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Personality Structures - Normality and Psychopathology
Study Course Description
Course Description Statuss:Approved
Course Description Version:4.00
Study Course Accepted:01.08.2024 13:00:53
Study Course Information | |||||||||
Course Code: | PMUPK_034 | LQF level: | Level 7 | ||||||
Credit Points: | 2.00 | ECTS: | 3.00 | ||||||
Branch of Science: | Clinical Medicine; Health Care | Target Audience: | Medicine | ||||||
Study Course Supervisor | |||||||||
Course Supervisor: | Laura Bubko | ||||||||
Study Course Implementer | |||||||||
Structural Unit: | Department of Psychosomatic Medicine and Psychotherapy | ||||||||
The Head of Structural Unit: | |||||||||
Contacts: | Riga, 30 Kristapa Street, pmpkrsu[pnkts]lv, +371 67210989 | ||||||||
Study Course Planning | |||||||||
Full-Time - Semester No.1 | |||||||||
Lectures (count) | 2 | Lecture Length (academic hours) | 2 | Total Contact Hours of Lectures | 4 | ||||
Classes (count) | 4 | Class Length (academic hours) | 3 | Total Contact Hours of Classes | 12 | ||||
Total Contact Hours | 16 | ||||||||
Full-Time - Semester No.2 | |||||||||
Lectures (count) | 2 | Lecture Length (academic hours) | 2 | Total Contact Hours of Lectures | 4 | ||||
Classes (count) | 4 | Class Length (academic hours) | 3 | Total Contact Hours of Classes | 12 | ||||
Total Contact Hours | 16 | ||||||||
Study course description | |||||||||
Preliminary Knowledge: | Prior knowledge in previous study courses : Mental Health (1. st. g.), Psychosomatic Medicine (4. st. g.). | ||||||||
Objective: | To provide students with knowledge about different personality structures, normality and personality disorders – etiology, clinical symptoms, diagnostics and therapy. To provide students with knowledge, skills and competences that are needed to establish therapeutic doctor-patient relationship. | ||||||||
Topic Layout (Full-Time) | |||||||||
No. | Topic | Type of Implementation | Number | Venue | |||||
1 | The concept and definition of personality. Character and temperament. Axis of personality structures and axis of personality functioning levels. Levels of personality functioning. Perception of personality structures and disorders in the context of functioning levels: the norm and Psychopathology I. | Lectures | 1.00 | auditorium | |||||
2 | The concept and definition of personality. Character and temperament. Axis of personality structures and axis of personality functioning levels. Levels of personality functioning. Perception of personality structures and disorders in the context of functioning levels: the norm and psychopathology II. | Lectures | 1.00 | auditorium | |||||
3 | 1.Depressive personality structure. 2. Hypomanic personality structure. Etiology, clinical manifestation, diagnostics, therapy. Development, core affects, self and object relationships, typical psychic defense mechanisms. Transference and countertransference. Dynamics of the doctor-patient therapeutic relationship. | Classes | 1.00 | auditorium | |||||
4 | Masochistic personality structure. Etiology, clinical manifestation, diagnostics, therapy. Development, core affects, self and object relationships, typical psychic defense mechanisms. Transference and countertransference. Dynamics of the doctor-patient therapeutic relationship. | Classes | 1.00 | auditorium | |||||
5 | Obsessive-compulsive personality structure. Etiology, clinical manifestation, diagnostics, therapy. Development, core affects, self and object relationships, typical psychic defense mechanisms. Transference and countertransference. Dynamics of the doctor-patient therapeutic relationship. | Classes | 1.00 | auditorium | |||||
