The paper deals with the content of psychological counselling at clinic. It includes reasons of an insufficient demand for a clinical psychologist and his/her insufficient performance. Psychological counselling at clinic, unlike clinical and psychological interventions or psychotherapy, does not have an unambiguous definition and does not depend on regulatory documents. There are no specific indications and contraindications for psychological counselling, as well as application rates and standards. As a main direction of psychological counselling, the author does not only refer to coping in the social reality, but also to a patients adjustment to own personality and counselling to overcome a personality disorder caused by an illness. The new identity, albeit under new conditions changed by the illness, develops as far as the patient follows a trajectory of his/her life and achieves goals relevant for him/her based on significant values.
{"title":"Identity as a target of psychological counselling at clinic","authors":"S. Solovieva","doi":"10.17816/nb119900","DOIUrl":"https://doi.org/10.17816/nb119900","url":null,"abstract":"The paper deals with the content of psychological counselling at clinic. It includes reasons of an insufficient demand for a clinical psychologist and his/her insufficient performance. Psychological counselling at clinic, unlike clinical and psychological interventions or psychotherapy, does not have an unambiguous definition and does not depend on regulatory documents. There are no specific indications and contraindications for psychological counselling, as well as application rates and standards. As a main direction of psychological counselling, the author does not only refer to coping in the social reality, but also to a patients adjustment to own personality and counselling to overcome a personality disorder caused by an illness. The new identity, albeit under new conditions changed by the illness, develops as far as the patient follows a trajectory of his/her life and achieves goals relevant for him/her based on significant values.","PeriodicalId":436189,"journal":{"name":"Neurology Bulletin","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121731611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In the article the case of Yulia Savinovskikh from whose family two adoptive juvenile children who have lived within several years with trustees and their own children and received during this time the effective help in therapy of the chronic diseases have been withdrawn, is analyzed. The surgery fact (a bilateral mastectomy) for the purpose of the further sex change which was carried out in Yu. Savinovskikh after approval of her husband and relatives, has formed the basis for withdrawal of children. Justification of the judgment was the instruction on the fact that the transsexualizm belongs to the category of mental disorders in the presence of which the person cant adopt the child or accept him under guardianship. The described case has highlighted aspect, relevant for modern psychiatry, the actual legal equating of behavioural disorders and deviations, to mental with distribution of rights deprivation of such persons.
{"title":"About mother Yulia Savinovskikh, deprived of adopted children because of desire to change sex (tragic legal consequences of imperfections of psychiatric classifications)","authors":"V. Mendelevich","doi":"10.17816/nb119886","DOIUrl":"https://doi.org/10.17816/nb119886","url":null,"abstract":"In the article the case of Yulia Savinovskikh from whose family two adoptive juvenile children who have lived within several years with trustees and their own children and received during this time the effective help in therapy of the chronic diseases have been withdrawn, is analyzed. The surgery fact (a bilateral mastectomy) for the purpose of the further sex change which was carried out in Yu. Savinovskikh after approval of her husband and relatives, has formed the basis for withdrawal of children. Justification of the judgment was the instruction on the fact that the transsexualizm belongs to the category of mental disorders in the presence of which the person cant adopt the child or accept him under guardianship. The described case has highlighted aspect, relevant for modern psychiatry, the actual legal equating of behavioural disorders and deviations, to mental with distribution of rights deprivation of such persons.","PeriodicalId":436189,"journal":{"name":"Neurology Bulletin","volume":"134 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134174622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"125 years of the journal «Neurology Bulletin» named after V. М. Bekhterev","authors":"V. Mendelevich, M. F. Ismagilov","doi":"10.17816/nb119910","DOIUrl":"https://doi.org/10.17816/nb119910","url":null,"abstract":"","PeriodicalId":436189,"journal":{"name":"Neurology Bulletin","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114140261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yu A. Pichugina, Yu.U. Arapiev, O. Lopatina, A. Salmina, Harukhiro Higashida
Various approaches to diagnostics of autism spectrum disorders, based on identification of genetic, morphological, metabolic biomarkers, and also registration of peculiar features of character by means of scales and questionnaires have been analyzed.
