Abstracts of №2, 2016
ERROR ANALYSIS AS THE NECESSARY LINE OF RESEARCH IN PSYCHIATRY
Definition of an essence of professionalism by W. Heisenberg as not greatest knowledge, but knowledge of standard mistakes in the profession makes this subject one of the central. The relation to the errors among the Russian psychiatrists since the end of the 19th century has revolutionized. Among fundamental errors – lack of clear definition concerning theoretical and philosophical fundamentals of psychiatry and even history of domestic psychiatry of the second half of the XX century that interferes with adequate orientation.
The crucial role of the critical trend in science which has exceled in principle of Popper’s falsifiability is shown. Reorientation from verification of the hypotheses to their criticism allows to minimize various forms of unfairness in science. G. N. Shumsky’s monograph "Diagnostic errors in forensic-psychiatric practice" on materials of archive of the Serbsky Center for 1962-1983, published in 1997 is provided as a striking example, and the attitude of the Serbsky Center towards it is also shown.
Keywords: systematic errors, a typology of errors, falsifiability, unfairness in science.
Patient’s right to obtain extract from a medical record through the representative
The analysis of provisions of the basic law on health protection and the industry law on mental health services in part of regulation of a question of the patient’s right to receive the extract from a medical record through the representative is given. The legal line of the Constitutional Court of the Russian Federation and regulation of international legal acts are given. Court practice is analyzed. Some uncertainty in regulation of the issue is underlined. Conditions of legitimacy of issue of the extract to the patient’s representative are formulated.
Keywords: right of the patient for obtaining information on a state of health; representation of citizens when rendering mental health services
Clinical and psychotherapeutic understanding of the phenomenon of suffering
The article attempts to reveal the contents of the phenomenon of suffering not only from the traditional metaphysical and spiritual-moral, but also with clinical-psychological and pathopsihological positions, determine its value for generating quality of psychotherapeutic relations and build an optimal psychological models, taking into account its multilevel structure.
Keywords: suffering, existential, psychotherapy, hermeneutics, coping strategies, cognition.
SHORT-TERM multinmodal Appoach in PSYCHOTHERAPY OF NON-PSYCHOTIC DEPRESSIVE SPECTRUM DISORDERS
S.A. Igumnov, V.A. Zhebentyaev (Belarus)
The aim of this investigation was to study the effectiveness of a combination of differentiated short-term psychotherapy and pharmacotherapy with antidepressants, compared with a combination of cognitive therapy and pharmacotherapy with antidepressants. The study was implemented in a clinical randomized clinical trial. The study included 119 patients with primary non-psychotic disorders of depressive spectrum. Experimental group consisted of 44 patients whose treatment is differentiated short-term psychotherapy, developed on the basis of the received data, in combination with standard pharmacotherapy. Comparison group comprised 35 patients whose treatment consisted of cognitive therapy in combination with standard pharmacotherapy. Control group consisted of 40 persons of the same age group, gender and social-economic status without mental and behavioral disorders. To develop differentiated therapy selected by the following methods: multimodal psychotherapy, cognitive therapy, existential psychotherapy, interpersonal psychotherapy, psychodynamic psychotherapy. Appointment of antidepressants and anxiolytic drugs in the experimental group and comparison group was conducted in accordance with the investigation of the case-control. Catamnestic study has shown, that in the experienced group steadier parameters symptomatic improvement, social functioning and use of received psychotherapeutic experience in life are observed compare to the standard cognitive psychotherapy and pharmacotherapy.
Keywords: differentiated short-term multimodal psychotherapy, cognitive psychotherapy, nonpsychotic depressive disorders
Toward the investigation of philological analogies for clinical psychiatry
Josef Zislin (Jerusalem)
The parameters of modern critical situation in theoretical psychiatry were examined in article. According our opinion, delinking between clinical and humanitarian knowledge is a one of core stones of the present situation in psychiatry. The archeological (typology vs classification), linguistic (semantics, pragmatics) and folkloristic (structural analysis of tales and plot analysis) analogies are presented. These Methodological analogies are used to better understanding and description of phenomenological approach in clinical situation.
Keywords: phenomenology, delusions, classification, topology, semantics, poetics.
The 24th European congress on psychiatry, Madrid, March 12-15, 2016.
The review reflects content of some reports of the 24th Congress of the European Psychiatric Association (EPA) which passed in Madrid in March, 2016.
Keywords: European psychiatry, double diagnosis, concept of decrease in harm, Nalmefene, human rights.