PSYCHIATRY AND PSYCHOTHERAPY
We carried out the methodical analysis of the “classic”, Ericksonian hypnosis and universal hypnotherapy. The basic domestic stamps of hypnotherapy interpretation were described: 1) hypnotherapy – the method of psychotherapy; 2) hypnotherapy in general; 3) the superiority of Ericksonian hypnosis over the “classic”; 4) hypnotherapy as a leaving practice. Reviewed methods are analyzed in the framework of the communicative process, highlighted: 1) matching by the participants of their initial ideas about hypnosis; 2) verbal and non-verbal levels of hypnotic communication; 3) the ratio of the activities of the participants in hypnotic communication; 4) therapist's style of using feedback; 5) hypnotherapeutic targeting; 6) communicative styles of hypnotherapy; 7) the hypnotherapy limitations generated by its communicative style. The communicative style of the “classic” hypnosis is authoritarian, it uses the idea of direct guidance of the hypnotizable patient to the therapeutic outcome. The style of Ericksonian hypnosis is based on the verbal, non-directive-manipulative patient management with adjustment and maintenance, connection of the resources of the wise unconscious, using metaphors as a tool for access to resources. The communicative style of universal hypnotherapy rebuilds the patient's cultural representations about hypnosis, uses positive cognitive-behavioral models, takes into account the biological mechanisms of hypnotherapy, uses non-verbal communication during hypnotization, hypnotherapy, dehypnotization, and potentiates the patient's activity in recovery. The communicative style of the “classic” hypnosis generates the phenomena of “non-hypnability” and “hypnomania”. The communicative style of Ericksonian hypnosis potentiates the “resistance” to hypnosis. The communicative style of universal hypnotherapy in rare cases led to cessation of therapy by the patient.
The aim is to analyze domestic patents for psychotherapy inventions registered in Rospatent in 2012–2020. The search query allowed us to create an array of 169 patents for inventions. With a high de-termination coefficient (R2 = 0.89), the polynomial trend shows a decrease in data. Every year in the field of psychotherapy, 19 ± 2 inventions were patented. 3 % of inventions were devoted to the treatment of psychoses, 13 % to neurotic States, 30.2 % to psychosomatic disorders, 26.6 % to addictions, 33.7 % to optimization of the psychological state and improvement of the body. The inventions are correlated with 17 psychotherapy techniques. 51 patents (30.2 %) use several psychotherapeutic methods. The most frequently used inventions for optimizing mental health and treating diseases were rational-emotional psychotherapy (18 %), autogenic training and yoga (13.1 %), art therapy (12.7 %) and hypnosis (8.5 %). To increase the likelihood of the grant of the patent for the invention in psychotherapy, closely connected with the intellectual activity which, pursuant to paragraph 5 of article 1350 of the Civil Code of Russia, the grounds for refusal to grant a patent, there should be greater use of objective (psycho-physiological, clinical, laboratory etc.) the indicators of effectiveness of the proposed method.
MEDICAL PSYCHOLOGY
The purpose of the article was the determination the factors of criminalization associated with the deficiency of conscious self-regulation and tolerance to uncertainty in persons without mental pathology. Were examined 74 mentally healthy men, the ain group consisted of persons accused of committing illegal actions (n = 20). An assessment of the individual psychological characteristics of self-regulation and tolerance to uncertainty was carried out using a set of techniques based on the principle of functional tests and questionnaires. Peculiarities of self-regulation, situational analysis and tolerance to uncertainty in persons who have committed illegal actions were identified, as well as the factors of criminalization associated with the level of development of predictive abilities, intolerance to uncertainty in the field of interpersonal relations and the ability to adequately assess the results of their behavior. It was found that mentally healthy persons with criminal behavior are characterized by impulsivity in decision-making, difficulties in overcoming interfering factors in cognitively difficult situations, and a high aggressive focus, especially when the informational complexity of the situation or its high level of uncertainty.
