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Vol XLV, No 4 (2013)

Articles

PSYCHOSOCIAL ADAPTATION OF PATIENTS WITH CARDIAC PACEMAKERS IMPLANTED IN CHILDHOOD AND TEENAGE

Petrova N.N., Sysoeva V.S., Vasichkina E.S., Egorov D.F., Gordeev O.L.

Abstract

As part of a psychosocial adaptation research project involving patients with cardiac pacemakers implanted in childhood, a group of 45 patients, who had undergone a pacemaker implantation surgery prior to 18 years old, was examined. The research was aimed at studying the internal picture of the disease and coping factors determining the success of psychological and social adaptation. Although the patients did have psychic disorders and disability statuses, they showed high social and labor adaptation levels. However, patients over 18 years old showed interpsychic behavioral reactions to their disorders, while those under 18 years old showed intrapsychic reactions, which signified presence of adaptation issues. They showed a few coping that testified to their personalized susceptibility to psychosomatic and depressive disorders. Those included failure to follow doctors’ recommendations (exposure to physical strains, pregnancy and birth). The domination of the first (adaptive) group of types of reaction toward the disease, which were detected in both groups, as well as the choice of meaningful or relatively meaningful coping strategies made a basis for further psychocorrective work.
Neurology Bulletin. 2013;XLV(4):3-10
pages 3-10 views

ON THE METHODOLOGY OF THE PROBABILITY EXPERT REPORTS OF THE FORENSIC PSYCHIATRIC EXAMINATIONS

Korzun D.N., Tkachenko A.A.

Abstract

The role of the probability expert report as an evidence in the civil procedure is analyzed. The approaches used in the course of the judicial examination and the forensic psychiatric examination are compared. The feasibility of sorting the expert arguments into the direct and indirect ones is substantiated. The ways to overcome the lack of feasibility of the psychiatric expert studies during the proceedings of the civil case on the voidance of a bargain at the stage of diagnostic qualification and the evaluation of the legally valid capability are analyzed.
Neurology Bulletin. 2013;XLV(4):11-18
pages 11-18 views

DSM-5: THE PRELIMINARY ANALYSIS OF NEW CLASSIFICATION OF MENTAL DISORDER OF THE AMERICAN PSYCHIATRIC ASSOCIATION

Korolenko T.P.

Abstract

In the context of preliminary analysis of the DSM-5 authors emphasize the significance of the introduction the term and the concept of schizophrenic spectrum of mental disorders and positive change of the elimination of the schizophrenia’s subtypes presented in the previous version of DSM-IV-TR (2000) and the exclusion of the definition of bizarre delusions. Especially significant is the presence of III Section that includes the category of Cultural Formulation the Alternative Model for the Personality Disorders. Classification the term “gender dysphoria” refers to an individual’s affective/cognitive discontent with the assigned gender. In general DSM-5 is regarded as a useful instrument for diagnosis and analysis of psychic disorders in post-contemporary culture.
Neurology Bulletin. 2013;XLV(4):19-23
pages 19-23 views

THE INFLUENCE OF ANXIETY, STRESS AND PSYCHOLOGICAL TRAUMA ON THE DEVELOPMENT OF ALCOHOL ABUSE

Fedorova S.S., Sivolap Y.P., Klyachin A.I., Pronin R.A., Zharova E.V.

Abstract

With the aim of determining connection between anxiety disorders, stresses and psychological traumas we studied 135.in 54 of them (40%) there were found anxiety and depressive syndromes, in 31 patients (23%) - lifetime prevalence of anxiety disorders, where there was high prevalence of panic attacks among alcoholics (77%), in most cases having secondary nature (71%). Contrary to the primary hypothesis alcoholism improved development and decrease the risk of relapse. Stress factors and traumatic events that predict development of abuse and dependence were observed.
Neurology Bulletin. 2013;XLV(4):24-29
pages 24-29 views

HARM REDUCTION FOR ALCOHOL PROBLEMS: EXPANDING TREATMENT OPTIONS

Zobin M.L.

