Dominant social frustrating factors and mechanisms of psychological adaptation among women with prolonged paranoid schizophrenia

2011 ◽  
Vol 26 (S2) ◽  
pp. 1489-1489
Author(s):  
P. Bomov ◽  
S. Reyblat

Given the dominance now in medical science biopsychosocial paradigm of mental disorder becomes relevant to study the social and frustrating factors and psychological defense mechanisms in patients with schizophrenia, particularly in patients with a prolonged course of disease. To study this question have been examined 11 patients with paranoid schizophrenia, a female, being hospitalized, aged 33–59 years with disease duration more than 5 years. Used clinical-psychopathological method objectification of clinical self-report scale (SCL - 90 - R), experimental psychology (questionnaireindex of life style). According to the questionnaire SCL - 90 - R obtained rather higher values on the scales: somatization (2.16), obsessive-compulsive (3.70), interpersonal anxiety (2.41), phobias (4,0), psychotism (2.3), which indicates a bright psychopathology in the current status. In these patients revealed the following psychological defense mechanisms: regression, denial, repression, displacement, which largely prevented adequate social and occupational adaptation of patients. The obtained results reflect the syndromic profile of the examined patients, as well as leading mechanisms of their psychological adaptation, which subsequently will provide an opportunity to more adequately use the methods of pharmacotherapy and psihorehabilitation activities in both inpatient and outpatient in this group of patients.

Author(s):  
A. V. Stepanova

The purpose of this research was the comparing of psychological adaptation characteristics (type of attitude to a disease, psychological defense mechanisms, special aspects of coping-strategy) as exemplified by 2 groups of schizophrenia disorder patients: 1) schizotypal disorders (F-21 according to ICD-10); 2) paranoid schizophrenia (F-20 according to ICD-10). The authors arrived at the conclusion of the same nature if special aspects of psychological adaptation in the groups compared. At the same time, both groups compared showed imbalance of «the level of success» between individual characteristics constituting the module of psychological adaptation. This circumstance testifies to the fact that psychological adaptation in the patients with schizophrenic disorders should be evaluated on a case- bycase basis. In conclusion, the study revealed the necessity to take into consideration of these characteristics during rehabilitation of these patients.


2020 ◽  
Vol 20 (7) ◽  
pp. 540-553 ◽  
Author(s):  
Anna Todeva-Radneva ◽  
Rositsa Paunova ◽  
Sevdalina Kandilarova ◽  
Drozdstoy St. Stoyanov

: Psychiatric diagnosis has long been perceived as more of an art than a science since its foundations lie within the observation, and the self-report of the patients themselves and objective diagnostic biomarkers are lacking. Furthermore, the diagnostic tools in use not only stray away from the conventional medical framework but also remain invalidated with evidence-based concepts. However, neuroscience, as a source of valid objective knowledge has initiated the process of a paradigm shift underlined by the main concept of psychiatric disorders being “brain disorders”. It is also a bridge closing the explanatory gap among the different fields of medicine via the translation of the knowledge within a multidisciplinary framework. : The contemporary neuroimaging methods, such as fMRI provide researchers with an entirely new set of tools to reform the current status quo by creating an opportunity to define and validate objective biomarkers that can be translated into clinical practice. Combining multiple neuroimaging techniques with the knowledge of the role of genetic factors, neurochemical imbalance and neuroinflammatory processes in the etiopathophysiology of psychiatric disorders is a step towards a comprehensive biological explanation of psychiatric disorders and a final differentiation of psychiatry as a well-founded medical science. : In addition, the neuroscientific knowledge gained thus far suggests a necessity for directional change to exploring multidisciplinary concepts, such as multiple causality and dimensionality of psychiatric symptoms and disorders. A concomitant viewpoint transition of the notion of validity in psychiatry with a focus on an integrative validatory approach may facilitate the building of a collaborative bridge above the wall existing between the scientific fields analyzing the mind and those studying the brain.


