CACF 542
Problems of Childhood
II
Spring, 2008
Rita P. Sussman, Ph.D., Instructor
312/499-4770
ritasuss@aol.com
Texts (*=Required,
classic or extremely
useful as reference)
Aichorn, A. (1925) Wayward
youth.
N.Y.: The Viking Press, 1966 (classic)
*American Psychiatric Association.
(2000). Diagnostic
and statistical manual of mental disorders, Fourth Edition, Text
Revision.
Washington, DC: Author. (reference only)
*Bleiberg, E. (2001) Treating
personality
disorders in children and adolescents. New York: The Guilford
Press.
Wilmshurst, L. (2005) Essentials of
child psychopathology.
Hoboken, N.J.: John Wiley & Sons (optional)
*Kernberg, P., Weiner, A. and
Bardenstein, K. (2000) Personality disorders in children and
adolescents.
New York:
Basic Books.
Palombo, Joseph (2001) Learning
disorders and
disorders of the self in children & adolescents. New
York:
W.W. Norton & Co.
______________ (2006) Nonverbal
learning disorders.
New York: W.W. Norton & Co.
PDM Task Force (2006) Psychodynamic
psychodiagnostic
manual. Silver Spring, MD: Alliance of Psychoanalytic
Organizations.
(Reference only)
COURSE OUTLINE
January 25: #1 Introduction:
Developmental Psychopathology
of Middle Childhood and Adolescence (Might be rescheduled)
Introductions: Who are we?
-What do you want from the
course?
What can it deliver?
-Parenting Issues
Relevancy to Clinical material
Overview of middle childhood and
adolescence
Multiple perspectives and layers of
description
Developmental Processes and their Disorders
-Psychoanalytic perspective
-Meaning and subjective experience
-Self and Its Disorders
Neurodevelopmental processes and review of
brain/mind
systems and physiological changes as they
develop in middle childhood and adolescence
Developmental “hotspots,” e.g. Asperger’s,
self-regulation,
effects of abuse, stress and trauma, childhood bi-polar disorder;
bullying
Readings:
Bleiberg, Chapter 3 Psychological
organization
and the world of mental representations, 43-75, (especially 68-75).
Palombo, J. (2006) Introduction: 1-14;
Chapter
6: Impaired emotional functioning 108-124. In Nonverbal
learning
disorders: A clinical perspective. NY: W. W. Norton
&
Co.
Steinberg, L., et al. (2004) The study
of developmental
psychopathology in adolescence: Integrating affective neuroscience with
the study of context. Draft mss. 1-47. In D. Cicchetti (Ed.) Handbook
of developmental psychopathology. NY: John Wiley &
Sons.
Brafman. Working with
adolescents; Adolescence.
In Wise 36-71
February 8: #2
Developmental Clinical
Assessment and Diagnosis; Working with the Parents (Might be
rescheduled)
Assessment and Diagnosis
-Effects of Physiology and Constitution
-Culture and SES
-Family Context
-Schooling
Giving Feedback to the Parents
Working with the Parents
Readings:
Ekstein, R. (1966) Chapter I: The
diagnostic process during the evaluation of an adolescent girl. In
Ekstein, R. Children of time and space, of action and impulse:
Clinical
studies on the psychoanalytic treatment of severely disturbed children.
NY: Appleton-Century-Crofts. (pp. 15-62).
Kernberg et al. Part II:
Assessment
of personality disorders in children and adolescents, 33-80; Special
issues
and research mplications, 247-258.
Kernberg, P. (1991) Chapter 6 Phase
One:
Assessing the parents [for parent training]. Children
with
conduct disorders: A psychotherapy manual. N.Y.: Basic
Books. (pp. 113-131).
