The Institute for Clinical Social Work


Syllabi Archive

CL 732: Disorders of Adulthood II

Ph.D. Program: spring 2012-13


Freda B. Friedman , Ph.D.


Course Description

This course focuses on the disorders of adulthood related to trauma and attachment difficulties, and the treatment of the disorders. It also focuses on the relationship of these disorders to theories and research in the fields of psychodynamic psychotherapy, neurobiology and motional regulation. This course builds on the student's previous courses in Disorders of Adulthood II, psychodynamic theory and clinical process and techniques.


Goals

  1. Establish a psychodynamic and neurobiological understanding of the etiology of trauma-related, attachment-based and emotion-dysregulated disorders of adulthood.
  2. Deepen understanding of how these disorders impact transference and countertransference in the clinical work.
  3.  Identify treatment techniques associated with specific disorders.
  4. Augment understanding of the dynamic and shifting relationships among theory, research, diagnosis, treatment and the contribution of the historical context.
  5. Increase ability to convey diagnostic understanding and clinical application in both oral and written communication.

Evaluation

Grades will be based 50% on class participation and 50% on written assignments.

Class participation includes:

  • evidence of reading assigned readings
  • ability to raise questions about the readings and to relate clinical experiences to concepts presented in the readings and class discussions.

Attendance

Class attendance is mandatory and emergency absences should be discussed in advance with instructor. For students who miss more than one class, the overall grade for the course will be lowered one level. Students who miss than two classes will automatically fail the course; however, in the case of a personal emergency discussed with instructor and Dean, the student will be asked to withdraw from the course and retake it the following year.


Weekly Assignments

Each week, one or several class members will be assigned as discussion coordinator. All class members will send student coordinator, instructor and class members several questions or comments about at least three issues that attracted your attention in the readings. Be prepared to share with class and enter into discussion about why you picked these issues, relevance to your work, etc.


Written Assignments

Assignment 1

Discuss one of your cases that involves trauma in the client's background and that poses a practice challenge for you. Give just enough history to help me grasp the dynamics of the case. Offer some initial ideas about transference, countertransference, trauma configurations. Focus discussion on what is happening or not happening in the treatment that leaves you feeling unsettled. If any
of the assigned papers have been helpful, discuss what has been helpful.  If you don't have a client who seems appropriate, pick a character in a movie with a trauma/attachment disorder background.( e.g. Good Will Hunting, Ordinary People). Imagine that the main character from the movie comes to you as a patient once he/she reaches adulthood. Write a diagnostic assessment from the perspective of Trauma and trauma theory. Discuss the etiology and course of the illness, connecting theory with clinical understanding. Include issues mentioned above.

This paper is due on (or before, if student prefers) March 24 when the 4th class meets. This paper should be 4-6 pages (double-spaced) in
length and use citations from at least 3 of the assigned readings. Other references can also be used and should be cited. The paper will be graded on an A-to-F scale. Any student receiving a grade of C or below will have a chance to rewrite it.

Assignment II 

Now that you have completed the class, you will be able to take into consideration many of the attachment- based theories and research and incorporate them into your understanding of disorders of adulthood.

Option I: From the Movie Lars and the Real Girl; From the Movie Amour [attachment in later life] or others to be discussed.

or 

Option II: Pick a public figure, past or present, with a known troubled past and adequate written or film resources to become familiar with this person:

Discuss in terms of how their past trauma and/or attachment experiences impact their current functioning. discuss why
you picked this particular person. If they were to come to you for therapy, how would you diagnose them, what would you focus on in
treatment and how would you imagine the treatment would go? What issues would likely arise for you in working with them? Discuss these and how you would deal with them.

This paper is due on the last day of class (May 2) and should be no more than 12 pages long.


Grading

Your written assignments will be assessed as follows:

An"A" paper should reflect a high degree of understanding and demonstrate creativity and critical thinking. I should be well-organized, clearly written and edited for correct grammar and spelling.

A "B" paper is one that 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 is given because of poor organization of material, lack of clarity and coherence, or significantly insufficient editing.

An "F" paper is one that reflects major conceptual misunderstandings and demonstrates little effort at organization and writing clarity.

Papers must conform to ICSW Style manual.


Texts

  1. Ringell, S. & Brandell, J. (2012). Trauma: Contemporary Directions in Theory, Practice and Research. Thousand Oaks, Ca: Sage Publications.
  2. Levine, Peter. (1997). Waking the Tiger. Healing Trauma. Berkeley,Ca: North Atlantic Books.
  3. Obeji, Joseph and Berant, Ety. (2010) Attachment Theory and Research in Clinical Social Work with Adults. New York: Guilford Press.
  4. Wallin, D. (2007). Attachment in Psychotherapy. New York: Guilford.

Schedule

CLASS 1: Jan.26, 2013

Overview of trauma and theoretical frameworks.

