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Abstract/Syllabus:

Human Growth and Development

Spring 2006

Understanding human development through the lifespan. (Image source: Number 0054, Health Canada.)

Highlights of this Course

The study of Growth and Development can help us to know a person more thoroughly and thereby be better doctors than were we to meet our patients without such informational prompting. One can follow various developmental "tracks" longitudinally from birth to death, for example, following the development of motor, language or cognitive capacities and skills from the beginning of life to its end. Alternatively, one can study the individual at various cross-sectional stages/ages of life. Examples of this are seen in the lectures on Adolescence or Late Life. The longitudinal tracks and cross-sectional stages complement one another in our efforts to learn more about patients. Knowing more about Growth and Development will help you to generate questions when talking to or hearing about a patient that will deepen your knowledge about them, questions that otherwise might not have occurred to you.

Course Description

In the Human Growth and Development course, students will:

    * learn that there are diseases, conditions and disabilities that relate directly to the disruption of the development of physical or mental processes.
    * learn that learning about Growth and Development also provides a framework for understanding in greater depth who a patient is as a person.
    * gain knowledge of  the normal "landscape" that can guide our exploration in clinical encounters.  It can also help us to understand precipitants to disease and disability.
    * learn to know a person more thoroughly and thereby be better doctors than were they to meet patients without such informational prompting.

We will  study the subject matter in two ways:  by following various developmental "tracks" longitudinally from birth to death and by studying the individual at various cross-sectional stages/ages of life.

Popular Content

    * Growth and Development: An Overview
    * Cognitive Development: Overview
    * A Look at Motor Development in Children
    * Personality Disorders
    * Definition of Personality Disorders

Syllabus

Objectives

  • Students will learn the normal changes in structure, function, thought, and behavior through the life cycle, as influenced by biological and environmental factors.
  • Students will learn how the above information is integrated into clinical encounters with patients.
  • Students will be exposed to societal problems and research questions related to human growth and development.

Textbooks

  • The Developing Person Through the Life Span, 6th Ed. Kathleen Berger, Worth Publishers
  • Human Behavior: An Introduction for Medical Students, 3rd Ed. Alan Stoudemire, Lippincott - Raven

Lecture Schedule and Reading Assignments

Week 1
Lecture Introduction to Course (30 minutes) - J. Schindelheim, M.D.
Readings Required:
Stoudemire-Chapter 3, Chapter 1
Berger-Part 1
Syllabus-Introduction
   
Lecture Overview of Physical Development (1 hour) - L. von Hahn, M.D.
Readings Required:
Stoudemire-Chapter 8
Elective:
Denver II: Developmental Milestones and their Normal Periods of Acquisition
   
Lecture Working With Families of Children with Developmental Disabilities (50 minutes) - J. Geyer, LICSW
Readings Required:
Berger - Part IV, Chapter 11
Elective:
Patterson, Understanding Family Resilience
Seligman, Ch 3: Initial and Continuing Adaptation to the Birth of a Disabled Child, R.B. Darling
Krauss, An Unanticipated Life: The Impact of Lifelong Caregiving -Kingsley, Welcome To Holland
   
READINGS FOR LECTURE WEEKS 2, 3, 5, 8, and 9: Berger Parts II, III & IV
   
Week 2
Lecture Overview: Motor & Neurological Development (1.25 hours) - L. von Hahn, M.D.
Readings Required:
Stoudemire - Chapter 8
   
Lecture Atypical Motor Development (1 hour) - H. Webster, M.D.
Readings n/a
   
Week 3
Lecture Overview: Cognitive Development (1.25 hours) - A. Hurley, Ph.D.
Readings Required:
Stoudemire - Chapter 8
  Elective:
A. Baddeley, Working Memory
   
Lecture Impact of Race, Culture and Ethnicity on Development (1 hour)
Readings Required:
E. Graham, Economic, Racial, and Cultural Influences on the Growth and Maturation of Children, Pediatrics in Review, Vol 26. August 2005.
J. Blanchard and N. Lurie, R-E-S-P-E-C-T: Patient Reports of Disrespect in the Health Care Setting and Its Impact on Care. The Journal of Family Practice, September, 2004
   
