Current Treatments of Psychological Disorders

Spring 2024 // PSY 319

Published

January 29, 2024

Course Number Time Location Office Hours
PSY 319 M, 15:10-17:30 Olin 310 M/W/Th or by appointment

Make an appointment to come to my office hours. The instructor’s office hours are as follows (or by appointment):

Prerequisites: Moderated, ideally in psychology, and a course in Cluster A, or permission of instructor.

Wherever possible, I hope to work to make this course accessible and approachable for all students. For more information on accessibility for this course, please view the section on that subject below.

Overview

Psychotherapy is constantly evolving based on new research—and it has changed substantially since first coming into being in the end of the \(19^{th}\) century. We will focus this semester on understanding more modern treatment approaches. These approaches may focus on helping people to change their thinking and behaviors. Some place a greater emphasis on the social and interpersonal contexts in which behaviors occur. Some therapies, grounded in clinical psychological science, place a greater emphasis on the biopsychological bases of behavior, present functioning, and achieving change within shorter time periods.

We will continue to focus on therapies with demonstrated efficacy, beginning with a variety of cognitive-behavioral approaches—to which we will return throughout the semester—and moving to other techniques. Our readings will be based in treatment manuals, empirical research, and exhaustive reviews, with the aim of thinking critically about mental illness and our best ways of treating it.

This course will sometimes discuss topics that are sensitive or personal for many students. If something discussed in class leaves you feeling upset, please speak to a trusted person about your experience. Further, if you find that you are struggling to cope with some of the topics discussed in class, you may contact Bard Counseling Services, and make an appointment; you may also email or call 845-758-7433.

In the spirit of truth and equity, it is with gratitude and humility that we acknowledge that this class will take place on the sacred homelands of the Munsee and Muhheaconneok people, who are the original stewards of this land. Today, due to forced removal, the community resides in Northeast Wisconsin and is known as the Stockbridge-Munsee Community. We honor and pay respect to their ancestors past and present, as well as to future generations and we recognize their continuing presence in their homelands. We understand that our acknowledgment requires those of us who are settlers to recognize our own place in and responsibilities towards addressing inequity, and that this ongoing and challenging work requires that we commit to real engagement with the Munsee and Mohican communities to build an inclusive and equitable space for all.

Such anticolonialist and antigenocidal work extends beyond Bard’s campus and the classroom.

Objectives

By the end of the semester you should be able to…

  • explain different theories of treatment
  • understand communication of clinical psychological science
  • analyze empirical articles and treatment manuals
  • explain how treatment is planned for several major disorders
  • understand clinical research from an empirical and hands-on perspective

You are expected to come to each class prepared to discuss the assigned reading. Laptops are not generally expected during class discussions. Instead, you should plan to bring paper or a notebook. (Digital copies of readings are appropriate; you need not print readings if you do not choose to.)

Instructor

The instructor for this course is Assistant Professor of Psychology Justin Dainer-Best (he/him).

Materials

There is no individual textbook used in this course. Readings will be posted on Brightspace. All readings uploaded to Brightspace should work with a screen reader; if you find a reading that is not processed correctly, please let me know and I will convert it or work with you to find an alternative. You should complete each reading in preparation for class, as listed below on the schedule.

Students may choose to purchase the following texts from which readings are drawn:

  • Beck, J. (2020). Cognitive behavior therapy: Basics and beyond (3rd ed.).
  • Hayes, S. C. & Hofmann, S. G. (Eds.) (2018). Process-based CBT: The science and core clinical competencies of cognitive behavioral therapy.
  • Barlow, D. H. (Ed.). (2021). Clinical handbook of psychological disorders: A step-by-step treatment manual.

Class Policies

Attendance

We will move at a rapid pace; material that is missed due to absence will not be repeated in class or office hours. Our classes are designed around conversation, and your absence will impact both your own understanding and the class or your group. Because this class meets once a week, absences should be avoided wherever possible.

However, this is a college class and you are an adult; your attendance is your decision. Late arrivals can be disruptive to the class. Consistent patterns of lateness are unfair to other students. Please be on time.

If you are not feeling well, please do not come to class. If you have recently been ill, please wear a mask when you attend; masks are effective at reducing spread of many respiratory illnesses. Each of us shares responsibility for the health and safety of all in the classroom.