Ringell, S. & Brandell, J. (2012). Trauma: Contemporary Directions in Theory, Practice and Research. Thousand Oaks, Ca: Sage Publications. Pp. 1-61

Lindy, J. And Wilson, J. (2001). An Allostatic Approach to the Psychodynamic Understanding of PTSD. In J. Wilson, M. Friedman and J.
Lindy , Treating Psychological Trauma and PTSD (pp. 125-138). New York: Guilford Press.

CLASS 2: Feb. 9 2013.
Trauma and theoretical frameworks continued

Ringell, S. & Brandell, J. (2012). Trauma: Contemporary Directions in Theory, Practice and Research. pp. 62-76. Thousand Oaks, Ca: Sage
Publications. pp.

Levine, Peter. (1997). Waking the Tiger. Healing Trauma. Berkeley, Ca: North Atlantic Books. Skim the book, with particular focus on.....

CLASS 3: Feb. 23, 2013
Treatment of Trauma: clinical considerations

Rasmussen, B. The Effects of Trauma Treatment on the Therapist. In Ringell, S. & Brandell, J. (2012). Trauma: Contemporary Directions in
Theory, Practice and Research.Pp. 223-246. Thousand Oaks, Ca: Sage Publications.

Wilson, J. , Friedman, M, and Lindy, J. (2001). Practical Considerations in the Treatment of PTSD: Guidelines for Practitioners in J. Wilson, M. Friedman and J. Lindy , Treating Psychological Trauma and PTSD (pp. 409-431). New York: Guilford Press.

Lindy, J and Wilson, J. (2001). Respecting the Trauma Membrane: Above All, Do No Harm. in J. Wilson, M. Friedman and J. Lindy , Treating Psychological Trauma and PTSD (pp. 432-445). New York: Guilford Press.

CLASS 4: March 9, 2013
Trauma and specific populations: Special Considerations

Pearlman, L. (2001). Treatment of persons with Complex PTSD and other Trauma-Related Disruptions of the Self. in J. Wilson, M. Friedman and J. Lindy , Treating Psychological Trauma and PTSD (pp. 205-236). New York: Guilford Press.

Rubin, S., et. Al. (2012) Military Bereavement and Combat Trauma. In Ringell, S. and Brandell, J. (2012). Trauma: Contemporary Directions in Theory, Practices and Research. Pp. 130-149. Thousand Oaks, Ca: Sage Publications.

Lampe, J., Shelby, R.S., Thomas, B. (2012). Traumas of Development in the Gay Male. In Ringell, S. and Brandell, J. (2012). Trauma: Contemporary Directions in Theory, Practices and Research. Pp. 171-190. Thousand Oaks, Ca: Sage Publications.

CLASS 5: Mar. 23, 2013
Adult Attachment: introduction and overview

Wallin, D. (2007). Attachment in Psychotherapy. (ch.1-4). New York: Guilford Press.

Brandell, J. (2010) Contemporary Psychoanalytic Perspectives on Attachment. in Psychoanalytic Social Work, 17:132-157, 2010

Ringel, S. (2012). Attachment Theory, Infant Research and Neurobiology. in Ringell, S. and Brandell, J. Trauma: Contemporary Directions in Theory, Practices and Research. Pp. 171-190. Thousand Oaks, Ca: Sage Publications.

Fonagy, P. (2009). Psychoanalytic theory from the viewpoint of Attachment Theory and Research. In J. Cassidy & P. Shaver (Eds.),
Handbook of Attachment Theory: theory, research, and clinical applications (pp.595-624). New York: Guilford.

Coan, J. (2009). Towards a Neuroscience of Attachment. In J. Cassidy & P. Shaver (Eds.), Handbook of Attachment Theory: theory, research, and clinical applications (pp. 249-268). New York: Guilford.

CLASS 6: April 16, 2013 
Adult Attachment Issues: Attachment Relationships & Development of the Self

Wallin, David (2007). Attachment in Psychotherapy. (Ch. 5-7). New York: Guilford Press.

Obeji ,Joseph and Berant, Ety. (2010) Attachment Theory and Research in Clinical Social Work with Adults. New York: Guilford Press.

CLASS 7: Apr. 20, 2013 
Attachment Issues in Adulthood and in PsychotherapyEmotional Detachment, Conflictual Attachment of Borderline Personality Disorder and Emotionally Abusive
Attachments

Obegi, J and Berant, Ely (2010) Attachment Theory and Research in Clinical Social Work with Adults. New York: Guilford Press.

Wallin, David (2007). Attachment in Psychotherapy. (ch. 11-14). New York: Guilford Press.

CLASS 8: May 4 2013 Sharpening the Clinical Focus

Experiencing Secure Attachments through Therapy Ethical Considerations: Trauma and Attachment Disorders in Adults

Obeji ,Joseph and Berant, Ety. (2010) Attachment Theory and Research in Clinical Social Work with Adults. New York: Guilford Press.

Wallin, David (2007). Attachment in Psychotherapy. (Ch. 8-10, 15-17). New York: Guilford Press.

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