Veidlapa Nr. M-3 (8)
Study Course Description
Psychosomatic Medicine and Psychotherapy
Course Code
PMUPK_008
Branch of Science
Clinical medicine; Health care sciences and services
ECTS
3.00
Target Audience
Dentistry
LQF
Level 7
Study Type And Form
Full-Time
Study Course Implementer
Course Supervisor
Romāns Beskrovnijs
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 basic knowledge of the theories of personality, personality functioning levels and personality structure. To provide knowledge of the psychoemotional and somatic factor interactions in etiopathogenesis of psychosomatic disorders.
To provide knowledge of manifestation of chronic pain in dentist's practice.
Preliminary Knowledge
Experience in working with patients. Understanding naturalistic and humanitarian concept of the psyche.
Learning Outcomes
Knowledge
1.Knowledge of etiopathogenesis of psychosomatic disorders and diseases in dental clinic. Understands how to create doctor-patient relationship and its therapeutic aspects. Analyses differences in doctor-patient relationship according to various personality structures.
Skills
1.Students will be able to diagnose psychosomatic disorders and to understand their etiopathogenesis. Ability to provide supportive therapy elements in doctor-patient relationship.
Competences
1.Students will recognize psychosomatic disorders in dental clinic patients and send them to the doctor-psychotherapist. They will manage to provide supportive therapy elements.
Assessment
Individual work
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Individual work |
-
|
-
|
|
Read the relevant literature before each class and prepare questions. Prepare clinical case presentations of patients from their practices, according to the topic of the 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 |
-
|
-
|
|
I. Knowledge – the ability to define: 60%:
1. Patient mental health criteria (10%)
2. Mental protection mechanisms of the patient (10%)
3. Personality functioning levels of the patients (5%)
4. Basics of collecting psychosomatic history (anamnesis) (10%)
5. Principles of building a therapeutic dentist-patient relationship (10%)
6. Psychosomatic disorders in dentistry (chronic pain, etc.) (10%)
7. Definitions of personality, development theories (5%).
II. Skills: 40%:
1. Basics of building a therapeutic dentist-patient relationship, communication with patients with different functioning levels (10%)
2. Dentist - patient support therapy elements (10%)
3. Basics of collecting psychosomatic history (anamnesis) (10%)
4. Diagnosis of psychosomatic disorders, differential diagnosis, evaluation of treatment strategies, analysis of clinical cases (10%).
Automatic exam credit:
1. 100% attendance of classes and lectures
AND
2. The student is an active participant in discussions and role plays.
3. According to the lecturer's instructions – prepares an essay in the amount of 5 – 6 pages, with the analysis of the questions asked by the lecturer.
OR
Prepares a presentation about: a) lesson topics (literature review); b) clinical case; c) latest research (according to the topic of the lesson).
|
||
Study Course Theme Plan
FULL-TIME
Part 1
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
An overview of the development of psychotherapy.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Mental health.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Types of Crises.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Affectives, feelings and emotions. Emotion classification. Notions emotional intelligence and alecsityism.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Mental protection mechanisms.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Types of psychotherapy.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Functional levels.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
The doctor-patient relationships. The doctor-patient relationships in a dental clinic. Emotionally traumatic aspects in dental treatment and personal impact on it. Discussion. Projective tests.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Understanding of different personality structures: schizoid, hysterical.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Understanding of different personality structures: narcissistic, depressive.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Understanding of different personality structures: paranoid, antisocial.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Understanding of different personality structures: obsessive-compulsive, self-defeating.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Somatization theory. Primary and secondary gain of illness.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Psychosomatics in dentistry. Dentist phobia.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Student clinical case presentation and analysis.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Final questions. Exam – multichoice test (written).
|
Total ECTS (Creditpoints):
3.00
Contact hours:
32 Academic Hours
Final Examination:
Exam (Written)
Bibliography
Required Reading
1.
Medical-level empathy? Yup, chatGPT can fake that, 4.05.2023
2.
Long- term impact of childhood trauma explained, 2.05.2023
3.
Anger in adults a red flag for childhood trauma, 5.04.2023
4.
Melatonin a new way to reduce self-harm, 27.03.2023
5.
Vegetarians suffer more depression than meat eaters, 27.12.2022
6.