Abstract

Harm reduction strategy does not see complete abstinence as the only goal of treatment. Unreadiness for immediate rejection of alcohol consumption should not be a barrier to helping to reduce the negative effects of alcohol abuse, especially in cases where the standard treatments do not produce the expected results. Such an approach is consistent with the behavioral patterns of dependence and provides more treatment options, which would otherwise not be used.
Neurology Bulletin. 2013;XLV(4):30-41
pages 30-41 views

FUTURE FORECASTING AND NEUROTIC GENESIS MECHANISMS

Mendelevich V.D., Granitsa A.S.

Abstract

In the article questions of phenomenology of intuition and anticipation, with their relationship and interrelations are considered. The presented review of scientific literature shows prospects of studying of intuition and anticipation as a significant factor of development of some forms of mental pathology. Special relevance is presented by researches in least developed section of this area: clinical psychology and psychiatry.
Neurology Bulletin. 2013;XLV(4):42-52
pages 42-52 views

BEHAVIORAL ASPECTS OF HIV INFECTION IN SUBSTANCE DEPENDENT PATIENTS

Grechanyi S.V., Egorov A.Y.

Abstract

This review considers the psychological mechanisms of risk behavior in HIV infection and its relationship with addictive behavior. The problem of psychological adaptation with HIV and its determining factors, such as psychological defense mechanisms, coping behavior and attitudes towards the disease are considered. Tools for mental health improvement in HIV-infected patients are offered. It is concluded that the close relationship of HIV with mental illness makes it necessary to address issues of psychological adaptation of patients and epidemiological safety in the practical work of psychiatrists and clinical psychologists.
Neurology Bulletin. 2013;XLV(4):53-61
pages 53-61 views

KLEINE-LEVIN SYNDROME: CLINICAL OBSERVANCE AND CONTEMPORARY DIAGNOSIS CRITERIA

Mendelevich E.G., Fazliakhmetova A.G., Bogdanov E.I.

Abstract

The paper describes the self- monitoring of Kleine–Levin syndrome in a young girl (going on for 9 years). Review of the current literature, indicating the prevalence of the major symptoms, was traditionally considered as mandatory for the diagnosis of Kleine-Levin syndrome. Scientific evidence is given for a variety of clinical manifestations of Kleine–Levin syndrome.
Neurology Bulletin. 2013;XLV(4):62-66
pages 62-66 views

ALIEN HAND SYNDROME

Munasipova S.E., Zalyalova Z.A., Bogdanov E.I., Sagdeev A.R.

Abstract

There was given a definition of «alien» limb. There were revealed and considered the main forms of this phenomena with detailed coverage of the history of this syndrome. Differential diagnostics of this phenomenon was studied. Classification of «alien» limb syndrome was offered. A clinical supervision was presented.
Neurology Bulletin. 2013;XLV(4):67-72
pages 67-72 views

THE CASE OF “INDUCED ALTRUISTIC DELUSION»

Mendelevich V.D.

Abstract

The clinical case of “induced altruistic delusion” which is represented in rare option of a paranoid syndrome is described. The given case of altruistic delusion is unique that the identity of the patient who has developed activity in an occasion of search of the died husband and convinced that he didn’t die, unintacted in relation to paranoia system. The conclusion that studying of psychogenesis and nosological accessory of the described syndrome of adequately special research, and its clinical registration aims at profound studying of a problem of differentiation of delusion and casual belief is drawn.
Neurology Bulletin. 2013;XLV(4):73-77
pages 73-77 views

FACTORS AFFECTING THE DEVELOPMENT OF EMOTIONAL BURNOUT SYNDROME OF NARCOLOGISTS IN OUTPATIENT AND HOSPITAL PRACTICE

Kozin V.A.

Abstract

The correlative analysis of the degree of intensity of the emotional burnout syndrome and factors affecting the emergence and development of the doctors-narcologists in outpatient and hospital practice has been carried out. Assessment of indicators of the emotional burnout syndrome was carried out on the basis of V.V. Boyko’s «Burn-out» questionnaire. For the analysis of correlation of «pathogenic factors» and emotional burnout syndrome of doctors-narcologists in hospital and outpatient Pearson’s coefficient was applied. The data received during research, will determine the target for adequate correction against non-adaptable reactions and develop recommendations to ensure the preservation and promotion of mental health of doctors-experts in narcology.
Neurology Bulletin. 2013;XLV(4):78-80
pages 78-80 views

FEATURES OF CONSCIOUSNESS OF PATIENTS SUFFERING ALCOHOLISM

Mojarov N.S.

