Spiritual orientation of the psychological rehabilitation of combatants

Cover Page


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

The paper examines the impact of combat stress on human personality, with a particular focus on identity disintegration. This is considered to be the most significant impact of combat stress, accompanied by the loss of values that generally make up a framework for assessing and interpreting current events. The conventional psychological treatments for personality reconstruction, which appeal to cognitive, emotional, motivational and volitional processes that make up the structure of the psyche, are found to be ineffective in cases where stress exceeds the average psychological resources of a person. Coping with extreme impacts assumes going beyond the familiar life experience accompanied by the reference to the spiritual level resources, among which religiosity is traditional for the mentality. This paper reviews the relationship between religion and psychotherapy, with a focus on the psychotherapeutic factors of religion aimed at combatants’ identity reconstruction.

Full Text

Restricted Access

About the authors

Svetlana L. Solovyeva

North-Western State Medical University named after I.I. Mechnikov

Author for correspondence.
Email: S-Solovieva@ya.ru
ORCID iD: 0000-0001-6129-9825
SPIN-code: 9901-5812

Dr. Sci. (Psychol.), Prof., Depart. of Psychotherapy, Medical Psychology and Sexology

Russian Federation, Saint Petersburg

References

  1. Psixiatriya vojn i katastrof. Uchebnoe posobie. VK Shamrey ed. St. Petersburg: SpeczLit; 2015. 80 р. (In Russ.)
  2. Kryukov EV, Shamrej VK, Marchenko AA. Voennaya psixiatriya v XXI veke. Sovremenny`e problemy` i perspektivy` razvitiya. SPb.: SpeczLit; 2022. 367 р. (In Russ.)
  3. Polushkina OO, Kiryuxina SV. Osobennosti techeniya psixicheskix rasstrojstv v usloviyax voennogo vremen. Universum: medicina i farmakologiya. 2023;6(99). Available from: https://7universum.com/ru/med/archive/item/15393 Accessed: Jan 22, 2024. doi: 10.32743/UniMed.2023.99.6.15393
  4. Tarabrina NV. Psixologiya posttravmaticheskogo stressa: Teoriya i praktika. M.: Institut psixologii RAN, 2009. 304 р. (In Russ.)
  5. Korolenko CzP, Dmitrieva NV, Zagorujko EN. Identichnost` v norme i patologii. Novosibirsk: NGPU; 2000. 256 р. (In Russ.)
  6. E`rikson E`. Identichnost`: yunost` i krizis. Per. s angl. M.: Progress; 1996. р. 12. (In Russ.)
  7. Xyosle V. Krizis individual`noj i kollektivnoj identichnosti. Voprosy` filosofii. 1994;(10):115. (In Russ.)
  8. Vasil`eva AV, Karavaeva TA, Radionov DS. Algoritm lekarstvennoj terapii posttravmaticheskogo stressovogo rasstrojstva. Obozrenie psixiatrii i medicinskoj psixologii im VM Bextereva. 2023;57:3:80–91. (In Russ.) doi: 10.31363/2313-7053-2023-762
  9. Sy`ropyatov OG. Texniki psixoterapii pri PTSR. Kyiv: Ukrainian Military Medical Academy; 2014. 166 р. (In Russ.)
  10. Moye J, Kaiser AP, Cook J, Pietrzak RH. Post-traumatic stress disorder in older U.S. military veterans: Prevalence, characteristics, and psychiatric and functional burden. American Journal of Geriatric Psychiatry. 2022;30(5):606–618. doi: 10.1016/j.jagp.2021.10.011
  11. Fastovczov GA. Kriminal`naya agressiya kombatantov s posttravmaticheskim stressovy`m rasstrojstvom (klinicheskij i sudebno-psixiatricheskij aspekty`). Dis. ... d-ra med. nauk: 14.01.06 Moskva; 2010. 449 h. (In Russ.)
  12. Bonkalo TI. Posttravmaticheskoe stressovoe rasstrojstvo. M.: GBU NIIOZMM DZM; 2023. 28 р. Available from: https://niioz.ru/moskovskaya-meditsina/izdaniya-nii/daydzhestmeditsinskiy-turizm-i-eksport-meditsinskikh-uslug Accessed: Jan 22, 2024. (In Russ.)
  13. Posttravmaticheskoe stressovoe rasstrojstvo. Pod red. VA Soldatkina. Rostov n/D: Izd-vo RostGMU; 2015. 624 р. (In Russ.)
  14. Aleksandrov EO, Aleksandrova NL. Psixoterapiya PTSR u kombatantov. SPb.: Piter; 2023. 272 р. (In Russ.)
