1. science
2. medicine
3. psychology and psychiatry

MINISTRY OF EDUCATION AND SCIENCE
OF UKRAINE
V.N.KARAZIN KHARKIV NATIONAL UNIVERSITY
MEDICAL FACULTY
“Assert”
Vice-president for education
Professor __________________
“___” ________ 2014 y.
“Is recommended”
At methodical conference
of Department of Psychiatry, Narcology,
Neurology and Medical Psychology
(name of department)
Head of Department
Prof._V.I. Ponomaryov_________
(name, signature)
“___” ________ 2014 y.
The educational program
Of the discipline ______MEDICAL PSYCHOLOGY_______
(worked out on the basis of typical educational program of 2007)
Kharkiv 2014
1
1. Explanatory Note
The program of Medical Psychology for Higher Medical Institution in
Ukraine was done for these specialities :”Healing work” 7.110101; “Pediatric”
7.110104; “Medic-prophylactic work”7.110105 the preparation direction
11.01”Medicine” in accordance to Educational, Qualifying Reference and
Educational, Professional Program of preparation specialists that are ratified by
Ministry of Public Health order “239” from 16.04.2003 in Ukraine and
educational plan that is elaborated on European Credit Transfer System (ECTS)
principles and is ratified by Ministry of Public Health order “221”from
18.06.2002 in Ukraine. The final aims from discipline are the same and are done
the single program from Medical Psychology mentioned specialities.
According to educational plan Medical Psychology learning is going at the 3d
year of studying.
The program is divided into modules, meaning modules, themes according
to requirements “Recommendation about Elaboration Educational Program of
Educational Discipline” (the MPH order ”492” from 12.10.2004 in Ukraine).
Educational Discipline: “Medical Psychology”
- is based at students’ learning of the general psychology basis, the anatomy of
human being, Nat morphology and Nat physiology, deontology in medicine and
is integrated with these disciplines;
- puts students’ learning basis of psychiatry, narcology and the rest of the clinical
discipline that foresee teaching integration with these disciplines;
- provides forming abilities to use knowledge from Medical Psychology in the
process of next studying and professional activity;
- puts the basis in doctors’ knowledge of sick person’s psychology forming the
health way of living and prophylaxis of breach psychological functions in
process of vital activity and at different diseases.
The organization of educational process is making by credit module system
according to the Bolonsky process demands.
The scope of students’ educational load is described in credits ECTS – tested
credits that are counted by students at successful adoption of accordant module
(tested credit).The program from discipline “Medical psychology” forms 1 module
that is divided into 2 contents modules.
1st module “Medical psychology”
Content modules:
1. General questions of Medical Psychology.
2. Applied aspect of Medical Psychology.
The aspects of students’ educational activity according to educational plan are:
a) lecture; b) practical occupation; c) independent students’ work.
Themes of lecture’s course open problem’s questions according to parts of
Medical Psychology.
At the practical occupation is recommended to direct attention that
psychological position of person has big meaning at the beginning of somatic
disease, stipulates its peculiarities’ course, and determines development and
successful treatment. The right recognition and correct comprehension of disease
2
can be only if you know individual peculiarities of sick person; individual
approach to sick person supplies diagnostics’ deepness and daintiness;
determination of disease’s prognosis; rational choice of the most effective
treatment. Especially it should be accented the specialities of sick people’s
psychological condition with different diseases, widely inculcate intersubjects’
connections with all clinical disciplines.
At studying of theme “Medical Psychology in doctors’ activity, healing doctor,
medical personnel, their attitude to sick person, psychology of sick people and
their relationships, role of mental factors at the beginning of psychosomatic
sicknesses, iatrogenic, psychological climate in medical organizations”.
Identification of modern production, urbanization, difference and complication
at people’s relations forms present the increased demand to psycho emotional
people’s state. In this connection is recommended to direct attention at the
problem of formation and maintenance to people’s mental health.
The practical occupations would help the doctor in future to know his
individual peculiarity by tests’ help, exercises, produce his own behaviors’
tactics with sick people that are depended from disease, to get skills of correction
sick people’s feelings in disease’s connection, to correct the psychological
person’s reaction at different stressors, to make adequate relationships between
doctor, medical personnel and sick person, to model skills of professional
behavior, the image of medical worker.
Departments can make changes in educational program that depend from
organizational and technical possibilities, the ways of scientific research, ethno
cultural peculiarity of region but have to make scope demands from discipline
according to final aim of Educational Qualifying Reference and Educational
Professional Program the direction of preparation and educational plan.
