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

Psychotherapy I

Main Study Course Information

Course Code
RSS_003
Branch of Science
Clinical medicine
ECTS
17.00
Target Audience
Medicine
LQF
Level 8

Study Course Implementer

Course Supervisor

Residency Speciality

Speciality
Supervisor of Medical Speciality
Contacts

-

About Study Course

Objective

To ensure the acquisition and improvement of theoretical knowledge and practical skills in psychotherapy, in accordance with the requirements of the regulations of the specialty of sexologist, sexopathologist, in order to prepare the doctor for certification in the specialty of sexologist, sexopathologist, in accordance with the regulatory documents of the Republic of Lithuania.

Learning Outcomes

Knowledge

1.Demonstrates in-depth and expanded knowledge and understanding of the levels of psyche functioning; psychotic, borderline, neurotic; psychic defense mechanisms: primitive, mature; defense mechanisms of psychotic personality functioning level, borderline personality functioning level defense mechanisms, neurotic personality functioning level defense mechanisms. Understands questions about mental health criteria; manifestations of psychotic personality functioning level in psychopathology, borderline personality functioning level manifestations in psychopathology; manifestations of the level of neurotic personality functioning in psychopathology; Possible sexual disorders in psychotic, borderline, neurotic functioning personalities. Demonstrates knowledge of personality theories: Z.Freud's theory of psychoanalysis, Z.Freud's topographical and structural model of the psyche; theory of psychosexual development, infantile sexuality, phases of psychosexual development, the Oedipus complex and its manifestations in norm and pathology, K.G. Jung's analytical theory, the main concepts of the personality structure of K.G. Jung's theory, theories of object relations (M. Klein's theory on the formation of schizoid-paranoid and depressive positions, M. Mahler's theory of separation-individuation. H. Kohut's theory of "self" psychology). Knows personality structures: antisocial personality, paranoid personality, schizoid personality, dependent personality, obsessive-compulsive personality, depressive personality, masochistic personality, hysterical personality. There is knowledge about sexual disorders in patients with different personality structures. Knows the issue of types of psychotherapy: psychoanalysis, psychodynamic psychotherapy, supportive psychotherapy, cognitive-behavioral psychotherapy. Understands the peculiarities of psychotherapy with victims of sexual abuse - children and adults.

Skills

1.Performs clinical psychodynamic diagnosis of psychiatric and psychosomatic diseases; differentiates the norm from mental pathology, empathically and sensitively interviews psychotherapeutic patients, is aware of the importance of therapeutic relationships in psychotherapy; evaluates and plans the type of treatment of the patient (type of psychotherapy); able to assess the impact of family relationships and social conditions on the patient; is aware of the basic principles of multidisciplinary team work and knows how to participate in it.

Competences

1.Apply the acquired knowledge, skills and attitude to therapeutic work, research activity, public educational work in the mass media, have an understanding of team (group) work, its functioning, psychodynamics, crisis situations, their resolution; psychodynamic processes in sexological patients. Plans, organizes and treats psychotherapeutic patient care; evaluation of treatment results. Follows the principles of medical deontology.

Assessment

Individual work

Title
% from total grade
Grade
1.

Individual work

-
-
1. Independently studies the literature related to the course topics; 2. Independently prepares for seminars; 3. Independently collects data on the anamnesis of the disease, psychodynamic evaluation of the patient, formulates the primary diagnosis, which is discussed with the instructor; 4. Completes medical documentation; 5. Independently executes the instructions of the certified specialist.

Examination

Title
% from total grade
Grade
1.

Examination

-
-
Practical works 90%. (Performs psychodynamic diagnosis, psychotherapeutic treatment of psychotherapy patients). Final exam: oral assessment, clinical case analysis - 10%. Attendance at seminars is mandatory. Absence of 20% of seminars is allowed for a valid reason. Late practical work must be completed.

Study Course Theme Plan

FULL-TIME
Part 1
  1. Seminar

Modality
Location
-
-

Topics

Levels of psychic functioning; psychotic, borderline, neurotic. Psychic defense mechanisms: primitive, mature. Protection mechanisms of psychotic personality functioning level, borderline personality functioning level protection mechanisms, neurotic personality functioning level protection mechanisms. Mental health criteria.
  1. Seminar

Modality
Location
-
-

Topics

Manifestations of psychotic personality functioning level in psychopathology; manifestations of borderline personality functioning level in psychopathology; Manifestations of neurotic personality functioning level in psychopathology. Possible sexual disorders in psychotic, borderline, neurotic functioning personalities.
  1. Seminar

Modality
Location
-
-

Topics

Theories of personalities. Z.Freud's theory of psychoanalysis. Z.Freud's topographical and structural model of the psyche. Theory of psychosexual development, infantile sexuality. Phases of psychosexual development. The Oedipus complex and its manifestations in normal and pathological conditions. K.G. Jung's analytical theory. The main concepts of the personality structure of K.G. Jung's theory.
  1. Seminar

