Psychosomatic Approach in Medicine


Official data in SubjectManager for the following academic year: 2023-2024

Course director

Number of hours/semester

lectures: 0 hours

practices: 0 hours

seminars: 24 hours

total of: 24 hours

Subject data

  • Code of subject: OAE-PSA-T
  • 2 kredit
  • General Medicine
  • Elective modul
  • autumn

OAP-MT5-T completed

Course headcount limitations

min. 5 – max. 25


Physical, emotional, and social factors, in verying proportions, play a role in every illness. The doctor’s task is to recognize not only the organic components but also the psychosocial processes involved in the disease and to take these into account. Only in the framework of a psychosocial anamnesis, psychosocial stressors can be identified by the doctor.
Psychosomatic medicine examines the definition, constructs, and dilemmas that confront professionals working at the interface of medicine and psychiatry, psychosomatic medicine, and consultation-liaison psychiatry. Psychosomatic medicine can be described as well as the subspecialty of psychiatry that focuses on medical and psychiatric comorbidity.
The course is intended to define key problems of psychosomatic medicine and provides methods of diagnosis and treatment.
One of the interesting aspects of the course is that it also consistently addresses the cultural aspects of psychosomatic disorders.




  • 1. Introduction
  • 2. Introduction
  • 3. Stress and Disease
  • 4. Stress and Disease
  • 5. Doctor-Patient Communication
  • 6. Doctor-Patient Communication
  • 7. Depression
  • 8. Depression in the general medical practice
  • 9. Anxiety Disorders
  • 10. Anxiety Disorders in the general medical practice
  • 11. Somatic Symptom Disorder
  • 12. Somatic Symptom Disorder
  • 13. Heart Disease
  • 14. Heart Disease
  • 15. Gastrointestinal Disorders
  • 16. Gastrointestinal Disorders
  • 17. Oncology
  • 18. Oncology
  • 19. Chronic pain
  • 20. Chronic pain
  • 21. Practitioner Well-being
  • 22. Practitioner Well-being
  • 23. Summary
  • 24. Test

Reading material

Obligatory literature

Kurt Fritzsche, Susan H. McDaniel, Michael Wirsching (Ed.): Psychosomatic Medicine. An International Guide for the Primary Care Setting. Springer, 2020

Literature developed by the Department

Neptun MeetStreet



Recommended literature

Ayers, de Visser: Psychology for Medicine. Section III. SAGE Publications, London, 2011
Llewellin C.D. et al.: Cambridge Handbook of Psychology, Health and Medicine. Cambridge. 2019. ISBN: 9781316783269

Conditions for acceptance of the semester

Presenting the basic aspects of an optional psychosomatic disorder
Absence: max. 15% of seminars
Examination: Multiple Choice Test

Mid-term exams


Making up for missed classes


Exam topics/questions

History of Psychosomatic Medicine
Psychophysiology and psychoneuroimmunology
Mood Disorders and Insomnia in the General Medical Setting
Anxiety in the General Medical Setting
Somatic Symptom and Related Disorders
Cardiovascular Disease
Gastrointestinal Disease
Pulmonary Disease
Pain and Palliative Care
Strategies to Improve Coping and Manage Maladaptive Behaviors in the General Medical Setting
Managing difficult doctor-patient relationships. Balint-group.
Psychotherapy in the General Medical Setting


Instructor / tutor of practices and seminars

  • Dr. Tiringer István