Bioethics and psychology II. - DA1105364
Title: Bioethics and psychology II.
Guaranteed by: Department of Medical Ethics and Humanities (13-711)
Faculty: Second Faculty of Medicine
Actual: from 2024
Semester: summer
Points: 2
E-Credits: 2
Examination process: summer s.:
Hours per week, examination: summer s.:28/0, C [HS]
Extent per academic year: 14 [weeks]
Capacity: unlimited / unknown (unknown)
Min. number of students: unlimited
4EU+: no
Virtual mobility / capacity: no
Key competences:  
State of the course: taught
Language: English
Teaching methods: full-time
Level:  
Guarantor: Mgr. et Mgr. Martin Zielina, Ph.D.
Teacher(s): Mgr. et Mgr. Martin Zielina, Ph.D.
Pre-requisite : DA1101362
Interchangeability : DA1104363
Is pre-requisite for: DA1105473, DA1106003
Examination dates   SS schedule   Noticeboard   
Annotation
It is a compulsory study subject, which belongs to the subjects of profiling basis. By completing it, the student acquires knowledge and skills in the field of bioethics and psychology in health care, which are a prerequisite for further successful study in higher years. A holistic approach to the patient in the pursuit of his/her health includes not only the somatic dimension but also other dimensions (e.g. psychological, social, ethical), which are the focus of this course. Within the psychological dimension, students will be introduced to general (e.g., basic psychological phenomena), clinical psychology (e.g., disorders of emotion and behavior), personality psychology (e.g., intersubjective differences in personality structure), and psychosomatics. Within the social and ethical dimension, students will learn in particular about basic dilemmas concerning the life of the individual (e.g. birth, death, resource allocation, organ donation) and about legal and ethical standards in the provision of health care (e.g. informed consent, the institution of advance directives, principles of medical ethics). In this course, increased emphasis is placed on considering all dimensions (i.e., somatic, psychological, social, ethical) simultaneously through critical work with ethically controversial case studies drawn from the Czech health care system. Patient Centred Care (PCC) represents a shift in healthcare delivery where healthcare professionals should take significant account of the needs of their patients. In this course, students will learn about the psychosocial needs of patients, including their family systems. These needs are shaped and evolve with respect to sociodemographic criteria (e.g., age, gender, religion, ethnicity), psychosocial development (e.g., childhood, old age, gender), or value systems (e.g., normative ethics, current legislation). For physicians, the above-mentioned developments are compounded by the maxim to provide health care lege artis (e.g., informed consent, advance directives, code of ethics) in an effort to identify and articulate the needs of their patients in accordance with the principles of medical ethics of nonmaleficence, beneficence, autonomy, and justice). The goal is to jointly develop a treatment plan for the patient while making every effort to meet the patient's needs (he/she knows best what he/she wants) and maintaining all standards for health care delivery (the physician should know best how to achieve this). This goal is most easily achieved in the context of an excellent doctor-patient relationship (e.g., trust, empathy, truthful information).
Last update: Zielina Martin, Mgr. et Mgr., Ph.D. (12.10.2023)
Aim of the course

Course objective in SS:

Emphasis is placed on a deeper understanding of basic (bio)ethical issues through discussions where different opinions are often expressed. Students learn how to cultivate their opinions and how to present appropriate argumentative approaches, which they should already have experience with in their essay writing. There is thus mutual enrichment, where in discussions students can present ideas supported by reading relevant sources and discuss these further with others. The lecturers then sponsor and moderate these discussions in the core areas of bioethics. For a successful conclusion, students choose one of the required classical ethics texts, especially on the core areas of bioethics presented, and may choose an additional source of their choice to accompany these texts (a work of art may also be chosen if the student can defend it). Examiners ensure that students can present these classic ethical texts in a functional way, including the arguments used.

Last update: Zielina Martin, Mgr. et Mgr., Ph.D. (12.10.2023)
Course completion requirements

participation in seminars

3 absences per semester are tolerated.

Students with more than 3 absences will have to do extra essay. In case of too many absences, this course is repeated.

Last update: Hubáčková Hedvika (25.09.2023)
Literature

Beauchamp T. L., Childress J. F. Principles of Biomedical Ethics. Oxford University Press, Oxford, 2013.

