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

Introduction in Psychosomatics

Main Study Course Information

Course Code
PMUPK_028
Branch of Science
Anatomy; Clinical medicine
ECTS
3.00
Target Audience
Medical Services
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

The aim of the study course is to improve students’ knowledge in psychosomatic medicine, to promote understanding of the development and manifestations of psychosomatic disorders and diseases, as well as to provide an idea of applying psychotherapy in the treatment of these disorders and diseases.

Preliminary Knowledge

Prior knowledge of the anatomy and physiology of nervous system.

Learning Outcomes

Knowledge

1.As a result of studying the study course students will acquire knowledge about the psychic, somatic and social interaction processes, role of social processes in the etiology and pathogenesis of psychosomatic disorders and diseases, basic knowledge of psychotherapy process, types and opportunities of psychotherapeutic treatment.

Skills

1.Students will be able to analyze emotional, physical and social factors in the patient's clinical examples, role of social factors in etiopathogenesis of psychosomatic disorders and diseases.

Competences

1.Students will be able to analyze the biological, emotional and social factors in etiology and pathogenesis of disease.

Assessment

Individual work

Title
% from total grade
Grade
1.

Individual work

-
-
Description and analysis of a patient case, independent study of recommended literature. 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.

Examination

-
-
I. Knowledge – ability to define: 60%: 1. Therapeutical physiotherapist - patient relationship, work with patients during emotional crisis, telling about poor prognosis (20%) 2. Etiology of psychosomatic disorders and illnesses, psychodynamic understanding of the symptom (20%) 3. Different types of personality structures (20%). II. Skills: 40%: 1. Principles of developing a therapeutical physiotherapist - patient relationship with patients with different types of personality structures (20%) 2. Elements of support psychotherapy in physiotherapist-patient relationship (20%). Automatic pass: 1. 100% attendance of classes AND 2. Active participation of student in discussions and role-plays. 3. According to instructions of lecturer – a written 5 – 6 page essay, in which the analyse of given subject is performed. OR Presentation about: a) topic discussed in class (literature review); b) clinical case example; c) recent research according to topic of the class is handed in.

Study Course Theme Plan

FULL-TIME
Part 1
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Biopsychosocial model in medicine. Model of bio-psycho-pathological vulnerability.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
2

Topics

The concept of personality. Psychic defensive mechanisms, classification.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Developmental levels of personality organization: borderline, psychotic and neurotic spectrum.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Specificities of communication with patients of different developmental levels of personality organization. Case studies.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
2

Topics

History of psychosomatic medicine. Origin of psychosomatic disorders and diseases, psychodynamic understanding of symptom. Feelings, emotions, their role in the process of somatisation. Clinical examples. Psychosomatic families.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Structure of character organization: narcissistic, antisocial personalities. Examples, characteristics of communication.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Structure of character organization: paranoid, schizoid personalities. Examples, characteristics of communication.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Structure of character organization: masochistic, hysterical, dependent personalities. Examples, characteristics of communication.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Structure of character organization: obsessive-compulsive, depressive, manic, personalities. Examples, characteristics of communication.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Stress, the concept of stress. The basic principle of supportive psychotherapy. Written exam (multiple choice questions).
Total ECTS (Creditpoints):
3.00
Contact hours:
20 Academic Hours
Final Examination:
Exam (Written)

Bibliography

Required Reading

1.

Women at higher risk for inflation-related stress, 24.05.2023

2.

Medical-level empathy? Yup, chatGPT can fake that, 4.05.2023

3.

Long- term impact of childhood trauma explained, 2.05.2023

4.

Anger in adults a red flag for childhood trauma, 5.04.2023

5.

Melatonin a new way to reduce self-harm, 27.03.2023

6.

Epigenetics, satiety, and predictive markers of obesity, 27.02.2023

7.

Emotional eating tied to risk for diastolic dysfunction, 19.01.2023

8.

Vegetarians suffer more depression than meat eaters, 27.12.2022

9.

Greater Handgrip Strength tied to lower risk for depression, 20.12.2022

10.

What happens when doctors and patients interrupt each other?, 23.11.2022

11.

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

12.

Social isolation, Loneliness tied to death, MI, stroke: AHA, 4.08.2022

13.

Empathy fatigue in clinicians rises with latest COVID-19 surge, 16.09.2021

14.

Why men need mind-body medicine now more than ever, 2.04.2020

15.

Doctor – Patient relationship, 20.06.2019

16.

Why do we love sad music? Mourning our pain, 27.11.2018

17.

The 8 things that end childhood too soon: what clinicians should know, 30.06.2017

18.

Stress and depression mediated by single brain protein, 20.11.2014

19.

How the brain responds to trauma, 24.09.2014

20.

H.I. Kaplan, B. J. Sadock Comprehensive textbook of psychiatry, VII in Vol 2 pp 2804.

21.

McWilliams, N. (2011). Psychoanalytic diagnosis: Understanding personality structure in the clinical process (2nd ed.). Guilford Press.

22.

Post-traumatic stress disorder: symptom profiles in men and women, 2003

23.

Physical symptoms and physician-experienced difficulty in the physician –patient relationship, 1.05.2001

24.

Luban- Plozza, W Poldinger, F. Kroger. Psychosomatic disorders in General practice. Springer Verlag. 1992.

Additional Reading

1.

Utināns. Cilvēka psihe Tās darbība, funkcionēšanas traucējumi un ārstēšanas iespējas. Nacionālais apgāds. 205.568 lpp.

2.

G.Ancane, D.Smite. Die Bedeutung emotionaler Belastung für das Schmerz- syndrom bei Patienten mit chronischem Kreuzschmerz. Ärztliche Psychotherapie 1/2011., 49.-54.

3.

Lyle E. Bourne, Jr,, Nancy Felipe Russo Psychology Behaviors in Context. W. W. Norton.1998.