Author(s):  
P.N. Ermakov ◽  
E.E. Belousova

During adolescence, at the stage of formation of personal structures, young people spend a significant part of their time on the Internet, especially in social networks. It is there that communication is realized, interest groups are formed, values are broadcast and undergo changes. Thus, the question of ways to protect against heterogeneous content on the web with the support of the individual on his own meanings becomes relevant. A study of psychological defense mechanisms was conducted in 85 boys and girls aged 18-24 years (30.6 % women, Me=22.5; 69.4 % men, Me=21.5) - users of social networks with different levels of meaningfulness of life. The Plutchik-Kellerman-Conte test questionnaire was used to diagnose the mechanisms of psychological defense, the test of life orientations by D.A. Leontiev was used as well. According to the results of the application of the Pearson χCriterion, it was found that with an increase in the level of meaningfulness of life, the arsenal of psychological defense mechanisms of the individual increases and their severity noticeably increases. Respondents with a high level of meaningfulness are dominated by Rationalization, Hypercompensation, Projection; with an average level of meaningfulness - Displacement, Regression, Compensation; with a low level of meaningfulness - Regression, Denial, Rationalization. Using the Spearman correlation analysis, it was revealed that with an increase in the meaningfulness of life, the actualization of psychological defenses "Substitution" (transfer of reaction from one object to another) and "Regression" (return to earlier behaviors) decreases, the overall intensity of defenses decreases.


2021 ◽  
Vol 9 (3) ◽  
pp. 195-203
Author(s):  
Simona Trifu ◽  
Beligeanu Mihaela ◽  
Iacob Beatrice Ștefana ◽  
Larimian Ștefania Parisa

Motivation/Background: In this paper we aimed at clinically analyzing a patient diagnosed with paranoid schizophrenia, who also displays features specific to multiple personality disorders, in the context of a presentation whose key topic is sexuality. Given the global prevalence and the severity of schizophrenia, it is increasingly important to appropriately adapt and identify the patients' clinical and non-clinical personality profile. This paper also aims at making the profile of a patient diagnosed with axis I disorder ever since the age of 19, who also has got traits specific to certain personality disorders. At the same time, the work provides an interpretation of the behaviour from the psycho-dynamic point of view. Method: The following instruments were used for performing the analysis: a clinical interview, heteroanamnesis, psychological tests, clinical course monitoring, psychodynamic interpretations, defence mechanisms identification, psychiatric observation and treatment. Results: Based on the materials aforementioned, it has been established a possible diagnosis which includes multiple disorders: Antisocial Personality Disorder, Histrionic Personality Disorder, Schizotypal Personality Disorder, Obsessive Compulsive Personality Disorder, Cotard Syndrome, Kandinsky-Clérambault Syndrome. and there were identified defense mechanisms and coping strategies, under the influence of sexuality and sadomasochistic impulses. Conclusions: It is highlighted the clinical picture of a patient with paranoid schizophrenia, who presents symptoms for differential diagnoses, with disorganized discourse focused on sexuality, with delusional ideation, psychotic manifestation, but also with high suggestibility, especially on the paternal line


Author(s):  
Ekaterina Popinako ◽  
Kirill Zlokazov ◽  
Valeriy Sitnikov

The article studies police officers' perceptions of other people, analyzes the change in these perceptions during adaptation to service during on the period of training for the profession of "Policeman". The article described the influence of perceptions of social space on adaptation in officers first hired into the internal affairs service. In addition, the influence of this perception on the prospects of service in the police was studied. The method of collecting information was a standardized self-report, studying the qualities and properties of the representation of the social space. The study involved 219 police officers. As a result, it was found that at the beginning of professional training employees who plan to continue their service in police are characterized by a wider range of social interaction, which remains throughout the training. These employees feel support from different social groups. Employees who are not motivated to continue their professional activities in police have no changes in the representation of the properties of social interaction, but by the end of training there is an increase in the quality of interaction, consisting in the manifestation of a more responsible attitude to the close social environment. These employees perceive the social space as impeding and hindering further professional development. The analysis of qualities and properties of employees' social space in the future can contribute to the improvement of psychological work on adaptation of employees to the conditions of educational and service activity during the period of professional training.


2014 ◽  
Vol 28 (4) ◽  
pp. 264-273 ◽  
Author(s):  
Kiara R. Timpano ◽  
Demet Çek ◽  
Liza M. Rubenstein ◽  
Dennis Murphy ◽  
Norman B. Schmidt

Loneliness, or perceived social isolation, is associated with a range of adverse physical and emotional outcomes. In particular, feeling lonely has been linked with anxiety, anger, stress, and depressive symptoms. Although loneliness has been extensively investigated with respect to depression and social anxiety, few studies have considered the relationship between loneliness and obsessive-compulsive symptoms (OCS). Loneliness may be particularly relevant to OCS given the social stigma associated with obsessions and compulsions along with high comorbidity between OCS and depression. The overarching aim of this investigation was to examine the relationship between OCS and loneliness in a young adult sample (N = 395) recruited from a large university. Participants completed self-report measures of OCS, loneliness, depression, and social anxiety. Higher levels of OCS were associated with greater perceived loneliness, and this relationship remained significant despite controlling for depression and social anxiety. OCS had a significant association with the isolation facet of loneliness, and loneliness in turn was uniquely associated with obsessions and checking symptoms. Gender differences were examined, which indicated that females with high OCS endorsed the greatest levels of loneliness. Implications for clinical research and treatment are discussed.