The actual educational students’ activity is controlled at practical
occupation in accordance to specific aim and at individual work between lecturer
and students.
Also is recommended to use methods of diagnostics’ level students’
preparation like: conversation with sick people, tests (computer’s tests too), work
out situational tasks, experimental psychological investigation at sick people, to
control practical skills and other.
The final module control is realizing at their end on final control
occupations.
Valuing of students’ success from discipline is rating and puts at many
marks’ scale with considering marks, understanding some modules that have
definition by system of ECTS and traditional scale that is taken in Ukraine.
For those students who want to make better their progress from discipline after
ending of its learning by educational plan is foreseen term for repassing final
module.
3
Description of educational plan from discipline “Medical Psychology” for
students from Medical Department
Structure of
Number hours
educational
Kind
All
Auditorium
discipline
of
hours/credit
Practical
Independ Year of
studying control
ECTS
Lecture occupation
ent
45/1,5
10
20
students’
work
15
3
st
1 module:
Final
Content
45/1,5
10
20
15
module
modules 2
control
Including
final module
2
2
-“control
Note: 1st credit ECTS- 30 hours
Auditorium load- 70%, independent students’ work- 30%
2. Aim of educational discipline’s studying
Aim of studying medical psychology is the final targets that are made at
educational professional preparing of doctor for speciality according to block of
its content module (natural science’s preparation) and are the base for making
content educational discipline. The description of aims is done through ability
like aims’ tasks. By reason of final aims to every module or content module are
formulated specific aims like some skills, aim’s tasks that provides with
achievement final aim of studying discipline.
The final discipline’s aims:
 to show possessions of medical deontology’s principles, to prevent
appearing of iatrogenic and correct results iatrogenic effects;
 to use means of psycho hygiene, psycho prophylaxis and base methods of
psychiatry in medical practice;
 to determine psycho somatic and soma psychical interferences that have
sick people;
 to determine psychical state and level of sick person’s social psychic
adaptation due to psychological exploration’s methods;
 to show skills of relations between colleagues, sick people and their
relatives and consider their psychological character, promote making
health psychological climate in medical environment.
4
Content of Program
1 Module. Medical Psychology
Contents module 1
General questions of Medical Psychology
Specific aims:
 to interpret main tasks of medical psychology;
 to explain position of medical psychology between medical disciplines;
 to acquire questions “psychics”, “psychic health”;
 to explain principles and methods of psychological research’s realization
and interpretation of its results;
 to explain individual structure;
 to determine tactics of behavior in relations between people who have
accent features of character;
 to make conclusion of intellectual development’s level that have sick
people;
 to explain sickness’ influence on recognition process of sick people;
 to analyze emotional influence on health state of sick people;
 to explain disease’s influence on consciousness, self-consciousness of
person;
 to make conclusion to type of sick person’s relation to his disease.
Theme 1st . Object, tasks and methods of research person’s
psychological state. Conception of psychic health.
Object and tasks of medical psychology. Medical psychology is
psychological and medical science at the same time. Theoretical and
methodical bases of medical psychology. Medical psychology’s role in
formation of modern imagination of somatic and psychic. Role of medical
psychologist in diagnostic, therapeutic, rehabilitation processes.
Development of medical psychology in the world and in Ukraine.
Contribution’s works of O.K. Luria, L.S. Vygotskyi, M.O. Boryshtein, P.K.
Anahina, K.K. Platonova, B.V. Reigarnik, L.F. Burlachuk, V.M. Bleiher that
are carried progress in development of world’s and domestic psychology. The
perspective of medical psychology’s development.
Methods of psychological research are: observation, self-observation, goaldirected psychological conversation. Experimental psychological methods,
their role in psychological diagnostics of sick people. Principles of building
group psychological research including age and cultural specialities of
patients.
Determination of psychic health and levels of psychic adaptation of person.
The criterion of health.
Theme 2nd . Individuality and disease. Inside illustration of disease.
Psychic structure of individuality is: temperament, character, intellect,
abilities. Classification of temperaments, their role in character formation.
st
5
Determination of person’s accentuation. Type of accentuation,
classification of person’s accentuation by K. Leongard, M.S. Luchko. Tactics
of doctors’ behavior with patients that have accent feature.
Inside illustration of disease is subjective perception of sickness by patient.
