Veidlapa Nr. M-3 (8)
Study Course Description
Psychosomatics
Course Code
PMUPK_021
Branch of Science
Clinical medicine
ECTS
1.50
Target Audience
Medicine
LQF
Level 7
Study Type And Form
Full-Time
Study Course Implementer
Course Supervisor
Elīna Zelča
Structure Unit Manager
Māris Taube
Structural Unit
Department of Psychosomatic Medicine and Psychotherapy
Contacts
Riga, 30 Kristapa Street, pmpk@rsu.lv, +371 67210989
About Study Course
Objective
To provide students with the necessary knowledge and basic skills in establishing therapeutic and supportive doctor - patient relationship.
Preliminary Knowledge
The courses acquired during previous study years: Mental Health (1st year of studies); Psychosomatic Medicine (4th year of studies).
Learning Outcomes
Knowledge
1.The students will be able to analyse doctor - patient relationship from therapeutic and ethical point of view; they will be able to analyse types of psychotherapeutic treatment and indications; they will be able to interpret different kinds of psychotherapy.
Skills
1.The students will be able to apply supportive therapeutic relationship building skills.
Competences
1.To analyse therapeutic aspects of doctor - patient relationship and apply them in clinical practice.
Assessment
Individual work
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Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Individual work |
-
|
-
|
|
1) analysis of patient case description;
2) analysis of patient anamnesis collection technique.
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.
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Examination
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Examination |
-
|
10 points
|
|
I. Knowledge – ability to define 60%: 1. Principles of forming a doctor-patient therapeutic relationship from a professional and ethical point of view (16%) 2. Psychotherapeutic treatments (11%) 3. Patient personality functioning levels (11%) 4. Types, stages, principles of treatment of emotional crises (11%) 5. Diagnosis of psychosomatic disorders, somatization theories, principles of treatment (11%). II. Skills: 40%: 1. Basics of building a therapeutic doctor-patient relationship, communication with patients functioning at different levels (10%) 2. Physician-patient support therapy elements (10%) 3. Basics of psychosomatic history collection (10%) 4. Diagnosis of psychosomatic disorders, differential diagnosis, evaluation of treatment strategies, analysis of clinical cases (10%). The exam grade is cumulative. It consists of:
It is possibleto credit the automatic final grade if the followingcriteria are met:
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Study Course Theme Plan
FULL-TIME
Part 1
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
3
|
Topics
|
Psychotherapy: concept, indications, contraindications. Types and techniques of medical psychotherapy. Phases of psychotherapy.
Transference, countertransference, resistance.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
3
|
Topics
|
Developmental levels of personality organization - criteria and psychic defense mechanisms.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
3
|
Topics
|
Psychosomatics, history of development. Somatization, theories of somatization. Clinical case study.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
3
|
Topics
|
Types of emotional crises. Doctor’s tactics in crisis situations, crisis intervention. Posttraumatic stress disorder.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
3
|
Topics
|
Therapeutic relationship between doctor and patient. Therapeutic alliance. Role play: conflict solving, first visit, ending therapy, contact with patient’s relatives.
|
Total ECTS (Creditpoints):
1.50
Contact hours:
15 Academic Hours
Final Examination:
Exam (Written)
Bibliography
Required Reading
1.
Women at higher risk for inflation-related stress, 24.05.2023Suitable for English stream
2.
Medical-level empathy? Yup, chatGPT can fake that, 4.05.2023Suitable for English stream
3.
Long- term impact of childhood trauma explained, 2.05.2023Suitable for English stream
4.
Physicians may retire en masse soon. What does that mean for medicine? 18.04.2023Suitable for English stream
5.
Anger in adults a red flag for childhood trauma, 5.04.2023Suitable for English stream
6.
A better lower-cost option for mild to moderate Depression?, 30.03.2023Suitable for English stream
7.
Is it time to stop treating high triglycerides?, 29.03.2023Suitable for English stream
8.
Melatonin a new way to reduce self-harm, 27.03.2023Suitable for English stream
9.
Treating depression in primary care: the latest guidelines, 21.03.2023Suitable for English stream
10.
Physician suicide: investigating its prevalence and cause, 15.03.2023Suitable for English stream
11.
Epigenetics, satiety, and predictive markers of obesity, 27.02.2023Suitable for English stream
12.
Beyond the psychedelic effect: ayahuasca as antidepressant, 10.02.2023
13.
Do doctors want their babies to Grow up to be Physicians?, 7.02.2023
14.
Emotional eating tied to risk for diastolic dysfunction, 19.01.2023
15.
Vegetarians suffer more depression than meat eaters, 27.12.2022
16.
Greater Handgrip Strength tied to lower risk for depression, 20.12.2022
17.
What happens when doctors and patients interrupt each other?, 23.11.2022
18.
German survey on assisted suicide: how to handle this? Where should caution be exercised?, 16.09.2022
19.
Social isolation, Loneliness tied to death, MI, stroke: AHA, 4.08.2022
20.
Physicians react: burnout rates are alarming, so who should drive change? 6.06.2022
21.
K. Abrahamsson. R. Ennals. Sustainable work in Europe. Concepts, Conditions, Challenges. 2022 Edited Collection. 342 Pages
22.
Empathy fatigue in clinicians rises with latest COVID-19 surge, 16.09.2021
23.
Borderline personality disorder diagnosis: to tell or not to tell patients?, 22.03.2021
24.
Why men need mind-body medicine now more than ever, 2.04.2020
25.
Doctor – Patient relationship, 20.06.2019
26.
Kaplan H.I., Sadock B.J., “Comprehensive Textbook of Psychiatry. (2-volume set). 9th edition. 2019.
27.
Why do we love sad music? Mourning our pain, 27.11.2018
28.