2012 ◽  
Vol 28 (1) ◽  
pp. 51-59 ◽  
Author(s):  
Anna Ogliari ◽  
Simona Scaini ◽  
Michael J. Kofler ◽  
Valentina Lampis ◽  
Annalisa Zanoni ◽  
...  

Reliable and valid self-report questionnaires could be useful as initial screening instruments for social phobia in both clinical settings and general populations. The present study investigates the factor structure and psychometric properties of the Social Phobia and Anxiety Inventory for Children (SPAI-C) in a sample of 228 children from the Italian general population aged 8 to 11. The children were asked to complete the Italian version of the SPAI-C and the Screen for Child Anxiety Related Emotional Disorders (SCARED) questionnaire. Confirmatory factor analyses revealed that social phobia can be conceptualized as a unitary construct consisting of five distinct but interrelated symptom clusters named Assertiveness, General Conversation, Physical/Cognitive Symptoms, Avoidance, and Public Performance. Internal consistency of the SPAI-C total scores and two subscales was good; correlations between SPAI-C total scores and SCARED total scores/subscales ranged from moderate to high (Generalized Anxiety Disorder, for social phobia), with the SCARED Social Phobia subscale as the best predictor of SPAI-C total scores. The results indicate that the SPAI-C is a reliable and sensitive instrument suitable for identifying Social Phobia in the young Italian general population.


2017 ◽  
Vol 33 (2) ◽  
pp. 97-103 ◽  
Author(s):  
Tíscar Rodríguez-Jiménez ◽  
Antonio Godoy ◽  
José A. Piqueras ◽  
Aurora Gavino ◽  
Agustín E. Martínez-González ◽  
...  

Abstract. Evidence-based assessment is necessary as a first step for developing psychopathological studies and assessing the effectiveness of empirically validated treatments. There are several measures of obsessive-compulsive disorder (OCD) and/or symptomatology in children and adolescents, but all of them present some limitations. The Obsessive-Compulsive Inventory-Revised (OCI-R) by Foa and her colleagues has showed to be a good self-report measure to capture the dimensionality of OCD in adults and adolescents. The child version of the OCI (OCI-CV) was validated for clinical children and adolescents in 2010, showing excellent psychometric properties. The objective of this study was to examine the factor structure and invariance of the OCI-CV in the general population. Results showed a six-factor structure with one second-order factor, good consistency values, and invariance across region, age, and sex. The OCI-CV is an excellent inventory for assessing the dimensions of OCD symptomatology in general populations of children and adolescents. The invariance across sex and age warrants its utilization for research purposes.


Author(s):  
Hossein Aliakbari Harehdasht ◽  
Zahra Ekbatäni

In The Sense of an Ending, Julian Barnes portrays the mysterious workings of the human mind as it distorts facts towards the end of a self-image that one can live with. The protagonist in the novel deploys certain psychological defense mechanisms in order to protect himself from feelings of anxiety, only to experience even more profound anxiety due to his excessive use of them. The significance of the present paper lies in its novel view of the book. So far, the critique on the novel has mainly been focused on the workings of time on memory; however, the present paper investigates how psychological defense mechanisms blur the protagonist’s perception of reality and distort his memories. This paper also attempts to attract scholarly interest in the study of psychological defense mechanisms in the study of The Sense of an Ending which has so far been to the best of our knowledge overlooked


Author(s):  
Alexander Granitsa

The aim of the study was to form the model of correlation between intuitiveness and anticipatory consistency in case of neurotic and somatoform disorders. The study included 197 patients with neurotic and somatoform disorders and 66 healthy people. We found a lower level of intuitiveness and anticipatory consistency in patients with neurotic disorders than in healthy people. Correlation and cluster analyses have shown that anticipatory inconsistency and a reduced intuitiveness play a significant role in the mechanisms of neurosis development. Intuitiveness in neurotic and somatoform disorders is the link between anticipatory consistency and psychological defense mechanisms in the general system of coping with stress.


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