Main sphere of inside disease’s illustration is: sensory emotional, strongwilled, and rational informational. Role of specialities of clinical disease’s
manifestation, hardness of course and prognosis. Circumstances of sick
person life at what disease is going. Premorbidual specialities of person (age,
temperament, character accentuation, level of sensitivity to stress).Types of
sick people. Classification of main types’ attitude to disease (harmonium,
anagogic, ipohondric, depressive, contemptuous, nosofobic, nosofil, utilitarian
and other) specialities of sick people’s behavior with these types of reaction
on disease.
Diagnostics of main types of attitude to disease. Additional, psycho
diagnostic methods, interpretation of research’s results.
Influence attitude to disease on next going of sickness and prognosis.
Aggravation, simulation, dissimulation, hospitalization. Principles of psycho
therapy’s correction attitude to disease, doctor’s tactics to sick people with
pathologic types of reaction at disease.
Theme 3rd . State of psychic functions and disease.
Clinical, psychological aspects of cognitive activity. Disease’s influence on
cognitive process of person is peculiarity of feelings and perception that has
somatic sick people, changes at attention. Influence of intellect’s peculiarity
that has sick person at healing process: infatuation, oligophrenia, dementia.
Influence breach of speaking at healing process: disarray, stammering,
mutualism.
Clinical, psychological aspects of free emotional sphere. Disease’s
influence on free emotional person’s sphere. Problem of unreacted emotions
and auto relaxation. Disease’s influence on emotional state. Nosogeny. Sick
changes of emotions: trouble, depression, emotional labiality. Free quality of
person: self control, resolution, insistence, initiative, organization and their
role in healing process. Changes of freedom, inclination and behavior at the
time of sickness (asthenia, abulia, hypobulia).
Consciousness, self consciousness and their levels. Theory of out
consciousness. Psychosomatic point in medicine. Criterion of consciousness
that isn’t begun. Consciousness’ state that has sick people: get tired,
sleepiness, affect contracted state. Special state of consciousness.
Content module 2.
Practical aspects of medical psychology.
Specific aims:
 To interpritate professional quality of medical workers;
 To analyze psychological bases of relationships in medical
collective;
 To interpret conditions of making healthful psychological climate in
medical environment;
6
 To interpret methods of notification and decision conflicts;
 To analyze psychological specific feature of sick people with
different types of pathology ;
 To interpret influence on passing and healing of main sickness,
psychological changes of sick people;
 To explain specific of suicidal behavior with different sicknesses;
 To interpret concept “Psycho somatic”, “Psycho somatically”;
 To explain influence’s mechanism of strong emotional stress into
psychic state of person’s health;
 To explain specific un pathologic psycho somatic reaction, psycho
somatic discord;
 To analyze conditions of work and mode of life, specific of family’s
and marriage’s relations, and make conclusion about having factors
that negative act upon psychic health;
 To make conclusions about ways of 1st or 2nd psycho prophylaxis,
rehabilitation for sick people with different sicknesses;
 To explain specific methods of psycho therapy , indication and
contraindication for their using;
 To make conclusion about way of correction pathological relation of
sick person to his sickness.
Theme 4th. Psychology of medical workers.
Main choice’s motives in medical worker’s profession. Main demands to
personality of medical workers. Meaning of professional orientation at the choice of
medical profession.
Important professional doctor’s quality. Definition of concepts “Doctor’s duty”,
“Medical Secrecy”. Doctors’ mistakes: cause and type. Psychological types of doctors’
professional program in general practice (knowledge and abilities, professional
practical skills) and demand to person.
Concept about professional deformation. Peculiarity of profession where
professional deformation is developing. Characteristic feature of professional
deformation “syndrome burning down”, ways of its notification.
Basis of intercourse between colleagues, circumstances that make health
psychological climate in medical environment. Abidance of deontology’s and
subordination’s rule. Abidance of moral and ethical demands. Ability to emphatic and
style of intercourse. Emotional satisfaction from contacts between members of
collective. Creation of circumstances for self urgency of personality. Types of
intercourse in medical environment; inter personal, individual groups, collective
individual, and group. Peculiarity of intercourse between doctors and doctor-nurses.
Theme 5th. Psychology of therapeutically diagnostically process.
Psychological basis of intercourse in therapeutic process. Communicational
competence, its role in effective and out of conflict’s co-operation. Functions of
intercourse: informational communicative, regulative communicative, affective
communicative. Role of psychological peculiarity of doctor and nurse: “ideal doctor”,
“ideal medical sister (nurse)”.