February 22 : #3
Psychoanalytic Theories
of Development and Psychopathology: Middle Childhood and Adolescence
Stage development and Oedipal
relationships
Primacy of internal subjective experience
and
fantasy
Anna Freud and the assessment of pathology
-Symptomatology
-Uneven drive and ego development
-Fixation and regression
-Neurotic defenses against anxiety and
conflict
Melanie Klein and her followers:
-Paranoid-Schizoid and the Depressive
positions
-Container-contained; Primary maternal
preoccupation
and “reverie”
-Defenses against anxiety:
splitting, projection,
projective identification
-Disorders of the Self
Readings:
Freud, A., (1969) Adolescence
(pp. 136-165); Adolescence
as a developmental disturbance. (pp. 39-47). In The
writings of Anna Freud: Vol. V. NY: International
Universities
Press.
Pine, F. (1980) On
phase-characteristic pathology of the school-age child:
Disturbances
of personality development and organization (borderline conditions) of
learning, and of behavior. In Greenspan, S. I. and Pollock,
G.
H. (eds) The course of life: Psychoanalytic contributions toward
understanding
personality development. Vol II: Latency, adolescence, and youth.
NIMH, 165-203.
Wolf, E. (1982) Adolescence:
Psychology of
the self and self objects. In S. Feinstein et al. (eds.) Adolescent
psychiatry, Vol. X. Chicago: University of Chicago Press,
(pp.
171-181).
March 7: #4
Developmental Disorders
of Learning and Social Relationships
Mental Retardation
Pervasive Developmental Disorders (PDD)
Autistic and Asperger’s
-PDDNOS –Other developmental Disorders
-Schizophrenic Spectrum Disorders
--Schizotypal
--Schizophrenia
Learning Disorders
-Nonverbal Learning Disabilities
ADHD
SID=Sensory Integration Disorder
Readings:
Palombo, J. Learning disorders in
adolescence
(pp. 105-118; Attention-Deficit/Hyperactivity disorder (pp. 143-162);
Executive
function disorders (pp. 163-190); Nonverbal learning disabilities (pp.
191-221); Asperger’s disorder (pp. 222-245).
Pavluri, M., Janicak, P., Naylor, M.
and Sweeney,
J. (2002). Early
recognition and differentiation of pediatric schizophrenia
and bipolar disorder. Adolescent Psychiatry, 27,
117-134.
Tsai, L. and Champine, D. (2004) Schizophrenia
and other psychotic disorders. In Weiner, J. and Dulcan, M.
(eds.) Textbook
of child and adolescent psychiatry: Third edition.
Washington,
D.C.: American Psychiatric Publishing, Inc. (pp. 379-409).
Harris, J. (1998)
Cytogenic and other genetic disorders associated with behavioral
phenotypes,
245-301;
Tourettes disorder, 427-438; (Scan all). In Developmental
neuropsychiatry.
Volume II. New York: Oxford University Press.
April 4: #5
Disorders of Regulation
of Stimulation and Anxiety; State control and arousal
Child & Adolescent Anxiety
Hypersensitivity; Under-reactivity
-Attention Deficit Disorder reprisal
-Temperament and Inhibition
-Sleep Disturbances
Obsessive-Compulsive Disorder
Perfectionism
Pica and Trichitillomania
Psychosis-II
Rumination
Somatic Complaints and Chronic
Disorders
Readings:
Jensen, P. et al (2006) Chapter
6:
Application
of evolutionary models to Attention-Deficit/Hyperactivity Disorder.
In
P. Jensen, P. Knapp and D.A. Mrazek (2006) Toward a new diagnostic
system
for child psychopathology: Moving beyond the DSM. New
York:
The Guilford Press. 96-110.
Kernberg, Part III: The
Neurotic Personality
Organization: Hysterical and Histrionic, Avoidant, and
Obsessive-Compulsive
Personality 83-128; Antisocial Personality Disorder 193-222; Part
V
Psychotic Personality Organization: Introduction, Schizotypal
225-243.
