a diagnosis from interview, laboratory, or test data; ¾ Cultural and individual differences in psychological assessment and diagnosis ¾ Structured diagnostic interviewing, unstructured clinical interviewing, assessment of mental status; ¾ Psychometric principles in assessment, test construction, test theory; ¾ The measurement of intelligence. For Clinical Psychology Graduate students, the background, administration, and interpretation of specific assessment instruments will be covered in the practicum portion of the course (694a). This course will meet separately on seven occasions during the semester, most of them Tuesday afternoons. Useful Information Below is a tentative schedule of topics and readings. The two books should be purchased at the bookstore; the remaining readings will be available as pdf files, available at http://apsychoserver.psych.arizona.edu/JJBAReprints/PSYC621 . American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders: Fourth Edition, Text Revision. Washington, D.C.: Author. (DSM-IV-TR) Cohen, R.J. & Swerdlik, M.E. (2005). Psychological testing and assessment: An introduction to tests and measurement, (6th Edition). Boston, MA: McGraw Hill Higher Education. Whereas some of the course periods will be predominated by lecture, my pedagogical stance is that learning is enhanced in a participative environment. To that end, each of the students in the class will take responsibility for presenting a synopsis of and leading the discussion concerning selected readings (indicated in the reading list below by ¾) at various points throughout the semester. Requirements Your grade (621) will be determined by a combination of: ¾ Performance on two exams to cover lecture, discussion, and readings (70%, with 47% from Exam 1 and 23% from Exam 2). ¾ Completion of the computer-guided DSM Vignettes (10%). ¾ Performance on a Test Construction, Item Analysis, Reliability, and Validity Exercise (20%). ¾ Presentation of readings when asked (0%, BUT if you are asked to present and are not prepared, you can lose up to 5% of the total points on each occasion this would happen.)PSYC621 SYLLABUS, PAGE 2 Your grade for 694a will be determined (pass/fail) by whether or not you complete the required assessments and interviews (see separate syllabus). You will also receive a letter providing a written synopsis of your performance in the practicum. Approximate Schedule of Topics and Readings Class Date Topics Readings 25 August Introductory Esoterica DSM-IV-TR: Delirium, Dementia, and Cognitive Disorders, Substance-related Disorders, Schizophrenia Phenomenology of Psychosis Allen, J.J.B. (1998). DSM-IV. In: Encyclopedia of Mental Health (pp2941), H. Friedman, N. Adler, R. Parke, C. Peterson. R. Rosenthal, R.C. Silver, R. Schwarzer, & D. Speigel (Eds.), San Diego: Academic Press. American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders: Fourth edition, text revision. Washington, D.C.: Author. (DSM-IV-TR), pp. xiii-xxxv, 27-37, 135-180, 191-212, 297-317. Kaplan, B. (1964). The Inner World of Mental Illness (pp.89-115). New York: Harper & Row. 1 September Labor Day Holiday! 8 September DSM-IV-TR: Mood Disorders, Other Psychoses, Anxiety Disorders, Dissociative Disorders, Somatoform Disorders Stigmata and Labeling Proliferation of Disorders and the DSM-V ¾DSM-IV-TR, pp. 345-428, 429-476, 317-343, 485-511, 519-533. Rosenhan, D.L. (1973). On being sane in insane places. Science, 179, 250-258. Rounsaville, B.J., Alarcón, R.D., Andrews, G., Jackson, J.S., Kendell, R.E., Kendler, K. (2002). Basic nomenclature issues for DSM-V. In D.J. Kupfer, M.B. First, & D.A. Regier (Eds). A Research Agenda for DSM-V (pp. 1-29). Washington, DC: American Psychiatric Association. 15 September DSM-IV-TR: Sexual Disorders, Factitious Disorders, Impulse Control Disorders, Adjustment Disorder, Kiddy Disorders Prevalence and Proliferation of Disorders: The Data and the Controversy ¾DSM-IV-TR, pp. 535-566, 566-576, 576-582, 513-517, 583-595, 663-677, 679-683, 39-121. Houts, A.C. (2002). Discovery, invention, and the expansion of the modern diagnostic and statistical manuals of mental disorders. In L.E. Buetler and M.L. Malik (Eds.), Rethinking the DSM: A psychological perspective (pp. 17-64). Washington, DC: American Psychological Association. Kessler, R.C., Berglund, P, Demler, O., Jin, R., & Walters, E.E. (2005) Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the national comorbidity survey replication. Archives of General Psychiatry, 62, 593-602.Kessler, R.C., Chui, W.T., Demler, O., & Walters, E.E. (2005) . Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the national comorbidity survey replication. Archives of General Psychiatry, 62,617-627. 22 September DSM-IV-TR: Personality Disorders The Prototype Approach to Diagnosis ¾ DSM-IV-TR, pp. 685-729. Cantor, N., Smith, E.E., deSales French, R., & Mezzich, J. (1980). Psychiatric diagnosis as prototype categorization. Journal of Abnormal Psychology, 89, 181-193. New, A.S., Triebwasser, J., & Charney, D.S. (in press). The case for shifting borderline personality disorder to axis I. Biological Psychiatry.PSYC621 SYLLABUS, PAGE 3 Class Date Topics Readings 29 September Conceptual and psychometric issues in diagnosis: The role of cultural and individual differences ¾ ¾Clark, L.A., Watson, D.,