Marcum, J. A. An Introductory Philosophy of Medicine: Humanizing Modern Medicine. Springer Science & Business Media, Berlin, 2008.

Mitchell, T. W. Medical psychology and psychical research. Routledge, London, 2018.

Singer, P. A., VIENS, A. M. (Eds.). The Cambridge textbook of bioethics. Cambridge University Press, Cambridge, 2008.

Steinbock, B. The Oxford Handbook of Bioethics. Oxford University Press, New York, 2007.

Taylor, J.S. Practical Autonomy and Bioethics. Routledge, New York, 2009.

Vaughn L. (ed.). Bioethics: Principles, Issues, and Cases. Oxford University Press, New York, 2010.

Veatch R. M. (ed.). Medical Ethics. James Bartletts, Boston, 1989.

Last update: Hubáčková Hedvika (25.09.2023)
Requirements to the exam

oral exam (contents of seminar topics)

Last update: Hubáčková Hedvika (25.09.2023)
Syllabus

The course is concerning the basics of philosophy, medical ethics, medical psychology, sociology, introduction to humanities and social sciences related to medicine and healthcare.

Students are introduced to psychological thinking in medicine, especially in medical practice. The goal of the seminaries is to create a sufficient ethical reflection of various contemporary issues. While there are many such issues, we concentrate on topics concerning access to patient autonomy and informed consent, disability and biomedical enhancements, genetic testing, and reproductive ethics, human dignity, doctors and their role, evidence-based medicine, palliative medicine.

24.2. Introduction of the subject and psychology ZIELINA

3.3. Health and illness, ethics of the medical profession ŠKODA

10.3. Clinical-psychological examination in children or What can we help you with? MAULISOVÁ

17.3. Clinical-psychological examination in adults: an introduction to issues for use in somatic physician practic NIKOLAI

24.3. Burn-out syndrome and relaxation methods ŠVECOVÁ

31.3. Virtual reality in psychology and medicine FAJNEROVÁ

7.4. Chronic disease HODKOVÁ

14.4. Psychotherapy, possibilities and limits of its use in somatic workplaces - PART I ŠVECOVÁ

21.4. (HOLIDAY)

8.4. Psychotherapy, possibilities and limits of its use in somatic workplaces - PART II PÁNEK

5.5. Psychosomatics in the outpatient clinic ŠKODA

12.5. Communication at the end of life HANOUSKOVÁ

19.5. Communication at the end of life / Relationship between doctor and patient, adherence in treatment KOCÁBOVÁ

26.5. Credit test ZIELINA

Last update: Zielina Martin, Mgr. et Mgr., Ph.D. (19.02.2025)
 
Schedule scheduled
Schedule ticket Date From - To Education type Theme Teacher Files Note
24bDA1105364p1

Groups of students
M2.AVL
Mon 24.02.2025 15:20 - 17:00 lecture Introduction of the subject and psychology Mgr. et Mgr. Martin Zielina, Ph.D.

Highlights:

- Definition of psychology

- Goals of psychology

- Health psychology and medical psychology as applied psychology

- Bio-psycho-social model

- Changes in the psyche with respect to aging, cultural, ethnic and religious factors

- Gender and psychological differences

Mon 03.03.2025 15:20 - 17:00 lecture Health and illness, ethics of the medical profession Mgr. et Mgr. Jaromír Škoda

The lecture will be based on the biopsychosocial model of illness, but also on the same model of human functioning or human life in general.

For illness, we will focus on how patients may perceive and process it differently, not only according to the nature of the illness (acute, chronic rare, etc.), but also according to personality characteristics.

We will discuss communication at the level of the health care professional-patient, where the health care professional stands in a position of expertise, of authority, which requires some control and self-reflection.

Finally, we will discuss the healthcare environment in terms of the performance of this demanding profession, teamwork, team communication, how to recognize one's own and others' mistakes and how to deal with them in the future, the issue of burnout. We will look at the issue of self-care from a practical point of view, but also from the point of view of self-knowledge and self-development.

Mon 10.03.2025 15:20 - 17:00 lecture Clinical-psychological examination in children or What can we help you with? PhDr. Alice Maulisová, Ph.D.

