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Introduction to Psychosomatics

Study Course Description

Course Description Statuss:Approved
Course Description Version:3.00
Study Course Accepted:01.08.2024 13:37:25
Study Course Information
Course Code:PMUPK_036LQF level:Level 6
Credit Points:2.00ECTS:3.00
Branch of Science:Clinical MedicineTarget Audience:Public Health
Study Course Supervisor
Course Supervisor:Gunta Ancāne
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)0Lecture Length (academic hours)0Total Contact Hours of Lectures0
Classes (count)8Class Length (academic hours)4Total Contact Hours of Classes32
Total Contact Hours32
Study course description
Preliminary Knowledge:
An understanding of dual nature of psychic processes, pertaining to both nature science and humanitarian science.
Objective:
The objective is to improve the knowledge about consistent patterns of human psychic functioning and the interaction of psychic and somatic processes.
Topic Layout (Full-Time)
No.TopicType of ImplementationNumberVenue
1Biopsychosocial model in medicine, psychic, social and biological causes of disease (WHO), the concept of alexithymia. Somatization. Psychosomatic disorders and diseases.Classes1.00auditorium
2Affect theory. Emotions, affects, their physiological significance, psychophysiological classification. The role of emotions in the process of somatization. Emotional intelligence. 1. Innate emotions 2. The concept of adequate and inadequate expression of emotions 3. The role of emotions from evolutionary perspective 4. Somatic expression of affect – somatization as a form of contemporary communication 5. The significance of emotional intelligence and its manifestation.Classes1.00auditorium
3Stress and distress, its various forms. Types of stressors. Bio-psycho-pathological vulnerability model: the influence of early childhood emotional distress on the risk of developing emotional and somatic disorders in adulthood.Classes1.00auditorium
4Types of personality structures.Classes1.00auditorium
5The concept of psychotherapy. Objectives. Indications. Psychotherapeutic process (assessment phase, initiation phase, working-through phase, termination phase). Techniques of psychotherapy. Types of psychotherapy. 1. Supportive psychotherapy 2. Psychodynamic (psychoanalytic) psychotherapy 3. Cognitive behavioural psychotherapy 4. Individual, couple, family, group psychotherapy 5. Child and adolescent psychotherapy.Classes1.00auditorium
6The relationship between the health worker and the role of the patient in public health.Classes1.00auditorium
7Family: concept, structure, function. Family functioning – stories, assumptions, boundaries, rules, endurance. Family dynamics with mentally/physically ill family members. Functional family - main features. Dysfunctional family: key features, diversity.Classes1.00auditorium
8Individual lesson exam, closing issues, presentation of clinical cases/reports.Classes1.00auditorium
Assessment
Unaided Work:
Analysis of patient case descriptions. 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 – an ability to define: 80%: 1. Biopsychosocial approach in medicine (20%); 2. The significance of psychosomatic health in public health (20%); 3. Main principles of prophylaxis in psychosomatic health (20%) 4. Somatization theories – the role of emotional factors in the origin of diseases (20%). Skills: 20%: 1. Main principles of public health specialist - patient/client relationship in cases of different personality types (20%). 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. OR 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:Students will be able to: analyze the role of psychic factors in case of somatic disease; evaluate the psychodynamic aspects of pharmacological therapy; describe the etiopathogenesis of psychosomatic disorders and diseases; define and discuss the basic principles of communication.
Skills:Students will be able to: briefly describe the etiopathogenesis in a case of a psychosomatic disease, explain the possibilities of use of the placebo effect; demonstrate the basic elements of therapeutic communication.
Competencies:Students will be able to analyze the role of biological, emotional, and social factors in etiology and pathogenesis of the disease.
Bibliography
No.Reference
Required Reading
1Women at higher risk for inflation-related stress, 24.05.2023
2Long- term impact of childhood trauma explained, 2.05.2023
3Medical-level empathy? Yup, chatGPT can fake that, 4.05.2023
4Anger in adults a red flag for childhood trauma, 5.04.2023
5Melatonin a new way to reduce self-harm, 27.03.2023
6Epigenetics, satiety, and predictive markers of obesity, 27.02.2023
7Beyond the psychedelic effect: ayahuasca as antidepressant, 10.02.2023
8Emotional eating tied to risk for diastolic dysfunction, 19.01.2023
9Vegetarians suffer more depression than meat eaters, 27.12.2022
10Greater Handgrip Strength tied to lower risk for depression, 20.12.2022
11German survey on assisted suicide: how to handle this? Where should caution be exercised?, 16.09.2022
12Social isolation, Loneliness tied to death, MI, stroke: AHA, 4.08.2022
13Physicians react: burnout rates are alarming, so who should drive change? 6.06.2022
14K. Abrahamsson. R. Ennals. Sustainable work in Europe. Concepts, Conditions, Challenges. 2022 Edited Collection. 342 Pages
15Empathy fatigue in clinicians rises with latest COVID-19 surge, 16.09.2021
16Why men need mind-body medicine now more than ever, 2.04.2020
17Why do we love sad music? Mourning our pain, 27.11.2018
18The 8 things that end childhood too soon: what clinicians should know, 30.06.2017
19Why do depressed doctors suffer in silence? – 27.06.2017
20Stress and depression mediated by single brain protein, 20.11.2014
21How the brain responds to trauma, 24.09.2014
22Long work hours wreak havoc in MDs, Personal lives, 23.09.2013
23Nature, Niche, and nurture. The role of social experience in transforming genotype into phenotype, 11.10.2011
24Utināns. Cilvēka psihe Tās darbība, funkcionēšanas traucējumi un ārstēšanas iespējas. Nacionālais apgāds. 2005., 568 lpp.
25Implementing the care programme approach in psychotherapeutics settings, 2004
26Gunta Ancāne. Hronisku sāpju stāvokļu psihosomatiska izpratne//Latvijas Ārsts.- 2004., Nr1.- 40- 43
27Post-traumatic stress disorder: symptom profiles in men and women, 2003
28Physical symptoms and physician-experienced difficulty in the physician –patient relationship, 1.05.2001
Additional Reading
1G.Ancane, D.Smite. Die Bedeutung emotionaler Belastung für das Schmerz- syndrom bei Patienten mit chronischem Kreuzschmerz. Ärztliche Psychotherapie 1/2011., 49.-54
2Gunta Ancāne. Ķermeņa un psihes saistība//Psiholoģijas Pasaule.-2004.,-Nr.1-38.-43.lpp