O’Shaugnessy, E. Psychosis:
Not thinking in a bizarre world. In Clinical Lectures on Klein
and
Bion. 89-101
April 18: # 6 Trauma,
Violence, Maltreatment;
Reactions to Societal Institutions: Family and School
Childhood-onset trauma
Elimination Disorders
Enuresis
Encopresis
Elective mutism
Disruptive Behavioral
Disorders:
Oppositional Defiant Disorder
Conduct Disorder
Antisocial Personality Disorder
Physical and Sexual abuse
Sado-Masochistic activity
Aggression
Bullying
Victimization
Substance Abuse
Readings:
Campbell, Violence as a defence aginst
breakdown
in adolescence
Hops, H., Andrews, J. , Duncan, S. ,
Duncan, T.
and Tildesley, E. (2000) Adolescent
drug use development. In A.
J.
Sameroff, M. Lewis, and S. M. Miller, Handbook of developmental
psychopathology:
Second edition. New York: Kluwer Academic/Plenum Publishers
(pp.
589-605).
Kruesi, M. and Schowalter, J. Conduct
disorder
and evolutionary biology. In Jensen et al, op. cit.
111-130.
Steinberg, L. and Scott, E. (2003) Less
guilty
by reason of adolescence: Developmental immaturity, diminished
responsibility,
and the juvenile death penalty. American Psychologist, 58 (12),
1009-1018.
May 2: #7 Disorders of Affect, and
Mood Regulation
Regulation of Affect: affective lability
Bi-Polar disorder
Eating Disorders-Anorexia, Bulemia
Self-injury
Depression
Suicidality
Readings:
Bronstein, C. (2000) Working
with suicidal adolescents. In Wise, I. (ed.) op. cit.
21-35.
Farber, S. (1997) Self-medication,
traumatic reenactment, and somatic expression in bulimic and
self-mutilating
behavior. Clinical Social Work Journal, 25, (1)
87-106.
[Reprint: 1-17]
Rosenberg, E. (n.d.) Eating
disorders in older adolescent females. [unpublished MS]
May 16: #8 Disorders of the
Self and Relationship,
Sexuality, and Engagement with the Outside World
Adoption
Disorders of Attachment: Borderline
Personality
Disorder
Identity Diffusion
Separation Anxiety
Regulation of Narcissism and Self-Esteem
Grandiosity
Perfectionism
Sexuality
Homosexuality
Promiscuity
Teen-Age Pregnancy
Gender Identity Disorder
Inhibitions of girls in puberty
Marital Discord and Divorce
Adoption
Disorders of Work and Love
Readings:
Boxer, A.; Cohler, B.; Herdt, G. &
Irvin,
F. (1993) Gay
and lesbian youth. In Handbook of clinical research
and practice with adolescents. NY: John Wiley &
Sons,
Inc. 249-280
*Egan, J. and Kernberg P. (1984)
Pathological
narcissism in childhood. Journal of the American Psychoanalytic
Association,
32 ,(1) 39-62. PEP Archive
Hetherington, E. & Camara, K., Families
in transition: The processes of dissolution and reconstitution.
398-439.
Kernberg, Part IV: The borderline
personality
organization: introduction, borderline personality disorder,
narcissistic
personality disorder 131-192;
Masterson, J. The
borderline
adolescent.
In Adolescent Psychiatry 240-268.
ADDITIONAL READINGS
Class One:
Gallese, V. (2003) The
roots of empathy: The shared manifold hypothesis and the neural
basis
of intersubjectivity. Psychopathology: 36: 171-180
Siegel, D. (2000) Toward
an interpersonal neurobiology of the developing mind: Attachment
relationships,
mindsight, and neural integration. Mss of article to appear in Infant
Mental Health Journal.
Van der Kolk, B. (2002)
Posttraumatic therapy
in the age of neuroscience. Psychoanalytic Dialogues 12, 3:
381-391. PEP Archive
Class Two:
Palombo (2001) Working with parents.
Shapiro, T. (2004) Diagnosis and
diagnostic
formulation. In Weiner, J. and Dulcan, M. (eds.) Textbook of
child
and adolescent psychiatry: Third edition. Washington,
D.C.:
American Psychiatric Publishing, Inc. 205-214.
(See also Bird, H. Presentation of
findings and
recommendations. 215-218.)
Class Three:
Blos, P.
The concept of acting out in relation to the adolescent process. Journal
American Academy of Child Psychiatry, 2: 118-136.
