Psychosomatic Basic Care Curriculum

The theory section is divided into the following topics:

  1. What is psychosomatic basic care? History, Psychotherapy Guideline statements. Reasons for its necessity based on the prevalence of the diseases and its objectives (diagnosis of psychogenic disorders, common understanding of the diseases between doctor and patient, shared decision on subsequent action)
  2. General Psychosomatics: The importance of emotions  (fear, anger, guilt, shame, envy) in pathogenesis. Conflicts (conscious and unconscious) and psychodynamics. Models of the origin of psychosomatic disorders. Model of internal regulation. Defence operations.
  3. Important groups of psychosomatic disorders: neuroses, somatoform disorders, psychosomatic diseases, somato-psychic diseases, origin and diagnosis, psychodynamics. Therapy applied to the different levels of care.
  4. Depression and anxiety disorders. Symptoms and Etiology. In particular, their psychodynamics and identifying the depressive and anxietyneurotic mode as the basis for understanding somatization disorders.
  5. Current systematics of previous hysteria and identification of the hysteric mode as the basis for understanding conversion disorders. Narcissistic disorder and borderline disorder. Basis for understanding the narcissistic mode as the third important way in understanding somatizing disorders.
  6. Special psychosomatics: Somatizing disorders. Recognizing the similarities underlying the diversity of symptoms and psychodynamics (depressive, neurotic anxiety and narcissistic mode).
  7. Special psychosomatics. Conversion disorders and psychosomatic diseases.
  8. Special psychosomatics: Eating disorders (anorexia nervosa, bulimia, obesity); their detection in basic care. Individual care options and referral to special care.
  9. The therapeutic Interventions in psychosomatic basic care. The therapeutic relationship and the bisaic interventions independent of any spedific school of thought (supporting, clarifying, suggestion, training).
  10. How to deal with somatization disorders in psychosomatic basic care: understanding symptoms, building up a common understanding of the disease, limited objectives, common treatment strategy and patient activity, dealing with each respective psychodynamic mode.