6 | 1. Hysterical personality structure. 2. Dissociative personality structure. Etiology, clinical manifestation, diagnostics, therapy. Development, core affects, self and object relationships, typical psychic defense mechanisms. Transference and countertransference. Dynamics of the doctor-patient therapeutic relationship. | Classes | 1.00 | auditorium | |||||
7 | Personality development theories. S. Freud’s psychosexual development theory. E. Erickson’s psychosocial development theory. H. Kohut’s self psychology. Object relations theory I. | Lectures | 1.00 | auditorium | |||||
8 | Personality development theories. S. Freud’s psychosexual development theory. E. Erickson’s psychosocial development theory. H. Kohut’s self psychology. Object relations theory II. | Lectures | 1.00 | auditorium | |||||
9 | Schizoid personality structure. Etiology, clinical manifestation, diagnostics, therapy. Development, core affects, self and object relationships, typical psychic defense mechanisms. Transference and countertransference. Dynamics of the doctor-patient therapeutic relationship. | Classes | 1.00 | auditorium | |||||
10 | Narcissistic personality structure. Etiology, clinical manifestation, diagnostics, therapy. Development, core affects, self and object relationships, typical psychic defense mechanisms. Transference and countertransference. Dynamics of the doctor-patient therapeutic relationship. | Classes | 1.00 | auditorium | |||||
11 | 1. Paranoid personality structure. 2. Antisocial personality structure. Etiology, clinical manifestation, diagnostics, therapy. Development, core affects, self and object relationships, typical psychic defense mechanisms. Transference and countertransference. Dynamics of the doctor-patient therapeutic relationship. | Classes | 1.00 | auditorium | |||||
12 | 1. Borderline personality disorder. 2. Dependent personality. 3. Anxious avoidant personality. Etiology, clinical manifestation, diagnostics, therapy. Development, core affects, self and object relationships, typical psychic defense mechanisms. Transference and countertransference. Dynamics of the doctor-patient therapeutic relationship. | Classes | 1.00 | auditorium | |||||
Assessment | |||||||||
Unaided Work: | • Video analysis and / or • Clinical case description and / or • Open questions at the beginning of the lesson and / or • Multiple choice test and / or • Preparation of a presentation on the topic of the lesson. 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: | The exam grade is cumulative. It consists of: 1. Intermediate examination - 50%. At the choice of the lecturer: • Video analysis and / or • Clinical case description and / or • Open questions at the beginning of the lesson and / or • Multiple choice test and / or • Preparation of a presentation on the topic of the lesson. 2. Final exam (50%) - electronic, e-learning available or face-to-face multi-choice test on the topics covered within the course. It is possible to credit the automatic final test if the following criteria are met: -excellely passed mid-term examination; -100% attendance of classes and lectures; -active participation in discussions and role plays. AND A presentation on the topic of the cycle lesson has been prepared (literature review); (b) a clinical case; c) the latest research (according to the topic of the lesson). | ||||||||
Final Examination (Full-Time): | Exam (Written) | ||||||||
Final Examination (Part-Time): | |||||||||
Learning Outcomes | |||||||||
Knowledge: | As a result of studying the subject students will acquire knowledge about personality development theories, different personality structures, sound personality and psychopathology: etiology, clinical symptoms, diagnostics, therapy. | ||||||||
Skills: | As a result of completion of this study course, students will gain: skills to understand and use diagnostic criteria to diferentiate personality disorders; skills to establish therapeutic doctor-patient relationship. | ||||||||