7
Psychological peculiarity of stage in diagnostically process. Medical deontology. To
give information to sick person about diagnosis. Co-operation and intercourse between
doctor and sick people and their relatives. Paternalism, its role in diagnostically
process. Meaning of putting of sick person.
Conflicts in medical environment, their variety. Scheme of conflict’s development.
Conflicts in doctor’s activity. Peculiarity of conflicts between people that are at healing
diagnostically process. Methods of decision and conflicts’ notification.
Theme 6th. Psycho somatic discord.
Psycho somatic approach in medical psychology and medicine. Psycho somatic
approach as principle of healing activity. Bio psychological conception of disease.
Emotional stress as factor of stinatogenesis of psycho somatic discords. Psycho
somatic interrelation. Influence of psychological factors on course of somatic discords.
Theories of psycho somatic relations: psycho analytical, neurohumoral, physiological,
corticovisceral. Mechanism of psychological defense of personality. Definition
“adaptation”, “desadaptation”. Breach of adaptation, distress.
Classification of psycho somatic discords. Un pathological, psycho somatic
reactions: engine, visceral, sensory and other. “Big” psycho somatic disease. Principles
of prophylaxis of psycho somatic discords.
Theme 7th. Psychological peculiarity of sick people with different diseases.
Psychological changes in cardio-vascular system’s diseases, bronchi and lungs,
alimentary tube, kidney, in inflectional diseases, tuberculosis, AIDS, endocrine,
nervous, psychic diseases. Psychological changes that have sick women in
gynecological hospital. Psychological women’s peculiarity at the period of pregnancy
and birth. Psychological peculiarities of sick children and elderly people.
Psychological peculiarities of sick people in surgery’s hospital –in-before-after
operational period. Psychological peculiarities of sick people in stomatology,
ophthalmology, otolaryngology, orthopedics, traumatologia, oncology. Influence on
person’s psychics in congenital and acquired psychical defects.
Theme 8th. Psychological aspects of dependent, suicidal behavior, thanatology,
euthanasia.
Psychological aspects of dependence from psycho active substance, over valuable
passions (gambling, internet dependence), dependence from food behavior.
Psychological peculiarity of dependent person in healing process. Family’s and social
relations of dependent person, co-dependence.
Suicidal behavior, prophylaxis and early recognition of suicidal tendency. Suicide :
motive and aim. Types of suicidal behavior: protestant, “call”, “self-punishment”,
“refusal”. Timely finding suicidal thoughts and minds. Role of social services, trust
services.
Peculiarity of suicidal behavior in somatic sick people: AIDS, oncology, congenital
and acquired physical defects. Psychological peculiarities of suicidal behavior at
dependence.
Psychological aspects of dying and death. Euthanasia: with or against.
Theme 9th. Psycho hygiene, psycho prophylaxis, basis of psycho therapy.
Definition of concepts “psycho hygiene”, “psycho prophylaxis”, the first and second
psycho prophylaxis. The main parts of psycho hygiene: age’s psycho hygiene, psycho
8
hygiene in work, psycho hygiene in mode of life, family’s and sexual life. Ways of
conservation and strengthening of psychic health. Principle of work’s, mode’s of life,
family’s, sexual relations’ psycho prophylaxis. Doctors’ role in general practice in
nose psychological manifestation’s prophylaxis. Rehabilitation: social and
professional, its main parts. Adaptation and compensation.
Psycho therapy as branch in medical psychology and medicine. Main, modern
methods of psycho therapy. Principles of psycho therapy. “Unstraight” psycho therapy,
placebo.
Methods and techniques of realization rational persuasion, sugesthia in state of
vigour9suggestion), auto relaxation. Indication and contraindication for realization
hypnosugesthia, individual and group’s rational psycho therapy, methods of psycho
analytical and psycho dynamical psycho therapy, auto psycho therapy( auto training
and meditative technics), gestalt therapy, neuro-linguistic programmation, art-therapy.
Psycho therapy in doctors’ work of general practice. Psycho therapeutic correction of
attitude to disease. Psychological help in crisis periods and psychological peculiarities
of rendering medical helping extraordinary situations.
