PSYCHIATRY AND PSYCHOTHERAPY
The article provides a detailed analysis of the phenomenon of «catharsis» and its associated concepts – abreaction and insight – in their significance for the integration of personality as the ultimate goal of psychotherapy. We discuss issues related to the interpretation of these concepts in analytical-cathartic therapy, in which catharsis is considered as the result of reflexive activity to overcome a mental crisis, as a final state («denouement») with the subsequent launch of personality transformation.
The problem-task approach is considered as a methodological principle of scientific research and practical with two components – task and problem approaches. According to this principle, psychotherapeutic phenomena must be analyzed from the point of view of those problems / tasks, the solution of which they are. The article highlights the areas of application of the problem-task approach in psychotherapy, and also presents the researches based on this approach.
MEDICAL PSYCHOLOGY
The purpose of the article was the determination of the relationships between the parameters of the situational analysis and the characteristics of selfregulation in people with personality disorders that commit illegal actions were deter mined. In V. Serbsky National Medical Research Centre for Psychiatry and Narcology (Moscow) 158 men with a diagnosis of “Personality disorder” (F60-61) were examined, 26 of them were recognized as limited sanity. Assessment of individual psychological characteristics of self-regulation using a set of techniques built on the principle of functional tests and questionnaires. Features of the situational analysis were diagnosed using the author's semi-projective methodology “Situational analysis”. The relationships between the degree of dysregulation of behavior and indicators of situational analysis in individuals with personality disorders were determined, and differences in the situational analysis in individuals with personality disorders were identified depending on the characteristics of the conditions (informational, emotional richness, inconsistency and uncertainty). It was found that the greatest contribution to the classification of persons with personality disorders as a group of people with self-regulation disorders is made by the low adequacy of the interpretation of the situation, the advancement of a small number of adequate alternatives in forecasting, the low social acceptability of the forecast, and the lack of recognition of the emotional component of the situation.
The article presents the results of the assessment of the level of commitment to treatment of patients diagnosed with «chronic renal failure» (CPN) before transplantation, which are on the waiting list and undergo hemodialysis procedure and patients one month after kidney transplantation. A study of the level of commitment was carried out using the «Quantification of Commitment to Treatment (КОП-25)» 65 questionnaire. The results of the study justified the need to monitor the level of commitment of patients with chronic renal failure at all stages of transplantation.
The article presents the results of a comparative analysis of the quality of life of patients with multiple sclerosis (MS) with symptoms of post-traumatic stress disorder (PTSD) associated with the presence of the disease, and patients who do not have these symptoms. Materials and methods. The study involved 127 patients with multiple sclerosis, of which 61 patients showed symptoms of post-traumatic stress disorder. The study of quality of life was conducted using the SF-36 questionnaire. Results. In patients with MS who have symptoms of PTSD, there is a decrease in all indicators of quality of life, with the exception of indicators of physical functioning. Conclusion A subjective assessment of quality of life indicators is more dependent on the presence of mental comorbidity than on the degree of disability, the duration of the course of the disease, and the treatment received.
The article is devoted to the results of a study of the dynamics of heart rate variability (HRV) in healthy young people during a hypnosis session. Using factor analysis, the total sample (n = 54) was divided into three groups with different initial autonomic nervous system (ANS) status. After hypnosis in all three groups a slight decrease in heart rate and an increase in total HRV were revealed, and dehypnotization led to an increase in sympathetic modulations of heart rate. HRV-reactivity in hypnosis differed depending on the initial ANS status. Despite this, in all groups there was a normalization of precisely those indicators that were initially deviated from the norm. Together with the posthypnotic increase in total HRV this confirms the adaptive capacity of the hypnosis.
The article provides an overview of the ideas about the existential prerequisites of suicidal behavior in adolescents. The possibilities of applying an existential approach to the prevention of adolescent autoagression are considered. The article presents data from empirical studies that reveal the relationship between suicidality and the main existential categories: anxiety, meaning, and loneliness. The author reveals the specifics of understanding each of these categories as a protective personal mechanism of adolescents. A model of the formation of existential anxiety in adolescence is described. The role of existential anxiety, feelings of meaninglessness of life and loneliness in the existential crisis of a teenager is noted. The main existential methodology that contributes to the formation of projective personal factors is presented.
To assess the effectiveness of the impact of various types of summer recreation on the functional state of the body of schoolchildren, from 2017 to 2020, 286 adolescents aged 9 to 16 years were examined. Examinations using the assessment of hemodynamic parameters, neurodynamic properties of the Central nervous system and current mental state were performed 2 times: before rest and after rest. The results suggest that adolescents in both age groups, both boys and girls resting in a river cruise unlike children, who rested in low latitudes and coastal regions, decreased tension of the functional circulatory system, increased functional reserves, adaptive capacity, mobility of nervous processes, and improve current mental state. At the same time, students who rested at low-latitude resorts were characterized by an increase in the tension of the functional circulatory system, a decrease in the mobility of nervous processes, well-being, activity, mood, and an increase in the level of anxiety. Thus, to restore the functional state of the body and increase the adaptive potential and mental performance of school-age children, the most effective holiday was a river cruise.
In the article the results of research on physiological and psychological factors of psychophysical development of children conceived with the help of assisted reproductive technologies (IVF, ICSI) are summarized. The groups of physiological (mother’s age and state of health; smoking and alcohol consumption; multiple pregnancy; prematurity; ART procedures) and psychological (mental and psychological health of parents, child-parental and marital relations) factors were identified. The contradictions in the available data are highlighted, indicating the need for complex longitudinal studies.
ISSN 2782-652X (Online)