Accommodations & Accessibility

Bard College is committed to providing equal access to all students. If you anticipate issues related to the format or requirements of this course, please contact me so that we can arrange to discuss. I would like us to discuss ways to ensure your full participation in the course. Together we can plan how best to support your learning and coordinate your accommodations. Students who have already been approved to receive academic accommodations through disability services should share their accommodation letter with me and make arrangements to meet as soon as possible.

If you have a learning difference or disability that may relate to your ability to fully participate in this class, but have not yet met with the Disability Support Coordinator at Bard, you can contact their office through https://www.bard.edu/accessibility/students/; the Coordinator will confidentially discuss the process to establish reasonable accommodations. Please note that accommodations are not retroactive, and thus you should begin this process as soon as possible if you believe you will need them.

Additionally, as my office in Preston Hall may be physically difficult to access, you may always request to meet with me in another location. I am available for meetings online as well as those in person.

Diversity, Equity, & Inclusion

It is important to me that this course provides an open and supportive learning environment for all students. I invite you to speak with me if you have concerns or questions regarding issues of belonging, safety, or equity in the classroom. I want our discussions to be respectful of all students. If I am not helping the classroom to feel like an inclusive environment, I invite you to provide me with [anonymous] feedback. Different forms of knowledge can be valuable in a psychology classroom. In this class, we will engage with complex topics of mental health and illness and, as such, respect for experiential and other viewpoints is extremely important.

Plagiarism and Academic Integrity

I expect you to be familiar with what plagiarism is and is not. You may not present someone else’s work as your own without proper citation. Using AI-generated text is not a replacement for your own writing, and automated tools to edit grammar and spelling should be used sparingly. You may not copy someone else’s work. You may not simply reword text from another source without giving credit. Please cite others’ work where relevant, and use your own writing. If you are not sure about the definition of plagiarism, or whether something constitutes plagiarism, please consult with me or with someone at Bard’s Learning Commons. Students caught plagiarizing will be reported to the Academic Judiciary Board, will get no credit for the assignment, and may fail the course.

I operate from the standpoint that you are interested in learning this material, and are doing your best to operate with integrity.

Cell phones and laptops

Before class, you should silence your cell phone, and you should not be on your phone during class unless you are asked to be (e.g., to respond to a poll). I do not recommend taking notes on your phone as a rule. I recommend taking notes on paper wherever possible. If you text or access materials unrelated to class during our class time, you are mentally absent from class.

When using a laptop, I encourage you to turn off notifications / turn on Do Not Disturb whenever possible. Browsing unrelated materials is distracting to you and also to your classmates.

Late Assignments

Most assignments can be turned in within two days of their due dates without penalty. For example, if an assignment is due before class, it may be turned in by Friday at midnight without penalty. However, please note that some assignments are intended to develop into conversations; even if you have not turned in a final document to me, you should be prepared to discuss your work in class. Discussion questions will receive no credit if completed late.

Assignments including drafts may still be turned in after their late date. However, such assignments are considered “missing” (see section “Grading” below). If your work is consistently turned in late, this also may impact your grade unless you discuss this lateness with me. All assignments are due by the last day of the semester.

Assignments

Class participation

This is a discussion-based seminar. You should expect to talk each class, and ideally multiple times each class. You will earn a small but meaningful portion of your grade from being an active class participant. In class discussions, you should plan to listen thoughtfully to your classmates and respond to them as well as adding your own viewpoints. If you are someone who finds it difficult to speak in a small class discussion, you should speak with me early in the semester to develop a plan.

Response papers and discussion questions

These assignments are meant to help prepare you and your classmates for class. As you’ll note, they are not accepted late for that reason.

Four 1-page response papers are due during the semester. Each response paper will respond to one or more of that week’s readings. You get to choose what topics you should like to respond to. However, two responses (at a minimum) are due before spring break. You are responsible for turning your response papers in without prompting. Response papers must be turned in before class—ideally a full day before, but certainly before class begins. Response papers turned in late do not count for credit. If yours would be late, please postpone to another paper.