Reference structure of test’s credit in 1st module
Medical Psychology
Theme
Content’s module 1. General questions of
medical psychology
1. Object, task and methods of research
psychological person’s state
2. Personality and disease. Inside picture of
disease
3. State of psychic functions and disease
Lecture
Individual
Practical
Independent independent
occupation
students’
students’
work
work
2
2
1
2
2
2
-
2
2
-
2
1
5. Psychology of healing diagnostically
process
6. Psycho somatic discords
2
2
-
-
2
2
7. Psychological peculiarities of sick people
with different diseases
8. Psychological aspects of dependent,
suicidal behavior, thanatology and
euthanasia
9. Psycho hygiene’s, psycho prophylaxis’,
psycho therapy’s basis
10. Final module control
2
2
1
-
2
2
2
2
2
-
2
2
All hours-45/ credits ECTS-1,5
10
20
15
Content’s module 2. Practical aspects of
medical psychology
4. Psychology of medical workers
Auditorium work – 70%, Independent Students’ Work – 30%
9
4. Thematically lecture’s plan
Number
Theme
Number of
hours
Content’s module 1. General questions in medical psychology
1.
2.
1.
2.
3.
Medical psychology: definition, object and tasks. Development of medical psychology in the
world and in Ukraine. Role of medical psychology in formation of modern idea about somatic
and psychic unity. Psycho somatic and somatic psychic co-operation: main theoretical
conceptions. Definition of psychic health.
Personality’s psychology. Modern theories about personality. Personality’s peculiarity at
different age’s groups. Personality and disease. Inside picture of disease, sick people’s types.
Classification of main types of relation to disease. Influence of relation to disease on the next
course of sickness and prognosis, doctor’s tactics to sick people with different pathological
types of reaction on disease.
Content’s module 2. Practical aspects of medical psychology
Psychology of diagnostically process; relationships: “doctor-sick person”, “nurse-sick person”,
contacts with relatives of sick person. Psychological basis of intercourse in healing process:
communicative competence, functions of intercourse. Role of psychological peculiarities of
doctor and medical sister. “Ideal Doctor” and “Ideal Medical Sister”. Medical deontology.
Psychological peculiarities of sick people at therapeutic, surgery’s diseases. Psychological
women’s peculiarities at the period of pregnancy and birth. Peculiarities of psychology that
have sick children and elderly people.
Principles of psycho prophylaxis, psycho hygiene, rehabilitation and psycho therapy in work
of general practice’s doctor. Social and professional rehabilitation, adaptation and
compensation, its main parts. Psycho therapy as branch of medical psychology and medicine.
Main, modern methods of psycho therapy. Principles of psycho therapy.
Together
2
2
2
2
2
10
5. Thematically plan of practical occupation
Number
Theme
Number of
hours
Content’s module 1. General questions of medical psychology
1
2
3
1.
2.
3.
Methods of psychological research. Experimental psychological methods, their role in
psychological diagnostics of sick people. Principles that create complex of psychological
research.
Accentual personalities: definition and types. Diagnostics of main types of relation to disease.
Influence of relation to disease on the next course of sickness and prognosis. Aggravation,
simulation, dissimulation, hospitalize. Principles of psycho therapeutic correction of relation
to disease, doctor’s tactics to sick people with pathological types of reaction to disease.
Additional psycho diagnostically methods, interpretation of research’s results.
Clinical psychological aspects of recognition and free-emotional sphere. Consciousness, selfconsciousness, their levels, consciousness’ state that has sick person.
Content’s module 2. Practical aspects of medical psychology
Main demands to personality of medical workers. Psychological doctor’s types. Professional
program of general doctor’s practice. Definition about professional deformation. Professional
peculiarities of professional deformation that is developing. Indication of professional
deformation “syndrome of burning down”. Ways of notification. Intercourse in medical
environment, circumstances of creation health psychological climate. Peculiarities of
intercourse between doctors, doctors-nurses.
Psychological peculiarities of states in diagnostically process. Information that is given to
sick person about diagnosis. Paternalism, its role in diagnostically process. Meaning of
psychological putting of sick person. Conflicts in medical environment, their types. Methods
of conflicts’ decision and notification.
Psycho somatic interrelations. Influence of psychological factors into course of somatic
discords. Definition of adaptation and disadaptation. Classification of psycho somatic
discords. Theories of psycho somatic relationships, mechanism of psychological defense of
personality. Principles of prophylaxis of psycho somatic discords.
2
2
2
2
2
2
10
Psychological peculiarities of sick people at tuberculosis’, AIDS’, oncopathology’s,
endocrines, nervous and psychic diseases. Psychological peculiarities of sick people in
stomatology, ophthalmology, otolaryngology, orthopedics and traumatologia. Influence into
person’s psychics at congenital and acquired physical defects.
Psychological aspects in dependent behavior. Suicidal behavior, prophylaxis and early
recognition of suicidal tendency. Psychological aspects of dying and death. Euthanasia.
