SOCIAL PSYCHIATRY

SOCIOLOGY 3450

 

 

                     Dr. B. J. Gallagher III                                 Office: 290, St. Augustine Center

Professor of Psychiatric Sociology              Phone:   610-5l9-4785

Fall, 2003                                                      Email: bernard.gallagher@villanova.edu

                                                                       Website: www.homepage.villanova.edu\bernard.gallagher

 

Course Description

 

This is a survey course designed to introduce college students to the fascinating world of mental illness. The first part of the course deals with the definition of mental illness.  This is a challenging task, in light of the fact that mental illness can take exotically different forms around the world.

 

The second part of the course centers around the clinical symptoms and theoretical causes of the more common forms of mental illness, such as schizophrenia, manic-depression, paranoia, phobia, obsessive-compulsive disorder, multiple personality disorder, psychopathy, post-traumatic stress disorder and sexual perversions.

 

The third part of the course examines how different types of mental illness vary across sociodemographic groups.  Who is  most at risk and why?  Topics include gender, race, ethnicity, marital status, religion,  social class, place of residence, migration, age, and family variables such as sibling position.  Cross-cultural differences are regularly emphasized. 

 

The last part of the course is about what is known as "patienthood."  We examine three questions carefully:  What happens to people as they become mentally ill?  How are the mentally ill treated, particularly in mental hospitals?  What problems do ex-patients encounter when they attempt to rejoin society?

 

The course topics are approached in a variety of ways including lectures, case discussions, state-of-the-art films, and expert guest lecturers on serial murder, homosexuality,  psychiatry and the law and the community mental health movement.

 

This course fulfills the cultural diversity requirement. 

 

Learning Objectives for Students

 

(l)      To learn about the conceptual aspects of mental illness from both an historical and contemporary perspective.

 

(2)     To know the symptoms of some of the more common forms of mental illness in the United States and around the world.

 

(3)     To develop an understanding of the numerous causal theories of mental illness.

 

(4)     To learn about the distribution of mental illness over different sociodemographic groups.

 


(5)     To learn what happens to people (and their families) as they become mentally ill.

 

(6)     To understand the different ways the mentally ill are treated, particularly in mental hospitals.

 

(7)     To learn about the problems ex-patients encounter when they attempt to rejoin society.

 

Required Books and Readings

 

(l)      Bernard J. Gallagher III, The Sociology of Mental Illness, (Englewood Cliffs, N.J.: Prentice Hall, 2002).

 

(2)     Gloria R. Leon, Case Histories of Psychopathology, (Holbrook Press, 4th edition).  Presently being republished by Prentice-Hall.

 

(3)         You will be provided with readings on current issues in Psychiatric Sociology.  All of these are available on WebCT.  These include 28 slides for the PowerPoint presentation on schizophrenia.  These are to be read by the date noted on the reading list on page 5 of the syllabus.

 

(4)         Secondary sources – there are over 3,500 different references in the Gallagher book for those of you who wish to pursue topics of special interest.

 

Examinations

 

The mid-term examination (see Important Dates Sheet) will cover the first 5 chapters of Gallagher plus designated cases in Leon.  The final exam will cover Chapters 6-l4 of Gallagher plus designated cases in Leon.  Each examination is worth approximately 45 percent of the final grade.  Your case presentation and class participation comprise the other l0%.  Other material on both exams includes the “outside readings” and information from the guest lecturers.

 

Case Presentation

 

Each of you will be assigned a case from Leon.  You are expected to know all aspects of the case and be able to discuss it intelligently in class.  Your case will be discussed in the order in which it appears on the syllabus.  Be prepared ahead of time since there is no way of knowing the precise day of your case presentation.  If you end up with a "marginal" grade average on the two examinations

(e.g. - between a B and B+), your final grade will be determined by your “performance” on the case

(e.g. - a positive performance will result in the higher of the two grades.)

 

Class Attendance

 

Attendance is rarely a problem in this class.  Most students find the subject matter interesting and want to come.  However, sometimes there is a deviant or two.  These are the people who do poorly in the course because they did not benefit from the lectures.  Consequently, I take attendance so that there will be a record of who these people are.  If they complain about failing an exam, I can point to their absences as a likely cause.

 

 


         Excessive absences significantly reduce student learning.  Therefore, unexcused absences

in excess of 4 classes will result in a lowering of the course grade by half of a grade (e.g. - B+ reduced to B).

 

Cultural Diversity

 

This course fulfills the cultural diversity requirement.  Since the mentally ill are a forgotten and

misunderstood population, they are the subject of widespread biases common to a minority group.  Additionally, much of the course deals with issues of gender, race, ethnicity and cross-cultural

variation.

 

Important Dates

See attached list.

 

Office Hours

Monday and Wednesday 2:30 – 4:00 P.M.

