Theoretical, socio-demographic, anamnestic, psychodiagnostic, psychophenomenological and statistical methods were used. Additional measures were: Toronto Alexithymia Scale (TAS-26), Life experience questionnaire, Buss-Durkee Hostility Inventory, Schmieschek Questionnaire, Victim Behaviour Scale, Chaban quality of life scale. Based on obtained data, a new solution of a relevant medical psychology task is proposed – based on the analysis of pathological personality traits, clinical-psychological and socio-demographic characteristics of persons with ASW comorbid with neurotic disorders or non-pathological behavioural transformation, the diagnostic criteria of the phenomenon and differentiation of its primary and secondary forms were determined, its clinical and psychological structure taking into account psycho-traumatic life events, self-destructive and victim behaviour were differentiated, the model of ASW development was improved, a program of medical and psychological correction of social withdrawal was developed.
Patients with primary ASW had increased levels of alexithymia, impulsivity, number of early childhood psychological trauma in anamnesis, victim aggressive behaviour and. Patients with secondary ASW were characterised with increased levels of dysthymia, anxiety, excitability, self-aggression and hetero-aggression, self-destructive, dependent, helpless victim behaviour. In this group, aggressiveness is manifested as a personality trait. The model of ASW psychosocial development was improved, it takes into account the influence of life traumatic events on the occurrence of self-destructive and victim behaviour. Program of medical and psychological correction of ASW with regard to primary and secondary form differences was developed. For the secondary ASW, medical (stabilization of the mental state), psycho-correctional (treatment of the victim experience, correction of trained helplessness) and rehabilitation interventions (reintegration into society) were recommended. For primary ASW psycho-correctional (treatment of early childhood traumas) and rehabilitation interventions were recommended. It is shown, that the program of medical and psychological correction proposed in the thesis leads to a decrease of the hostility index, aggressiveness index, alexithymia levels and increase the quality of life in patients with ASW.
