Tharenko E. Psychological and social exclusion of patients with schizophrenia paranoia in terms of compulsory treatment and its psychological correction

Українська версія

Thesis for the degree of Candidate of Sciences (CSc)

State registration number

0414U001710

Applicant for

Specialization

  • 19.00.04 - Медична психологія

01-04-2014

Specialized Academic Board

Д 64.609.03

The Kharkiv Medical Academy of Postgraduate Education, Ministry of Health of Ukraine

Essay

As a result of the socio-demographic, clinical psychopathological and psycho-diagnostic survey of 118 patients (men) who were forced treatment with a diagnosis of paranoid schizophrenia F20.00 (42 people), F20.01 (35 people) and F20.02 (41 people) type of flow, established mutual clinical psychopathology, personal, interpersonal and environmental factors on the maladjustment of hospital patients with paranoid schizophrenia in forced treatment. Based on these results and a systematic approach to the study of the regularities of formation maladjustment hospital under compulsory treatment in patients with paranoid schizophrenia who developed a set of measures of its integrative psychosocial correction and prevention, assessed the effectiveness of its implementation. Defined clinical and psychopathological features of patients with paranoid schizophrenia affecting the onset and progression of maladjustment hospital under compulsory treatment. The features and behavioral dysfunction syndrome gospitalizma, as well as the interrelation between their severity and type of therapeutic environment for patients with paranoid schizophrenia who are in conditions of forced treatment. The role of the general hospital status of patients with paranoid schizophrenia in terms of their maladjustment hospital under compulsory treatment, justified its structure and describes possible impact on its development. Analyzed the phenomenon of hospital building, which according to the typology of the vector to the patient with paranoid schizophrenia in the context of hospital maladjustment in forced treatment, namely, destructive, mixed constructive. Identified and described three disadaptative level of functioning of the patient with paranoid schizophrenia in conditions of involuntary treatment , the necessity of evaluation in determining the scope and content of the measures of psychosocial maladjustment correction hospital schizophrenic patients under compulsory treatment. The principles, objectives and activities of the target correction psychosocial maladjustment hospital under compulsory treatment in patients with paranoid schizophrenia. Improved quality of diagnostics and psychocorrection psychoprophylaxis maladjustment hospital under compulsory treatment of patients with paranoid schizophrenia through the development and implementation of complex integrative measures of psychosocial maladjustment correction hospital patients. The factors that hinder the implementation of measures of psychosocial maladjustment correction hospital under compulsory treatment. Highlighted in the methods and techniques, as well as differentiated measures of psychosocial maladjustment correction hospital under compulsory treatment of patients with paranoid schizophrenia, general and specific, chosen considering disadaptative levels of functioning of the patient.

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