Modality
Location
-
-

Topics

Theories of personalities. Theories of object relations: M. Klein's theory on the formation of schizoid-paranoid and depressive positions, M. Mahler's theory of separation-individuation. H. Kohut's "self" theory of psychology.
  1. Seminar

Modality
Location
-
-

Topics

Personality structures. Antisocial personality. Sexual disorders in patients with an antisocial personality structure. A narcissistic personality. Sexual disorders in patients with a narcissistic personality structure.
  1. Seminar

Modality
Location
-
-

Topics

Personality structures. Paranoid personality. Sexual disorders in patients with paranoid personality structure. Schizoid personality. Sexual disorders in patients with schizoid personality structure.
  1. Seminar

Modality
Location
-
-

Topics

Personality structures. Dependent personality. Sexual disorders in patients with a dependent personality structure. Obsessive-compulsive personality. Sexual disorders in patients with obsessive-compulsive personality structure.
  1. Seminar

Modality
Location
-
-

Topics

Personality structures. Depressive personality. Sexual disorders in patients with a depressive personality structure. Masochistic personality. Sexual disorders in patients with a masochistic personality structure. Hysterical personality. Sexual disorders in patients with a hysterical personality structure.
  1. Seminar

Modality
Location
-
-

Topics

Types of psychotherapy: psychoanalysis, psychodynamic psychotherapy, supportive psychotherapy, cognitive-behavioral psychotherapy. Peculiarities of psychotherapy with victims of sexual abuse - children and adults.
Total ECTS (Creditpoints):
17.00
Number of Residency Seminars:
9
Length (weeks):
12
Final Examination:
Residency exam (Theory and practice)

Bibliography

Required Reading

1.

Benedetti, Fabrizio. 2011. The Patient's Brain: The Neuroscience Behind the Doctor-Patient Relationship. Oxford University Press.

2.

Kaplan, H.I. and Sadock, B.J, eds. 2003. Comprehensive Textbook of Psychiatry. 9th ed., 2 vol.

3.

McWilliams, N. 1994. Psychoanalytic Diagnosis. Understanding Personality Structure in the Clinical Process. Guilford Press.

4.

Mitchell, S. A. and Black, M. J.1995. Freud and Beyond. History of Modern Psychoanalytic Thought.

5.

Gabbard, G.O. 1994. Psychodynamic Psychiatry in clinical practice; the DSM-IY ed.

6.

Malans, D. 1997. Individuālā psihoterapija un psihodinamikas zinātne.

7.

Kulbergs, J. 2001. Dinamiskā psihiatrija. Rīga: Jumava.

8.

Tyson, Ph. and Tyson, R. 1990. Psychoanalytic Theories of Development. Yale University Press.

9.

Hollender, M. H. and Ford,Ch. V. 1990. Dynamic Psychotherapy: An Introductory Approach.

10.

Utināns, A. 2005. Cilvēka psihe. Tās darbība, funkcionēšanas traucējumi un ārstēšanas iespējas. Rīga: Nacionālais apgāds.

11.

Utināns, A. 2008. DNS, matrice un cilvēka uzvedība. Rīga: Nacionālais apgāds.

12.

Thure von Uexküll, Adler, R. H., Herzog, W., Joraschky, P., Köhle, K., Langewitz, W., Söllner, W. and Wesiack, W. 2010. Psychosomatische Medizin: Theoretische Modelle und klinische Praxis. Urban & Fischer Bei Elsev.

13.

James, A., Bourgeois, M.D., Hales, R.H. and Shahrokh, N. C. 2010. Psychosomatic Medicine: A Companion to the American Psychiatric Publishing Textbook of Psychosomatic Medicine, 2nd ed.

14.

Gabbard, G. 2005. Psychodyamic psychiatry in clinical practice. 4th ed. American Psychiatric publishing.

Additional Reading

1.

Ancāne, G. 2010. Psihiskā un psihosomatiskā veselība. Latvijas Ārsts. 12, 51-53.

2.

Briedite, I., Ancane, G. un Teibe, U. Assessment of sexual function of gynecological patients. Journal of Sexual medicine. 8(3), 270.

3.

Briedite, I., Ancane, G. un Teibe, U. 2011. Incidence and structure of female sexual dysfunction in gynecology clinic. 26th IUSTI Europe congress. Riga, Latvia, September.

4.

Briedīte, I., Ancāne, G. un Teibe, U. 2011. Ginekoloģisko pacienšu seksuālās funkcijas novērtējums. RSU 2011.g. 10. zinātniskā konference, Rīga, Latvija, Aprīlis.

Other Information Sources

1.

Polymeta News. Available from: http://www.polymeta.com

2.

Nucleus Medical Media. Available from: http://hon.nucleusinc.com

3.

WHO. Global Cancer observatory. Available from: http://www-dep.iarc.fr

4.

Health Central. Available from: http://www.healthcentral.com