Perinatal cerebrovascular lesions represent one of the important causes of the onset of mental disorders. The research addresses specific psychic pathologies of this type such as hypochondriac and obsessive-compulsive disorders. The main focus of the research is the psychotherapy for that contingent of patients. Tests and statistical trials were conducted for groups composed of persons suffering from the said disorders. Based on the results of data analysis the research reviews specific recommendations for using psychotherapeutic techniques considering their influence on clinical manifestations of hypochondria and obsessive-compulsive disorder. Keywords: perinatal cerebrovascular lesions, obsessive-compulsive disorder, psychotherapy.
The aim of the research was to obtain data for scientific justification and development of an algorithm of medico-social rehabilitation for patients with schizophrenia under compulsory out- and inpatient treatment. During the research clinical and social-demographic conditions were evaluated for the chosen group of people currently undergoing coercive treatment and for the control group. The role of the clinical-psychopathological and social-environmental agents that caused patients compulsory hospitalization was determined. The level of social functioning and the dissocializing factors were evaluated. Keywords: schizophrenia, coercive treatment, social-psychological characteristics.
The study presents the identification and study of the characteristics of the formation and dynamics of various forms of deviant behavior in the clinic of neurosis-like states of residual-organic genesis, that is guided by the principles not previously used in the study of the studied pathology. Behavioral disorders were studied in a comparative aspect in two clinical variants, which are asthenohyperdynamic and astheno-adynamic manifestations of the cerebrastenic syndrome, which is a part of the structure of a neurosis-like state. The age dynamics of behavioral disorders was studied at different stages of ontogenesis, including childhood, prepubertal and puberty, by comparing the obtained data labeled by the subheadings "Period of the first age crisis", "Period of the second age crisis" and "Puberty period". The study found that age response forms reflect the low personal resources of adolescents and the massiveness of negative social influences. As the analysis of clinical material has shown, during puberty, violations in the sphere of cravings became more distinct. Disorders in the sphere of inclinations at this age are closely correlated with the features of the somato-endocrine metamorphosis and with the unfavorable influence of socio-psychological factors. Lack of sexual desire was in direct proportion with a pronounced delay in puberty. Violations in the sphere of sexual desire, reflecting the nondifferentiation of the sexual attitudes of adolescents with delayed puberty, were characteristic of those studied with pronounced volitional immaturity, in particular with such signs as suggestibility, a tendency to imitation. During puberty, the clinical picture of the studied adolescents revealed more clearly the qualitatively new pathological properties of the personality due to the development of excitable, unstable, less often labile and hysterical manifestations. In contrast to psychopathic behavior in sick children and adolescents, no correlation was found between the first signs of deviant behavior and cerebrastenic disorders. In all cases, behavioral disturbances are caused by unfavorable micro-social factors. Based on the follow-up data, the study has found that the studied group of sick children and adolescents is characterized by both favorable dynamics (22) and a negative outcome (20 patients). This suggests that the pubertal period is characterized by a polymorphism of behavioral disorders and is one of the decisive factors in the prognosis of the further development of the child.
The number of people who suffer from various types and forms of mental disorders is growing rapidly every day. The problem definition by the statistical methods only just outlines the quantitative relations between the numbers of registered mental illness cases and the overall number of people suffering from them. However, it doesn’t answer the main questions of the public safety and of the safety of the abovementioned persons as it fails to account for the exogenous factors of the manifestation of the genetically determined and inborn mental disorders that incapacity mostly the children population. In this regard, a necessary condition for public safety is a scientific solution to the problem of the securitylogical subjectivity of the person with mental and behavioral disorders. One of the main reasons for the heavy illnesses of the central nervous system (CNS) and psychic disorders is perinatal cerebrovascular lesions and hypoxic-ischemic cerebrovascular injuries. The problem is, on the one hand, a subject of interest for the psychological, medical and social sciences, and on the other opens the dimensions of both special and social correction. Psychic disorders resulting from the perinatal cerebrovascular lesions and their psychotherapeutic correction are discussed in this article. Clinical investigation of the perinatal cerebrovascular lesions has been conducted using radio diagnostics tools, the mental and behavioural disorders were studied, and the correction methods were presented.
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