This paper examines the problem of gelotophobia (fear of ridicule) among young people. With this phobia, laughter is perceived as hostile. Gelotophobes can't use humor to overcome stress, excessive anxiety, and the ability to enjoy a joke is reduced. These characteristics are a risk factor for mental health disorders. Humor is an integral part of human life, helps to cope with traumatic situations, the range of which is increasingly expanding in modern conditions. An adequate response to humor and laughter is a significant criterion of mental health. Students life activity is associated with rapid changes in external conditions. In the presence of certain psychological characteristics, difficult life situations can cause them to have gelotophobic manifestations.
The article illustrates socio-psychological studying and psychodiagnostic examination of conscripts who had been on inpatient treatment in psychiatric hospitals with "adaptation Disorders" (F43.2.). The features of the formation of adaptation disorders at the initial stage of military professional activity in military personnel who are prone to resentment are studied. Discovered that resentment is also a stable personality trait, which can be traced regardless of age, and, therefore, is not a consequence, but a cause of prolonged military-professional adaptation.
The quality of life of patients who suffered severe acute poisoning with a mixture of drugs was evaluated in a distant period. 28 people were examined. Using the SF-36 Health Status Survey questionnaire, quality of life indicators were evaluated: physical performance, everyday physical activity, the presence of pain syndrome, general well-being, life activity, social activity, emotional state, mental health. It is established that despite rather wide interval of time after the postponed sharp poisoning (about a year) with mix of medicines, the quality of life of patients was significantly reduced on all scales of the questionnaire of SF-36. Long-term dynamic monitoring is required to assess the completeness of functional state recovery.
The work of the train dispatcher is characterized by a high level of responsibility and is associated with a large emotional burden. The purpose of the work is to evaluate the possibilities of using an automated functional state assessment system to identify signs of "professional burnout" of train dispatchers. A total of 90 train dispatchers aged 28-44 years were examined. The dynamics of the functional state and professional performance of train dispatchers was carried out using an automated system. The proposed automated system of control during professional activity allows to detect functional signs of deterioration of condition and operability of specialists.
The article presents data from modern foreign and domestic research and analysis of scientific discussions regarding the term "compliance" (adherence) and factors affecting the level of compliance in patients with chronic renal failure. The review of modern diagnostic methods and ways to increase the level of adherence to treatment is carried out. The article substantiates the need to develop and implement diagnostic methods and improve compliance in patients at various stages of kidney transplantation.
The paper analyzed current data confirming the effect of coronavirus infection of a new type of COVID-19 on the state of the human central nervous system. Particular attention is paid to cases of developing a change in sense of smell (parosmia), arising against the background of the complete disappearance of specific coronavirus symptoms, manifesting two or more months after the disease and defined by the author as "post-ovoid parosmia." The author developed a program of psychocorrectional effects on patients with this type of disorders, which includes methods of psychotherapy, relaxation techniques, olfactory training.
Viral diseases during a pandemic cause significant damage to mental health, both for people around and for health care workers. They interact directly with patients and potential carriers of the infection, and are subject to great stress and have high risks of adverse mental health consequences during epidemics and pandemics. Insufficient attention to prevention and correction of psychological stress factors can quickly lead to emotional burnout and professional deformation of medical personnel, an impairment of the psychological climate in the team and a decrease in the motivation of medical personnel. Occupational stress problems may also appear in medical students as they move from teaching through lectures and seminars to clinical work focused on patient care and assistance. Against this background, there is an increase in the negative experiences of students, caused by growing tension, a decrease in self-confidence and a humanistic attitude towards patients. The study revealed that the Medical University students often have the character accentuation of psychasthenic type, tendency to depressive response in a stressful situation, as well as the manifestations of individualistic thinking, compared with the cadets of military medical institution. Identification of persons with character accentuations at the initial stage of training allowed defining the strengths and weaknesses of students (future medical personnel) to develop measures and programs of psychological support to prevent the development of occupational stress and emotional burnout, to predict the difficulties they may face.
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