Psychodynamic and Cognitive Behavioural Models of Mental Disorders

elective courses

During the course psychodynamic and cognitive-behavioral

understanding of chosen mental disorders will be explored and

compared.

The purpose of the course is to present knowledge about understanding

adult psychopathology from two main perspectives: psychodynamic and

cognitive-behavioral. We will explore how these theoretical approaches

explain the process of impaired development, and, as a result –

impairments in the functioning in adulthood. The question “what is

common and what is different in the way both approaches understand

particular disorders?” will arise. We will discuss unconscious and

emotional or cognitive and behavioral mechanisms underlying chosen

mental disorders. Recommendations, different methods of treatment

and effectiveness research will also be discussed. Numerous case studies

and clinical material will be presented and analysed.

1. Introduction

Beck, J.S. (2011). Cognitive Behavior Therapy: Basics and Beyond (2nd

edition). New York: Guilford. Chapter 1. Introduction to

cognitive behavior therapy (p. 2-14).

Gabbard, G.O. (2010). Long-term Psychodynamic Psychotherapy: A Basic

Text. Washington D.C.: American Psychiatric Publishing. Chapter

1. “Key concepts” (p.1-29).

2. Concepts of mental health and psychopathology according to

principal psychodynamic theories.

Gabbard, G.O. (2014). Psychodynamic Psychiatry in Clinical Practice.

Washington D.C.: American Psychiatric Publishing. Chapter

2.“The theoretical basis of dynamic psychiatry”. (p.33-74).

McWilliams, N. (1994). Psychoanalytic diagnosis. Understanding

Personality Structure in the Clinical Process. New York, London:

The Guilford Press. Chapter 2.”Psychoanalytic character

diagnosis”(p.19-39).

3. Concepts of mental health and psychopathology according to

principal cognitive-behavioral theories.

Beck, J.S. (2011). Cognitive Behavior Therapy: Basics and Beyond (2nd

edition). New York: Guilford. Chapter 3. Cognitive

conceptualization (p.29-46).

4. Developmental levels of personality organizations.

Presentations of Psychodynamic Diagnostic Manual.

Psychodynamic Diagnostic Manual (PDM). (2006). By: Alliance of

Psychoanalytic Organizations. Introduction.

McWilliams, N. (2011). Psychoanalytic diagnosis. Understanding

Personality Structure in the Clinical Process. The Guilford Press.

Chapter 3.”Developmental levels of personality organization”

(p.40-66).

5. Personality disorders from psychodynamic perspective

Psychodynamic Diagnostic Manual (PDM). (2006). By: Alliance of

Psychoanalytic Organizations. Personality Patterns and

Disorders P Axis.

Gabbard, G.O. (2014). Psychodynamic Psychiatry in Clinical Practice.

Washington D.C. American Psychiatric Publishing. Chapter 15.

Cluster B personality disorders: borderline. (p.427-480)

6. Personality disorders from cognitive-behavioral perspective

Beck, A., Freeman, A., Davis , D.D. (2004). Cognitive therapy of personality

disorders. The Guilford Press: New York. Chapter 1. David, D.O.,

Freeman, A. Overview of Cognitive-Behavioral Therapy of

Personality Disorders. Chapter 2. Beck, A. Theory of Personality

Disorders.

Heard, H.L., Linehan, M.M. (1994). Dialectical behavior therapy: An

integrative approach to the treatment of borderline personality

disorder. Journal of Psychotherapy Integration, 4, 55-82.

7. Chosen personality disorders (borderline and narcissistic) from

both perspectives.

Beck, A., Freeman, A., Davis , D.D. (2004). Cognitive therapy of personality

disorders. The Guilford Press: New York. Chapter 9 & 11.

Gabbard, G.O. (2014). Psychodynamic Psychiatry in Clinical Practice.

Washington D.C.: American Psychiatric Publishing. Chapter 15 &

16. (p.481-514).

8. Schizophrenia and other psychotic disorders – psychodynamic

perspective

Psychodynamic Diagnostic Manual (PDM). (2006). By: Alliance of

Psychoanalytic Organizations. S312 Psychotic disorders.