{"title":"Possibilities’ analysis of modern methods in diagnostics of autism spectrum disorders","authors":"Yu A. Pichugina, Yu.U. Arapiev, O. Lopatina, A. Salmina, Harukhiro Higashida","doi":"10.17816/nb119897","DOIUrl":"https://doi.org/10.17816/nb119897","url":null,"abstract":"Various approaches to diagnostics of autism spectrum disorders, based on identification of genetic, morphological, metabolic biomarkers, and also registration of peculiar features of character by means of scales and questionnaires have been analyzed.","PeriodicalId":436189,"journal":{"name":"Neurology Bulletin","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131698950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Ovchinnikov, A. Sultanova, E. Borodina, Vera V. Zelenskaia, T. Sycheva
The problem of identifying suicide risk in adolescents, especially among high-risk subgroups, requires a multifactor analysis not only of etiological factors, but also individual psychological characteristics of suicides, which could help significantly in predicting risk. The purpose of this work was to study the protective-coping strategies of adolescents prone to suicidal behavior and to analyze the effect of the level of viability on the dominance of certain protections and copings. It has been revealed that adolescents with high suicide risk are more likely to use the defense mechanisms regression, projection, and substitution, as well as coping escape-avoidance. A low level of viability increases the frequency of manifestation of coping distancing. The use of avoidance strategies for adolescents with high suicide risk can be seen as an attempt to improve emotional regulation.
{"title":"Strategies of overcoming and the level of viability at adolescents’ suicide behavior","authors":"A. Ovchinnikov, A. Sultanova, E. Borodina, Vera V. Zelenskaia, T. Sycheva","doi":"10.17816/nb119891","DOIUrl":"https://doi.org/10.17816/nb119891","url":null,"abstract":"The problem of identifying suicide risk in adolescents, especially among high-risk subgroups, requires a multifactor analysis not only of etiological factors, but also individual psychological characteristics of suicides, which could help significantly in predicting risk. The purpose of this work was to study the protective-coping strategies of adolescents prone to suicidal behavior and to analyze the effect of the level of viability on the dominance of certain protections and copings. It has been revealed that adolescents with high suicide risk are more likely to use the defense mechanisms regression, projection, and substitution, as well as coping escape-avoidance. A low level of viability increases the frequency of manifestation of coping distancing. The use of avoidance strategies for adolescents with high suicide risk can be seen as an attempt to improve emotional regulation.","PeriodicalId":436189,"journal":{"name":"Neurology Bulletin","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114241962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pharmacotherapy of depression based on a monoaminergic model in many cases is not enough effective. In this regard the ketamine treatment results of pharmacoresistant depression by subanaesthetic doses, including the patients with double diagnosis, are of interest. Method: in an open label naturalistic non-randomized trial, 12 patients with non-psychotic treatment-resistant depression (10 of whom had concomitant addictive disorder), 6 sessions of ketamine therapy (0.5 - 0.75 mg/kg intravenously) were undertaken. Clinical and psychometric (Beck scale, visual analogue scale and scale of general clinical impression) assessment were used. Statistical processing - general linear model and nonparametric criterion. Results: the effectiveness of therapy was noted in 11 of 12 respondents, and in 7 ones the improvement was qualified as significant. The total scores of the scales applied corresponded to 50% reduction of depressive symptoms (p0.05). Conclusions: ketamine proved to be an effective and safe method of the fast achieving therapeutic effect in patients with therapeutically-resistant depression. However insufficiently representative sample, the lack of a control group and the mechanism of randomization and the open nature of the study limit the wide extrapolation of the results.
