The Role of a Psychologist in the Rehabilitation of Participants in a Special Military Operation and Their Families Using the Example of a Series of Clinical Cases

Relevance. Rehabilitation occupies one of the leading positions in healthcare. The special military operation (SMO) and the the subsequent partial mobilization affected many Russian families, increasing stress and tension levels, undermining fundamental human needs for safety, trust in the world, protection, and a sense of future stability. The number of post-traumatic stress disorders has increased. Medical rehabilitation and psychological support for the participants of the SMO and their family members have become a priority within the healthcare system.
Intention. To present a system of outpatient psychological assistance for marital couples participating in the SMO using clinical examples.
Materials and methods. The presented system of psychological assistance includes approaches, methods and means of psychological impact in medical rehabilitation provided in the Republican Hospital for War Veterans. Clinical, psychological methods and questionnaires were used in the rehabilitation of three married couples using the International Classification of Functioning.
Results and discussion. Upon completion of the rehabilitation course, positive dynamics were observed in spousal relationships, including improved mutual understanding, increased communicative competence, and changes in communication patterns within the couple and in parent–child interactions from the husband’s side. The biopsychosocial model grounded in ICF domains was employed within a multidisciplinary rehabilitation team, integrating psychological techniques for working with couples. Special training of psychologists in crisis psychology, psychological support in extreme situations, and trauma-focused interventions is essential.
Conclusion. The presented system of psychological work with married couples participating in the SMO has shown its effectiveness in providing psychological and correctional care to patients at the outpatient stage of medical rehabilitation in a Hospital for war veterans and can be recommended for implementation in specialized institutions.

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