Department of Psychiatry

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Residency Program in Psychiatry

Didactics

Phenomenology

Course Directors

Overall Course Goals and Objectives

To develop a vocabulary for the recognition and description of psychopathology [method], and a conceptual framework to classify the techniques used for the above descriptions [methodology].

Philosophical Underpinnings

In this course, residents are exposed to two philosophical underpinnings of descriptive psychiatry, that of phenomenology, in which psychic phenomena are represented, defined, and classified (Jaspers, 1912), and that of perspectivism—the idea that “the constituents of mental life are diverse and heterogeneous” (McHugh and Slavney, 1983, 1987, 1999). As residents develop more appreciation for the inner experience of their patients, the importance of meticulous objective descriptions of symptomatology becomes more obvious.

Readings

McHugh, P.R., The Perspectives of Psychiatry, Baltimore: Johns Hopkins University Press, 1998.

Sims, A., Symptoms in the Mind, London: Balliere Tindall, 1995.

PGY-II

The course is taught during the second year. Symptoms and syndromes are first presented from a disease perspective, and diagnostic classification is expanded beyond the DSM-IV review of the PGY-I year to include more subtle and complex considerations of symptomatology. Both diagnoses and symptom-complexes are then revisited from additional perspectives (behavioral and dimensional). The topics addressed are outlined below.

Course Outline

  • Symptoms and Syndromes from the Disease Perspective
    • Thought Disorder and Dysphasia
    • Hallucinations
    • Delusions
    • Affect and Emotion
    • Motor and Sensory Symptoms
    • Obsessions, Compulsions, Stereotypies and Ritualisms
    • Negative Symptoms, Apathy and Abulia
    • Epilepsy and Non-Epileptic Seizures
    • Memory
    • Attention and Consciousness
    • Aggression and Impulsivity
    • Anxiety
  • The Dimensional Perspective
    • The Spectrum of Intelligence
    • The Spectrum of Personality
  • The Perspective of Behavior
    • Appetite and Eating Behavior
    • Appetite and Eating Behavior
    • Sexual Behavior
    • Gender Identity and Sexual Roles
    • Suicide and Suicidal Ideation
  • Psychiatric Diagnoses
    • History of Nosology and Classification
    • Mood Disorders
    • Personality Disorders: Cluster A
    • Personality Disorders: Cluster B
    • Personality Disorders: Cluster C
    • Anxiety Disorders
    • PTSD and Dissociative Disorders
    • OCD
    • Disorders of Impulsivity
    • Sleep/Wake Disorders
    • Perversions and Paraphilias
  • Summary
    • The Future of Phenomenology