Competencies: | As a result of studying the subject, students will acquire competence to understand indications for psychotherapy. | ||||||||
Bibliography | |||||||||
No. | Reference | ||||||||
Required Reading | |||||||||
1 | Džons Boulbijs. “Drošais pamats”. Rīga, Rasa, ABC, 1998 (akceptējams izdevums) | ||||||||
2 | Interneta vēre https://ssk10.spkc.gov.lv/ (F60-F69 Pieaugušo personības un uzvedības traucējumi) SSK-10 brīvpiekļuves versija/ ICD-10 (F60-F69 Disorders of adult personality and behaviour). | ||||||||
3 | Women at higher risk for inflation-related stress, 24.05.2023 | ||||||||
4 | Medical-level empathy? Yup, chatGPT can fake that, 4.05.2023 | ||||||||
5 | Long- term impact of childhood trauma explained, 2.05.2023 | ||||||||
6 | Physicians may retire en masse soon. What does that mean for medicine? 18.04.2023 | ||||||||
7 | Anger in adults a red flag for childhood trauma, 5.04.2023 | ||||||||
8 | A better lower-cost option for mild to moderate Depression?, 30.03.2023 | ||||||||
9 | Melatonin a new way to reduce self-harm, 27.03.2023 | ||||||||
10 | Treating depression in primary care: the latest guidelines, 21.03.2023 | ||||||||
11 | Is it time to stop treating high triglycerides?, 29.03.2023 | ||||||||
12 | Physician suicide: investigating its prevalence and cause, 15.03.2023 | ||||||||
13 | Epigenetics, satiety, and predictive markers of obesity, 27.02.2023 | ||||||||
14 | Beyond the psychedelic effect: ayahuasca as antidepressant, 10.02.2023 | ||||||||
15 | Do doctors want their babies to Grow up to be Physicians?, 7.02.2023 | ||||||||
16 | Emotional eating tied to risk for diastolic dysfunction, 19.01.2023 | ||||||||
17 | Vegetarians suffer more depression than meat eaters, 27.12.2022 | ||||||||
18 | Greater Handgrip Strength tied to lower risk for depression, 20.12.2022 | ||||||||
19 | What happens when doctors and patients interrupt each other?, 23.11.2022 | ||||||||
20 | German survey on assisted suicide: how to handle this? Where should caution be exercised?, 16.09.2022 | ||||||||
21 | Social isolation, Loneliness tied to death, MI, stroke: AHA, 4.08.2022 | ||||||||
22 | Physicians react: burnout rates are alarming, so who should drive change? 6.06.2022 | ||||||||
23 | K. Abrahamsson. R. Ennals. Sustainable work in Europe. Concepts, Conditions, Challenges. 2022 Edited Collection. 342 Pages | ||||||||
24 | Empathy fatigue in clinicians rises with latest COVID-19 surge, 16.09.2021 | ||||||||
25 | Doctors, nurses give lifestyle advice but are skeptical it’s heeded, 29.03.2018 | ||||||||
26 | Borderline personality disorder diagnosis: to tell or not to tell patients?, 22.03.2021 | ||||||||
27 | Why men need mind-body medicine now more than ever, 2.04.2020 | ||||||||
28 | Doctor – Patient relationship, 20.06.2019 | ||||||||
29 | Why do we love sad music? Mourning our pain, 27.11.2018 | ||||||||
30 | The 8 things that end childhood too soon: what clinicians should know, 30.06.2017 | ||||||||
31 | Why do depressed doctors suffer in silence? – 27.06.2017 | ||||||||
32 | How the brain responds to trauma, 24.09.2014 | ||||||||
33 | Diagnostic and Statistical Manual of Mental Disorders (DSM-5®). 2013. | ||||||||
34 | Long work hours wreak havoc in MDs, Personal lives, 23.09.2013 | ||||||||
35 | Nature, Niche, and nurture. The role of social experience in transforming genotype into phenotype, 11.10.2011 | ||||||||
36 | Nancy McWilliams. Psychoanalytic diagnosis: Understanding personality structure in the clinical process (2nd ed.). Guilford Press, 2011 (akceptējams izdevums) | ||||||||
37 | Dreams in Jungian psychology: The use of dreams as an instrument for research, diagnosis and treatment of social phobia, 2009 | ||||||||
38 | Zigmunds Freids. “Ievadlekcijas psihoanalīzē”. Rīga, Zvaigzne ABC, 2007 (akceptējams izdevums) | ||||||||
39 | Artūrs Utināns. “Cilvēka psihe: tās darbība, funkcionēšanas traucējumi un ārstēšanas iespējas.” Rīga, Nacionālais apgāds, 2005 (akceptējams izdevums) | ||||||||
