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

Introduction to Psychosomatics

Main Study Course Information

Course Code
PMUPK_036
Branch of Science
Clinical medicine
ECTS
3.00
Target Audience
Public Health
LQF
Level 6
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 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

FULL-TIME
Part 1
  1. 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.
  1. 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.
  1. 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.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
4

Topics

Types of personality structures.
  1. 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.
  1. 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.
  1. 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.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
4

Topics

Individual lesson exam, closing issues, presentation of clinical cases/reports.
Total ECTS (Creditpoints):
3.00
Contact hours:
32 Academic Hours
Final Examination:
Exam (Written)

Bibliography

Required Reading

1.

Women at higher risk for inflation-related stress, 24.05.2023

2.

Long- term impact of childhood trauma explained, 2.05.2023

3.

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

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.

Beyond the psychedelic effect: ayahuasca as antidepressant, 10.02.2023

8.

Emotional eating tied to risk for diastolic dysfunction, 19.01.2023

9.

Vegetarians suffer more depression than meat eaters, 27.12.2022

10.

Greater Handgrip Strength tied to lower risk for depression, 20.12.2022

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.

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

14.

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

15.

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

16.

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

17.

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

18.

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

19.

Why do depressed doctors suffer in silence? – 27.06.2017

20.

Stress and depression mediated by single brain protein, 20.11.2014

21.

How the brain responds to trauma, 24.09.2014

22.

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

23.

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

24.

Utināns. Cilvēka psihe Tās darbība, funkcionēšanas traucējumi un ārstēšanas iespējas. Nacionālais apgāds. 2005., 568 lpp. (akceptējams izdevums)

25.

Implementing the care programme approach in psychotherapeutics settings, 2004 (akceptējams izdevums)

26.

Gunta Ancāne. Hronisku sāpju stāvokļu psihosomatiska izpratne//Latvijas Ārsts.- 2004., Nr1.- 40- 43 (akceptējams izdevums)

27.

Post-traumatic stress disorder: symptom profiles in men and women, 2003 (akceptējams izdevums)

28.

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

Additional Reading

1.

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

2.

Gunta Ancāne. Ķermeņa un psihes saistība//Psiholoģijas Pasaule.-2004.,-Nr.1-38.-43.lpp