Veidlapa Nr. M-3 (8)

Study Course Description

Psychosomatic Medicine II

Main Study Course Information

Course Code

RPH_044

Branch of Science

Anatomy; Clinical medicine

ECTS

7.00

Target Audience

Medicine

LQF

Level 8

Study Course Implementer

Course Supervisor

Artūrs Utināns

Residency Speciality

Speciality

Psychotherapist

Supervisor of Medical Speciality

Artūrs Utināns

Contacts

About Study Course

Objective

Acquire dependence of knowledge and skills of psychosomatic medicine in compliance with the qualification of the psychotherapist. Provide knowledge and skills in diagnostics, differential diagnosis and treatment of psychosomatic disorders.

Learning Outcomes

Knowledge

1.Recognise and describe etiopathogenesis of psychosomatic disorders and diseases, as well as the clinic and potential treatment.

Skills

1.Diagnose and perform differential diagnosis in the case of psychosomatic disorders and elaborate the treatment tactics for treatment of the particular patients and being able to acquire psychosomatic anamnesis.

Competences

1.Example-based knowledge, skills and attitude essential for working at a hospital and for research, raising public awareness via media; understanding of a team-work (work in groups) and its functions, psycho-dynamics, crisis situations and their solution; as well as the ability to manage the work of a multi-disciplinary team and be part of such team, supervise doctors and medical staff.

Assessment

Individual work

Title	% from total grade	Grade
1. Individual work	-	-
Gather psychosomatic anamnesis, manage the process of treatment and ability to overcome alexitymic reactions.

Examination

Title	% from total grade	Grade
1. Examination	-	-
Resident expresses his/her knowledge and clinical/psychodynamic thinking.
2. Examination	-	-
Analysis of clinical cases, written test.

Study Course Theme Plan

FULL-TIME

Part 1

Seminar

Modality	Location
On site	Auditorium

Topics

Biopsychosocial model in medicine. Disease pathogenesis and saluteogenesis.

Seminar

Modality	Location
-	-

Topics

Theories of development of psychosomatic disorders and diseases. Stress theory. Psychodynamic theory.

Seminar

Modality	Location
-	-

Topics

The concept of stress, its psychophysiological aspects, possibilities of its detection, research and measurement. The main psycho-emotional stressors. Stress in case of object loss. Stress - emotional reactions and endocrine responses. Illness and pain syndrome as stress.

Seminar

Modality	Location
-	-

Topics

Ego strength and coping strategies.

Seminar

Modality	Location
-	-

Topics

Effects of life stress in infancy, childhood, adolescence, adulthood. Possibilities of psycho-emotional stress prevention.

Seminar

Modality	Location
-	-

Topics

Doctor-patient relationship, therapeutic factors. The essence of the doctor-patient relationship, possible models, psychodynamics. Empathy. Tasks. Goals. ‘The doctor as the best medicine’.

Seminar

Modality	Location
-	-

Topics

Classifications of psychosomatic disorders and diseases.

Seminar

Modality	Location
-	-

Topics

The concept of psychodynamic specificity. A. Mitcherlich. French School of Psychosomatic Medicine. Corticovisceral theory. Bikovs. I. Kurcins. Adaptive diseases. Š. Shosh. V. Zikmunds. Diseases of civilization.

Seminar

Modality	Location
-	-

Topics

Theories of development of psychosomatic disorders and diseases.

Total ECTS (Creditpoints):

7.00

Number of Residency Seminars:

Length (weeks):

Final Examination:

Residency exam (Theory and practice)

Bibliography

Required Reading

Silvano Arieti, Morton F. Reiser. American Handbook of Psychiatry. Volume Four. Organic Disorders and Psychosomatic Medicine. e-Book 2015 International Psychotherapy Institute.

Medically unexplained symptoms, somatisation, and bodily distress: developing better clinical services / [edited by] Francis Creed, Peter Henningsen, Per Fink. Cambridge University Press, 2011.

Martine Derzelle. Towards a Psychosomatic Conception of Hypochondria. The Impeded Thought. Springer International Publishing Switzerland, 2014.

Psychosomatic Medicine: An Introduction to Consultation-Liaison Psychiatry by James J. and Robert G. Robinson, Jun 28, 2010.

Psychosomatic Medicine: A Companion to the American Psychiatric Publishing Textbook of Psychosomatic Medicine. 2nd Ed. by James A., M.D. Bourgeois, Robert E. Hales and Narriman C. Shahrokh, Nov 4, 2010.

Clinical Manual of Psychosomatic Medicine: A Guide to Consultation-liaison Psychiatry by Kemuel L. Philbrick, James R. Rundell, Pamela J. Netzel and James L., M.D. Levenson, Oct 10, 2011.

Additional Reading

Theatres of the Mind/Joyce/ McDougall. 1994.

George Fink. Encyclopedia of Stress, Four- Volume Set, 2nd ed. 2007.

Stressors and the Adjustment disorders/ Ed. Joseph D.Noshpitz, R.Dean Coddington.1990.