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

Family Health

Main Study Course Information

Course Code
PMUPK_035
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

Provide students with basic knowledge of the functioning of the family, functional and dysfunctional family, the role of these concepts in the pathological and insular processes of diseases, as well as individual developments in the family context, the role of different family members in the physical and psychoemotional development of the child.

Preliminary Knowledge

Anatomy, physiology, embriology.

Learning Outcomes

Knowledge

1.Students are able to define the concept and nature of the functional and dysfunctional family, the role of these concepts in the pathological and insular processes of diseases, and to define the role of the family in the physical and psychoemotional development of the child, to analyse the clinical relevance of all these concepts in the diagnostic and therapeutic processes of diseases and disorders.

Skills

1.As a result of learning a study course, students will be able to analyse basic processes for the functioning of the family, aspects of the individual psychoemotional development process, and use them in clinical case analysis.

Competences

1.Interpret functional and dysfunctional processes within the family, interpret the concepts of child psychoemotional development.

Assessment

Individual work

Title
% from total grade
Grade
1.

Independent work - analysis of clinical case

-
10 points

Analysis of a family case study.

Examination

Title
% from total grade
Grade
1.

Multiple Choice Questions

-
10 points

In 4st seminar - a multiple-choice test on the topics of functional and dysfunctional families from the lectures and classes of the 1st semester.

2.

Examination

-
10 points

I Knowledge - ability to define: 60% 1. Mechanisms for the functioning of the family, its role in the process of pathogenesis and saluogenesis of diseases (20%) 2. Functional family characteristics (5%) 3. Dysfunctional family characteristics (5%) 4. Child development based on different theories, special features of different ages (15%) 5. Role of different family members in the development of a child (15%) II Skills: 40% 1. Basic principles for collecting individual and family history (20%) 2. Family evaluation, clinical case analysis (10%) 3. Diagnosis of psychoemotional disorders, differential diagnosis, evaluation of treatment strategies, analysis of clinical cases (10%)

The exam's assessment is cumulative. It shall comprise:

1. Intermediate test: 50%.

At the choice of the lecturer: • analysis of video material and/or • a description of the clinical case and/or • open questions at the beginning of the lesson and/or • a lot of answers test and/or • Preparing a presentation about the topic of the lesson.

2. Final test (50%) — Electronised, accessible or on-site multi-compliance tests on topics under the course.

Automatic passing of the final exam is possible if the following criteria are met:

·Intermediate exam score of at least 8 points;

· No more than 25% of classes are missed;

· 100% class attendance or class rework with justifiable reasons

· Independent work at the discretion of the lecturer on: a) the topic of the cycle class (literature review); b) a clinical case; c) the latest research (in accordance with the class topic).

Study Course Theme Plan

FULL-TIME
Part 1
  1. Lecture

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Family - concept, structure, functions. Meaning of anamnesis familiae.
  1. Lecture

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Family life cycle - homeostasis and change
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
3

Topics

Family functioning - stories, assumptions, boundaries, rules, endurance. Family dynamics with mentally / physically ill family members. Functional family - main features. Analysis of clinical cases.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
3

Topics

Dysfunctional family I - main features, diversity. Analysis of clinical cases.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
3

Topics

Dysfunctional family II- main features, diversity. Analysis of clinical cases - independent work presentation.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
3

Topics

Test. Sexuality. Non-organic sexual disorders and their psycho-emotional aspects. Psycho-emotional aspects of infertility. Treatment options. Analysis of clinical cases.
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

Child's psycho-emotional development (stages of psychosexual development, stages of psychosocial development, object-relations theory)
  1. Lecture

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Attachment theory. Parenting - infant theory.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
3

Topics

Maternal health (postpartum mental disorders).Dyad of the mother and child. The role of mother and father in the child's physical and psycho-emotional development. Analysis of clinical cases.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
3

Topics

Peculiarities of the sibling subsystem and its role in the child's development. The role of the grandparents' subsystem in the child's physical and psycho-emotional development. Analysis of clinical cases.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
3

Topics

Peculiarities of different stages of development: preschool, school. The role of play in a child's development. Traumatic situations in childhood (hospitalization, neglect). Disorders and options how to help. Analysis of clinical cases.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
3

Topics

Peculiarities of different stages of development: adolescence (separation from parents, sexual education, relationships with peers, bulling). Disorders and options how to help. Analysis of clinical cases. Exam.
Total ECTS (Creditpoints):
1.50
Contact hours:
16 Academic Hours
Final Examination:
Exam (Written)

Bibliography

Required Reading

1.

Goldenberg H., Goldenberg I. 2017. Family therapy, An Overview. 7th edition. Thomson Brooks/Cole.

2.

The Psychosomatic Assessment: Strategies to Improve Clinical Practice Edited by G.A. Fava; N. Sonino; T.N. Wise, 2011

3.

Walsh F. 2003. Family resilience: A Framework for Clinical Practice

4.

Egle U.T, Hardt J., Nickel R., Kappis B., Hoffmann S.O. 2002. Early Stress and its 9. Long-term Effects on health – State of the Art and Implication for Future research. Psychosom Med Psychother. 48(4). 411-34.

5.

Sudraba, V., & Skaldere-Darmudasa, G. (2022). Psihosomatiskā medicīna. Rīgas Stradiņa universitāte

6.

