Veidlapa Nr. M-3 (8)
Study Course Description

Personality Structures - Normality and Psychopathology

Main Study Course Information

Course Code
PMUPK_034
Branch of Science
Clinical medicine
ECTS
3.00
Target Audience
Medicine
LQF
Level 7
Study Type And Form
Full-Time

Study Course Implementer

Course Supervisor
Structure Unit Manager
Structural Unit
Department of Psychosomatic Medicine and Psychotherapy
Contacts

Riga, 30 Kristapa Street, pmpk@rsu.lv, +371 67210989

About Study Course

Objective

To provide students with knowledge about different personality structures, normality and personality disorders – etiology, clinical symptoms, diagnostics and therapy. To provide students with knowledge, skills and competences that are needed to establish therapeutic doctor-patient relationship.

Preliminary Knowledge

Prior knowledge in previous study courses : Mental Health (1. st. g.), Psychosomatic Medicine (4. st. g.).

Learning Outcomes

Knowledge

1.As a result of studying the subject students will acquire knowledge about personality development theories, different personality structures, sound personality and psychopathology: etiology, clinical symptoms, diagnostics, therapy.

Skills

1.As a result of completion of this study course, students will gain: skills to understand and use diagnostic criteria to diferentiate personality disorders; skills to establish therapeutic doctor-patient relationship.

Competences

1.As a result of studying the subject, students will acquire competence to understand indications for psychotherapy.

Assessment

Individual work

Title
% from total grade
Grade
1.

Individual work

-
-
• Video analysis and / or • Clinical case description and / or • Open questions at the beginning of the lesson and / or • Multiple choice test and / or • Preparation of a presentation on the topic of the lesson. In order to evaluate the quality of the study course as a whole, the student must fill out the study course evaluation questionnaire on the Student Portal.

Examination

Title
% from total grade
Grade
1.

Multi-answer test

50.00% from total grade
10 points

The assessment of the exam is cumulative. It consists of:

1. Mid-semester examination - multi-answer test.

2.

Final test

50.00% from total grade
10 points

2. Final examination – an electronised, e-study accessible or face-to-face multi-answer test on topics discussed within the course.

It is possible to count the automatic final test against the following criteria:

  • Mid-semester examination assessment of at least 8 points;
  • No more than 25% of classes are delayed;
  • 100% attendance of classes or reproduction of classes on justifiable grounds;
  • Independent work at the choice of the teaching staff regarding: (a) the subject of the cycle lesson (literature review); (b) the clinical case; (c) the latest study (according to the subject of the lesson).

Study Course Theme Plan

FULL-TIME
Part 1
  1. Lecture

Modality
Location
Contact hours
On site
Auditorium
2

Topics

The concept and definition of personality. Character and temperament. Axis of personality structures and axis of personality functioning levels. Levels of personality functioning. Perception of personality structures and disorders in the context of functioning levels: the norm and Psychopathology I.
  1. Lecture

Modality
Location
Contact hours
On site
Auditorium
2

Topics

The concept and definition of personality. Character and temperament. Axis of personality structures and axis of personality functioning levels. Levels of personality functioning. Perception of personality structures and disorders in the context of functioning levels: the norm and psychopathology II.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
3

Topics

1.Depressive personality structure. 2. Hypomanic personality structure. Etiology, clinical manifestation, diagnostics, therapy. Development, core affects, self and object relationships, typical psychic defense mechanisms. Transference and countertransference. Dynamics of the doctor-patient therapeutic relationship.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
3

Topics

Masochistic personality structure. Etiology, clinical manifestation, diagnostics, therapy. Development, core affects, self and object relationships, typical psychic defense mechanisms. Transference and countertransference. Dynamics of the doctor-patient therapeutic relationship.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
3

Topics

Obsessive-compulsive personality structure. Etiology, clinical manifestation, diagnostics, therapy. Development, core affects, self and object relationships, typical psychic defense mechanisms. Transference and countertransference. Dynamics of the doctor-patient therapeutic relationship.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
3

Topics

1. Hysterical personality structure. 2. Dissociative personality structure. Etiology, clinical manifestation, diagnostics, therapy. Development, core affects, self and object relationships, typical psychic defense mechanisms. Transference and countertransference. Dynamics of the doctor-patient therapeutic relationship. Test (semester test)
Total ECTS (Creditpoints):
1.50
Contact hours:
16 Academic Hours
Final Examination:
Test (Semester)
Part 2
  1. Lecture

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Personality development theories. S. Freud’s psychosexual development theory. E. Erickson’s psychosocial development theory. H. Kohut’s self psychology. Object relations theory I.
  1. Lecture

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Personality development theories. S. Freud’s psychosexual development theory. E. Erickson’s psychosocial development theory. H. Kohut’s self psychology. Object relations theory II.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
3

Topics

Schizoid personality structure. Etiology, clinical manifestation, diagnostics, therapy. Development, core affects, self and object relationships, typical psychic defense mechanisms. Transference and countertransference. Dynamics of the doctor-patient therapeutic relationship.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
3