Additionally, before six of the semester’s classes, you should also publish two discussion questions on the Brightspace discussion board. These questions will be used during class to lead discussion, as described below. Discussion questions count as a separate grade You will receive full credit for your discussion questions if they are novel (i.e., not repeating someone else’s previously-submitted questions) and add something or extend beyond the questions raised by that week’s readings. Questions are due by 10pm the night before class. Questions turned in after 10pm but before class will receive partial credit. Questions turned in after class begins will receive no credit.

Leading class exercise

Each week, two students will develop an exercise to help stimulate discussion. (You are permitted but not required to also write your response papers when you create a discussion exercise.) You will be able to sign up for exercise days in the first week of class. On weeks in which you lead a class exercise, you should plan to meet with your partner in advance to discuss the readings and identify a relevant exercise. You should also review your classmates’ discussion questions. In class, likely midway through the day, I will ask you to help lead your exercise.

You will lead class exercises twice over the course of the semester.

Research-based essay

At mid-semester, you will write a 3–4-page single-spaced paper which invites you to think critically about treatment. The mid-semester essay is a research proposal, written in APA style, which asks a question about treatment for depression or anxiety. More information will be included on Brightspace and discussed during the semester.

Your paper should include an abstract, and the following sections: Introduction (i.e., a literature review) and Methods (i.e., Participants, Measures, and Procedures). References should follow but are not included in the page count; a title page and outline are unnecessary. Methods will be based on a planned data collection, and must describe a brief treatment study.

We will collect data as a class, and you will be given the opportunity to complete an additional draft of your essay with Results and Discussion. These additional sections must include at least one figure and preregistered analyses; they should be approximately an additional 2 single-spaced pages.

Components of the essay

Refer to the schedule below for specific dates.

  • A thesis statement and précis, including three references, are due via email by the end of February for my review
  • A rough draft of the proposal is due in class on in early March for peer review and discussion of data collection
  • A preregistration will be completed in class, but should be included with the following draft:
  • A draft with specific questions for me, including a cover letter describing your response to peer review and summarizing your thesis, is due by the class following spring break
  • A draft of the Results section only is due the week after analyses are discussed in class
  • A draft updated with Results and Discussion, as well as responding to my feedback, is due by mid-April; this is the final draft of the essay
  • A short reflection on the essay, including an expansion on future directions focused on additional information gained throughout the semester, is due during completion week

Grades

Assignment Points
Class participation 15
Response papers 12
Discussion questions 6
Leading exercise 10
Paper topic 5
Paper for peer review 5
Paper draft and cover 10
Results and discussion 10
Final draft of paper 20
Paper final reflection 7
Total 100
Grade Range
A-range 90-100
B-range 80-89
C-range 70-79
D-range 60-69
F below 60

Many assignments may be turned in up to two days late without penalty. Assignments turned in later than that will not receive full points—at maximum a point off for each day late. “Missing” assignments are those which are not turned in by the late deadline, and which you have not contacted me about. If you miss assignments, you should always plan to be in touch with me as soon as possible to discuss when they will be turned in.

Schedule

The schedule may change over the course of the semester. Changes to assignment dates will be announced via email and also changed on the course website / Brightspace. You are responsible for keeping up with the readings, showing up to class prepared, and turning in assignments on-time.

Readings are listed by author last name; PDFs can be found on Brightspace.