Greater Handgrip Strength tied to lower risk for depression, 20.12.2022
7.
Empathy fatigue in clinicians rises with latest COVID-19 surge, 16.09.2021
8.
Why do we love sad music? Mourning our pain, 27.11.2018
9.
Nancy McWilliams. Psychoanalytic diagnosis: Understanding personality structure in the clinical process. New York: Guilford Press, 2011 (akceptējams izdevums)
10.
Nancy McWilliams. Psychoanalytic diagnosis: Understanding personality structure in the clinical process. New York: Guilford Press, 2011 (akceptējams izdevums)
11.
Nature, Niche, and nurture. The role of social experience in transforming genotype into phenotype, 11.10.2011
12.
Gunta Ancāne, Artūrs Utināns, Jekaterina Kovzeļa. Sociālās fobijas kā emociju iedzimtās komplementārās mijiedarbības izpausme interpersonālajās attiecībās. // Doctus. 2009. Nr. 4. (akceptējams izdevums)
13.
Gunta Ancāne, Andrejs Ancāns. Stress 21. gadsimtā. Kā palīdzēt sev un pacientiem. // Latvijas Ārsts. 2009. Nr.2 - 10.-15. lpp. (akceptējams izdevums)
14.
Artūrs Utināns. Cilvēka psihe: tās darbība, funkcionēšanas traucējumi un ārstēšanas iespējas. Rīga: Nacionālais apgāds, 2005. (akceptējams izdevums)
15.
Glen O. Gabbard. Psychodynamic Psychiatry in Clinical Practice, 4th edition. American Psychiatric Publishing, 2005. (akceptējams izdevums)
16.
Glen O. Gabbard. Psychodynamic Psychiatry in Clinical Practice, 4th edition. American Psychiatric Publishing, 2005. (akceptējams izdevums)
17.
Gunta Ancāne. Ārsta un pacienta terapeitisko attiecību psihoemocionālie aspekti. //Latvijas Ārsts. 2005. Nr.6. - 77.-79. lpp. (akceptējams izdevums)
18.
Gunta Ancāne. Psihosomatiskās medicīnas definīcija un īsa tās ideju attīstības vēsture. //Psiholoģijas Pasaule. 2004. Nr.2 - 36.-40. lpp. (akceptējams izdevums)
19.
Gunta Ancāne. Ķermeņa un psihes saistība.//Psiholoģijas Pasaule. 2004. Nr.1 - 38.-43. lpp. (akceptējams izdevums)
20.
Gunta Ancāne. Psihosomatiskie traucējumi un slimības. //Psiholoģijas Pasaule. 2004. Nr.4 - 44.-49. lpp. (akceptējams izdevums)
21.
Gunta Ancāne. Hronisku sāpju stāvokļu psihosomatiska izpratne. //Latvijas Ārsts. 2004. Nr. 1 - 40.-43. lpp. (akceptējams izdevums)
22.
Boris Luban-Plozza, W. Poldinger, F. Kroger. Psychosomatic disorders in general practice. Berlin: Sringler-Verlag, 1992. (akceptējams izdevums)
23.
Boris Luban-Plozza, W. Poldinger, F. Kroger. Psychosomatic disorders in general practice. Berlin: Sringler-Verlag, 1992. (akceptējams izdevums)
Additional Reading
1.
Artūrs Utināns. DNS, matrice un cilvēku uzvedība. Rīga: Medicīnas apgāds, 2008.
2.
Zigmunds Freids. Ievadlekcijas psihoanalīzē. Rīga: Zvaigzne ABC, 2007.:
3.
17. lekcija. Simptomu jēga. (187.-198. lpp.)
4.
18. lekcija. Fiksācija uz traumu, bezapziņa. (198.-208. lpp.)
5.
19. lekcija. Pretošanās un izstumšana. (208.-219. lpp.)
6.
Džons Boulbijs. Drošais pamats: vecāku un bērnu savstarpējā pieķeršanās - cilvēka veselīgas attīstības priekšnoteikums. Rīga: Rasa ABC, 1998.
7.
Heinz Kohut. The analysis of the self. London: The Hogarth Press, 2009
8.
Ārvalstu studentiem/For international students
9.
Heinz Kohut. The analysis of the self. London: The Hogarth Press, 2009