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HUMAN SCIENCES

Academic year and teacher
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Versione italiana
Academic year
2016/2017
Teacher
GIOVANNI BONIOLO
Credits
8
Didactic period
Primo Semestre

Training objectives

GENERAL PSYCHOLOGY
The course offers an introduction to the characteristics of the patient-physician relationship, focusing on some key topics: the core of the clinical method, the communication with the patient, the psychological implications of somatic illness and of the clinical practice, the emotional and relational skills of the physician, the person of the doctor in the encounter with the patient and the psychological aspects of drug prescription. The communicative and relational implications of multiculturalism and of ideals, values and languages different from Greco-Latin-Judeo-Christian tradition, will also be considered.
FORENSIC MEDICINE
The course aims framing of medical and surgical profession in the light of the professional profile developed historically. It will define the medical-surgical activities as responsible relationship with the patient / citizen in the field of technical measures to protect public health. For this purpose they will be illustrate the scientific postulates of ethics and medical ethics in particular, its genesis and the current formalization of codes of conduct, the legal implications for the actualization of a professional conduct effectively protecting health.
HISTORY OF MEDICINE
The course examines some topics of the history of western medicine with the following aims: to understand the historical dimension of medical thought; to grasp the social and cultural aspects which characterize the medical institutions, as well as the concepts of health and disease; and to explore the complex relationship between medicine, science, and society.
LOGIC AND PHILOSOPHY OF SCIENCE
The bases of the medical thinking and acting will be proposed. In particular, great attention will be devoted to the critical reasoning in the medical field and to the ethical dimension of the biomedical research and clinical practice. The tools to correctly reason and to have an ethical awareness in complex medical situations will be provided. Through both ex-cathedra lectures and online modalities the student will be led to correctly thinking and to act in an ethically aware way.

Prerequisites

GENERAL PSYCHOLOGY and FORENSIC MEDICINE
Elements of philosophy and science history. Acquaintance of mediterranean civil history, development of philosophical thought with regard to the problem of method.
HISTORY OF MEDICINE: none
LOGIC AND PHILOSOPHY OF SCIENCE
It is not required any preceding competence. The proper tools will be provided to the student step by step in a plain way.

Course programme

GENERAL PSYCHOLOGY
The encounter with the patient. The clinical method. Emotional reactions of the patient to illness and the hospitalization. Expectations, needs of the patients and responses of the physician. The integration of scientific, emotional, communicative and relational skills. Verbal and non-verbal communication. Communication in the clinical setting and dimensions of the clinical interview. Obstacles and mistakes in clinical communication. Trust, therapeutic alliance, empathy and compliance. Emotional skills of the doctor and his emotional reactions to the contact with the patient and the disease. Unconscious dynamics and the person of the physician in the relationship with the patient. Doctor-patient relationship models. Psychological meanings of the medications and relational and symbolic aspects of the prescription. Communicative and relational implications of multiculturalism.
FORENSIC MEDICINE
To explain methodological parameters of "bioethics". Deontology and the national law. Hyppocrates oath. Deontologic code. The deontologic code in the islamic culture. Physician's duties: indipendence and professional dignity. Professional secrecy. Relationship with patients: general behaviour rules.
Ethical aspects of assisted procreation, defence of personality (transexualism), death and research (pharmacological in particular)
HISTORY OF MEDICINE
Hippocrates and the origins of western medicine; the birth of modern anatomy and the transformation of the conception of the human body; the hospital and the emergence of the clinic; the laboratory and experimental medicine; health and disease in scientific medicine.
LOGIC AND PHILOSOPHY OF SCIENCE
The series of lectures will be divided into two parts.
First part: Introduction to the critical thinking
Starting from passages of medical literature, how to construct a logically and argumentatively correct reasoning in the medical environment will be taught. A particular attention will be paid to the argumentative fallacies.
Second part: Ethics and biomedicine
In a non-ideological way, tools to debate ethically sensible questions in the biomedical research and in the clinical practice will be discussed. Depending on the audience, topics like beginning and end of life, right to know and duty to inform, reproductive choices, genetic tests, stem cells, transplantations, vaccination, consent, animal models, patient empowerment and medical deontology, will be touched.

Didactic methods

Ex cathedra lectures and online tools

Learning assessment procedures

GENERAL PSYCHOLOGY AND FORENSIC MEDICINE
Written exam includes the two modules. For General psychology are provided 10 multiple choice quizzes; For Forensic Medicine is provided a single open-ended question.
Duration of the test: 1 hour
HISTORY OF MEDICINE: Written exam lasting 30’ with 3 multiple choice questions and 1 open question.
LOGIC AND PHILOSOPHY OF SCIENCE
Written exam lasting 1h30’. 45’ with 6 open questions for the first part; 45’ with 2 open questions for the second part. The final mark will be the arithmetic average of the marks obtained in each part.
THE FINAL GRADE OF THE INTEGRATED COURSE IS A WEIGHTED AVERAGE OF THE MARKS OBTAINED IN EACH TEST.

Reference texts

GENERAL PSYCHOLOGY
G. Invernizzi, Manuale di Psichiatria e Psicologia Clinica, McGraw-Hill Ed. Cap.6 “Rapporto medico-paziente”.
S. Caracciolo, ABC di psicologia per il medico (Dispensa pdf)
Slides presented during the lectures.
FORENSIC MEDICINE
G. Cosmancini, C. Rugarli, Introduzione alla medicina, Editori Laterza, Bari, 2000
HISTORY OF MEDICINE
Handout with both primary and secondary sources, available on the website of the course.
LOGIC AND PHILOSOPHY OF SCIENCE
First part:
G.Boniolo, P. Vidali, Strumenti per ragionare, Pearson Bruno Mondadori, Milano
Second part:
Giovanni Boniolo, Paolo Maugeri (a cura di), Etica alle frontiere della biomedicina. Per una cittadinanza consapevole, Mondadori Università, Milano