Day Date     Topic Reading Due        
Monday Jan 29 What are treatments? Syllabus
Monday Feb 5 Empirically-supported treatments Readings introducing CBT (Duncan & Reese, 2012) and explaining how it works (J. S. Beck, 2020b, 2020c) (in the same book: pp. 1-25)
Monday Feb 12 Online treatments Topics about online treatment: two brief intervention studies (Dainer-Best & Rubin, 2024; Schleider, Dobias, Sung, Mumper, et al., 2020), an overview (Schleider, Dobias, Sung, & Mullarkey, 2020), and a survey of depression online treatments (Moshe et al., 2021)—RT & AS
Monday Feb 19 Behavioral Activation and Depression Comparing CBT for depression to other treatments (Cuijpers et al., 2013), defining behavioral activation (Dimidjian et al., 2021) and thinking about this in the context of risk factors (Dozois & Dobson, 2023)—MM & OW
Monday Feb 26 Exposure and Panic Disorder An introduction to exposure therapy (Craske et al., 2014; Jacquart et al., 2022), what happens when we treat panic (Teachman et al., 2010), and a patient handout about panic (Telch, n.d.)—KFM & CT Topic and sources
Monday Mar 4 Exposure and OCD Learning about ExRP (Huppert & Roth, 2003), with some selections from an ExRP manual (Foa et al., 2012) and an RCT on ExRP (Foa et al., 2005)—CB & MB Two response papers
Monday Mar 11 Peer Review and Preregistration No readings Peer review draft
Monday Mar 18 No class / spring break
Monday Mar 25 PE, EMDR, and PTSD Selections from PE manual (Foa et al., 2007), an EMDR trial (ter Heide et al., 2016), and a study comparing PE and EMDR (van den Berg et al., 2015)—AS & JT Draft with questions
Monday Apr 1 Diversity and inclusion in therapy Cultural adaptations of CBT (Naeem et al., 2019); working with disability (Mona et al., 2019); thinking about inclusion in psychiatry (Moreno & Chhatwal, 2020) and solutions (Connolly et al., 2021)—KFM & MB & CT
Monday Apr 8 Data analysis and visualization No readings
Monday Apr 15 Malaise, dread, and systemic issues The cognitive triad (A. T. Beck, 1970); a reflection on therapy with intransigent issues (Robertson, 2014); an RCT in cancer patients (Breitbart et al., 2018); a Buddhist-inspired approach (Epstein, 2013)—ICG, OW & QS Results section
Monday Apr 22 Psilocybin, MDMA, PTSD, and end-of-life treatment Using psychedelics to reduce fear of death (Ross et al., 2016), psilocybin RCT for depression (Carhart-Harris et al., 2021), and a combination review (Bird et al., 2021)—CB & MN Final draft
Monday Apr 29 Advising Day(s)
Monday May 6 ACT, MB-CBT, and depression Introduction to ACT (Hayes & Smith, 2005); cognitive restructuring (J. S. Beck, 2020a); Comparing ACT and CBT (Arch et al., 2012); similarities of mbCBT and ACT (Roemer et al., 2013)—MN, MM, & RT
Monday May 13 Psychodynamic psychotherapy When to use psychodynamic treatments (Kivlighan III et al., 2015), which patients prefer psychodynamic treatment (Henkel et al., 2019), and such treatment for depression (Fonagy et al., 2015)—ICG, QS, & JT
Monday May 20 Completion week Reflection

Remember: any PDFs can be found on Brightspace.

References

Arch, J. J., Eifert, G. H., Davies, C., Plumb Vilardaga, J. C., Rose, R. D., & Craske, M. G. (2012). Randomized clinical trial of cognitive behavioral therapy (CBT) versus acceptance and commitment therapy (ACT) for mixed anxiety disorders. Journal of Consulting and Clinical Psychology, 80(5), 750–765. https://doi.org/10.1037/a0028310
Beck, A. T. (1970). The core problem in depression: The cognitive triad. In J. H. Masserman (Ed.), Depression: Theories and therapies (pp. 47–55). Grune & Stratton.
Beck, J. S. (2020a). Identifying automatic thoughts. In Cognitive behavior therapy: Basics and beyond (3rd ed., pp. 210–226). Guilford Press.
Beck, J. S. (2020b). Introduction to cognitive behavior therapy. In Cognitive behavior therapy: Basics and beyond (3rd ed., pp. 1–15). Guilford Press.
Beck, J. S. (2020c). Overview of treatment. In Cognitive behavior therapy: Basics and beyond (3rd ed., pp. 16–25). Guilford Press.
Bird, C. I. V., Modlin, N. L., & Rucker, J. J. H. (2021). Psilocybin and MDMA for the treatment of trauma-related psychopathology. International Review of Psychiatry, 33(3), 229–249. https://doi.org/10.1080/09540261.2021.1919062
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Citation

BibTeX citation:
@online{dainer-best2024,
  author = {Dainer-Best, Justin},
  title = {Current {Treatments} of {Psychological} {Disorders}},
  date = {2024-01-29},
  url = {https://faculty.bard.edu/jdainerbest/treatments/},
  langid = {en}
}
For attribution, please cite this work as:
Dainer-Best, J. (2024, January 29). Current Treatments of Psychological Disorders. https://faculty.bard.edu/jdainerbest/treatments/