Topics

Narcissistic personality structure. Etiology, clinical manifestation, diagnostics, therapy. Development, core affects, self and object relationships, typical psychic defense mechanisms. Transference and countertransference. Dynamics of the doctor-patient therapeutic relationship.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
3

Topics

1. Paranoid personality structure. 2. Antisocial personality structure. Etiology, clinical manifestation, diagnostics, therapy. Development, core affects, self and object relationships, typical psychic defense mechanisms. Transference and countertransference. Dynamics of the doctor-patient therapeutic relationship.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
3

Topics

1. Borderline personality disorder. 2. Dependent personality. 3. Anxious avoidant personality. Etiology, clinical manifestation, diagnostics, therapy. Development, core affects, self and object relationships, typical psychic defense mechanisms. Transference and countertransference. Dynamics of the doctor-patient therapeutic relationship. Exam (multi-choice test).
Total ECTS (Creditpoints):
1.50
Contact hours:
16 Academic Hours
Final Examination:
Exam (Written)

Bibliography

Required Reading

1.

Džons Boulbijs. “Drošais pamats”. Rīga, Rasa, ABC, 1998 (akceptējams izdevums)

2.

K. Abrahamsson. R. Ennals. Sustainable work in Europe. Concepts, Conditions, Challenges. 2022 Edited Collection. 342 PagesSuitable for English stream

3.

Diagnostic and Statistical Manual of Mental Disorders (DSM-5®). 2013.Suitable for English stream

4.

Nancy McWilliams. Psychoanalytic diagnosis: Understanding personality structure in the clinical process (2nd ed.). Guilford Press, 2011 (akceptējams izdevums)Suitable for English stream

5.

Zigmunds Freids. “Ievadlekcijas psihoanalīzē”. Rīga, Zvaigzne ABC, 2007 (akceptējams izdevums)

6.

Artūrs Utināns. “Cilvēka psihe: tās darbība, funkcionēšanas traucējumi un ārstēšanas iespējas.” Rīga, Nacionālais apgāds, 2005 (akceptējams izdevums)

7.

Gunta Ancāne. “Ārsta un pacienta terapeitisko attiecību psihoemocionālie aspekti”. Latvijas Ārsts 2005, nr.6 77-79.lpp. (akceptējams izdevums)

8.

S. Freud. Three essays on the theory of sexuality. Penguin Books, Limited, 2000. (akceptējams izdevums)Suitable for English stream

9.

Theodore Millon. Personality Disorders in Modern Life. John Wiley and Sons, 2000. (akceptējams izdevums)Suitable for English stream

Additional Reading

1.

Katedrā izstrādātie studentu pētnieciskie darbi (2023)/ student research works developed in the department (2023):Suitable for English stream

2.

Adelīna Nikitenko. “Ģeneralizētas trauksmes izplatība Ogres pilsētas vidusskolēnu vidū un tās saistība ar vientulību.”

3.

Aksel Darius Överlien Dalili. “Burnout Syndrome in Medical Personnel During The Covid-19 Pandemic”Suitable for English stream

4.

Ali Lavin. “Changes of level of empathy in medical students during time of studies”Suitable for English stream

5.

Ieva Kulša. “Celikālijas psihosomatiskie aspekti.”

6.

Jānis Kristaps Vasiļonoks. “Ārstu-rezidentu spēja paziņot sliktas ziņas pacientam.”

7.

Karīna Rudus. “Saistība starp trauksmes simptomu smagumu un stresa pārvarēšanas stratēģijām RSU medicīnas fakultātes preklīnisko studiju gadu studentu vidū.”

8.

Katrīna Liepiņa. ”Adverse childhood experiences (ace) jeb nelabvēlīgas bērnības pieredzes saistībā ar gastrointestinālām sūdzībām āgenskalna ģimnāzijās”

9.

Laura Gribuste. “Saistība starp kritiskās domāšanas dispozīciju un ticību paranormālajam Rīgas Stradiņa Universitātes studentu vidū.”

10.

Leonhard Francisco Schlichting. “Borderline Personality Disorder as Comorbidity of Bulimia Nervosa in Adolescents”Suitable for English stream

11.

Linda Borskoviča. “Pašcieņas, trauksmes, depresijas rādītāju saistība ar glikēmijas kontroli pacientiem ar 1. un 2. Tipa cukura diabētu”

12.

Linda Lumikki April Vainio. “MDMA-assisted therapy in PTSD treatment”Suitable for English stream

13.

Megija Zunde. “Trauksmes simptomu īpatsvara dinamika vidējam medicīnas personālam Covid-19 pandēmijas laikā Latvijā.”

14.

Miina-Maria Jyrälä. “Depression as a risk factor for coronary artery disease, mechanisms behind it”Suitable for English stream

15.

Nika Kristiāna Meždreija. “Somatizācijas un trauksmes simptomu salīdzinājums sesijas laikā un pēc tā RSU 1. un 6. kursa medicīnas fakultātes studentiem”

16.

Rebecca Abraham. “The effect of parenting on the development of borderline personality disorder”Suitable for English stream

17.

