Vol LI, No 1 (2019)

Articles
«PRESUMPTION OF MENTAL HEALTH»: FROM THE UNIQUE JUDICIAL PRECEDENT TO ROUTINE PRACTICE
Mendelevich V.D.
Abstract
In the article the case of posthumous forensic-psychiatric examination of person L. about recognition of the last will signed by him is described as invalid. Experts-psychiatrists came to conclusion about presence at L. of diagnosis - «not specified organic mental disorder in connection with the mixed diseases» (F06.98). In the resulting part of the conclusion experts specified that «the commission of experts cannot authentically speak L.’s ability to understand value of the actions and to direct them during the certificate of the will …» for the reason that «in medical documentation there is no description of a mental state as during the period as close as possible to the period of the certificate of the will, and directly at the time of signing of the will». The judgment was made on the basis of the principles «a presumption of mental health» and «a sanity presumption» to which as opposed the independent expert referred. On the basis of a unique judicial precedent the conclusion about need of expansion of use of these principles is drawn.
Neurology Bulletin. 2019;LI(1):5-9
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THE PSYCHIATRY: A SCHOLASTIC PHILOSOPHY OR A CLINICAL MEDICINE?
Sivolap Y.P., Portnova A.A.
Abstract
The analysis of the current state of the Russian system of psychiatric care has been carried out; its main shortcomings have been highlighted: the arbitrariness of diagnosing mental disorders, unduly widespread use of antipsychotics, the poor condition of clinical guidelines, the low quality of professional education. Ways of reforming clinical psychiatry are proposed.
Neurology Bulletin. 2019;LI(1):10-13
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PATIENT COMPLIANCE AND MOTIVATION FOR THE REHABILITATION OF PATIENTS WITH ACUTE SEREBROVASCULAR EVENT
Ovchinnikov A.A., Sultanova A.N., Maksimenko P.A., Sarycheva Y.V., Shpiks T.A.
Abstract
The aim of research was to study adherence to treatment and motivation for recovery in patients with stroke. It was revealed that with a low level of commitment, there is a strategy to avoid failures, low rates of social support and levels of achievement; a high level of adherence to treatment is shaped by the motivation to success, general internality, internality in the field of achievements. An important component in the success of the patient’s adherence to therapeutic recommendations is the human micro-social environment - family, friends, work colleagues, roommates, and others.
Neurology Bulletin. 2019;LI(1):14-19
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COMPLIANCE WITH PARKINSON’S DISEASE FROM THE STANDPOINT OF BIOPSYCHOSOCIAL CONCEPT
Bogacheva V.A., Kotsubinskaya J.V., Mikhailov V.A., Alexeeva T.S.
Abstract
The article presents a biosocial model of competence on the example of Parkinson’s disease. The interrelation between the level of compliance and the social functioning of patients with Parkinson’s disease is found. An analysis of the relationship showed that a higher level of patient’s compliance with Parkinson’s disease corresponds to a higher level of their social activity, in particular - a higher level of emotional comfort is most likely to be diagnosed in people with a high level of compliance. Biopsychosocial approach in the field of mental health presupposes accounting and analysis of the interaction of physical (painful), mental (behavioral) and social (interaction with the social environment, the doctor) factors.
Neurology Bulletin. 2019;LI(1):20-24
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ANXIETY AND DEPRESSIVE DISORDERS IN PATIENTS WITH CRANIOCERVICAL DYSTONIA: CLINICAL AND ANAMNESTIC FEATURES AND MODIFYING ROLE OF BOTULINUM TOXIN THERAPY
Khaiatova Z.G., Zalyalova Z.A.
Abstract
The study included 54 patients with cranio-cervical dystonia, 38 (70.4%) of whom were women, 16 (29.6%) - men, mean age 49,8 ± 11,3 years. 32 patients were diagnosed with cervical dystonia, groups with blepharospasm and Meige’s syndrome included 11 patients respectively. All patients were screened by «Unified Dystonia Rating Scale» and those who had cervical dystonia also by «Toronto western spasmodic torticollis rating scale (TWSTRS)». Psychoemotional state in these patients was examined by Beck depression inventory (BDI) and Hamilton’s anxiety rating scale (HAM-A). Depression and anxiety occurrence and severity was evaluated, impact of different factors including Botulinum toxin treatment was observed. Results of the study confirmed that anxiety and depressive disorders are associated with craniocervical dystonia. Sex, localization of dystonia, disease duration, and satisfaction with the treatment do not affect significantly severity of anxiety and depression. Regular injections of Botulinum toxin significantly decrease severity of psychoemotional disorders in these patients.