Klein, E. ( 1949) Psychoanalytic
aspects
of school problems. In Psychoanalytic Study of the
Child
III & IV, 369-390. PEP Archive
Winnicott, D. W. (1952) Psychoses
and child care. In D. W. Winnicott, Through
paediatrics
to psychoanalysis. NY: Basic Books. (1975).
Class Four:
Morrel, A. Attention
deficit disorder and its relationship to narcissistic pathology. In
P. Beren, (ed.) Narcissistic disorders in children and adolescents:
Diagnosis and treatment. NJ: Jason Aronson Inc., 1998.
127-149.
Page, T. (2007) Parallel
play. New Yorker 36-41.
Luna, B., and Sweeney, J. Studies
of brain
and cognitive maturation through childhood and adolescence: A
strategy
for testing neurodevelopmental hypotheses. August 2001. 27
(3).
1-38.
Class Five:
Arkowitz, S., (2000) The Overstimulated
State
of Dyslexia: Perception, Knowledge and Learning. Journal
of the American Psychoanalytic Association, 48, 4
1491-1520.
PEP Archive
Sperling, M., (1968) Asthma
in children: An evaluation
of concepts
and therapies. Jl Amer
Acad Child Psychiatry, 7:177-189.
Article
on Trichitillomania from Adolescent
Psychiatry.
Class Six:
Aichorn, August (1925) Wayward
youth. N.Y.:
The Viking Press, 1966. Causes of Delinquency, 37-116.
Briggs, S. How
does it work
here? Do
we just talk? Therapeutic work with young people who have been
sexually
abused. In Facing it out: Clinical perspectives on
adolescent
disturbance 23-36.
Eldridge, A. (2003) Fragility
in childhood. Paper presented at the Zetland Lecture, April,
2003. (unpublished mss).
Kernberg and Chazan (1991)
Introduction:
A trio of therapies, 1-19.
Lahey et al, ADHD & ODD
431-446;
In
Sameroff, Arnold J., Lewis, Michael and Miller, Suzanne M. (2000). Handbook
of developmental psychopathology: Second edition. New York:
Kluwer
Academic/Plenum Publishers.
Marohn, R. C. (1977) The
“juvenile
imposter:” Some
thoughts on narcissism and the delinquent. In S. Feinstein and P.
Giovaccini. Adolescent
Psychiatry, Vol. V. N.Y.: Jason Aronson, Inc. 186-212.
Schaer, Ira (1988) A
theoretical conceptualization of the multiply traumatized inner-city
child
of poverty. In Section II Newsletter, Divison 39,
American
Psychological Association.
Class Seven:
Hammen, C. & Rudolph, K. (2003) Childhood
mood disorders. In Mash, E. J. and Barkley, R. A (eds.) Child
Psychopathology: Second Edition. NY: The Guilford
Press.
233-278.
Loeb, L.R. and Loeb, Jr., F. F. (1992) A
psychodynamic
approach to the early diagnosis of manic-depressive disorder in
adolescence.
In S. Feinstein et al, Adolescent Psychiatry. Vol. 18.
Chicago: University of Chicago Press, 1992. 348-364.
Class Eight:
Hoit, M. ( n.d.) Diagnostic
implications
of the collapse of the work-ego in adolescence. 227-240.
Ornstein, A. (1981) Self-pathology
in childhood: Developmental and clinical considerations. Psychiatric
Clinics of North America, 4, 3, 435-453.
Palombo, J. (1987) Selfobject
transference in the treatment of borderline neurocognitively impaired
children.
In J. S. Grotstein, M. F. Solomon, and J. A. Lang (eds.) The
borderline
patient, Vol. 1. Hillsdale, N. J.: The Analytic
Press.
317-345.
Waddell, Latency,
73-93.
Schaefer, R. (1966) Talent as
danger: Psychoanalytic
observations on academic difficulty. In L. Pervin, L. Reik &
W. Dalrymple (eds.) Princeton: Princeton University Press.
Contents Copyright,
Institute for
Clinical Social Work