Main methods of psycho therapy in doctors’ work of general practice. Indication and
contraindication for realization of main methods of psycho therapy. Unstraight psycho
therapy, placebo. Psycho therapeutic correction of attitude to disease. Psychological help in
crisis periods.
Final module control
Together
4.
5.
6.
7.
2
2
2
2
20
Thematically plan of independent students’ work from discipline and its
control
Number
Theme
Number
of hours
Type of
control
3
Current control
on practical
occupation
Current control
on practical
occupation
Current control
on practical
occupation
Final module
control
Content’s module 1. General questions of medical psychology
Preparation to practical occupation – theoretical preparation and studying
of practical skills.
1.
Content’s module 2. Practical aspects of medical psychology
1.
Preparation to practical occupation- theoretically preparation and studying
practical skills
6
2.
Individual independent students’ work: elaborate scheme of
correspondence of relations’ types to disease, accentuation of personality.
4
3.
Preparation to the final module control
2
All independent students’ work
15
Distribution of marks that are gathered by students
Number
1.
2.
Module (current educational activity)
Content’s module 1
Theme 1
Quantity of marks
36
12
Theme 2
12
Theme 3
12
Content’s module 2
Theme 4
72
12
Theme 5
12
Theme 6
12
Theme 7
12
Theme 8
12
Theme 9
12
Contents’ modules together
Quantity of marks for individual independent students’ work
Final module control including:
-control of practical preparation
-control of theoretically preparation
Sum of marks all together
108
12
80
200
11
Definition’s algorithm of admission to final module control by current
results
Note: if theme is digested by traditional system, student will be appropriated
these marks: “5”- 12 marks; “4”- 9 marks; “3”- 7 marks; “2”- 0 marks.
Maximum quantity marks for current educational students’ activity is 120.
Student will be ad missed to the final module control if he fulfills
educational program and if he gathers not lesser than 36 marks at the current
educational activity.
Quantity of marks for every theme that is corresponded to the minimal
positive rating “3”- 7 marks. We have to multiply quantity of themes in
module on the minimal mark for every theme: 9x7=63 marks. Individual
independent students’ work – 7-12 marks/
Final module control will be entered if student gathers not lesser than 50
marks.
The list of questions for students’ preparation to the final module control
Content’s module 1. General questions of medical psychology
1. Definition, object and task of medical psychology.
2. Methods of psychological research.
3. Construction’s principles of goal-directed psychological
conversation.
4. Definition of psychological health and psychological people’s
adaptation.
5. Criterion of health VOOZ.
6. Influence of age’s peculiarities and chronic disease on people’s
personality.
7. Definition and typology of personality’s accentuation, tactics of
doctor’s behavior with patients that have accentuate feature of
personality.
8. Definition and classification of main types’ relation to disease,
peculiarities of sick people’s behavior with these types of relation on
disease.
9. Diagnostics of main type’s relations to disease.
10. Principles psycho therapeutic correction of relation to disease.
11.Disease’s influence into cognitive people’s processes.
12.Influence of sick people’s peculiarities intellect into healing process.
13.Disease’s influence into emotional state, nozogeny.
14.Disease’s influence into free-emotional people’s state.
15.Role of personality’s free quality in healing process.
16.Freedom’s changes, inclination and behavior at disease.
17.Consciousness, self-consciousness, their levels.
18.Psycho dynamical approach.
19.Unbreakable consciousness’ criterion. Consciousness’ state that has
sick people.
12
Content’s module 2. Practical aspects of medical psychology.
1. Demands to medical workers’ personality.
2. Definition “Medical duty’, “Medical secrecy”.
3. Medical mistakes; reason and types.
4. Psychological doctors’ types.
5. Professional deformation, syndrome ‘burning down’ and ways of its
notification.
6. Rules of deontology and subordination in medical environment.
7. Types and peculiarities of intercourse in medical environment.
8. Psychological stages’ peculiarities of diagnostically process.
9. Intercourse’s principles between doctor and sick people with their relatives.
10.Conflicts in medical environment, their variety, ways of decision and
notification.
11.Psycho somatic point as principle of healing activity.
12.Emotional stress as sthyapathogenesis’ factor of psycho somatic discord.
13.Influence of psychological factors into course of somatic discords.
14.Theories of psycho somatic relationships.
15.Psychological personality’s protection mechanism.
16.Definition Adaptation and disadaptation, distress.
17.Classification of psycho somatic discords.
18.Unpathological psycho somatic reactions.
