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Psychosomatic Medicine and Psychotherapy

Study Course Description

Course Description Statuss:Approved
Course Description Version:7.00
Study Course Accepted:01.08.2024 13:12:22
Study Course Information
Course Code:PMUPK_008LQF level:Level 7
Credit Points:2.00ECTS:3.00
Branch of Science:Clinical Medicine; Health CareTarget Audience:Dentistry
Study Course Supervisor
Course Supervisor:Romāns Beskrovnijs
Study Course Implementer
Structural Unit:Department of Psychosomatic Medicine and Psychotherapy
The Head of Structural Unit:
Contacts:Riga, 30 Kristapa Street, pmpkatrsu[pnkts]lv, +371 67210989
Study Course Planning
Full-Time - Semester No.1
Lectures (count)3Lecture Length (academic hours)2Total Contact Hours of Lectures6
Classes (count)13Class Length (academic hours)2Total Contact Hours of Classes26
Total Contact Hours32
Study course description
Preliminary Knowledge:
Experience in working with patients. Understanding naturalistic and humanitarian concept of the psyche.
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.
Topic Layout (Full-Time)
No.TopicType of ImplementationNumberVenue
1An overview of the development of psychotherapy.Lectures1.00auditorium
2Mental health.Lectures1.00auditorium
3Types of Crises.Lectures1.00auditorium
4Affectives, feelings and emotions. Emotion classification. Notions emotional intelligence and alecsityism.Classes1.00auditorium
5Mental protection mechanisms.Classes1.00auditorium
6Types of psychotherapy.Classes1.00auditorium
7Functional levels.Classes1.00auditorium
8The 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.Classes1.00auditorium
9Understanding of different personality structures: schizoid, hysterical.Classes1.00auditorium
10Understanding of different personality structures: narcissistic, depressive.Classes1.00auditorium
11Understanding of different personality structures: paranoid, antisocial.Classes1.00auditorium
12Understanding of different personality structures: obsessive-compulsive, self-defeating.Classes1.00auditorium
13Somatization theory. Primary and secondary gain of illness.Classes1.00auditorium
14Psychosomatics in dentistry. Dentist phobia.Classes1.00auditorium
15Student clinical case presentation and analysis.Classes1.00auditorium
16Final questions. Exam – multichoice test (written).Classes1.00auditorium
Assessment
Unaided 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.
Assessment Criteria:
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).
Final Examination (Full-Time):Exam (Written)
Final Examination (Part-Time):
Learning Outcomes
Knowledge: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:Students will be able to diagnose psychosomatic disorders and to understand their etiopathogenesis. Ability to provide supportive therapy elements in doctor-patient relationship.
Competencies:Students will recognize psychosomatic disorders in dental clinic patients and send them to the doctor-psychotherapist. They will manage to provide supportive therapy elements.
Bibliography
No.Reference
Required Reading
1Medical-level empathy? Yup, chatGPT can fake that, 4.05.2023
2Long- term impact of childhood trauma explained, 2.05.2023
3Anger in adults a red flag for childhood trauma, 5.04.2023
4Melatonin a new way to reduce self-harm, 27.03.2023
5Vegetarians suffer more depression than meat eaters, 27.12.2022
6Greater Handgrip Strength tied to lower risk for depression, 20.12.2022
7Empathy fatigue in clinicians rises with latest COVID-19 surge, 16.09.2021
8Why do we love sad music? Mourning our pain, 27.11.2018
9Nancy McWilliams. Psychoanalytic diagnosis: Understanding personality structure in the clinical process. New York: Guilford Press, 2011 (akceptējams izdevums)
10Nancy McWilliams. Psychoanalytic diagnosis: Understanding personality structure in the clinical process. New York: Guilford Press, 2011 (akceptējams izdevums)
11Nature, Niche, and nurture. The role of social experience in transforming genotype into phenotype, 11.10.2011
12Gunta Ancāne, Artūrs Utināns, Jekaterina Kovzeļa. Sociālās fobijas kā emociju iedzimtās komplementārās mijiedarbības izpausme interpersonālajās attiecībās. // Doctus. 2009. Nr. 4. (akceptējams izdevums)
13Gunta Ancāne, Andrejs Ancāns. Stress 21. gadsimtā. Kā palīdzēt sev un pacientiem. // Latvijas Ārsts. 2009. Nr.2 - 10.-15. lpp. (akceptējams izdevums)
14Artūrs Utināns. Cilvēka psihe: tās darbība, funkcionēšanas traucējumi un ārstēšanas iespējas. Rīga: Nacionālais apgāds, 2005. (akceptējams izdevums)
15Glen O. Gabbard. Psychodynamic Psychiatry in Clinical Practice, 4th edition. American Psychiatric Publishing, 2005. (akceptējams izdevums)
16Glen O. Gabbard. Psychodynamic Psychiatry in Clinical Practice, 4th edition. American Psychiatric Publishing, 2005. (akceptējams izdevums)
17Gunta Ancāne. Ārsta un pacienta terapeitisko attiecību psihoemocionālie aspekti. //Latvijas Ārsts. 2005. Nr.6. - 77.-79. lpp. (akceptējams izdevums)
18Gunta Ancāne. Psihosomatiskās medicīnas definīcija un īsa tās ideju attīstības vēsture. //Psiholoģijas Pasaule. 2004. Nr.2 - 36.-40. lpp. (akceptējams izdevums)
19Gunta Ancāne. Ķermeņa un psihes saistība.//Psiholoģijas Pasaule. 2004. Nr.1 - 38.-43. lpp. (akceptējams izdevums)
20Gunta Ancāne. Psihosomatiskie traucējumi un slimības. //Psiholoģijas Pasaule. 2004. Nr.4 - 44.-49. lpp. (akceptējams izdevums)
21Gunta Ancāne. Hronisku sāpju stāvokļu psihosomatiska izpratne. //Latvijas Ārsts. 2004. Nr. 1 - 40.-43. lpp. (akceptējams izdevums)
22Boris Luban-Plozza, W. Poldinger, F. Kroger. Psychosomatic disorders in general practice. Berlin: Sringler-Verlag, 1992. (akceptējams izdevums)
23Boris Luban-Plozza, W. Poldinger, F. Kroger. Psychosomatic disorders in general practice. Berlin: Sringler-Verlag, 1992. (akceptējams izdevums)
Additional Reading
1Artūrs Utināns. DNS, matrice un cilvēku uzvedība. Rīga: Medicīnas apgāds, 2008.
2Zigmunds Freids. Ievadlekcijas psihoanalīzē. Rīga: Zvaigzne ABC, 2007.:
317. lekcija. Simptomu jēga. (187.-198. lpp.)
418. lekcija. Fiksācija uz traumu, bezapziņa. (198.-208. lpp.)
519. lekcija. Pretošanās un izstumšana. (208.-219. lpp.)
6Džons Boulbijs. Drošais pamats: vecāku un bērnu savstarpējā pieķeršanās - cilvēka veselīgas attīstības priekšnoteikums. Rīga: Rasa ABC, 1998.
7Heinz Kohut. The analysis of the self. London: The Hogarth Press, 2009
8Ārvalstu studentiem/For international students
9Heinz Kohut. The analysis of the self. London: The Hogarth Press, 2009