Highlights:

- Taking a medical history in the case of a pediatric patient

- Communicating information and examination findings to family members/caregivers

- Involving the family/carers in the diagnostic process and care of the paediatric patient

- Indications for collaboration with a clinical psychologist

Mon 17.03.2025 15:20 - 17:00 lecture Clinical-psychological examination in adults: an introduction to issues for use in somatic physician practice doc. Mgr. et Mgr. Tomáš Nikolai, Ph.D.

Highlights:

- Identification of significant cognitive, affective, or behavioral difficulties complicating somatic physician-patient communication.

- Taking a medical history in the context of severe cognitive, affective or behavioural difficulties

- communicating information, indications for treatment, risks, benefits, alternatives or potential complications of treatment in the context of severe cognitive, affective or behavioural difficulties

- involvement of family members or formal/informal carers in the care of the adult patient

- cognitive screening

- Indications for collaboration with a clinical psychologist

Mon 24.03.2025 15:20 - 17:00 lecture Burn-out syndrome and relaxation methods Mgr. Bc. Eliška Švecová

Highlights:

- Stress and its impact on mental health

- Definition of burnout syndrome and contributing factors

- Prevention of burnout syndrome

- Basic relaxation techniques and their use in personal life and in working with patients

- Indications for establishing cooperation with a clinical psychologist

- Jacobson's progressive relaxation

- Schultz autogenic training

- Relaxation and imaginative techniques

Mon 31.03.2025 15:20 - 17:00 lecture Virtual reality in psychology and medicine Mgr. et Mgr. Iveta Hocko Fajnerová, Ph.D.

Highlights:

·         Basic principles of using VR technology in mental health care

·         The use of VR in diagnostics

·         Overview of VR approaches in psychotherapy

·         The importance and applications of exposure therapy

·         Rehabilitation of cognitive deficits in VR

·         Simulating symptoms of mental illness for educational purposes

Mon 07.04.2025 15:20 - 17:00 lecture Chronic disease Mgr. et Mgr. Pavla Hodková

Highlights:

- The psychological context of chronic illness

- The interplay between somatic and psychological health

- Adaptation to illness

- Adherence to treatment

Mon 14.04.2025 15:20 - 17:00 lecture Psychotherapy, possibilities and limits of its use in somatic workplaces - PART I Mgr. Bc. Eliška Švecová

In this lecture, I will briefly describe the most common  psychotherapeutic approaches and discuss how concretely psychotherapy is  used in the medical system today, what is the indication for  psychotherapy and what is its efficacy for particular diagnoses. I will  also examine what the current empirical research tells us about the  cost-effectiveness of psychotherapy.

 


Mon 21.04.2025 15:20 - 17:00 lecture HOLIDAY Mgr. et Mgr. Martin Zielina, Ph.D.
Mon 28.04.2025 15:20 - 17:00 lecture Psychotherapy, possibilities and limits of its use in somatic workplaces - PART II (Mgr. Pánek) Mgr. et Mgr. Martin Zielina, Ph.D.
Mon 05.05.2025 15:20 - 17:00 lecture Psychosomatics in the outpatient clinic Mgr. et Mgr. Jaromír Škoda

Highlights:

- Outpatient and follow-up care

- Mechanism of fixation and chronification

- Intervention

- Multidisciplinary collaboration

Mon 12.05.2025 15:20 - 17:00 lecture Communication at the end of life (MUDr. Hanousková) Mgr. et Mgr. Martin Zielina, Ph.D.

Key information (knowledge that students will take away from the class):

- The existence of protocols for communicating adverse news (SPIKES, NURSE, SICP, PREPARED)

- use of the patient and family value framework in end-of-life care planning

- concerns as a source of conflict about goals of care among family members

- complicated grief (diagnosis and treatment, differences between depression and grief)

- tools for assessing and addressing spiritual distress in patients at the end of life (FICA, HOPE), collaboration within a multidisciplinary team

Mon 19.05.2025 15:20 - 17:00 lecture Relationship between doctor and patient, adherence in treatment Mgr. Zuzana Kocábová, Ph.D.

Highlights:

- Factors influencing the complex phenomenon of adherence

- models related to adherence

- factors influencing the doctor-patient relationship

- the impact of the doctor-patient relationship on treatment success

Mon 26.05.2025 15:20 - 17:00 lecture Credit test Mgr. et Mgr. Martin Zielina, Ph.D.