Nelson Textbook of Pediatrics, 22nd Edition, 2024

7.

Developmental-Behavioral Pediatrics, Fifth Edition, Feldman, Heidi M., 2023

Additional Reading

1.

McDougall J. 1989. Theatres of body

2.

Skynner R., Cleese J. 1994. Life and how to survive it, NN Norton and Company

3.

Thomas P.A., Liu H., Umberson D. 2017. Family Relationships and Well-Being. Innov Aging. 1(3)

4.

Vinikots V.V. 2004. Bērns un viņa māte. 101 lpp

5.

Vinikots V.V. 2004. Sarunas ar vecākiem. 112 lpp

6.

Walsh F. 2003. Family resilience: A Framework for Clinical Practice

7.

Ārvalstu studentiem/For International students:

8.

Egle U.T, Hardt J., Nickel R., Kappis B., Hoffmann S.O. 2002. Early Stress and its Long-term Effects on health – State of the Art and Implication for Future research. Z Psychosom Med Psychother. 48(4). 411-34.

9.

McDougall J. 1989. Theatres of body

10.

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

11.

Aksel Darius Överlien Dalili “Burnout Syndrome in Medical Personnel During The Covid-19 Pandemic”

12.

Ali Lavin “Changes of level of empathy in medical students during time of studies”

13.

Ieva Kulša “Celikālijas psihosomatiskie aspekti.”

14.

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

15.

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

16.

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

17.

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

18.

Leonhard Francisco Schlichting “Borderline Personality Disorder as Comorbidity of Bulimia Nervosa in Adolescents”

19.

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

20.

Linda Lumikki April Vainio “MDMA-assisted therapy in PTSD treatment”

21.

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

22.

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

23.

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

24.

Rebecca Abraham “The effect of parenting on the development of borderline personality disorder”

25.

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

26.

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

27.

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”

28.

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

29.

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

30.

Women at higher risk for inflation-related stress, 24.05.2023

31.

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

32.

The effects of physician empathy on patient satisfaction and compliance, 09.2004

33.

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

34.

Borderline personality disorder diagnosis: to tell or not to tell patients?, 22.03.2021

35.

Treating depression in primary care: the latest guidelines, 21.03.2023

36.

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

37.

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

38.

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

39.

Stress and depression mediated by single brain protein, 20.11.2014

40.

Akhtar S. 2009. The Damaged Core. Jason Aronson. (akceptējams izdevums)

41.

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

42.

Vegetarians suffer more depression than meat eaters, 27.12.2022

43.

Beyond the psychedelic effect: ayahuasca as antidepressant, 10.02.2023

44.

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

45.

Greater Handgrip Strength tied to lower risk for depression, 20.12.2022

46.

Epigenetics, satiety, and predictive markers of obesity, 27.02.2023

47.

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

48.

Implementing the care programme approach in psychotherapeutics settings, 2004

49.

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

50.

Is it time to stop treating high triglycerides?, 29.03.2023

51.

Emotional eating tied to risk for diastolic dysfunction, 19.01.2023

52.

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

53.

Physician suicide: investigating its prevalence and cause, 15.03.2023

54.

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

55.

Do doctors want their babies to Grow up to be Physicians?, 7.02.2023

56.

Long work hours wreak havoc in MDs, Personal lives, 23.09.2013

57.

Why do depressed doctors suffer in silence? – 27.06.2017

58.

Doctors, nurses give lifestyle advice but are skeptical it’s heeded, 29.03.2018

59.

John Bowlby. A Secure Base

60.

How the brain responds to trauma, 24.09.2014

61.

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

62.

Brummers M., Enckells H. 2011. Bērnu un jauniešu psihoterapija, 280 lpp (akceptējams izdevums)

63.

Long- term impact of childhood trauma explained, 2.05.2023

64.

Anger in adults a red flag for childhood trauma, 5.04.2023

65.

Melatonin a new way to reduce self-harm, 27.03.2023

66.

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

67.

Physicians react: burnout rates are alarming, so who should drive change? 6.06.2022

68.

K. Abrahamsson. R. Ennals. Sustainable work in Europe. Concepts, Conditions, Challenges. 2022 Edited Collection. 342 Pages

69.

Erikson E.H. 1995. Childhood and Society. (akceptējams izdevums)

70.

Boulbijs Dž. 1998. Drošais pamats. 198 lpp (akceptējams izdevums)

71.

Minuchin S., Fishman H.C. 2009. Family therapy techniques. Harward university press (akceptējams izdevums)

72.

Sharma R. 2013.The Family and Family Structure Classification Redefined for the Current Times. J Family Med Prim Care. 2(4). 306–310.

73.

Barker P., Chang J. 2013. Basic family therapy. 6th edition. Willey Blackwell.

74.

Keitner I.G. 2012. Family Assessment in the Medical Setting, Adv Psychosom Med. Basel. Karger. 32. 203–222.

75.

Family Therapy An Overview Irene Goldenberg, Mark Stanton, Herbert Goldenberg, Herbert Goldenberg Ninth edition Hardback, 2016

76.

Massachusetts General Hospital Comprehensive Clinical Psychiatry, Third Edition, 2024

77.

The Science of Paediatrics: MRCPCH Mastercourse, Lissauer, Tom, MB BChir FRCPCH, Royal College of Paediatrics and Child Health, 2017