40 | Gunta Ancāne. “Ārsta un pacienta terapeitisko attiecību psihoemocionālie aspekti”. Latvijas Ārsts 2005, nr.6 77-79.lpp. (akceptējams izdevums) | ||||||||
41 | The effects of physician empathy on patient satisfaction and compliance, 09.2004 | ||||||||
42 | Physical symptoms and physician-experienced difficulty in the physician – patient relationship, 1.05.2001 | ||||||||
43 | S. Freud. Three essays on the theory of sexuality. Penguin Books, Limited, 2000. (akceptējams izdevums) | ||||||||
44 | Theodore Millon. Personality Disorders in Modern Life. John Wiley and Sons, 2000. (akceptējams izdevums) | ||||||||
45 | S. Freud. Three essays on the theory of sexuality. Penguin Books, Limited, 2000. (akceptējams izdevums) | ||||||||
46 | Stress and depression mediated by single brain protein, 20.11.2014 | ||||||||
47 | Post-traumatic stress disorder: symptom profiles in men and women, 2003 | ||||||||
48 | Implementing the care programme approach in psychotherapeutics settings, 2004 | ||||||||
Additional Reading | |||||||||
1 | Katedrā izstrādātie studentu pētnieciskie darbi (2023)/ student research works developed in the department (2023): | ||||||||
2 | 1. Adelīna Nikitenko “Ģeneralizētas trauksmes izplatība Ogres pilsētas vidusskolēnu vidū un tās saistība ar vientulību.” | ||||||||
3 | 2. Aksel Darius Överlien Dalili “Burnout Syndrome in Medical Personnel During The Covid-19 Pandemic” | ||||||||
4 | 3. Ali Lavin “Changes of level of empathy in medical students during time of studies” | ||||||||
5 | 4. Ieva Kulša “Celikālijas psihosomatiskie aspekti.” | ||||||||
6 | 5. Jānis Kristaps Vasiļonoks “Ārstu-rezidentu spēja paziņot sliktas ziņas pacientam.” | ||||||||
7 | 6. Karīna Rudus “Saistība starp trauksmes simptomu smagumu un stresa pārvarēšanas stratēģijām RSU medicīnas fakultātes preklīnisko studiju gadu studentu vidū.” | ||||||||
8 | 7. Katrīna Liepiņa ”Adverse childhood experiences (ace) jeb nelabvēlīgas bērnības pieredzes saistībā ar gastrointestinālām sūdzībām āgenskalna ģimnāzijās” | ||||||||
9 | 8. Laura Gribuste “Saistība starp kritiskās domāšanas dispozīciju un ticību paranormālajam Rīgas Stradiņa Universitātes studentu vidū.” | ||||||||
10 | 9. Leonhard Francisco Schlichting “Borderline Personality Disorder as Comorbidity of Bulimia Nervosa in Adolescents” | ||||||||
11 | 10. Linda Borskoviča “Pašcieņas, trauksmes, depresijas rādītāju saistība ar glikēmijas kontroli pacientiem ar 1. un 2. Tipa cukura diabētu” | ||||||||
12 | 11. Linda Lumikki April Vainio “MDMA-assisted therapy in PTSD treatment” | ||||||||
13 | 12. Megija Zunde “Trauksmes simptomu īpatsvara dinamika vidējam medicīnas personālam Covid-19 pandēmijas laikā Latvijā.” | ||||||||
14 | 13. Miina-Maria Jyrälä “Depression as a risk factor for coronary artery disease, mechanisms behind it” | ||||||||
15 | 14. Nika Kristiāna Meždreija “Somatizācijas un trauksmes simptomu salīdzinājums sesijas laikā un pēc tā RSU 1. un 6. kursa medicīnas fakultātes studentiem” | ||||||||
16 | 15. Rebecca Abraham “The effect of parenting on the development of borderline personality disorder” | ||||||||
17 | 16. Rebeka Beinaroviča “Sociāli ekonomiskā stāvokļa saistība ar izdegšanas sindromu medicīnas fakultātē studējošajiem.” | ||||||||
18 | 17. Sima Shokouhi “The relationship between the belief in conspiracy theories and narcissistic personality traits in an individual.” | ||||||||
19 | 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” | ||||||||
20 | 19. Zanda Laura Šķiņķe “Trauksmes un depresijas simptomu korelācija ar un bez muguras lejasdaļas sāpēm RSU medicīnas fakultātes studentiem” | ||||||||
Other Information Sources | |||||||||
1 | Deborah L. Cabaniss, Sabrina Cherry, Carolyn J. Douglas, Ruth L. Graver, Anna R. Schwartz. Psychodynamic Formulation. 2013 by John Wiley & Sons Ltd. |