CL 731, DISORDERS OF ADULTHOOD I
1900 to 1980
Spring 2010
Paula L. Ammerman PhD
pammerman@ICSW.edu
This course focuses on the disorders of adulthood, the treatment of the disorders and the intrinsic relationship to the development of psychodynamic theory from classical, object relations and self psychology perspectives. It covers the period from 1900 to 1980 and builds on the students previous courses in psychodynamic theory and clinical process and technique.
Goals
- Establish a psychodynamic understanding of the etiology of neurotic, psychotic, and character disorders in adulthood.
- Identify treatment techniques associated with specific disorders.
- Augment understanding of the dynamic and shifting relationships among theory, diagnosis, treatment and the contribution of the historical context.
- Increase ability to convey diagnostic understanding in both written and oral communication.
Evaluation
Grades will be based 50% on class participation and 50% on written assignment.
Class participation includes: evidence of reading assigned readings and ability to raise questions about the readings and to relate clinical experience to concepts presented in readings. Class attendance is mandatory and emergency absences should be discussed in advance with instructor. For the students who miss more than one class, the overall grade for course will be lowered one level. Students who miss more than two classes will automatically fail the course (in the case of personal emergency, the student will be asked to withdraw from the course and retake it the following year).
Written Assignments:
Using the character of Jackie in the movie Hillary and Jackie you will have two written assignments.
Assignment I: Pretend that you are Sigmund Freud and that Jackie comes to visit you. Write a diagnostic assessment of Jackie from the perspective of the neurotic disorders. Please make the best diagnosis within this category and explain, using the course material, how the theory applies to Jackie. Discuss the etiology and course of the illness. Remember this is a course which connects the theory and the clinical understanding, so be sure to maintain a good balance using the character to illustrate your points. This paper is due before the fourth class meets and should be no more than 4 pages. It will be graded on a pass/fail basis. If you are dissatisfied with your grade you will have a chance to rewrite it.
Assignment II. Now that you have completed the class readings, pretend that it is 1980 and Jackie comes to see you. Freud has been dead for many years so you must reconsider the case of Jackie from all the diagnostic categories we have discussed. Choose the diagnostic category that you think best fits Jackie, explain why you think so, as you did in the previous paper, and why you are ruling out other categories. This paper is due on the last day of class and should be no more than 12 pages.
Your written assignment will be assessed as follows:
An “A” paper should reflect a high degree of understanding, and demonstrate creativity or critical thinking. It should also be well-organized, clear, and edited for correct grammar and spelling.
A “B” paper is one which shows a high degree of accuracy in understanding and application of concepts, is well organized and edited for correct grammar and spelling.
A “C” paper is one that is written with insufficient depth and demonstrates only an adequate understanding of the material. It is also a grade that can be given because of poor organization of material, lack of clarity, or insufficient editing.
An “F” will be given to papers that reflect major conceptual misunderstandings.
Papers must conform to ICSW Style manual.
Texts:
Nasio, J. (1998). Hysteria from Freud to Lacan; The Splendid Child of Psychoanalysis. New York: Other Press.
Gabbard, G. (1994). Psychodynamic Psychiatry in Clinical Practice. Washington: American Psychiatric Press
Class 1: NEUROSIS AND NEUROTIC DISORDERS
Freud, S. (1962). Types of onset of neurosis. In J. Strachey (Ed and Trans.) The standard edition (Vol. 12, pp. 227-239). London: Hogarth Press. (Original work published in 1912). PEP
McWilliams,N. Psychoanalytic character diagnosis,(pp.19-39) and Developmental levels of personality organization,(pp 40-66). In N. McWilliams, Psychoanalytic diagnosis.
New York:Guilford.
Class 2:
Nasio, J. (1998). Hysteria from Freud to Lacan; The splendid child of psychoanalysis. New York: Other Press, pp.1-65
Class 3:
Brenner,C. (1955). The psychic apparatus. In C. Brenner, An elementary textbook of psychoanalysis (pp.34-129). New York:Anchor Books.
Freud, S. (1962). Inhibitions, symptoms and anxiety. In J. Strachey (Ed and Trans.) The standard edition (Vol. 20, pp. 77-173 ). London: Hogarth Press. (Original work published in 1926) PEP
Gabbard, G. (1994). Anxiety disorders. In G. Gabbard, Psychodynamic psychiatry in clinical practice (pp. 249-284). Washington: American Psychiatric Press.
Class 4: CHARACTER DISORDERS
Mitchell,S and Black,M. (1995). Melanie Klein and contemporary Kleinian theory. In S. Mitchell Freud and beyond (pp. 85-102). New York:Basic Books.
Ogden,T. (1986). The Paranoid schizoid position: self as object (pp. 41-65) and The depressive position and the birth of the historical self (pp. 67-99). In T. Ogden A Matrix of the mind. Northvale:Jason Aronson.
Gabbard, G. (1994). Cluster B personality disorders; Cluster C personality disorders. In G. Gabbard, Psychodynamic psychiatry in clinical practice (pp. 541-599). Washington: American Psychiatric Press.
Class 5
Bollas,C. (1999). Borderline desire. In C. Bollas The mystery of things (pp.127-135). London. Routledge:
Kernberg, O. (1970). A psychoanalytic classification of character pathology. Journal of the American Psychoanalyitc Association. 18: 800-823. PEP
Meissner, W. (1979). Narcissistic personalities and borderline conditions: A
Differential Diagnosis. Annual of psychoanalysis. 7: 171-203.PEP
Class 6
Clark, Karla R., (1996) The beginning phases of treatment of the schizoid disorder of the self: a developmental, self, and object relations perspective. In J. Edwards and J.
Sandville (Eds.) Fostering healing and growth; a psychoanalytic social work approach (pp 125-151). New Jersey and London: Jason Aronson.
Winnicott,D.(1974) Fear of breakdown. International journal of psychoanalysis, 1:103-107. PEP
Wolf, E. (1988). Basic concepts of self psychology (pp.23-49) and Selfojbect relation disorders:disorders of the self (pp.65-84). In E Wolf Treating the self. Guilford:New York.
Class 7: Psychoses
Freud, S. (1962) Neurosis and Psychosis, In J. Strachey (Ed and Trans.) The standard edition (Vol. 19, pp. 147-155 ). London: Hogarth Press. (Original work published in 1924) PEP
Bion, W. (1957) Differentiation of the psychotic from the non-psychotic personalities. International Journal of Psycho-Analysis, 38: 266-276. PEP
Bion W. (1959). Attacks on linking. International journal of psychoanalysis, 40: 308-316. PEP
Class 8
Ogden, T. (1980). The Nature of Schizophrenic Conflict. International journal of psychoanalysis, 61: 513-534. PEP