These and Other Times by Appointment

 

 

COURSE OUTLINE

 

I.       MENTAL ILLNESS AND SOCIAL FORCES:  AN OVERVIEW

         A.     Mental Illness and Society

                  Gallagher - Chapter l

 

         B.      Concepts, Definitions and Types of Mental Illness:  A Cross-Cultural Perspective

                  Gallagher -  Chapter 2

 

         C.     Environmental Theories of Mental Illness: The Influence of Social Stress

                  Gallagher - Chapter 3

 

 

II.      COMMON FORMS OF MENTAL ILLNESS:  PREVALENCE, SYMPTOMS AND CAUSES

         A.     Schizophrenic and Mood Disorders

                  Gallagher -  Chapter 4

                  Leon - Cases l7, l8 and l9 (schizophrenia)

                              Cases l5 and l6 (mood disorder)

                                                                          

         B.      Anxiety Disorders

Gallagher - Chapter 5

Leon - Case 5 (phobic disorder)

Leon - Case 6 (obsessive compulsive disorder)

 

         C.     Personality Disorders

                  Gallagher - Chapter 6

                  Leon - Case 4 (antisocial personality disorder)

 

 

         D.     Somatoform and Dissociative Disorders

                  Leon  - Case 9 (conversion disorder)

 

         E.      Sexual and Substance-Related Disorders

                  Leon - Case l3 (alcoholism)

                  Leon - Case 10 (cross-addiction)

 

 

III.    THE SOCIAL EPIDEMIOLOGY OF MENTAL ILLNESS

         A.       Epidemiology:  An Overview of Patterns of Mental Illness

                    Gallagher - Chapter 7

 

         B.       Social Class and Social Mobility

                    Gallagher - Chapter 8

 

         C.       Gender, Marital Status and Family Relationships

                    Gallagher - Chapter 9

 

         D.       Religion, Ethnicity and Race

                    Gallagher - Chapter 10

 

         E.       Migration, Place of Residence and Age

                    Gallagher - Chapter 11

 

 

IV.    THE PSYCHOSOCIAL EXPERIENCES OF MENTAL PATIENTS

         A.       Becoming a Mental Patient:  The Prepatient Process

                    Gallagher - Chapter 12

 

         B.       Treatment:  The Inpatient Experience

                    Gallagher - Chapter 13

 

         C.       After the Mental Hospital:  The Social Role of the Ex-Mental Patient

                    Gallagher - Chapter 14

 


PSYCHIATRY READINGS – FALL 2003

(On WebCT)

 

Read By                                 ARTICLE

 

  9/03                                       Psychiatric Terms

  9/08                                       Social Stigma

  9/10                                       Drug Guide

  9/10                                       Drugs Shaping Psychiatry

  9/15                                       Schizophrenia Lectures Outline (PowerPoint)

  9/17                                       Schizophrenia and Twins

  9/17                                       Mentally Ill in the Streets

  9/22                                       Causes of Schizophrenia Table

  9/24                                       Serial Murder Lecture Outline

9/24                                        Organized vs. Disorganized Killers

  9/29                                       Drugs for Schizophrenia

  9/29                                       Keeping Schizophrenics on Meds

10/01                                       Personality Seen in Brain

10/22                                       Anxiety Linked to Genetics

10/22                                       OCD and Bacteria

10/22                                       Hairpulling Disorder

10/29                                       MPD Article

11/05                                       Psychiatry and Law Lecture Outline (+ Articles)

11/10                                       Anorexia Around the World

11/12                                       Hiring the Mentally Ill

12/01                                       Borderline Personality Disorder

12/01                                       PTSD Article

12/03                                       Infection Connections and Mental Illness

12/03                                       Targeting the Brain

12/10                                       Religious Cults

 

                                                13 - Before Mid-Term

                                                12 - After Mid-Term

                                                25 - Total


 

IMPORTANT DATES – FALL 2003 SEMESTER

 

8/25

Course Organization

 

9/01

LABOR DAY

 

9/10

“Bellevue: Inside Out”

(Projection Room #3)

9/17

“Broken Minds”

(Projection Room #3)

9/24

* Guest Speaker

Serial Murder Lecture

 

Mr. Michael Engle, Esquire
Criminal Defense Attorney
Former Intern, Serial Murder Division of FBI


(Both Sections Combined 4:00-5:30)

10/06  

“Phobia”

(Projection Room #3)

10/08

Mid-Term Exam

 

10/13

FALL  BREAK

 

10/15

FALL  BREAK

 

10/29

“Fugue Syndrome”

(Projection Room #3)

11/03

“Asylum”

(Projection Room #3)

11/05

* Guest Speakers

Psychiatry and the Law Panel

 

Anthony M. Pisa, Ph.D.,

Clinical/Forensic Psychologist and Expert Witness
Daniel J. McDevitt, Esquire

Deputy District Attorney, Delaware County

Arthur T. Donato, Esquire

Criminal Defense Attorney and Founding President

of the PA Assoc. of  Criminal Defense Lawyers




(Both Sections Combined 4:00-5:30)

11/12

*  Guest Speakers

Community Mental Health Panel

 

Mr. Cory Rogers
Consumer Advocate
Mental Health Association of Southeastern Pennsylvania

Website:  www.mhasp.org

 

Mr. Greg Mungan

Program Manager

Prison To Community Program (M.H.A.S.P.)




(Both Sections Combined 4:00-5:30)

11/19

"The Hillside Strangler" Part I

(Projection Room #3)

 

11/24

"The Hillside Strangler" Part II

(Projection Room #3)

11/26

THANKSGIVING

 

12/03

* Guest Speakers

Homosexuality Panel

 

Ms. Elizabeth Schmidt, Nurse, University of PA     

Mr. Michael Gallagher, Grad Student,                          

University of PA 

 

(Both Sections Combined 4:00-5:30)

 

 

 

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