Basics of Psychotherapy
Study Course Implementer
Residency Speciality
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About Study Course
Objective
Learning Outcomes
Knowledge
1.• on the examination of a psychiatric patient and awareness of psychodynamic aspect, as well as basic knowledge in psychodynamic psychotherapy; • on types of crises and human reactions in crisis situations, as well as on types of assistance; • on legal issues that are associated with crises and cases of violence; • supportive psychotherapy.
Skills
1.• In developing and maintaining therapeutic relations and work alliance; • In examination and understanding of a psychiatric patient in psychodynamic aspect; • In evaluation of crisis situations, patient condition and their safety; consultation skills in work with customers in the event of a crisis (formulation and asking of focused questions, reflection of emotions, determining of main problems, formulation and rephrasing of emotional reactions, association of emotions with earlier experience, provision of non-verbal support, development of short-term and long-term solutions, stress management); • In implementation of support psychotherapy (determining the objectives of therapy; communication, providing feedback at appropriate moments; recognising affect; confronting with behaviours that are hazardous for the patient; recognition, support and facilitation of patient’s capacities; offering of strategies for problem solving; educating; taking additional consultations, if required).
Competences
1.• To diagnose and differentiate psychopathological symptoms and syndromes in psychodynamic terms; to formulate psychotherapeutic diagnoses; • Evaluation of a crisis situation and patient condition, provision of crisis assistance, as well as evaluation of the limits of personal capacities and ability to cooperate with other institutions and specialists; • To recognise and use personal resources as personal creativity and specialist’s potential; • To maintain the limits of physician-patient relationship in an ethical manner.
Assessment
Individual work
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Title
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% from total grade
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Grade
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1.
Individual work |
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-
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• Read additional literature sources, attend thematic LPA, LKBT and LĀPA conferences
• To practice the skills learned in crisis intervention in everyday work with patients
Formulate clinical diagnoses of patients under care from a psychodynamic point of view
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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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1.
Examination |
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-
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Analysis of clinical cases, description of two clinical cases. Oral test of theoretical knowledge.
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Study Course Theme Plan
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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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Specialized room
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Topics
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Notion of a crisis, types, characteristic signs. Evaluation of a crisis. Course of crisis process.
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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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Specialized room
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Topics
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Suicide: risk assessment, help after suicide attempts.
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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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Specialized room
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Topics
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PT goals, directions. Psychosexual development (early).
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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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Specialized room
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Topics
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Freud's topographic and structural models of the psyche.
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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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Specialized room
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Topics
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Trauma and post-traumatic stress disorder. PTSD and psychotherapy.
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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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Specialized room
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Topics
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Psychological help in cases of violence. Assistance models (crisis intervention, short / long term therapy). Skills training.
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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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Specialized room
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Topics
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Psychological protection mechanisms
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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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Specialized room
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Topics
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Attachment Theory John Bowlby, Peter Fonagy. Donald W. Winnicott. Transition object. Addiction - Independence
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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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Specialized room
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Topics
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Levels of psyche functioning. Psychodynamic diagnosis.
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Bibliography
Required Reading
Glen O. Gabbard. Psychodynamic Psychiatry in Clinical Practice. 4th Edition. American Psychiatric Publishing, 2005
Kaplan & Sadocks. Synopsis of Psychiatry. Editors B. J. Sadock, V. A. Sadock. 11th Edition. Philadelphia; Williams & Wilkins, 2015.
Kulbergs J. Dinamiskā psihiatrija. Rīga: Jumava, 2001.
Malans D. H. Individuālā psihoterapija un psihodinamikas zinātne. Rīga: RaKa, 1997.
Gilliland, B. E., & James, R. K. Crisis intervention strategies. New York: Brooks/ Cole, 1997
Additional Reading
MacKinnon, Roger A., Michels, Robert, Buckley, Peter J. The psychiatric interview in clinical pracrice. 2nd Edition, American Psychiatric Publishing, 2006.
Segal, Hanna. Yesterday, Today and Tomorrow. First published by Routledge. 2007. Fonagy, Peter. Attachment theory and psychoanalysis. Other Press. New York. 2001.
McWilliams, Nancy. Psychoanalytical diagnosis: understanding personality structure in the clinical process. The Guilford Press. New York, 1994.
Sandler, Joseph, Freud's models of the mind. First published by H. Karnac (books) Ltd., London, 1997.
Other Information Sources
Kulbergs, J. Krīze un attīstība. Liepāja LPA, 1998.
Roberts, A. E. Crisis intervention handbook. New York: Brooks/ Cole, 1990.