Abstract

When studying a self-consciousness of 56 alcoholics there were revealed peculiarities of a self-rating, the attitude towards as to the sick person, and also specificity of perception of another. The dominance of protective functions of a self-rating over adaptive and regulatory, and also dominance in an assessment of the environmental characteristics bound to alcohol at patients, denying disease existence is revealed. Results of the real research matter for psychological comprehension of many clinical manifestations of an alcoholism and phenomena of «alcoholic» behavior.
Neurology Bulletin. 2013;XLV(4):81-83
pages 81-83 views

GENETIC AND PSYCHOLOGICAL MARKERS OF PREDISPOSITION TO ALCOHOL ADDICTION (PRELIMINARY STUDY)

Biryukov B.A.

Abstract

The article presents the results of clinical and genetic study of 42 patients with alcohol addiction, having been examined according to the genetic profile and of the technique of TCI-125. The survey revealed that people with a high level of genetic predisposition to alcoholism have higher scores in the «Harm Avoidance» and lower rates on scales of «Perseverance» and «Reward Dependence» compared with a group of patients with low genetic risk.
Neurology Bulletin. 2013;XLV(4):84-86
pages 84-86 views

FEATURES OF FORMATION, CLINIC AND DYNAMICS OF ADDICTION BASED ON SYNTHETIC CANNABINOIDS IN TEENAGERS

Krivulina O.E.

Abstract

The features of formation and dynamic clinical symptoms depending on the synthetic cannabinoids in 41 adolescents aged 13-17 years, who on the basis of the presence or absence of suicidal behavior in clinical disease were divided into 2 groups. There were highlighted the sociodemographic, medical and biological characteristics of the patients and the clinical features of intoxication, withdrawal and formation dynamics of the disease.
Neurology Bulletin. 2013;XLV(4):87-89
pages 87-89 views

ASSOCIATIVE MECHANISMS OF DEPENDENT STATE (BASED ON EXAMPLE OF ALCOHOL DEPENDENCE)

Nikishina V.B., Kypreeva K.S.

Abstract

In the article the data of experimental research of120 persons, who are alcohol dependent and persons without alcohol addiction is presented. The results of research show an increase in temporal characteristics of response to objectively important and objectively unimportant stimuli in groups of alcohol dependent subjects and subjects without alcohol addiction; significant differences in temporal characteristics between subjects with and without alcohol addiction. The following interrelations of associative reactions in cases of alcohol addiction have been established: echo-reactions and consonant reactions; by adjacency and consonant reactions; determinative and refusal reactions; determinative and perservatory reactions. The presented specialties indicate the existence of specific associative mechanisms in state of alcohol addiction.
Neurology Bulletin. 2013;XLV(4):90-91
pages 90-91 views

INPATIENT ALCOHOLISM TREATMENT OF FEMALE PATIENTS IN THE SYSTEM OF THE OBLIGATORY MEDICAL INSURANCE

Tyrina G.M.

Abstract

As a result of the statistical analysis of results of activity of female stationary drug treatment office from 2006 to 2012 acceleration rate of decrease in level of prevalence of alcoholic pathology among the women, caused by change of system of financing of the residential help is revealed/ what had been caused by change of financing system of inpatient narcologic help.
Neurology Bulletin. 2013;XLV(4):92-95
pages 92-95 views

PROCRASTINATION IN THE STRUCTURE OF PERSONAL DEFENSE AND COPING BEHAVIOURS OF ADDICTED PERSONS

Kolpakov Y.V.

Abstract

The results of the study of the phenomenon study of procrastination in the structure of personal defense and coping behaviors of addiction persons (alcohol and opioids) and of healthy persons are given. The differences in the structure of the individual defense mechanisms and coping strategies in addiction persons and of healthy person are shown. The differences in correlation of the parameters studied are described.. The resulting data can be used to develop new technologies of clinical-psychological support of addiction.
Neurology Bulletin. 2013;XLV(4):96-98
pages 96-98 views

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