Neurology Bulletin. 2019;LI(1):25-31
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SEXUAL FEATURES OF SCHIZOPHRENIA: FOCUS ON PSYCHOENDOCRINOLOGY
Petrova N.N., Vasilyeva A.I.
Abstract
The data on the effect of sexual characteristics on the course of the disease and therapy for schizophrenia are presented. The “estrogen protection hypothesis” is being discussed, including the role of estrogens in men vulnerable to schizophrenia. The neuroprotective properties of estrogen are described. Neuroactive steroids testosterone and its predecessors are considered in terms of gender differences at different stages of the course of schizophrenia. Gender-related side effects of antipsychotic therapy, including depending on its type, are highlighted.
Neurology Bulletin. 2019;LI(1):32-37
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NONCHEMICAL ADDICTIONS - ARE THESE «FAKE DIAGNOSES» OR STILL DISORDERS?
Egorov A.Y.
Abstract
The article discusses modern approaches to classification of nonchemical (behavioral) addictions on the example of Internet addiction (IA). The discussion around the inclusion of gaming disorders, including those implemented via the Internet in ICD-10 is analyzed. The general neurobiological and genetic mechanisms of the formation of all addictive disorders, both chemical and non-chemical, are shown. In order to develop standardized approaches to the treatment of IA, one should first of all determine which forms are nosological units - a disorder - according to the criteria of the ICD and DSM and on this basis to conduct evidence-based studies of the effectiveness of various therapeutic methods. In the course of the discussion, it is concluded that various forms of deviations and disorders can be called «fake», but nevertheless they will not disappear and people will not stop suffering from them.
Neurology Bulletin. 2019;LI(1):38-43
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ARE BEHAVIORAL DISORDERS A FAKE DIAGNOSIS?
Zobin M.L.
Abstract
The arguments in favor of the clinical reality of various behavioral abnormalities, including non-chemical addictions, are presented. At the same time, the viewpoint related to the apprehension of hyperdiagnosis of deviant behavior as a psychiatric diagnosis is maintained.
Neurology Bulletin. 2019;LI(1):44-46
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THE USE OF SURFACTANTS WITH HARMFUL EFFECTS - FAKE-DIAGNOSIS
Kuznetsov V.V.
Abstract
Fake nature of WHO version of ICD 10 is that it requires you to register use of SURFACTANTS with such harmful effects as mental and behavioural disorder, allowing you to diagnose it without such disorders. Applied in the Russian drug practice methodology for collection of primary statistical data resulted in the full identification of the concepts of «abuse» and «harmful use», that exacerbates a fake nature of diagnosis «Use of SURFACTANTS with harmful consequences».
Neurology Bulletin. 2019;LI(1):47-51
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WHAT GIVES TO THE PATIENT THE PSYCHIATRIC DIAGNOSIS AND WHETHER THE TREND ON INCREASE IN NUMBER OF DISEASES IS REASONABLE?
Mendelevich V.D.
Abstract
The article is the answer of the author to the discussion devoted to the concept «fake diagnosis» of psychiatric classifications.
Neurology Bulletin. 2019;LI(1):52-54
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MULTISENSORY INTEGRATION AND SYSTEM PSYCHONEUROLOGY
Damulin I.V.
Abstract
The article discusses the mechanisms underlying the integration of afferent information into the structures of the Central Nervous System (CNS), on the basis of which a multisensory model (cross-modal afferentation) is developed. It is emphasized that such multisensory integration and the resulting response often lead to more selective and rapid reactions than the reaction caused by perception in the only one modality. However, the combined use of multisensory afferentations may lead to «conflict between different modalities». Using the concept of «human connectome» explains much better the processes occurring in the structures of the CNS, including multisensory integration, than schemes previously built on anatomical data. A key element in determining the type of the individual’s response to changing environmental conditions is the equally dynamic neuronal system of relations. This communication system depends on both external information and internal factors, including neuronal oscillations. These oscillations trigger the processes that result in the generation of new ideas (creative thinking), motivation to perform certain actions, and under certain conditions (including genetically determined) - the emergence of various types of neuropsychiatric disorders, including illusions, hallucinations, delusions (syndromes of Capgrás, Fregoli, intermetamorphosis, syndrome of own twins).
Neurology Bulletin. 2019;LI(1):55-60
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IDEAS HAVE THEIR OWN LIFE
Reshetnikov M.M.
