АКТУАЛЬНЫЕ ПРОБЛЕМЫ МЕДИЦИНСКОЙ ПСИХОЛОГИИ
Communicative competence is an important component of a doctor’s professional activity, the formation of which begins during training. The purpose of the study is to identify the relationship between the emotional and personal characteristics of medical school students and the communicative competence of the future doctor. In the process of work, the following methods were used: a method for studying the level of professional communicative competence of a doctor (PKKV) by N. V. Yakovleva, a method for diagnosing the level of empathic abilities by V. V. Boyko, a method for diagnosing communicative tolerance by V. V. Boyko, a method for diagnosing communicative control M. Schneider. Statistical analysis of the data revealed a positive correlation between such components of the doctor’s communicative competence as general communication skills, general communicative ideals, professional communication skills, with empathy and communicative control. Thus, the study revealed the relationship between empathy and communicative control and the communicative competence of the future doctor.
МЕДИЦИНСКАЯ ПСИХОЛОГИЯ В СОМАТИЧЕСКОЙ КЛИНИКЕ
The presence of type 1 diabetes mellitus (T1DM) and a history of acute hypoglycemia is often accompanied by the emergence of a fear of a corresponding condition in the future, in parallel leading to a bias in self-control of eating behavior in favor of sometimes excessive intake of carbohydrate-containing foods, which leads to distant, but poorly understood at the moment adverse consequences. It is assumed that inadequacy in assessing the prospects for deterioration in health can be determined by a complex of personal characteristics that maladaptively enhance such a phenomenon.
The purpose of the article is to clarify the role of psychological qualities in the formation of fear of hypoglycemia.
Research methods: Spielberger – Khanin scale for assessing the level of personal and situational anxiety, five-factor personality questionnaire (version 5FPQ Heijiro Tsuji adapted by A. B. Khromov, "Type of attitude towards illness" (TOBOL) technique, subjective control level questionnaire (USC), technique Hypoglycemia Fear Scale (HFS-II).
Results: high values of fear of hypoglycemia are observed with increased indicators of extraversion, affection, self-control, expressiveness and neuroticism. This is also facilitated by hypochondriacal and anxious types of attitudes towards whiteness. A tendency towards isolation, focus on one’s interests, individualism, independence, low emotionality and reduced empathy are characteristic of lower values of fear of hypoglycemia. Preventive forms of behavior are more typical for patients with a realistic assessment of events.
ПАТО- И НЕЙРОПСИХОЛОГИЯ
The article shows that the olfactory system is a warning system for detecting potentially harmful substances, situations, and context and is closely related to the attachment system in humans, changes in the olfactory system are considered as a neurocognitive marker of mental distress in depression, anxiety spectrum disorders, bipolar disorder, neurodegenerative disorders, schizophrenic spectrum disorders. Specific changes are observed in various components of the sense of smell, such as perception, identification and differentiation, memory for odors, as well as in the definition of hedonic valence. Depressive symptoms are noticeably prevalent in patients with loss of sense of smell due to inflammatory diseases of the upper respiratory tract, such as chronic rhinosinusitis and acute rhinosinusitis of viral origin. Based on the analyzed patient complaints, a preliminary classification of the spectrum of olfactory dysfunction is presented. Upon careful analysis of complaints from patients with olfactory dysfunction, excessive perception of odors bears some resemblance to social phobia, since it is characterized by a certain cognitive behavioral pattern, fears and attempts to avoid and reinsure oneself. He also has some overlapping symptoms with dysmorphophobia, obsessive-compulsive disorder and health anxiety. The specifics of neuropsychological examination of this group of patients and the tactics of cognitive behavioral therapy are presented.
МЕДИЦИНСКАЯ ПСИХОЛОГИЯ В НАРКОЛОГИИ
This article considers the use of technology of reverse biological communication (BOS) in a narcological hospital, to correct the level of anxiety in patients with a vabstevent and post-stisted state. The methodology for applying BOS is described, and an assessment of effectiveness is given using a comparative analysis of empirical data.
СОЦИАЛЬНАЯ МЕДИЦИНСКАЯ ПСИХОЛОГИЯ
The issues of formation, manifestations and disorders of instincts in childhood and adolescence are considered. It is shown that one of the leading causes of pathological manifestations of drives at the present stage is anomie. The most adequate definitions of drives, needs, instincts, and behavior are given in relation to the realities of today. Using the example of the drive for self-preservation, the manifestations of pathological drive are considered, the concept of addictions is revealed. It has been shown that the formation of aggressive and autoaggressive reactions in children and adolescents contributes to the development of addictive disorders, leads to an increase in the number of suicides of young people. Official data on the prevalence of suicidal behavior among children and adolescents are provided. Various variants of auto- and heteroaggressive disorders are distinguished: self-harming behavior, suicidal intentions, suicides, bullying, etc.
The article shows the influence of acute and chronic traumatic factors in childhood on the occurrence of bullying, victimization, and deviant behavior in adolescents. A review of scientific works on the causes of armed attacks in educational institutions and what security measures and methods are used at the school level is analyzed. An analysis of the causes and characteristics of cases of attacks on students and teachers in educational institutions in the USA and Russia is given. The main factors that play a role in the preparation of attacks and the implementation of the acts of aggression themselves are indicated. From the point of view of psychology and pedagogy, the personality traits of the attackers and the role of mental disorders in the formation of aggressive behavior and planned acts of aggression are described. It is proposed to unite the efforts of specialists from different fields in order to track information and take preventive measures to prevent armed attacks in educational institutions.