Rebeka Beinaroviča. “Sociāli ekonomiskā stāvokļa saistība ar izdegšanas sindromu medicīnas fakultātē studējošajiem.”

18.

Sima Shokouhi. “The relationship between the belief in conspiracy theories and narcissistic personality traits in an individual.”Suitable for English stream

19.

Svetlana Redina. “Ēšanas traucējumu saistība ar depresijas un trauksmes simptomiem starp 12. klašu skolniekiem piecās Rīgas Pārdaugavas rajona skolās: 71. vidusskolā, 96. vidusskolā, Anniņmuižas vidusskolā, Arkādijas vidusskolā, Imantas vidusskolā”

20.

Zanda Laura Šķiņķe. “Trauksmes un depresijas simptomu korelācija ar un bez muguras lejasdaļas sāpēm RSU medicīnas fakultātes studentiem”

Other Information Sources

1.

Deborah L. Cabaniss, Sabrina Cherry, Carolyn J. Douglas, Ruth L. Graver, Anna R. Schwartz. Psychodynamic Formulation. 2013 by John Wiley & Sons Ltd.Suitable for English stream

2.

Implementing the care programme approach in psychotherapeutics settings, 2004Suitable for English stream

3.

Post-traumatic stress disorder: symptom profiles in men and women, 2003Suitable for English stream

4.

Stress and depression mediated by single brain protein, 20.11.2014Suitable for English stream

5.

Physical symptoms and physician-experienced difficulty in the physician – patient relationship, 1.05.2001Suitable for English stream

6.

The effects of physician empathy on patient satisfaction and compliance, 09.2004Suitable for English stream

7.

Dreams in Jungian psychology: The use of dreams as an instrument for research, diagnosis and treatment of social phobia, 2009Suitable for English stream

8.

Nature, Niche, and nurture. The role of social experience in transforming genotype into phenotype, 11.10.2011Suitable for English stream

9.

Long work hours wreak havoc in MDs, Personal lives, 23.09.2013Suitable for English stream

10.

How the brain responds to trauma, 24.09.2014Suitable for English stream

11.

Why do depressed doctors suffer in silence? – 27.06.2017Suitable for English stream

12.

The 8 things that end childhood too soon: what clinicians should know, 30.06.2017Suitable for English stream

13.

Why do we love sad music? Mourning our pain, 27.11.2018Suitable for English stream

14.

Doctor – Patient relationship, 20.06.2019Suitable for English stream

15.

Why men need mind-body medicine now more than ever, 2.04.2020Suitable for English stream

16.

Borderline personality disorder diagnosis: to tell or not to tell patients?, 22.03.2021Suitable for English stream

17.

Doctors, nurses give lifestyle advice but are skeptical it’s heeded, 29.03.2018Suitable for English stream

18.

Empathy fatigue in clinicians rises with latest COVID-19 surge, 16.09.2021Suitable for English stream

19.

Physicians react: burnout rates are alarming, so who should drive change? 6.06.2022Suitable for English stream

20.

Social isolation, Loneliness tied to death, MI, stroke: AHA, 4.08.2022Suitable for English stream

21.

German survey on assisted suicide: how to handle this? Where should caution be exercised?, 16.09.2022Suitable for English stream

22.

What happens when doctors and patients interrupt each other?, 23.11.2022Suitable for English stream

23.

Greater Handgrip Strength tied to lower risk for depression, 20.12.2022Suitable for English stream

24.

Vegetarians suffer more depression than meat eaters, 27.12.2022Suitable for English stream

25.

Emotional eating tied to risk for diastolic dysfunction, 19.01.2023Suitable for English stream

26.

Do doctors want their babies to Grow up to be Physicians?, 7.02.2023Suitable for English stream

27.

Beyond the psychedelic effect: ayahuasca as antidepressant, 10.02.2023Suitable for English stream

28.

Epigenetics, satiety, and predictive markers of obesity, 27.02.2023Suitable for English stream

29.

Physician suicide: investigating its prevalence and cause, 15.03.2023Suitable for English stream

30.

Is it time to stop treating high triglycerides?, 29.03.2023Suitable for English stream

31.

Treating depression in primary care: the latest guidelines, 21.03.2023Suitable for English stream

32.

Melatonin a new way to reduce self-harm, 27.03.2023Suitable for English stream

33.

A better lower-cost option for mild to moderate Depression?, 30.03.2023Suitable for English stream

34.

Anger in adults a red flag for childhood trauma, 5.04.2023Suitable for English stream

35.

Physicians may retire en masse soon. What does that mean for medicine? 18.04.2023Suitable for English stream

36.

Long- term impact of childhood trauma explained, 2.05.2023Suitable for English stream

37.

Medical-level empathy? Yup, chatGPT can fake that, 4.05.2023Suitable for English stream

38.

Women at higher risk for inflation-related stress, 24.05.2023Suitable for English stream

39.

Interneta vēre https://ssk10.spkc.gov.lv/ (F60-F69 Pieaugušo personības un uzvedības traucējumi) SSK-10 brīvpiekļuves versija/ ICD-10 (F60-F69 Disorders of adult personality and behaviour).