MODERN PSYCHOANTHROPOLOGICAL APPROACH IN THE STRUCTURE OF PSYCHIATRIC DIAGNOSIS, TREATMENT AND PSYCHOTHERAPY / СОВРЕМЕННЫЙ ПСИХОАНТРОПОЛОГИЧЕСКИЙ ПОДХОД В СТРУКТУРЕ ПСИХИАТРИЧЕСКОГО ДИАГНОЗА, ЛЕЧЕНИИ И ПСИХОТЕРАПИИ

Abstract

During the period from 1987 to 2021 in the former USSR (Kazakhstan, Russia) and Israel over 3500 people were examined, the first group consisted of males with substance abuse and alcohol abuse in their diagnoses, both with the main diagnosis and in combination with comorbid pathology (1027). The second mixed group, consisted of men and women with only psychiatric diagnoses (1657 and 989), with schizophrenic spectrum disorders dominating among the diagnoses -70.7%. According to the constitutional type of skeletal structure, in the first group among the patients, asthenics accounted for 37%, and in the second group - 58.7%. Thus, asthenics proved to be the most vulnerable group with respect to the development of psychopathology, yielding only slightly to normosthenics in the first group (41% and 37%). An individual, in extreme conditions, which include stressful situations, frustrating circumstances and the disease itself, usually demonstrates basic priority behavioral tactics for resolving an unfavorable situation. The method of psycho-constitutional psychotherapy is based on an understanding of three characteristic basic behavioral tactics: "Patience" is the typical "freeze" behavioral tactic for hypersthenics, in other words, "wait it out. "Avoidance" is the "flight" behavioral tactic typical of asthenics, i.e., actively move away from the frustrating object or situation; "Persistence" is the normosthenic "fight" behavioral tactic, i.e., the maximum use of one's own volitional qualities to overcome the frustrating situation. The patient's ability to change and model the choice of a behavioral tactic by himself or herself considerably raises not only self-esteem, but also amplifies the psychotherapeutic effect. Regarding clinical practice of pharmacological treatment of psychiatric and drug addiction problems, certain regularities between the choice of a drug, it's possible side effects and the psychoconstitutional structure of the patient's personality have been found.