The research and theoretical generalizations give a new scientific problem solving urgent development measures in psychotherapeutic treatment of patients with paranoid schizophrenia (PSH) based on the study of their clinical and psychopathological characteristics and laws of psychosocial functioning. Based on the study 156 men with paranoid schizophrenia and members of their families, found that the correlation of clinical and social indicators of PSH leads to three types of social and family functioning: destructive (emotionally alienated) from the poor psychological capacity (50,6%), constructive (harmonic) potential with sufficient psychological (12,2%) and mixed (stress-dissociative), an average of psychotherapeutic potential (37,6%). Separate level of psychosocial adaptation of the patient in the family: the first patient defaulter family member, functioning separately (49,4%), the second patients found violations in the field of motivation and deviation in personality and social activity (28,8%), the third in patients with saved enough intellectual and cognitive area marked by severe problems in communication, enthusiasm and interest (21,8%). Identified three levels of family's patients functioning: 1 - light violation functioning (family disadaptive reaction manifested by anxiety, dissatisfaction, opposition from family socialization attempts by the patient), 21,2%; 2 - a disorder in family members between different generations (destructive behavior "key figures" of emotional alienation relations and overpriced or low expectations from the patient's family, 28,2%; 3 - deep violation of family dynamics (relationships between family members is not only developing countries and have a destructive effect on the overall "psychological comfort" family), 50,6%. Based on the results of scientifically based and implemented in a comprehensive psychotherapeutic treatment measures designed taking into account the social and family functioning of patients with PSH, which include the use psychoeducation behavioral and family influences, the introduction of which made possible to optimize the ability of patients and their families maintain a high level of commitment to treatment.