Gabbard, G.O. (2014). Psychodynamic Psychiatry in Clinical Practice.

Washington D.C.: American Psychiatric Publishing. Chapter 7.

Schizophrenia. (p.187-218).

9. Schizophrenia and other psychotic disorders – cognitivebehavioral

perspective.

Rector, N.A., Beck, A.T. (2002). Cognitive therapy for schizophrenia: From

conceptualization to intervention. The Canadian Journal of

Psychiatry, 47, 39-49.

Zubin, J., Spring, B. (1977). Vulnerability: A new view of schizophrenia.

Journal of Abnormal Psychology, 86, 103-126.

10. Anxiety disorders

Clark, D.A., Beck, A.T. (2011). Cognitive therapy of anxiety disorders. The

Guilford Press: New York. Chapter 2. The cognitive model of

anxiety (p.31-58).

Gabbard, G.O. (2014). Psychodynamic Psychiatry in Clinical Practice.

Washington D.C.: American Psychiatric Publishing. Chapter 9.

Anxiety disorders. (p.257-280).

Psychodynamic Diagnostic Manual (PDM). (2006). By: Alliance of

Psychoanalytic Organizations. S302 Anxiety disorders.

11. Obsessive-compulsive and trauma and stressor-related

disorders

Clark, D.A., Beck, A.T. (2011). Cognitive therapy of anxiety disorders. The

Guilford Press: New York. Chapter 11 & 12. (p.446-556).

Gabbard, G.O. (2014). Psychodynamic Psychiatry in Clinical Practice.

Washington D.C.: American Psychiatric Publishing. Chapter 10.

(p. 281-310).

Psychodynamic Diagnostic Manual (PDM). (2006). By: Alliance of

Psychoanalytic Organizations. S302.1 Psychic trauma and

posttraumatic stress disorder. S302.3 Obsessive-compulsive

disorders.

12. Affective disorders – psychodynamic perspective

Gabbard, G.O. (2014). Psychodynamic Psychiatry in Clinical Practice.

Washington D.C.: American Psychiatric Publishing. Chapter 8.

Affective disorders. (p. 219-256).

Psychodynamic Diagnostic Manual (PDM). (2006). By: Alliance of

Psychoanalytic Organizations. S304 Mood disorders.

13. Affective disorders – cognitive-behavioral perspective

Ball, J., Mitchell, P., Malhi, G., Skillecorn, A., Smith, M. (2003). Schemafocused

cognitive therapy for bipolar disorder: Reducing

vulnerability to relapse through attitudinal change. Australian

and New Zealand Journal of Psychiatry, 37, 41-48).

Rush, A.J., Beck, A.T. (1978). Cognitive therapy of depression and suicide.

American Journal of psychotherapy, 32, 201-219.

14. Eating disorders.

Gabbard, G.O. (2014). Psychodynamic Psychiatry in Clinical Practice.

Washington D.C.: American Psychiatric Publishing. Chapter 12.

(p. 357-374).

Psychodynamic Diagnostic Manual (PDM). (2006). By: Alliance of

Psychoanalytic Organizations. S306 Eating disorders.

15. Course summary.

The course will deepen students` knowledge about psychodynamic and

cognitive-behavioral understanding of particular mental disorders. After

the course students will be able to use psychodynamic and cognitivebehavioral

ideas to interpret patient`s psychopathology mechanisms and

to formulate treatment`s recommendations.

1) 50% - 2 tests in the course of the seminar (20 min, on 7th

and 13th class)

2) 50% - case study presentation – during the course

students in the groups of 3 or 4 prepare case study of the

patient with chosen disorder according to one of the

approaches and present it shortly (20min.) in the class

Criteria:

Points Grade

92% - 100% 5

84% - 91% 4,5

76% - 83% 4

68% - 75% 3,5

60% - 67% 3

0-59% 2

Two absences are allowed during the course. In case of three or four

absences providing additional task will be required. More than four

absences, regardless of reasons, will result in failing the course.