Veidlapa Nr. M-3 (8)
Study Course Description
Psychosomatic Medicine and Psychotherapy
Course Code
RGA_015
Branch of Science
Anatomy; Clinical medicine
ECTS
3.00
Target Audience
Medicine
LQF
Level 8
Study Course Implementer
Course Supervisor
Gunta Tīcmane
Residency Speciality
Speciality
General Practicioner
Supervisor of Medical Speciality
Gunta Tīcmane
Contacts
-
About Study Course
Objective
To provide knowledge about the aetiopathogenesis, diagnosis, differential diagnosis and treatment options of psychosomatic disorders; about the connection of a person’s mental and somatic health with the emotional state of the family and the mental health of family members; about the therapeutic factors in the doctor-patient relationship and provide basic knowledge about the types of psychotherapy used in medicine.
Learning Outcomes
Knowledge
1.Understanding of the biopsychosocial and biopsychopathological model of vulnerability in medicine, knowledge of aetiopathogenesis, diagnosis, differential diagnosis of psychosomatic disorders; an idea of mental health criteria, knowledge of functional and dysfunctional or psychosomatic families and factors contributing to somatization therein; - about the mechanisms and nature of the “doctor is the best medicine” phenomenon, introducing the latest theories (affect theory, etc.), - basic knowledge of the types of medical psychotherapy, - aetiopathogenesis, diagnosis of psychosomatic disorders, - basic issues of differential diagnosis, - possibilities of psychotherapeutic treatment of psychosomatic disorders and diseases, therapeutic factors in the doctor-patient relationship, types of medical psychotherapy, classification thereof.
Skills
1.• to analyse clinical cases and evaluate situations where a consultation of a doctor-psychotherapist is necessary, • collection of psychosomatic anamnesis for five patients and analysis thereof, • diagnosis and differential diagnosis of psychosomatic disorders, • basic skills in supportive psychotherapy. - ability to perceive and work with the patient as a bio-psycho-social being, - knowledge and ability to interpret and use the information obtained in the diagnostic and treatment process about the cultural and ethnic characteristics of the patients, - knowledge of how to use the patient’s experience, wishes, trust in the doctor in the health care process, - knowledge and understanding of the holistic care principle and application thereof in family medicine.
Competences
1.The acquired competences allow to justify decisions, to perform additional analysis if necessary: - Able to explain the impact of environmental changes on the incidence of diseases in the population, to understand the application of preventive, diagnostic and therapeutic methods in this aspect. Able to integrate knowledge from different fields: - Knowledge and understanding in special disciplines.
Assessment
Individual work
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Title
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% from total grade
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Grade
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|---|---|---|
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1.
Individual work |
-
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-
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Work in small groups – clinical case analysis. Preparation of a presentation – according to the topic of the rotation cycle. Educational work with different population groups (development of informative materials, lectures).
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Examination
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Title
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% from total grade
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Grade
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|---|---|---|
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1.
Examination |
-
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-
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Assessment of theoretical knowledge and practical skills at the end of the study course in a 10-point system.
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Study Course Theme Plan
FULL-TIME
Part 1
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Seminar
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Modality
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Location
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On site
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Auditorium
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Topics
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Psychotherapy as an optional treatment method in the family doctor practice.
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-
Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Psychotherapy as an optional treatment method in the family doctor practice.
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-
Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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The family as an emotional and social environment, its impact on the formation of the patient’s personality, development, health, somatisation. “Psychosomatic families”, aetiopathogenesis factors of psychosomatic disorders in the family.
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-
Seminar
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Modality
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Location
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|---|---|---|
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On site
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Auditorium
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Topics
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Medical psychotherapy. Types, directions, classification thereof. Psychodynamic-psychoanalytic and cognitive-behavioural direction. Supportive psychotherapy, elements thereof in the family doctor practice.
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-
Seminar
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Modality
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Location
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|---|---|---|
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-
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-
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Topics
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“Difficult patients” in the family doctor practice (F40 - F48). Somatoform disorders, somatization, hypochondriac disorders, autonomic dysfunction. Aetiopathogenesis of psychosomatic disorders and diseases.
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Total ECTS (Creditpoints):
3.00
Number of Residency Seminars:
5
Length (weeks):
2
Final Examination:
Residency exam (Theory and practice)
Bibliography
Required Reading
1.
The American Psychiatric Publishing Textbook of Psychosomatic Medicine and Consultation-Liaison Psyhiatry. Ed by James L. Levenson, 2005.
2.
Kulbergs Juhans. Dinamiskā psihiatrija: teorija un prakse, (tulk. no zviedru valodas) / Aina Siksna (Zviedrija) zin. red. u.c. Rīga: Jumava, 2001. - 494 lpp.
3.
Siliņa Antra. Sabiedrības izglītošana psihiatrijas jautājumos Psiholoģija Ģimenei un Skolai. Nr.2. 2006, 26.-27.lpp.
4.
Andrēziņa Raisa. Pie kurām durvīm klauvēt? Latvijas Ārsts, 2001. - Nr.7/8, 14.-15.lpp.
5.
James L. Levenson. The American Psychiatric Publishing Textbook of Psychosomatic Medicine and Consultation-Liaison Psychiatry. 3rd Edition. American Psychiatric Association Publishing, 2018
6.
Mladen NisavicJohn L. ShusterDavid GitlinLinda WorleyTheodore A. Stern. Readings on Psychosomatic Medicine: Survey of Resources for Trainees. The Academy of Psychosomatic Medicine. Published by Elsevier. 2015
7.
Widiger, T. A., & Costa, P. T., Jr. Personality disorders and the five-factor model of personality: Rationale for the third edition. American Psychological Association. 2013.
8.
Lloyd GG, Guthrie E: Handbook of Liaison Psychiatry, Cambridge University Press 2012
9.
Blumenfield M, Stem JJ: Psychosomatic Medicine, Lippincott Williams & Wilkins 2006.
10.
Garīgā (psihiskā) veselība. Klīniskie algoritmu un pacientu ceļi. SPKC. 2020
Additional Reading
1.
Mārtinsone K., Miltuze A. Psiholoģija. II daļa, Rīga, 2015.
2.
A. Pelne. T. Pulmanis. U. Martiņsone. Psihiskās veselības veicināšana un pašnāvību profilakse Latvijā 2012. gadā Tematiskais ziņojums. SPKC. 2013
Other Information Sources
2.
K. Šica. T. Pulmanis. M. Taube. Psihiskā veselība Latvijā 2016. gadā. Tematiskais ziņojums. SPKC. 2017
3.
Coexisting severe mental illness and substance misuse: assessment and management in healthcare settings overview NICE Pathway last updated: 10 September 2018