Week 4
Lecture Overview: Theories of Psychological Development (1.25 hours)
Readings Required:
Stoudemire - Chapter 5
Chapter 6 Berger - Part I, Chapter 2
Elective:
Gardiner, H. Developmental Psychology, 2nd Edition, Little Brown and Company: Theories and Facts in Developmental Psychology
   
Lecture Recognizing Normal and Disordered Development in Children (1 hour)
Readings n/a
   
Week 5
Lecture Social & Emotional Development of Childhood (1.25 hours)
Readings Required:
Stoudemire - Chapter 8
Elective:
Gardiner, H. The Origins of Child Study
   
Lecture Youth Violence (1 hour)
Readings Elective:
Sege, R. Peer Violence and Violence Prevention
   
Week 6
Lecture Behavioral and Psychological Effects of Developmental Trauma (1.25 hours)
Readings Required:
Stoudemire - Chapter 11
Elective:
van der Kolk, M.D., Assessment and Treatment of Complex PTSD, Chapter 7 in: Traumatic Stress. Rachel Yehuda, ed. Am. Psychiatric Press, 2001
   
Lecture Child Abuse (1.25 hours) - R. Reece, M.D.
Readings Required:
Stoudemire - Chapter 11
Berger - Part III, Chapter 8
Elective:
P. Jenkins, A Mirror To Her Mouth
   
Week 7
Lecture Overview: Development of Personality and Character (1.25 hours) - D. Adler, M.D.
Readings Required:
Stoudemire - Chapter 5
Vaillant, Adaptation and Ego Mechanisms Of Defense
Elective:
Adaptation to Life
   
Lecture Domestic Violence (1.25 hours)
Readings Required:
Syllabus, Massachusetts Medical Society, Seminar Series on domestic violence.
   
MIDTERM - 1.5 hours
   
Week 8
Lecture Overview: Communication Development (1.25 hours)
Readings Required:
Stoudemire - Chapter 8
   
Lecture Overview: Sleep Through the Life Cycle (1 hour) - C. D'Ambrosio, M.D.
Readings n/a
   
Week 9
Lecture Overview: Sexual Development (1.25 hours)
Readings Required:
Stoudemire - Chapter 7
   
Lecture Death in Childhood (1 hour)
Readings Required:
Stoudemire - Chapter 10
Elective:
R.S. Morrisob, et. al., When Too Much is Too Little -Wanzer, et. al., Physician Responsibility Toward Hopelessly Ill Patients
D. Morse, When to Touch -L. Moore, People Like That Are the Only People Here
   
READINGS FOR LECTURE WEEKS 10 & 11: Berger, Part V
   
Week 10
Lecture Psychological & Social Development of Adolescence (1.25 hours)
Readings Required:
Stoudemire - Chapter 8
   
Lecture Teen Pregnancy (1 hour)
Readings Required:
Stoudemire - Chapter 7
Elective:
C. Steven-Simon & M. White, Adolescent Pregnancy
Mini-Review: Adolescent Pregnancy in the USA: Problems and Prospects - Facts and Statistics
   
Week 11
Lecture Physiological Development of Adolescence (1.25 hours)
Readings Required:
Stoudemire - Chapter 8
Elective:
Adolescent Growth and Development; A. Hofmann
Commentaries, Growth and Normal Puberty; V. Abbassi, M.D.
Adolescent Development: Setting the Stage for Influencing Health Behaviors; L. Juszczak, M.S., L. Sandler, Ph.D.
   
Lecture Rape (1 hour)
Readings Elective:
Rape in America; Crime Victims Research and Treatment Center
Blitz Rape and Confidence Rape; Bowie, et. al.
Medical Students' Attitudes about Female Rape Victims; Best, et. al.
Acquaintance Rape; Parrot, et. al.
Male Victims of Acquaintance Rape; C. Struckman-Johnson, Ph.D.
Caring for Victims of Rape; Silverman, et. al.
HIV Testing, counseling and Prophylaxis after Sexual Assault; Gostin, et. al.
Somatic Consequences of Violence Against Women; Koss, et. al.
Vicarious Traumatization; McCann, et. al.
   