{"title":"Ketamin in therapy of pharmacoresistent depressions in patients with double diagnosis (naturalistic study)","authors":"M. Zobin","doi":"10.17816/nb119888","DOIUrl":"https://doi.org/10.17816/nb119888","url":null,"abstract":"Pharmacotherapy of depression based on a monoaminergic model in many cases is not enough effective. In this regard the ketamine treatment results of pharmacoresistant depression by subanaesthetic doses, including the patients with double diagnosis, are of interest. Method: in an open label naturalistic non-randomized trial, 12 patients with non-psychotic treatment-resistant depression (10 of whom had concomitant addictive disorder), 6 sessions of ketamine therapy (0.5 - 0.75 mg/kg intravenously) were undertaken. Clinical and psychometric (Beck scale, visual analogue scale and scale of general clinical impression) assessment were used. Statistical processing - general linear model and nonparametric criterion. Results: the effectiveness of therapy was noted in 11 of 12 respondents, and in 7 ones the improvement was qualified as significant. The total scores of the scales applied corresponded to 50% reduction of depressive symptoms (p0.05). Conclusions: ketamine proved to be an effective and safe method of the fast achieving therapeutic effect in patients with therapeutically-resistant depression. However insufficiently representative sample, the lack of a control group and the mechanism of randomization and the open nature of the study limit the wide extrapolation of the results.","PeriodicalId":436189,"journal":{"name":"Neurology Bulletin","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115400005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. K. Gimajev, M. V. Кrestjaninov, V. Lankov, K. Zakuraeva, E. M. Dudikov, V. V. Маshin
{"title":"Peculiarities of morphofunctional parameters of the heart in patients with acute ischemic stroke of different localization","authors":"R. K. Gimajev, M. V. Кrestjaninov, V. Lankov, K. Zakuraeva, E. M. Dudikov, V. V. Маshin","doi":"10.17816/nb119904","DOIUrl":"https://doi.org/10.17816/nb119904","url":null,"abstract":"","PeriodicalId":436189,"journal":{"name":"Neurology Bulletin","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128769788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A clinical example of the syndrome «dysarthria-an awkward arm» in patients with lacunar ischemia focus in the basal nuclei","authors":"T. N. Semenova","doi":"10.17816/nb119906","DOIUrl":"https://doi.org/10.17816/nb119906","url":null,"abstract":"","PeriodicalId":436189,"journal":{"name":"Neurology Bulletin","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127785647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Floods and other natural disasters play a significant role in worsening the mental health of the affected population, which determines the need for timely and effective medical and psychological assistance in the disaster zone. The most common type of mental disorders due to flooding is post-traumatic stress disorder (PTSD); in addition, floods are also associated with depression, anxiety, sleep disorders and other psychopathological conditions. Assistance to victims is carried out in two directions: strengthening of psychosocial support in the usual (primarily family) environment and medical and psychological support of specialized specialists.
{"title":"Mental disorders associated with flooding","authors":"Dmitry I. Kalashnikov, A. Portnova, S. Shport","doi":"10.17816/nb119899","DOIUrl":"https://doi.org/10.17816/nb119899","url":null,"abstract":"Floods and other natural disasters play a significant role in worsening the mental health of the affected population, which determines the need for timely and effective medical and psychological assistance in the disaster zone. The most common type of mental disorders due to flooding is post-traumatic stress disorder (PTSD); in addition, floods are also associated with depression, anxiety, sleep disorders and other psychopathological conditions. Assistance to victims is carried out in two directions: strengthening of psychosocial support in the usual (primarily family) environment and medical and psychological support of specialized specialists.","PeriodicalId":436189,"journal":{"name":"Neurology Bulletin","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129520010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. A. Yakovlev, M. Yakovleva, A. G. Smochilin, A. S. Lelekin
{"title":"Neurorehabilitation in paraproteinemic polyneuropathy","authors":"A. A. Yakovlev, M. Yakovleva, A. G. Smochilin, A. S. Lelekin","doi":"10.17816/nb119907","DOIUrl":"https://doi.org/10.17816/nb119907","url":null,"abstract":"","PeriodicalId":436189,"journal":{"name":"Neurology Bulletin","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130802480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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