19.Principles of prophylaxis psycho somatic discords.
20.Psychological changes at cardio-vascular system’s disease.
21.Psychological changes at diseases of bronchi and lungs.
22.Changes at alimentary tube’s diseases.
23.Psychological peculiarities of sick people at infection’s diseases, tuberculosis,
AIDS.
24.Psychological peculiarities of sick people at endocrine, nervous and psychic
diseases.
25.Psychological changes that have sick women in gynecology hospital.
26.Peculiarities of psychology that have sick children and elderly people.
27.Psychological changes that have women at period of pregnancy and birth.
28.Psychological peculiarities of sick people in surgerycal hospital in-beforeafter operational period.
29.Psychological peculiarities of sick people in stomatology, ophthalmology,
otolaryngology.
30. Psychological peculiarities of sick people with oncological pathology.
31.Influence into person’ psychic at congenital and acquired physic defects.
32. Psychological aspects of dependence from psycho active substances, over
valuable passions (gambling, internet-dependence), dependence of food
behavior.
33.Varieties of suicidal behavior, peculiarity of suicidal behavior in somatic sick
people and dependences.
34.Psychological aspects of dying and death.
35.Definition “Psycho hygiene” and “Psycho prophylaxis”.
13
36.Psycho hygiene of medical workers’ job.
37.Principles of work’s, mode of life’s, family’s and sexual relations’ psycho
prophylaxis.
38.Doctor’s of general practice role in prophylaxis of nozopsychological
manifestation.
39.Social and professional rehabilitation, its main parts.
40.Main, modern methods of psycho therapy, psycho therapeutic principles.
41.Indication and contraindication for realization separate methods of psycho
therapy.
42.Psychological help in crisis periods.
43.Psychological peculiarities of giving medical help in extraordinary situation.
8. List of practical works and tasks
1. To lead directive psychological conversation with sick people without any help,
pile up psychological anamnesis of disease and life, appreciate psychological
state of sick person.
2. To analyze information that has been taken at experimental psychological
inspection, to give confinement by basis of analysis of research results.
3. Be able to find accentuation of character.
4. Determine type of inside picture of disease and types of patient’s reaction on
disease.
5. To make adequate patient’s relation to disease and keep up at all diagnostically
healing process.
6. Differentiate psychological peculiarities of sick people at different somatic
diseases; determine necessity of psychological correction with consideration of
individual patient’s peculiarities.
7. To give psycho hygiene advices to patient of somatic type.
8. Produce tactics of intercourse with sick people and their relatives with
consideration of principles of medical ethics and deontology.
9. Appreciate and realize correction of relationships between sick people and
medical workers.
10.To make analysis of main professional qualities.
11.Be able to find suicidal tendency.
9. Control forms.
Control forms and valuation system are making according to demands of
discipline’s program and instruction about valuation system of students’
educational activity at credit-module system of educational process’ organization
that was confirmed by Ministry of Public Health in Ukraine (2005).
Current control is making in every practical occupation according to specific
theme’s aim, at individual lecturer’s and student’s work for those themes that
student is studying in independent work and they don’t get into the structure of
practical occupation. Is recommended to introduce objective (standardirative)
control types of theoretical and practical students’ preparation.
14
Maximum marks’ quantity that is appropriated to students at adoption of every
module (tests’ credit)-200, including marks that are getting in current educational
activity-120 marks, by results of final module control-80 marks.
Valuation of current educational activity:
At adoption of every module’s theme of current educational student’s activity;
marks is put by traditional system that are converted in marks in dependence of
themes’ quantity in module. In program was introduced this convertation system of
traditional system rating in marks:
Traditional rating
“5”
“4”
“3”
“2”
Convertation in marks
Module 1
12
9
7
0
Maximum quantity that student can gather at module’s studying is calculated
in way of multiplication marks’ quantity that are responded to rating “5” on
quantity of themes in module with marks’ addition for individual independent work
and is done 120 marks.
Minimal marks’ quantity that can be gathered at module’s studying is
calculated in way of multiplication of marks’ quantity that is responded to rating
“3’ on themes’ quantity.
Valuation of individual independent work: marks’ quantity for individual
independent students’ work is calculated as difference between maximum marks’
quantity by current educational activity (120) and maximum marks’ quantity by
current success at module’s studying. Marks for individual independent students’
work are given at its successful defense.
Final Module Control:
Final module control is realizing at the end of module’s studying. Students who
have done all types of work that is foreseen of educational program and have
gathered marks’ quantity that is not lesser than minimal are allowed to final control.
