Introduction to Psychosomatics
Study Course Implementer
Riga, 30 Kristapa Street, pmpk@rsu.lv, +371 67210989
About Study Course
Objective
The objective is to improve the knowledge about consistent patterns of human psychic functioning and the interaction of psychic and somatic processes.
Preliminary Knowledge
An understanding of dual nature of psychic processes, pertaining to both nature science and humanitarian science.
Learning Outcomes
Knowledge
1.Students will be able to: analyze the role of psychic factors in case of somatic disease; evaluate the psychodynamic aspects of pharmacological therapy; describe the etiopathogenesis of psychosomatic disorders and diseases; define and discuss the basic principles of communication.
Skills
1.Students will be able to: briefly describe the etiopathogenesis in a case of a psychosomatic disease, explain the possibilities of use of the placebo effect; demonstrate the basic elements of therapeutic communication.
Competences
1.Students will be able to analyze the role of biological, emotional, and social factors in etiology and pathogenesis of the disease.
Assessment
Individual work
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Individual work |
-
|
-
|
|
Analysis of video material during a class. 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 |
-
|
10 points
|
|
I. Knowledge – ability to define: 80%: 1. Biopsychosocial approaches in medicine (20%); 2. The importance of psychosomatic health in public health (20%); 3. Basic principles for Psychosomatic Health Prevention (20%); 4. Somatisation theories – the role of emotional factors in disease origin (20%). II. Skills 20%: 1. Principles for the formation of a patient-client relationship between a public health specialist in the case of different personality structures (20%). The assessment of the exam is cumulative. It consists of: 1. Mid-semester examination – 50%. Mid-semester examination is an independent analysis of video material within the lesson. 2. Final examination 50% – an electronised, e-study accessible or face-to-face multi-answer test on topics discussed within the course. It is possible to count the automatic final test against the following criteria: - mid-semester examination assessment of at least 8 points; - 100% attendance AT classes OR no more than 25% of offences are delayed - there must be justifiable reasons and delayed classes must be resumed; - independent work - a report or presentation on the subject of a lesson at the choice of the teaching staff. |
||
Study Course Theme Plan
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Biopsychosocial model in medicine, psychic, social and biological causes of disease (WHO), the concept of alexithymia. Somatization. Psychosomatic disorders and diseases.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Affect theory. Emotions, affects, their physiological significance, psychophysiological classification. The role of emotions in the process of somatization. Emotional intelligence.
1. Innate emotions
2. The concept of adequate and inadequate expression of emotions
3. The role of emotions from evolutionary perspective
4. Somatic expression of affect – somatization as a form of contemporary communication
5. The significance of emotional intelligence and its manifestation.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Stress and distress, its various forms. Types of stressors. Bio-psycho-pathological vulnerability model: the influence of early childhood emotional distress on the risk of developing emotional and somatic disorders in adulthood.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Types of personality structures.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
The concept of psychotherapy. Objectives. Indications. Psychotherapeutic process (assessment phase, initiation phase, working-through phase, termination phase). Techniques of psychotherapy. Types of psychotherapy.
1. Supportive psychotherapy
2. Psychodynamic (psychoanalytic) psychotherapy
3. Cognitive behavioural psychotherapy
4. Individual, couple, family, group psychotherapy
5. Child and adolescent psychotherapy.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
The relationship between the health worker and the role of the patient in public health.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Family: concept, structure, function. Family functioning – stories, assumptions, boundaries, rules, endurance. Family dynamics with mentally/physically ill family members. Functional family - main features. Dysfunctional family: key features, diversity.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
4
|
Topics
|
Individual lesson exam, closing issues, presentation of clinical cases/reports.
|
Bibliography
Required Reading
German survey on assisted suicide: how to handle this? Where should caution be exercised?, 16.09.2022
K. Abrahamsson. R. Ennals. Sustainable work in Europe. Concepts, Conditions, Challenges. 2022 Edited Collection. 342 Pages
Nature, Niche, and nurture. The role of social experience in transforming genotype into phenotype, 11.10.2011
Utināns. Cilvēka psihe Tās darbība, funkcionēšanas traucējumi un ārstēšanas iespējas. Nacionālais apgāds. 2005., 568 lpp. (akceptējams izdevums)
Implementing the care programme approach in psychotherapeutics settings, 2004 (akceptējams izdevums)
Gunta Ancāne. Hronisku sāpju stāvokļu psihosomatiska izpratne//Latvijas Ārsts.- 2004., Nr1.- 40- 43 (akceptējams izdevums)
Physical symptoms and physician-experienced difficulty in the physician –patient relationship, 1.05.2001
Additional Reading
G.Ancane, D.Smite. Die Bedeutung emotionaler Belastung für das Schmerz- syndrom bei Patienten mit chronischem Kreuzschmerz. Ärztliche Psychotherapie 1/2011., 49.-54
Gunta Ancāne. Ķermeņa un psihes saistība//Psiholoģijas Pasaule.-2004.,-Nr.1-38.-43.lpp