1. Behavioral Science Curriculum Overview William T. Greenough, PhD October 5 th, 2006

2. Setting the stage MD-Patient relationships –What is effective communication? –The biopsychosocial model –Styles of relating –Professional boundaries –Issues of compliance –Rules for handling difficult doctor-patient relationships Healthcare systems and Ethics –WHAT ACCOUNTS FOR EXPENDITURES ON HEALTH CARE? –LEGAL PRINCIPLES CENTRAL TO HEALTH CARE LAW AND POLICY –CURRENT BIOETHICAL DILEMMAS

3. Human Development Contexts of Development –Key Facts about Children in America –Social-Contextual Approach to Development Child Abuse in Context Prenatal Development –3 Stages of Prenatal Development Major achievements of each stage –Critical periods –Teratogens

4. Human Development (cont’d) Social & personality development in childhood –Major Theories of Social Development Psychoanalytic Theories Social Learning Theory –Styles of parenting and discipline Cognitive development in childhood –Piaget’s Stage Theory –Information Processing –Theory-theory Approach

5. Human Development (cont’d) Adolescence –Fundamental Changes –Important Contexts –Important Psychosocial Changes –Suicide Adult development –Erikson’s Psychosocial Stages of Adulthood –Marriage –Aging –Suicide

6. Experimental Psychology Basic Experimentation –Research Methods –Experimentation –Clinical relevance –Measurement and diagnosis Perception –Perceptual pathways –Characteristics of Perception –Context effects on Perception –Change blindness

7. Higher Cognition Learning –Biological constraints on Learning –Varieties of learning Habituation, Classical and Instrumental Conditioning Memory –Structure Short Term Sensory Store, Short-term Memory, Long Term Memory –Process Encoding, Storage and Retrieval –Forgetting and Amnesias Decision Making –Cognitive Heuristics and Decision Making –Factors Leading to Cognitive Bias –Probabilistic Reasoning in Medicine

8. Genes and Behavior –Genetics and Behavior –Genetics of Behavioral Disorders Substance Abuse –Drugs of abuse –Abuse vs Dependence –Effects of use & withdrawal Aggression and Abuse –Child maltreatment –Domestic violence –Rape –Determinants of aggression & abuse

9. Introduction to Psychopathology Part 1 –Defining abnormal behavior –Freud’s view of personality –Modern view of abnormal behavior Part 2 –Unipolar mood disorders –Bipolar mood disorders –Epidemiology and Biology of mood disorders –Risk of suicide Part 3 –Schizophrenia Symptoms & diagnosis –Other psychotic disorders –Treatment modalities

10. Cultural Competence ( need Instructor ) Working Definitions Legal Mandates Health Disparities Clinical Encounters This is a new lecture and will be changing with time

11. Stress, Sleep Disorders Stress and Medical Disorders Circadian Rhythms Sleep and EEG Sleep Disorders

12. Human Sexuality –Terms and distinctions – Female Anatomy – Male anatomy – Sexual response – Reproductive hormones –Organizational actions – Activational effects: Cyclicity and sex – Sexual Dysfunction – Illness and Injury – Drugs that influence sexual function – Contraception

13. Neuropsychology and Neuropsychological Assessment To review function of some major brain regions To understand differences in findings using brain damaged and intact individuals To gain an overview of the types of tasks that allow predictions of brain-behavior relationships To familiarize self with diagnostic tests used to assess function

14. Brain Plasticity To understand the role of brain plasticity in: –Normal Development –Developmental Disabilities –Recovery from brain damage –Typical and pathological aging

15. END:Behavioral Science Faculty: William Greenough: Course Director Brian Ross, Psychology (Experimental Psychology) Michael Wilson, Guest (Psychiatry) Donna Korol, Psychology (Biopsychology) Karl Rosengren, Psychology (Developmental Psychology) Robert Rich, College of Law (Legal/Ethical issues) Joe Goldberg, Medicine (Health Care Systems) Aaron Grossman, Teaching Assistant

16. Behavioral Science Faculty: William Greenough: Course Director Brian Ross, Psychology (Experimental Psychology) Michael Wilson, Guest (Psychiatry) Donna Korol, Psychology (Biopsychology) Karl Rosengren, Psychology (Developmental Psychology) Robert Rich, College of Law (Legal/Ethical issues) Joe Goldberg, Medicine (Health care systems) Aaron Grossman, Teaching Assistant

17. Course Objectives: Examples Many of the greatest health risk factors today are behavioral, the realm of Behavioral Science Self-injurious behaviors such as smoking, alcohol and drug abuse, poor dietary and exercise habits, now constitute the largest controllable risk factors for mortality Psychiatric disorders: major cause of disability Behavior can put others at risk (e.g., ARND) Physician’s responsibility to inform and advise patients at risk or putting others at risk

18. Course Objectives: Examples Other behavioral issues important in Medicine Stress is a serious medical issue (CardioVascD) Compliance (taking medicine, following medical advice, regular preventative medicine) Sexual function (taking a sexual history) Is my child “normal”? Development and Aging Stress-related or affected disorders Lifestyle (Tobacco, Diet, Exercise, Alcohol, Sleep)