Form of realization of final control has to be standardirative and has to include
theoretical and practical preparation control. Specific forms of control are
determined by department in work’s educational program.
Maximum marks’ quantity of final control is 80. Final module control will be
considered like entered if student gathers not lesser than 50 marks from 80.
Discipline’s valuation
Rating from medical psychology is making only for those students whom are
counted all modules from discipline.
Objective valuation of educational students’ activity has to check by statistic
methods (coefficient of correlation between current success and results of final
module control).
15
Convertation of marks’ quantity from discipline in rating by ECTS and 4th
marks (traditional) scales:
Marks’ quantity from discipline that is counted to students is converting in
ECTS scale in this way:
Rating ECTS
Statistic exponent
A
The best 10% of students
B
Next 25% of students
C
Next 30% of students
D
Next 25% of students
E
The last 10% of students
Students’ per cent is determined in selection for students of these course in
abutments to according speciality.
For specialties 7.110101 ‘healing work”, 7.110104 “pediatric”, 7.110105 “
medical prophylactic work” that are studying from medical psychology by the only
one educational plan and only one educational program from medical psychology,
selection is consisted of students from 3 specialties that are named(if VNZ wasn’t
taken on another way).
Marks’ quantity fro discipline that is counted to students is converted into 4 th
rating scale in this way:
Rating ECTS
Rating by the 4th marks’ scale
A
“5”
B, C
“4”
D, E
“3”
FX,F
“2”
Mark FX, F (2) from discipline is made to students whom aren’t counted even 1
module from discipline after the end of its studying.
Mark FX (2) is made to students who have gathered minimal marks quantity for
current educational activity but haven’t passed final module control. They have
right on the second passing of final module control no more than 2 times at the
winter recess and at stretch of 2(additional) weeks after spring term ending by the
schedule that is confirmed by rector.
Students that have been taken the mark “F” at the end of discipline studying
(didn’t fulfill educational program even from one module or didn’t gather minimal
marks’ quantity for current educational activity) have to pass the repeated studying
by the individual educational plan.
16
10. List of educational, methodical literature
1. Vitenko I.S. “General and medical psychology”. Textbook for students in
medical universities- The department of health 1994-294 pages.
2. Vitenko I.S. “Psychological basis of healing prophylaxis activity and doctor’s
preparation of general practice”- Hibachis 2002-388p.
3. Vitenko I.S., Chaban O.S., Buslo O.O. “Family’s medicine: psychological
aspects of diagnostics, prophylaxis and healing of sick people”- Ternopol:
Ukrainian Medical Book 2002-184p.
4. Gavenko V.L., Vitenko I.S., Samardakova G.O. “Practicum from medical
psychology”- Kharkov. Region-inform 2002-248p.
5. General and medical psychology (practicum) by the general redaction of
I.D. Spirina, I.S. Vitenko- Dnepropetrovsk – Art-Press 2002-175p.
6. Medical psychology (practicum)/ Spirina I.D., Lysycja G.I., Vitenko I.S.
Dnepropetrovsk, Polygraphist 1997-54p.
7. Mendelevitch V.D. “Clinical and medical psychology. Practical instruction’s.:
MED press 1998-587p.
8. Volkov V.G., Strelis A.k., Karavaeva E.V., Tetenev F.F. “Personality of
patient and disease” Tomsk, Medicine 1995-328p.
9. Golovahova E.I., Panin N.V.”Psychology of people’s mutual understanding”Kyiv. Publishing house of political literature in Ukraine 1989-187p.
10. Leongard K”Accentuate personalities”Translation from German- Kyiv High
School 1981-390p.
11. Luria R.A. “Inside disease picture and iatrogenic sicknesses”(publishing 4th)
Moscow. Medicine 1977-12p.
12.”Basis of general and medical psychology”. By redaction of I.S. Vitenko and
O.S. Chaban Ternopol. Ukrainian Medical Book 2003-344p.
13. Polischuk I.A., Vidrenko A.E. “Atlas for experimental research of deviations
in person’s psychic activity” Kyiv “Health” 1980- 122p.
14. Tashlykov V.A. “Psychology of healing process”L-D “Medicine”1984-191p.
15. Teleshevskaja M.S., Pogibko N.I. “Questions of doctors’ deontology” L-D,
“Medicine” 1978-158p.
16. Topolskij V.D., Stukovskaja M.V. “Psychosomatic discords” Moscow.
Medicine 1985-380p.
17