WHERE PSYCHIATRY MOVES TO?

Yu.S.Savenko

The prognosis of Max Weber about steadfast mounting formalization and bureaucratization has proved to be correct in psychiatry too even in its classification. Revealing is the trend of ICD in the direction of simplification and pragmatic approach and in clinical practice to standartization.

In Russia reducing of financing and departure from the social model of health care service have led to such criteria of estimation of doctors and scientific workers work which results in compulsion to careless work.

The stylistics of police psychiatry and law enforcement agencies becomes more evident, boorishness of power increases up to level of practical psychiatrists, which promises a tectonic dislocation in the base of public organism itself.

Key words: tendencies of development of Russian psychiatry, police psychiatry

ABOUT SOME OF THE ORIGINAL ORGANIZATIONAL APPROACHES TO THE TREATMENT OF ADDICTIONS IN RUSSIAN NARCOLOGY. OUTSIDE POINT OF VIEW

F.B.Plotkin  (Minsk, Belarus)

The content of the article "Starting with hedonism and anomie, passing through alcohol and drugs, ending at ecstatic pseudo-Christian religious groups: sobriety at any price?" of  N. Kaklyugin, which was published in 4 issues of the "Narcology» journal (No. 2, 3, 5, 6; 2015), has been analyzed in details. The attention is drawn to the predominance of a religious subject-matter in the form of the discussion of inter- and intra-confessional problems, that is far from the profile of the journal. The article indicates a paradoxical situation in Russian narcology, when instead of prevention of the use of psychoactive substances; the emphasis is made on the rehabilitation of the individuals who have become addicted to drugs.

It is stated that it is planned to spend the significant financial funds, which are allocated by the Government of the Russian Federation for the rehabilitation, not on the development of the existing state structures, comprising trained professionals, but for the support of non-governmental rehabilitation centers, mostly with religious orientation. The attention is drawn to the competitive struggle arisen among them, which is not always fair, for the alleged receipt of material resources. The attention is given to a strange decision to entrust police department with the management of rehabilitation of drug addicts. It is stressed a uniqueness of the situation, when senior government executive and legislative structures instead of the relevant ministry are involved in the solution to a highly specialized medical problem. The article contains an appeal for the staff of the "Narcology" journal to focus on the discussion of the narcological problems with the respective specialization of the journal.

Key words: drug addiction, prevention, treatment, rehabilitation, resocialization, rehabilitation centers for drug addicts, Federal Drug Control Service, Russian Orthodox Church

NEW ORDER OF INVOLUNTARY HOSPITALIZATION: COLLISIONS IN LEGISLATION AND MEANS OF THEIR SOLVING

Yu.N.Argunova

Presented is comparative-legal analysis of regulations of the Law of psychiatric care and the Code of administrative legal procedure of the RF regulating legal order in involuntary hospitalization in psychiatric facility. Proposed are methods of solving collisions of norms. Proposed are measures for elimination of gaps in legislation. 

Key words: involuntary hospitalization in psychiatric hospital, the Code of Administrative Legal Procedure of the RF

ANALYSIS OF LEGISLATION IN QUESTIONS OF ADMISSION TO DRIVING AND OF POSSESSION OF WEAPONS BY PERSONS WITH BEHAVIORAL DISORDERS CAUSED BY USE OF PSYCHOACTIVE SUBSTANCES

Valery Saetgareev (Novy Urengoy)

The article deals with problems connected with admission to driving and possession of weapons by persons who had been undergoing treatment in out-patient centers and have been crossed from the register in out-patient centers for reasons not connected with stable remission. The Government order of 29.12.2014 № 1604 and of 19.02.2015 № 143  were taken into consideration.  

Key words: admission to driving, admission to possession of weapons, use of psychoactive substances, removal from the register in out-patient center 

ELECTROCONVULSIVE THERAPY: KNOWLEDGE, EXPERIENCE AND ATTITUDES OF PATIENTS WITH SCHIZOPHRENIA

E.B. Lyubov and the Research Group

Despite its proven efficacy and safety, electroconvulsive therapy (ECT) has a negative image and attracts widespread public criticism. According to a multicenter survey, knowledge and attitude concerning electroconvulsive therapy (ECT) is one of the important parameters for acceptance as a safe and effective treatment option. Patients undergoing ECT were usually poorly informed about it. This was attributable to factors such as unsatisfactory pre-treatment explanations or post-ECT memory impairment. Fear of ECT and distressing side effects were also present in a majority. Despite these problems, a vast majority of patients perceived ECT to be helpful and had positive views regarding the treatment. Much needs to be done to improve the everyday practice of ECT and to enhance patients’ satisfaction with the experience of treatment.

Keywords: ECT, attitude, awareness,knowledge, perceptions, experience, satisfaction, views, patients.

MENTAL HOSPITALS PERSONNEL JOB SATISFACTION AND FACTORS DETERMINING IT (BY ESTIMATIONS OF DOCTORS AND MEDICAL NURSES)

T. G. Svetlichnaya, E. A. Smirnovа (Arkhangelsk)

The authors describe the results of the medico-sociological research of job satisfaction of health workers in mental hospitals. Base for exploring served as 2 regional centers for mental health care in the Vologda oblast. The volume of observations was 78.3 per cent of the staff employed at the time of the study of doctors and nurses. Only 40,2% of health workers are satisfied with their work. When inadequate social support health workers from the government a chance to be unsatisfied from work increased by 1.86 times. At the same time a group of motivating factors, including symptoms of emotional burnout syndrome have a direct impact on job satisfaction: the stress (1,72), headache (1,60) and raising blood pressure (1,88).

Keywords: job satisfaction, hygiene factors motivating factors, health professionals, psychiatric hospitals.

ON THE LIMITS AND CONSEQUENCES OF USING MORAL JUDGMENTS IN THE DIAGNOSIS OF PERSONALITY ABNORMALITIES 

B.V.Voronkov (St. Petersburg)

The author discusses the role of evolutionary genetics in the development of morality as a product of human evolution, clarifies the possibility of using moral judgments in the diagnosis of psychopathy.

Key words: conscience, psychopathy, evolutionary genetics