  15. Motta RW. Secondary trauma. Silent suffering and its treatment. Department of Psychology Hofstra University Hempstead. NY: Springer Nature Switzerland AG; 2023. 189 р.
  16. Boxan NA, Roshhina OV, Didenko AV, Lebedeva VF. Klinicheskaya xarakteristika proyavlenij boevoj psixicheskoj patologii u kombatantov. Sibirskij vestnik psixiatrii i narkologii. 2023;3(120):80–86. (In Russ.) doi: 10.26617/1810-3111-2023-3(120)-80-86
  17. Posttravmaticheskoe stressovoe rasstrojstvo v paradigme dokazatel`noj mediciny`: patogenez, klinika, diagnostika i terapiya. Metodicheskie rekomendacii. Avtory`-sost.: AV Vasil`eva, TA Karavaeva, NG Neznanov, et al. SPb.: NMICz PN im VM Bextereva; 2022. 33 р. (In Russ.)
  18. Vasil`eva A.V., Karavaeva T.A., Radionov D.S. Algoritm lekarstvennoj terapii posttravmaticheskogo stressovogo rasstrojstva. Obozrenie psixiatrii i medicinskoj psixologii im. V.M. Bextereva. 2023;57(3):80-91. (In Russ.) doi: 10.31363/2313-7053-2023-762
  19. Prashko Ya, Mozhny` P, Shlepeczki M. et al. Kognitivno-bixevioral`naya terapiya psixicheskix rasstrojstv. M.: Institut obshhegumanitarny`x issledovanij; 2015. 1072 р. (In Russ.)
  20. Merz J, Schwarzer G, Gerger H. Comparative efficacy and acceptability of pharmacological, psychotherapeutic, and combination treatments in adults with posttraumatic stress disorder: A network meta-analysis. JAMA Psychiatry. 2019;76:904–013.
  21. Rossijskoe obshhestvo psixiatrov. Posttravmaticheskoe stressovoe rasstrojstvo. Klinicheskie rekomendacii. 2023. 173 р. (In Russ.) Available from: https://cr.minzdrav.gov.ru/recomend/753_1 Accessed: Dec 20, 2023.
  22. Psixoterapiya. Uchebnik. Pod red. AV Vasil`evoj, TA Karavaevoj, NG Neznanova. Moskva: GE`OTAR-Media; 2022. 864 р. (In Russ.) doi: 10.33029/9704- 6485-4-VKN-2022-1-86
  23. E`sterbruk SA, Orlova EA, Karpekova TA, Grebennikov YuL. Kognitivno-bixevioral`naya terapiya posttravmaticheskogo stressovogo rasstrojstva (po materialam zarubezhny`x issledovanij). Sovremennaya zarubezhnaya psixologiya. 2020;9(1):76–84. (In Russ.) doi: 10.17759/jmfp.2020090108
  24. Bryant RA. Post-traumatic stress disorder: A state-of-the-art review of evidence and challenges. World Psychiatry. 2019;18(5):259–269.
  25. Moskvitina MA, Moskvitin PN. Organizacionno-metodicheskie aspekty` psixologicheskogo soprovozhdeniya kombatantov i chlenov ix semej. Gumanitarny`e, social`no-e`konomicheskie i obshhestvenny`e nauki. 2023(7):26–31. (In Russ.)
  26. Uilber Ken. Religiya budushhego. Vseob``emlyushhij potencial velikix tradicij duxovnoj mudrosti. Per.s angl. E Pustoshkina; nauch. red. A Narin`yani. Moskva: Mann, Ivanov i Ferber; 2023. 752 р. (In Russ.)
  27. Leont`ev DA. Duxovnost`. In: E`nciklopediya e`pistemologii i filosofii nauki. Sost. i obshh. red. IT Kasavin. Moskva: Kanon+ ROOI “Reabilitaciya”; 2009. р. 217–218.(In Russ.)
  28. Tajfel H., Turner J. An integrative theory of intergroup conflict. B.W.G. Austin, S.W. Worchel eds. Brooks-Cole, Monterey, Calif.; 1979. 71 р.
  29. Vorob`eva LI “Duxovnost`” v psixologii: filosofsko-metodologicheskij analiz. Kul`turno-istoricheskaya psixologiya. 2019;15(3):32–40. (In Russ.)
  30. Stress, vy`goranie, sovladanie v sovremennom kontekste. Pod. red. AL Zhuravleva, EA Sergienko. M.: Institut psixologii RAN; 2011. 512 р. (In Russ.)
  31. Koenig HG, Boucher NA, Oliver RJ, et al. Substantiation of spiritually oriented cognitive processing therapy of moral injuries in active-duty military personnel and veterans with post-traumatic stress disorder. J Nerv Ment Dis. 2017;205(2):147–153. doi: 10.1097/NMD.0000000000000554
  32. Starnino VR, Angel KT, Sullivan DE, et al. Preliminary report on spiritual-based PTSD intervention for military veterans. Public Health. J. 2019;55(7):1114–1119. doi: 10.1007/s10597-019-00414-8
  33. Harris G, Housset T, Vox S, et al. Spiritually Integrated Care for PTSD: A randomized controlled trial of “Strengthening Spiritual Strength”. Psychiatry. 2018;267:420–428. doi: 10.1016/j.psychres.2018.06.045