SPRING BREAK
   
Week 12
Lecture Overview: Pregnancy (1.25 hours)
Readings Required:
Stoudemire - Chapter 10
   
Lecture Alternatives to Traditional Pregnancy (1 hour)
Readings n/a
   
Week 13
Lecture Overview: Transitions in Adult Development (1.25 hours) - John C. Petrozza, M.D.
Readings Required:
Stoudemire - pp. 349-381
Berger - Part VI, Chapters 17, 18 & 19: Early Adulthood and Part VIII, Chapters 20, 21, 22: Middle Adulthood
Elective:
Levinson, D.; Seasons of a Man's Life (Chapters 1, 6)
   
Lecture Family Systems, Couples and Divorce (1 hour) - S. Sagov, M.D.
Readings Required:
  Berger - Chapter 19: Intimacy
   
Week 14
Lecture Overview: Late Life (1.25 hours)
Readings Required:
Stoudemire - Chapter 10
Berger - Part VIII - Chapters 23 & 24: Late Adulthood
Harvard Guide to Psychiatry: The Elderly Person, ed. A. Nicholi, M.D.
Elective:
Weddings, New York Times
   
Lecture Cognitive Changes with Aging: Alzheimer's Disease (1 hour)
Readings Required:
Berger - Chapter 24
Elective:
Neuropsychology of Aging; Albert and Moss
Ma - A Memoir, L. Freed
   
Week 15
Lecture Death & Dying (1.25 hours) - S. Verma, M.D.
Readings Required:
Stoudemire - Chapters 10 & 14
Berger - Part VIII, Epilogue
   
Lecture Hospice Care (1 hour) - K. Faulkner, M.D.
Readings Required:
Stoudemire - Chapter 14
Syllabus: Discussing Hospice Care, von Gunten, J. Clin. Oncology
Elective:
Factors Considered Important at the End of Life, JAMA
Smith, T. Jour. Of Clinical Oncology, Vol. 18, No. 19, Tell It Like It Is, Steinhauser, K., et. al.
The Experience of Life-threatening Illness: Patients' and Their Loved Ones' perspectives; McSkimming, et. al.
The Naturalness of Dying, J. McCue, M.D.
Hospice Care in America, J. Rhymes, M.D.
Is There Hope, S. Husebo
How to Break Bad News to Patients with Cancer, R. Beckman, M.B. & W. Baile, M.D.
   
FINAL EXAM

Calendar

Session   Type Title  
1 Lecture Introduction to Course  
2 Lecture Overview of Physical Development  
3 Lecture Working with Families of Children with Developmental Disabilities  
4 Lecture Overview: Motor & Neurological Development  
5 Lecture Atypical Motor Development  
6 Lecture Overview: Cognitive Development  
7 Lecture Impact of Race, Culture & Ethnicity on Development  
8 Lecture Overview: Theories of Psychological Development  
9 Lecture Recognizing Normal & Disordered Development in Children  
10 Lecture Social & Emotional Development of Childhood  
11 Lecture Youth Violence  
12 Lecture Behavioral and Psychobiological Effects of Developmental Trauma  
13 Lecture Child Abuse  
14 Lecture Overview: Development of Personality & Character  
15 Lecture Domestic Violence  
16 Lecture Midterm  
17 Lecture Overview: Communication Development  
18 Lecture Overview: Sleep Through the Life Cycle  
19 Lecture Overview: Sexual Development  
20 Lecture Death in Childhood  
21 Lecture Psychological & Social Development in Adolescents  
22 Lecture Teen Pregnancy  
23 Lecture Physiological Development of Adolescence  
24 Lecture Rape  
25 Lecture Overview: Pregnancy  
26 Lecture Alternatives to Traditional Pregnancy  
27 Lecture Overview: Transitions in Adult Development  
28 Lecture Family Systems, Couples & Divorce  
29 Lecture Overview: Late Life  
30 Lecture Cognitive Changes with Aging: Alzheimer's Disease  
31 Lecture Death & Dying  
32 Lecture Hospice Care



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