Doctors, nurses give lifestyle advice but are skeptical it’s heeded, 29.03.2018
29.
The 8 things that end childhood too soon: what clinicians should know, 30.06.2017
30.
Why do depressed doctors suffer in silence? – 27.06.2017
31.
Stress and depression mediated by single brain protein, 20.11.2014
32.
How the brain responds to trauma, 24.09.2014
33.
Long work hours wreak havoc in MDs, Personal lives, 23.09.2013
34.
Nature, Niche, and nurture. The role of social experience in transforming genotype into phenotype, 11.10.2011
35.
Dreams in Jungian psychology: The use of dreams as an instrument for research, diagnosis and treatment of social phobia, 2009
36.
Gunta Ancāne - Krīze, phenomenon ranularum un psihiskā veselība. Latvijas ārsts, 2009, 12, 10-13.
37.
Gunta Ancāne - „Ārsta un pacienta terapeitisko attiecību psihoemocionālie aspekti.”//Latvijas Ārsts.-2005/6. 77.-79.;
38.
Gunta Ancāne - “ 21.gadsimta modernā slimība – izsīkuma jeb izdegšanas sindroms” “Psiholoģijas Pasaule”; nr.2004/07; 26-31.;
39.
The effects of physician empathy on patient satisfaction and compliance, 09.2004
40.
Implementing the care programme approach in psychotherapeutics settings, 2004
41.
Post-traumatic stress disorder: symptom profiles in men and women, 2003
42.
Physical symptoms and physician-experienced difficulty in the physician –patient relationship, 1.05.2001
43.
Psychoanalytic Diagnosis. Understanding Personality Structure in the Clinical Process. Nancy McWilliams.1994.
44.
B.Luban-Plozza, W.Poldinger, F.Kroger (1992) Psychosomatic Disorders in General Practice, Springler-Verlag.
Additional Reading
1.
A,B,C,D personības tipi un dzīves kvalitāte. Līdzaut. A.Ancāns, D.Šmite, E.Petrāne.//Latvijas Ārsts. – Nr.4 (2006), 6.-8., 10.lpp.;
2.
D.Goleman. Emotional intelligence. Bloomsbury. 1995.Suitable for English stream
3.
Kulbergs J.: “Dinamiskā psihiatrija”; Jumava, 2001.
4.
Malans D.H. “Individuālā psihoterapija un psihodinamikas zinātne”. RAKA, 1997. 357 lpp.
5.
Katedrā izstrādātie studentu pētnieciskie darbi/ student research works developed in the department:
6.
1. Adelīna Nikitenko “Ģeneralizētas trauksmes izplatība Ogres pilsētas vidusskolēnu vidū un tās saistība ar vientulību.”
7.
2. Aksel Darius Överlien Dalili “Burnout Syndrome in Medical Personnel During The Covid-19 Pandemic”Suitable for English stream
8.
3. Ali Lavin “Changes of level of empathy in medical students during time of studies”Suitable for English stream
9.
4. Ieva Kulša “Celikālijas psihosomatiskie aspekti.”
10.
5. Jānis Kristaps Vasiļonoks “Ārstu-rezidentu spēja paziņot sliktas ziņas pacientam.”
11.
6. Karīna Rudus “Saistība starp trauksmes simptomu smagumu un stresa pārvarēšanas stratēģijām RSU medicīnas fakultātes preklīnisko studiju gadu studentu vidū.”
12.
7. Katrīna Liepiņa ”Adverse childhood experiences (ace) jeb nelabvēlīgas bērnības pieredzes saistībā ar gastrointestinālām sūdzībām āgenskalna ģimnāzijās”Suitable for English stream
13.
8. Laura Gribuste “Saistība starp kritiskās domāšanas dispozīciju un ticību paranormālajam Rīgas Stradiņa Universitātes studentu vidū.”
14.
9. Leonhard Francisco Schlichting “Borderline Personality Disorder as Comorbidity of Bulimia Nervosa in Adolescents”Suitable for English stream
15.
10. Linda Borskoviča “Pašcieņas, trauksmes, depresijas rādītāju saistība ar glikēmijas kontroli pacientiem ar 1. un 2. Tipa cukura diabētu”
16.
11. Linda Lumikki April Vainio “MDMA-assisted therapy in PTSD treatment”Suitable for English stream
17.
12. Megija Zunde “Trauksmes simptomu īpatsvara dinamika vidējam medicīnas personālam Covid-19 pandēmijas laikā Latvijā.”
18.
13. Miina-Maria Jyrälä “Depression as a risk factor for coronary artery disease, mechanisms behind it”Suitable for English stream
19.
14. Nika Kristiāna Meždreija “Somatizācijas un trauksmes simptomu salīdzinājums sesijas laikā un pēc tā RSU 1. un 6. kursa medicīnas fakultātes studentiem”
20.
15. Rebecca Abraham “The effect of parenting on the development of borderline personality disorder”Suitable for English stream
21.
16. Rebeka Beinaroviča “Sociāli ekonomiskā stāvokļa saistība ar izdegšanas sindromu medicīnas fakultātē studējošajiem.”
22.
17. Sima Shokouhi “The relationship between the belief in conspiracy theories and narcissistic personality traits in an individual.”Suitable for English stream
23.
18. 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”
24.
19. Zanda Laura Šķiņķe “Trauksmes un depresijas simptomu korelācija ar un bez muguras lejasdaļas sāpēm RSU medicīnas fakultātes studentiem”
Other Information Sources
1.
Medically unexplained symptoms, somatisation, and bodily distress : developing better clinical services / [edited by] Francis Creed, Peter Henningsen, Per Fink. Cambridge University Press 2011.Suitable for English stream