Abstract
The problem of the psyche and consciousness has been the most mysterious one for a few thousand years and is still unresolved. It has been almost forgotten that Aristotle considered human psyche a structure that is not bound to the body. This idea did not persist, though. It was Hippocrates who ruined it and declared a different concept, which prevailed for many centuries, that the brain is a repository of all mental processes. The author formulates the idea of the brain as the biological interface and proves a non-material theory of the psyche, which is a discovery that requires a change in basic paradigms of human sciences.
Neurology Bulletin. 2019;LI(1):61-65
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IS IT GOOD TO BE A HOLY FOOL
Zislin J.
Abstract
The review is focused on criticizing the article: “Is phenomenon «Fools-for Christ» the extraordinary psychological phenomenon or a mental disorder?“. It is shown that it is impossible to diagnose any religion phenomena outside the historical-anthropological context based upon on hagiographic descriptions only.
Neurology Bulletin. 2019;LI(1):66-69
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WHETHER A “MEASUREMENT” OF HUMAN FEELINGS IS A MEASUREMENT IN AN OPERATIONAL SENSE?
Zobin M.L.
Abstract
The article points out that psychometric scaling based on self-assessment is not a measurement in the usual meaning and rank indicators should not be taken as numerical markers. Clarification of statistical procedures for different types of scaling is explained. The validity of the proposal to use death as a “solid” outcome indicator for universal evaluation of the effectiveness of antidepressants is questioned.
Neurology Bulletin. 2019;LI(1):70-72
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COGNITIVE DEFICIT AND NEGATIVE SYNDROMES SCALE: TRADITIONS AND/OR NEW HIDDEN PARADIGM OF PSYCHIATRY AND NEUROLOGY
Nosachev G.N., Nosachev I.G., Dubitskaya E.A.
Abstract
The hidden paradigm of A.V. Snezhnevsky’s domestic scale of negative disorders is discussed from the standpoint of cognitive deficit and the position of ICD-10 in relation to psychiatry and neurology. The basic concepts of the scale of negative (deficit) syndromes from the standpoint of cognitive processes are given.
Neurology Bulletin. 2019;LI(1):73-77
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THE POSSIBILITY OF APPLYING FLURBIPROFEN IN PATIENTS WITH LUMBAR PAIN
Kamchatnov P.R., Chugunov A.V., Kazakov A.Y.
Abstract
Lumbar pain (LP) is the most common form of musculoskeletal pain syndromes, the development of which is associated with significant financial costs. Treatment of LP patients is usually long-term, which increases the risk of undesirable side effects. The pharmacological effects of Flurbiprofen for treating patients with PB are considered.
Neurology Bulletin. 2019;LI(1):78-83
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SOCIAL FUNCTIONING AND QUALITY OF LIFE OF WOMEN WITH MENTAL DISORDERS WHO COMMITTED SERIOUS OFFENCES AGAINST THE PERSON AND UNDERGOING COMPULSORY TREATMENT UNDER CONDITIONS OF INTENSIVE OBSERVATION
Khamitov R.R., Romanova A.P.
Abstract
The article analyzes the social functioning and quality of life of women with mental disorders. The relationship of demographic and premorbid factors with violent delicts were examined. The analysis of influence on the criminal behavior of the alcohol abuse and psychoactive substance addiction was carried out, as well as neglect, lack of housing and antisocial environment.
Neurology Bulletin. 2019;LI(1):84-90
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MARRIED TO A SCHIZOPHRENIC PATIENT: A CLINICAL CASE
Simak O.Y., Soldatkin V.A.
Abstract
An integrated approach to the treatment of schizophrenia should be aimed both at restoring psychophysical functions -using rational psychopharmacotherapy and ensuring maximum social adjustment of patients - using psychotherapy of the patient and his immediate environment - the family. The article describes a clinical case of schizophrenia and influence of the family environment on the course of the disease and the psychosocial well-being of the patient.
Neurology Bulletin. 2019;LI(1):91-98
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TWO CASES OF ANTIPSYCHOTIC USE IN CHILD PSYCHIATRY
Portnova A.A., Sivolap Y.P.
Abstract
The article deals with the safety of antipsychotics, especially for children and adolescents. Two examples of the unreasonable and unsafe use of antipsychotics in children’s psychiatric clinics are given. It is emphasized that the use of antipsychotics at a young age increases the risk of heart and metabolic diseases and contributes to increased mortality.
Neurology Bulletin. 2019;LI(1):99-103
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