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LVR-Klinikum Düsseldorf Hospital of the Heinrich-Heine University ...

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4.2.2 Department <strong>of</strong> Psychosomatic Medicine<br />

and Psycho<strong>the</strong>rapy<br />

The department provides specialty training in<br />

psycho<strong>the</strong>rapeutic medicine, in compliance with <strong>the</strong> relevant<br />

guidelines <strong>of</strong> <strong>the</strong> Medical Association North Rhine. Doctors<br />

in <strong>the</strong>ir medical internship as well as doctors undergoing<br />

specialty training are encouraged to acquire skills,<br />

experiences and knowledge in <strong>the</strong> <strong>the</strong>oretic fundamentals,<br />

diagnostics, differential diagnostics and <strong>the</strong>rapy <strong>of</strong> mental<br />

illnesses and disorders.<br />

Post-graduate medical doctors need at least five years for<br />

<strong>the</strong>ir specialist training in psycho<strong>the</strong>rapeutic medicine.<br />

Three <strong>of</strong> <strong>the</strong>se years must be spent in psycho<strong>the</strong>rapeutic<br />

medicine, one year in internal medicine and one year<br />

in psychiatry. During this time, <strong>the</strong> doctors undergoing<br />

specialty training acquire comprehensive <strong>the</strong>oretical<br />

knowledge as well as experiences in a wide range <strong>of</strong><br />

psycho<strong>the</strong>rapy techniques. They also have <strong>the</strong> opportunity<br />

<strong>of</strong> familiarising <strong>the</strong>mselves with <strong>the</strong>se techniques in<br />

different types <strong>of</strong> psycho<strong>the</strong>rapy environments (inpatient,<br />

partial hospitalisation and outpatient). These intensive<br />

psycho<strong>the</strong>rapies are supervised internally as well as – in<br />

<strong>the</strong> course <strong>of</strong> casuistic-technical seminars – by external<br />

supervisors. Lectures and seminars serve to convey<br />

<strong>the</strong> fundamentals <strong>of</strong> psychobiology, psychophysiology,<br />

development psychology, personality models and<br />

<strong>the</strong> science <strong>of</strong> neuroses. We also familiarise young<br />

graduates with psychodiagnostic test methods, behaviour<br />

diagnostics, <strong>the</strong> dynamics <strong>of</strong> relationships between<br />

couples and members <strong>of</strong> <strong>the</strong> same group as well as <strong>the</strong><br />

teACHinG<br />

psychoanalytical and cognitive-behavioural methods <strong>of</strong><br />

psycho<strong>the</strong>rapy. The specialty training in psycho<strong>the</strong>rapeutic<br />

medicine extends beyond <strong>the</strong> acquisition <strong>of</strong> <strong>the</strong>oretical<br />

knowledge and experiences in <strong>the</strong> supervised application <strong>of</strong><br />

psycho<strong>the</strong>rapeutic techniques to self-awareness exercises,<br />

conducted in Balint groups and in individual as well as group<br />

sessions. Psychologists who participated in this programme<br />

during <strong>the</strong> period under review ultimately obtained <strong>the</strong><br />

license to practice as psychological psycho<strong>the</strong>rapists.<br />

The specialty training curricula were delivered in close<br />

cooperation with <strong>the</strong> Institute for Psycho<strong>the</strong>rapeutic<br />

Medicine, Psychosomatic Medicine and Psycho<strong>the</strong>rapy<br />

<strong>Düsseldorf</strong> and <strong>the</strong> Institute for Psychoanalysis and<br />

Psycho<strong>the</strong>rapy <strong>Düsseldorf</strong>. Joint ventures such as <strong>the</strong>se are<br />

necessary because some <strong>of</strong> <strong>the</strong> courses <strong>the</strong> post-graduates<br />

are supposed to take – for example, <strong>the</strong> self-awareness<br />

training – cannot legally take place in <strong>the</strong> context <strong>of</strong> an<br />

(<strong>of</strong>fice) relationship <strong>of</strong> dependence. In cooperation with<br />

<strong>the</strong>se institutions <strong>of</strong> higher learning, <strong>the</strong> hospital can provide<br />

medical doctors and psychologists in general practice with<br />

a wide range <strong>of</strong> continuing medical education and specialty<br />

training courses. Both <strong>the</strong> courses in <strong>the</strong> fundamentals<br />

<strong>of</strong> psychosomatic medicine and <strong>the</strong> specialty training in<br />

psycho<strong>the</strong>rapy and psychoanalysis serve to integrate <strong>the</strong><br />

psycho<strong>the</strong>rapeutic/psychosomatic healthcare approaches<br />

into <strong>the</strong> primarily somatic work <strong>of</strong> medical doctors. In<br />

addition, external experts are regularly invited as guest<br />

speakers and as contributors to seminars. (See overview <strong>of</strong><br />

programmes 2001-2009: Table 19)<br />

Table 19: Continuing medical education and specialty teaching seminars in 2001<br />

Lecturer Course Title<br />

E. Brähler, Leipzig Sex- and age-dependency <strong>of</strong> physical complaints over <strong>the</strong><br />

course <strong>of</strong> time<br />

E.-M. Biermann-Rathjen, Hamburg Association <strong>the</strong>ory and <strong>the</strong> <strong>the</strong>ory <strong>of</strong> client-centred psycho<strong>the</strong>rapy<br />

Heide, <strong>Düsseldorf</strong> Child and adolescent psychosomatic medicine<br />

M. Löwer-Hirsch, <strong>Düsseldorf</strong> Social dreaming<br />

A. Kolping-Derichsweiler, Mönchengladbach Integrative physical <strong>the</strong>rapy: an introduction to <strong>the</strong> Hakomi method<br />

A. Schweickhardt What are we actually doing when we are empa<strong>the</strong>tic?<br />

185

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