Comparison of clinical and psychological characteristics in patients with neurotic disorders who chose active and passive positions in psychotherapy. Part 3

   The relevance is determined by the need to assess the clinical, medical, and clinical-psychological changes of patients with neurotic disorders who make a passive and active choice in psychotherapy, which is currently one of the most challenging methodological tasks in evidence-based psychotherapy.

   The aim of the study is to conduct a comparative analysis of the clinical and psychological characteristics of patients with neurotic disorders who actively choose psychotherapeutic treatment and take part in psychotherapy passively.

   Methodology. The main methods used in the work were clinical and clinical-psychological. The present study describes the comparative dynamics of the clinical and psychological characteristics in patients who actively and passively choose psychotherapy and have undergone psychotherapeutic treatment.

   Results and their analysis. The results of previous studies have shown that an active choice of psychotherapy as the primary method of assistance is more effective for patients, as evidenced by a reduction in symptom severity and most clinical-psychological characteristics. In patients who passively chose psychotherapy, despite a decrease in distress and improvement in several clinical-psychological characteristics, there was also a reduction in the level of “constructive aggression”, which led to a decreased desire to openly express emotional experiences, set, and pursue life goals. Such patients exhibited an increase in certain symptoms that contribute to interpersonal isolation
and a decrease in the level of internality concerning their attitudes towards health and illness. This publication presents comparative data between two groups: patients who actively choose psychotherapy and those who choose psychotherapy passively.

   Conclusion. The obtained data indicate the specificity of the dynamics of clinical and clinical-psychological characteristics and suggest a positive effect of the active choice of psychotherapy on the effectiveness of psychotherapy, as well as a greater adaptive value of neurotic symptoms aimed at managing interpersonal distance in patients who passively choose psychotherapy.

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