Тashkent, Samarknd April, ACTUAL PROBLEMS AND SOLUTIONS OF PSYCHOSOMATIC MEDICINE IN UZBEKISTAN Prof. Ibodullayev Z.R. Tashkent Medical Academy

Psychosomatic medicine - is the subject which studies biological, psychological and social factors effecting to human beings organism (health) as well as it elaborates psychodiagnostics and psycho correctional methods. Principal direction of psychosomatic medicine is studying psychosomatic and somatopsychic relations.

Specialists on psychosomatic medicine are prepared in Medical Psychology and Psychotherapy departments. Medical personnel teach as well as psychologists may activate in these departments. TАSHKENT MEDICAL AСADEMY

Medical subjects Psychology Medical psychology

Neurology Psychatry PsychologyTherapy Medical psychology

Hippocrat (A.D ) Аbu Ali ibn Sino ( ) 1. Various diseases can be cured by psychological methods (Hippocrat). 2. Ibn Sino worked out different psychological methods in order to affect and treat various diseases and used them widely.

XIX centuary Stable period in psychosomatic medicine XX centuary Returning period in psychosomatic medicine XXI centuary Developing period of psychosomatic medicine

1918 y. The term Psychosomatic medicine was suggested by German medical doctor J. Haynrot y. G. Sele proved that gastric ulcer and intestine diseases may be emerged by stress factors y. Scientific journal named Psychosomatic medicine was founded in USA y. American Psychosomatic Medicine Association was established.

He is one of the psychosomatic medicine founders. He was born in Hungary, he was educated about psychoanalysis in Germany but he was founder of psychosomatic medicine in USA. The book Psychosomatic medicine was translated into more than 30 languages and today its circulation is more than 12 million.

Alexander Micherlikh opened first Psychosomatic medicine clinic in 1950 in Heidelberg. After some time psychosomatic departments were organized in European medical establishments, centers and universities. First issue of the Psychosomatic medicine and psychoanalysis journal was published in 1954 in Hamburg. Psychosomatic Medical Centers began to open one by one in Great Britain, France, Belgium, Italy, Switzerland in1950.

2012 Master degree department and clinical residency was opened in ТashPTI Master degree department and clinical residency was opened in Tashkent Medical Academy First specialists on Medical Psychology obtained their diploma.

MRT! Dopler! UTT Analyses! therapeuti st cardio logist gastroent erologist Neuro logist Gen. pract

Organic diseases (50 %) Functional diseases (50%)

? Psedoneurological diseases can be cured by – neuropathologist, neuropsychologist ? Cardiovascular diseases - cardiologist ? Gastro-intestinal diseases - gastroenterologist ? Neurorespiratory disorders – therapeutics, pulmonologist ? Arthralgic syndromes – rheumatologist ? Psedodermatological diseases – dermatologist and etc…

Every medical doctor should professionally acquire methods of psychodiagnosis and psychotherapy mostly used in psychosomatic medicine, as well as in clinic medicine. There also exist treatment standards and definite diagnosis. But most of the medical staff have less knowledge about this sphere.

Teacher Student Medical pedagogues (doctors) are teaching psychodiagnostics and psychotherapy in medical institutes, in fact medical psychologists have to teach the students.

Normal temperature! 36,6 ºС

Organic symptoms Рsychological symptoms Functional diseases

The major of our mistakes are receiving psychosomatic diseases/disorders as hysterical symptoms. The main reason for this process is psychosomatic medicine hasnt been fully introduced/penetrated into medical practice yet. Psychosomatic medicine has not been clearly covered yet till today, but its introduction/enforcing in practice is not as we want successfull.

1 Working out teaching methodology of Psychosomatic Medicine in clinic departments of Medical institutions. 2 Involving professors and teachers of The National University of Uzbekistan and Tashkent State pedagogical University in order to teach psychodiagnostics and psychocorrection. 3 Introducing of Psychosomatic Medical Propaedeutics for 3 rd. years students.

4 Working out Clinical Protocols on identifying psychosomatic diseases. 5 Creating Special Register on identifying and spreading levels of psychosomatic diseases. 6 Working out programme of scientific- pedagogical personnel of the highest qualification on medical psychological speciality.

7 Organizing of Psychosomatic Medicine departments, and study for Medical Psychology in clinics and consultative - family polyclinics. 8 Creating special laboratories of Psychosomatic Medicine as well as Psychophysiology and Psychocorrection departments in Scientific- medical centers. 9 Introducing unmedicamental treatment methods of diseases (psychodynamic therapy).

PATIENT DOCTORNURSE

patients were treated in therapy departments in Spent expenses for diagnosis and treatment = 700 billon 525 million sums. If correctly identified psychosomatic disease from these ailments and treated: 245 billion 183 million sums will be economized per year !

Medicine Psychology