  34. Winkeljon Black S, Klinger K. Strengthening spiritual strength: a spiritually integrated approach to the treatment of moral trauma. Curr Treatment Options Psychiatry. 2022;9(4):313–320. doi: 10.1007 /s40501-022-00276-0
  35. Pierce M, Haines K, Rivera NR, Koenig HG. Spiritually integrated cognitive processing therapy: A new treatment for post-traumatic stress disorder aimed at moral trauma. Global Adv Health Med. 2018;7:2164956118759939. doi: 10.1177/2164956118759939
  36. Ivanov AV. Evrazijstvo: klyuchevy`e idei, cennosti, politicheskie prioritety`. Barnaul: Azbuka; 2007. р. 197–206. (In Russ.)
  37. Trofimov VK. Istoki i sushhnost` russkogo nacional`nogo mentaliteta (social`no-filosofskij aspekt). Avtoref. diss. … dokt. filosof. nauk. Ural`sk. gos. universitet. Ekaterinburg; 2001. 43 р. (In Russ.)
  38. Bessonova TI. Problema regulyacii normativno-lichnostnogo i moral`no-nravstvennogo razvitiya sovremennogo studenta v prostranstve akademicheskoj e`tiki i akademicheskogo e`tiketa. Mezhdunarodny`j nauchno-issledovatel`skij zhurnal. 2020;6–2(96):139–142. (In Russ.) doi: 10.23670/IRJ.2020.96.6.066
  39. Kefeli IF, Shevchenko NN. Bol`shaya Evraziya: civilizacionnoe prostranstvo, ob``edinitel`naya ideologiya, proektirovanie budushhego. SPb.: Petropolis, OOO “Geopolitika i bezopasnost`”; 2018. 220 р. (In Russ.)
  40. Shan`kov FM. Obrashhenie k duxovnomu i religioznomu sovladaniyu v psixoterapii. Obzor zapadny`x issledovanij. Konsul`tativnaya psixologiya i psixoterapiya. 2016;24(5):151–177. (In Russ.)
  41. Shan`kov FM. Religioznoe i duxovnoe sovladanie. Obzor zapadny`x issledovanij. Konsul`tativnaya psixologiya i psixoterapiya. 2015;(S):123–152. (In Russ.)
  42. Paloutzian RF, Park CL. Handbook of the psychology of religion and spirituality. New York. Guilford Publ; 2014. 698 р.
  43. Pargament KI. The religious dimension of coping: Advances in theory. Research and practice. Handbook of the psychology of religion and spirituality. 2013;2:560–578.
  44. Ano GG, Vasconcelles EB. Religious coping and psychological adjustment to stress: A meta-analysis. Journal of Clinical Psychology. 2005;61(4):461–480.
  45. Richards P, Bergin AE. A spiritual strategy for counseling and psychotherapy. 2nd ed. Washington, DC: American Psychological Association; 2005. 315 р.
  46. Mityanin RN, Kokurin AV. Organizaciya psixologicheskoj pomoshhi voennosluzhashhim v usloviyax dlitel`nogo preby`vaniya v zone aktivny`x boevy`x dejstvij. Rossijskij voenno-psixologicheskij zhurnal. 2023;1(1):96–106. (In Russ.) doi: 10.25629/rmpj.2023.01.10
  47. Sedankina TE. Psixologiya duxovnogo razvitiya: uchebnoe posobie. Kazan`: MeDDoK; 2020. 140 р. (In Russ.)
  48. Zrazhevskaya IA. Formirovanie kriteriev differenciacii psixicheskix rasstrojstv, soderzhashhix religiozno-misticheskie perezhivaniya. Medicina i obrazovanie v Sibiri. Available from: http://www.ngmu.ru/cozo/mos/article/pdf.php?id=296 Accessed: July 28, 2017. (In Russ.)
  49. Panin SA, Poshibajlov MA. E`mpatiya i izmenenny`e sostoyaniya soznaniya. In: Psixotexniki i izmenenny`e sostoyaniya soznaniya. Sb. materialov Tret`ej mezhdunarodnoj konferencii. SanktPeterburg: Izd-vo RXGF; 2016. р. 245. (In Russ.)
  50. Psixoterapevticheskaya e`nciklopediya. BD Karvasarskij ed. SPb.: Piter Kom; 1998. 752 р. (In Russ.)
  51. Rol` religii v psixicheskom zdorov`e: polozhitel`ny`e i otriczatel`ny`e e`ffekty`, vliyanie na psixoterapiyu i samoidentifikaciyu. Nauchny`e Stat`i.Ru — portal dlya studentov i aspirantov. Available from: https://nauchniestati.ru/spravka/religiya-i-psihicheskoe-zdorove/ Accessed: Jan 21, 2024. (In Russ.)
  52. Zelyanina AN, Padun MA. K probleme posttravmaticheskogo lichnostnogo rosta: sovremennoe sostoyanie i perspektivy`. Psixologicheskie issledovaniya. 2017;10(53):4. (In Russ.)

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2024 Eco-Vector


СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77 - 75562 от 12 апреля 2019 года.


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies