The structure of “internal conflict” and “internal vacuum” as a result of dissociation between the choice of values and their availability in women with depression of different origin and different severity of macro-, meso- and micro-maladjustment

Abstract

Annotation. The aim is to study the features of the structure of “internal conflict” and “internal vacuum” as a result of the dissociation between the choice of vital values and their availability in women with depression of different genesis and different severity of macro-, meso- and microsocial maladaptation, further targeted targets of personalized treatment and rehabilitation. The study included 94 individuals with a depressive disorder of psychogenic origin (prolonged depressive response due to an adaptation disorder), 83 women with endogenous depression (depressive episode; recurrently depressive disorder; bipolar affective disorder, current episode of depression), and 75 depressed of depression (organic affective disorders). The study was conducted using clinical psychopathological and psychodiagnostic methods. 48 women had no signs of psychosocial maladaptation, while the other 204 showed manifestations of macro-, meso-, and microsocial maladaptation of different severity. The study was conducted using clinical psychopathological and psychodiagnostic methods. The technique of studying the value orientations in the modification of O.B. Fantalova was used. The fountain. Statistical and mathematical analysis included the formation of descriptive statistics and the analysis of differences using nonparametric methods. The study revealed important patterns of transformation of the value-motivational sphere of women suffering from depressive disorders, depending on the severity of macro-, meso- and micro-social maladaptation, namely, an increase in the absolute dissociation rate as the signs of maladaptation increase in all spheres, spheres of health, active life, materially secured life, freedom as independence in actions and actions and creativity. The greatest dissociation by type of internal conflict (valuable but inaccessible) was found in the spheres of health, happy family life and material life. The greatest dissociation by type of internal vacuum (accessible but not valuable) is found in the fields of beauty of nature and art, cognition and creativity. The data obtained should be taken into account when developing treatment and rehabilitation measures for a given contingent of patients.