Vol XLVII, No 3 (2015)

The article presents the results of a psychological examination of patients of aesthetic surgery departments, applied on the facial surgery (plastic ears, nose, blepharoplasty, face lift oval). A description of their personality characteristics that influence the decision about cosmetic surgery was given. New data about the features of self-perception of appearance, self-esteem and level of aspiration in this group of patients were obtained. The main directions of psychological support in order to increase the level of satisfaction and results of surgical intervention were considered.

Coordination disorders in patients with MK1 found in 73.3% of patients and an objective common to 40.6% without complaint were shown. Vertigo is the debut display of nearly 50% of cases. In addition to non-systemic nature of dizziness (44.7%), with MK 1 common vertigo was observed in 34.2% of patients with complaints of dizziness. The delimitation of the nature of dizziness was the most informative impulse test, revealing the peripheral nature of dizziness in 59% of patients with symptomatic group. Phenotype dizziness, similar to the positional and DPPG can be an expression of MK 1, occurring at the 13.1% of the patients.

The analysis of experimental data relating to the detection of individual psychological predispositions causing the adaptive activity of behavior is presented. In view of the general laws of psychic mechanisms of adaptation and subjective-personal potential, the results were obtained, which indicate that in the complex set of personality individually-typological structure an important role is played by the autonomy (independence), as one of the main components of a subject of adaptability while overcoming emotional stress situations. It is noted that the subjective principle makes it possible to expand the understanding of the adaptability mechanisms due to situational and individual psychological variables. It was revealed that individual psychological predisposition “autonomy” - “sociotropy” significantly affects the likelihood of protective reactions and behavior strategies in difficult (stressful) situations thus represent the reference data, taking into account of which makes it possible not only to assess the severity of an individual pattern of behavior, but also to measure the level of adaptability and disadaptability. The experimental study involved mothers of children with cerebral palsy (CP) with intact intellect.

The article presents the results of a psychological study of 152 patients suffering from coronary heart disease and patients after myocardial infarction. There were given differential diagnostic psychological characteristics with regard to the diagnosis of patients. We used a new psycho-diagnostic complex. There was provided a qualitative and comparative analysis of psycho-diagnostics. New data on psychological risk factors that are important for carrying out corrective treatment with this patient population were obtained.

It was established that about 40% of patients with somatized mental disorders apply for medical care to specialists in primary health care. Many investigators are recognizing the need to identify somatized mental disorders at the early stages of their development. Early diagnosis is contributes the preventive, rehabilitation potential and decreased of stigmatization. Somatized mental disorders are common and unexplored pathology that occurs in the city polyclinics, somatic and psychiatric practice. Therefore is necessary to study the peculiarities of somatized mental disorders at the early stages of disease in patients of city polyclinics.

Due to the improvement of resuscitation technologies growth of the persons which drove out of critical conditions is noted. More than a half of them have the permanent neuromuscular violations which appeared in the office of intensive therapy, and significantly limit physical activity of these patients further. The etiology of a polyneuromyopathy of critical conditions (PMKS) can be explained by many factors and is also connected both with the direct reasons which are directly defining defeat of the neuro and muscular device, and mediated, connected with the patient’s immobility of a patient in the critical condition. The undertaken review allows to present a situation concerning an etiology, pathogenesis, epidemiology, diagnostics and medical strategy of patients with PMKS.

There have been studied universal mechanisms of initiation, its manifestation in the structure of deviant behavior and psychopathology of adolescents. Ethology oriented approaches to their correction and psychotherapy have been proved. Initiation is regarded as process, ritual and result of transforming of teen-ager from child status to status of adult member of society. Frustration of innate requirements in initiation leads to deviation behavior or to psychic disorders, reflecting general modules (components) of socio-biological program of initiation. Education and psychotherapy of teen-agers should be organized in accordance to ethology screen play of initiation.

Spectrum-oriented approach of the assessment and the diagnosis of the psychological states and mental disorders were presented. The authors singled out the borderline, spectrum, and its content has been analyzed. The clinical and psychoanalytical analysis of the signs of the borderline spectrum and its psychotic decompensation was provided. The special attention was focused on the sub-catatonic variant of the decompensation of the borderline personality organization.

There were presented three clinical observations of the rare type of cervical myelopathy - Hirayama’s Disease, having similar clinical features and different from the MR phenotype. Along with the fact that all three patients have clinical and MRI signs for Hirayama’s Disease, anomaly of posterior cranial fossa was also detected for them. The authors believe that this fact of combination is of interest to further studying this pathology.