377-0602-00L Psychosomatic and Psychosocial Medicine
| Semester | Spring Semester 2021 |
| Lecturers | M. Sabbioni, further lecturers |
| Periodicity | yearly recurring course |
| Language of instruction | German |
| Comment | Only for Human Medicine BSc |
| Abstract | Professional physician-patient communication is a key requirement for a successful medical practice. Those who are proficient in the practice of medical interviewing have an excellent diagnostic tool in each discipline, and have much better conditions for patient guidance and a lower likelihood of prosecution for malpractice. |
| Learning objective | Medical history taking (how can a physician quickly get a reliable information about the disease). Communicative techniques for the professional exploration of psychosocial circumstances: gain the patient's trust through empathy, professional communication skills, and professional and social skills. The psychosocial contextualization of a disease to capture the patient's actual suffering. Exemplary background information on important psychosocial factors and mechanisms that can lead to health disorders: e.g. Stress-related diseases, diseases that lead to a permanent loss of function in everyday life or disorders due to significant experience (for example, trauma). |
| Content | Background knowledge for psychosocial medicine: • Individual as a unity of body, psyche and social. • development, bonding • Mechanisms for the development of «psychosomatic disorders». • Interplay of genetics, life history and the environment. • Coping with illnesses. • Psychophysiology; stress • pain • addiction • migration • gender Anamnesis skills and patient-physician communication: • The structural elements of an anamnesis • The technique of patient-centered interviewing: the art of listening and asking questions (question types); the empathic attitude; wait, repeat, summarize, mirror. • The systematic analysis of a symptom: the 8 dimensions of a symptom • The importance of psychosocial history; Areas of application of psychosocial medical history; Components of Psychosocial Anamnesis • The disease model of the patient • To foster the doctor-patient interaction: attachment, transmission and countertransference, collusion • Dealing with diversity: specific additions to the psychosocial history of migration background • Informing the patient about diagnosis, planned investigations and treatment. How to break bad news |
| Prerequisites / Notice | Voraussetzung: alle medizinischen und klinischen Module der 1. - 5. Semester |