Curricular Unit:Code:
Psychology of Chronic and Terminal Disease1108PDCT
Year:Level:Course:Credits:
1MasterClinical and Health Psychology6 ects
Learning Period:Language of Instruction:Total Hours:
Spring SemesterPortuguese/English78
Learning Outcomes of the Curricular Unit:
It is intended to deepen students understanding of key concepts of health, diseases, poor prognosis disease, and terminal illness; to deepen their knowledge about screening and that they develop a critical perspective on these; to deepen their knowledge about patients and families’ psychological reactions and coping with the disease and treatment, and on psychosocial determinants of the psychosocial adjustment to diseases, with particular emphasis on diseases of high mortality and morbidity. It is expected that students deepen their knowledge and acquire practical skills with regard to psychological intervention with patients and their families. Finally, it is expected that students deepen their knowledge on intervention with terminally ill patients, particularly regarding communication of bad news, coping with that information, stages of the grieving process, palliative care and euthanasia, as well as that they develop a critical reflection on these areas.
Syllabus:
1. Health, acute diseases, chronic diseases, diseases of poor prognosis, terminal diseases - definition of concepts
2. Screenings
2.1 Psychosocial impacts of screenings
3. Diagnosis of disease
3.1 Cognitive, emotional and behavioral reactions to diagnosis
3.2 Psychosocial determinants of disease adaptation
3.3 Dealing with suffering and chronic illness in general
3.4 Impact of the disease on the family
3.5 Aspects to consider in the psychological support of people with illness
3.6 Treatment adherence
3.7 Patient-centered communication
3.8 Motivational Interview
4. Disease Terminal
4.1 History and principles of palliative care
4.2 Total pain, physical symptomatology and psychological symptomatology
4.3 The role of the psychologist in the palliative care team and articulation with this
4.4 Measurement in palliative care
Demonstration of the Syllabus Coherence with the Curricular Unit's Objectives:
- To deepen the knowledge about key concepts of health, disease, poor prognosis disease, and terminal illness: Point 1.
-To deepen the knowledge about screening and developing a critical perspective about it: Point 2.
- To deepen the knowledge about patients and families psychological reactions and coping with the disease and treatment, and on psychosocial determinants of adjustment to disease, with particular emphasis on diseases of high mortality and morbidity: Point 3.
-To deepen the Knowledge and to acquire practical skills with regard to psychological intervention with patients and their families: Point 3 and 4.
- To deepen the knowledge about the intervention with terminally ill patients, particularly regarding bad news communication, coping with that information, stages of the grieving process, palliative care and euthanasia, as well as to develop a critical reflection on these areas: Point 4.
Teaching Methodologies (Including Evaluation):
Explanatory and active/participatory methodologies are adopted, with exploration of scientific papers conducted by students, presentation and discussion of clinical cases, implementation of role play strategies, promotion of critical debates in the classroom and study visits.
The assessment adopted is continuous, consisting of specific practices (worth 50% of final grade) - work that is systematized into a final report -, and an oral exam for (worth 50% of final grade).
Demonstration of the Coherence between the Teaching Methodologies and the Learning Outcomes:
- To deepen the knowledge about key concepts of health, disease, poor prognosis disease, and terminal illness: Explanatory methodologies. -To deepen the knowledge about screening and to develop a critical perspective it: Explanatory methodologies, promotion of critical analysis of scientific literature and promotion of the debate among students. - To deepen the knowledge about patients and families psychological reactions and coping reactions to diagnosis and treatment, and on psychosocial determinants of adjustment to disease, with particular emphasis on diseases of high morbidity and mortality: Explanatory methodologies and analysis of clinical cases. - To deepen the knowledge and to acquire practical skills with regard to psychological intervention with patients and their families: Explanatory methodologies and promotion of role play. - To deepen the knowledge about intervention with terminally ill patients, particularly in respect of the reporting of bad news, coping with diagnosis information, stages of the grieving process, palliative care and euthanasia, as well as to develop a critical reflection on these areas: Explanatory methodologies, promotion of role play and promotion of debate among students.
Reading:
Leal, I. & Ribeiro, J.P. (2021). Manual de psicologia da saúde.Lisboa : Pactor. [BFP 159.9/MAN/103651]
Bonino, S. (2021). Coping with chronic illness: Theories, issues and lived experiences . Oxon: Routledge [BFP 159.9/BON/103638]
Bolton, D., et al. (2019). The Biopsychosocial Model of Health and Disease. Palgrave Pivot. https://doi.org/10.1007/978-3-030-11899-0
Mittelmark, M.B., et al. (2017). The Handbook of Salutogenesis. Switzerland: Springer Nature. http://library.oapen.org/handle/20.500.12657/27747
OPP. Linhas de Orient. para a Prática Profiss. no Âmbito dos Cuidados Paliativos. https://www.ordemdospsicologos.pt/ficheiros/documentos/lopp_no_a_mbito_dos_cuidados_paliativos.pdf
OPP. Linhas de Orient. para a Prática Profiss., Comunicação Interprofissonal e Partilha de Informação. Disponível online
Ribeiro (2012). Psicologia da Saúde. Placebo
Bonino, S. (2021). Coping with Chronic Illness. Theories, Issues and Lived Experiences. Routledge.