Identity disorder and social-psychological adaptation in patients with hepatobiliary disease
Negative bodily experience due to health complications and disability is perceived as a difficult life situation. The success of adaptation, commitment to treatment and cooperation with a doctor depend on the personality characteristics that define behavioral representations. Aim. Investigate the...
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| Format: | Article |
| Language: | English |
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Zaporozhye State Medical University
2017-12-01
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| Series: | Aktualʹnì Pitannâ Farmacevtičnoï ì Medičnoï Nauki ta Praktiki |
| Subjects: | |
| Online Access: | http://pharmed.zsmu.edu.ua/article/view/113625/110381 |
| _version_ | 1811265446904594432 |
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| author | V. V. Khramtsova S. S. Panina |
| author_facet | V. V. Khramtsova S. S. Panina |
| author_sort | V. V. Khramtsova |
| collection | DOAJ |
| description | Negative bodily experience due to health complications and disability is perceived as a difficult life situation. The success of adaptation, commitment to treatment and cooperation with a doctor depend on the personality characteristics that define behavioral representations.
Aim. Investigate the structure of identity and mechanisms of social-psychological adaptation of patients with the hepatobiliary system disease.
Contingent and methods. 75 patients with a diffuse liver disease - chronic hepatitis, mostly of viral etiology (36 people) and liver cirrhosis (39 patients) have been examined. We have applied clinical, clinical-psychological, mathematical and empirical methods, semi-structured cross-interviews ("patient-doctor", "patient-psychologist"), diagnostics of personal characteristics, identity structure, social-psychological components of adaptation. Three leading personality profiles have been highlighted.
Results. Persons with a disharmonious personality development are characterized by disorders in the area of identity formation and development. Fragmentation, the impossibility of personal integration and severe penetrability from the environment contribute to social-psychological maladjustment. The coping is aimed at preserving the problem situation and intensifying the intrapersonal conflict. For persons with difficulties in the adaptation of the personality, a violation of activity interaction with the surrounding world is characteristic, a ban on one's self-identity. Social adaptation is often disrupted due to instability in the emotional-volitional sphere and choosing low-adaptive coping strategies. Genuine "I" and identity formation is impeded for the individuals suppressing aggressive impulses. Adaptability tends to be discrete. With mental stress increasing, the likelihood of choosing low-adaptive coping strategies increases.
Conclusions. When drafting psycho-correction programs and medical treatment of people with a hepatobiliary disease, it is necessary to take into account the presence of diffuse identity and violations of social-psychological adaptation. |
| first_indexed | 2024-04-12T20:24:12Z |
| format | Article |
| id | doaj.art-9a08bb9321094f39838fc25e55f86496 |
| institution | Directory Open Access Journal |
| issn | 2306-8094 2409-2932 |
| language | English |
| last_indexed | 2024-04-12T20:24:12Z |
| publishDate | 2017-12-01 |
| publisher | Zaporozhye State Medical University |
| record_format | Article |
| series | Aktualʹnì Pitannâ Farmacevtičnoï ì Medičnoï Nauki ta Praktiki |
| spelling | doaj.art-9a08bb9321094f39838fc25e55f864962022-12-22T03:17:55ZengZaporozhye State Medical UniversityAktualʹnì Pitannâ Farmacevtičnoï ì Medičnoï Nauki ta Praktiki2306-80942409-29322017-12-01334935410.14739/2409-2932.2017.3.113625Identity disorder and social-psychological adaptation in patients with hepatobiliary diseaseV. V. KhramtsovaS. S. PaninaNegative bodily experience due to health complications and disability is perceived as a difficult life situation. The success of adaptation, commitment to treatment and cooperation with a doctor depend on the personality characteristics that define behavioral representations. Aim. Investigate the structure of identity and mechanisms of social-psychological adaptation of patients with the hepatobiliary system disease. Contingent and methods. 75 patients with a diffuse liver disease - chronic hepatitis, mostly of viral etiology (36 people) and liver cirrhosis (39 patients) have been examined. We have applied clinical, clinical-psychological, mathematical and empirical methods, semi-structured cross-interviews ("patient-doctor", "patient-psychologist"), diagnostics of personal characteristics, identity structure, social-psychological components of adaptation. Three leading personality profiles have been highlighted. Results. Persons with a disharmonious personality development are characterized by disorders in the area of identity formation and development. Fragmentation, the impossibility of personal integration and severe penetrability from the environment contribute to social-psychological maladjustment. The coping is aimed at preserving the problem situation and intensifying the intrapersonal conflict. For persons with difficulties in the adaptation of the personality, a violation of activity interaction with the surrounding world is characteristic, a ban on one's self-identity. Social adaptation is often disrupted due to instability in the emotional-volitional sphere and choosing low-adaptive coping strategies. Genuine "I" and identity formation is impeded for the individuals suppressing aggressive impulses. Adaptability tends to be discrete. With mental stress increasing, the likelihood of choosing low-adaptive coping strategies increases. Conclusions. When drafting psycho-correction programs and medical treatment of people with a hepatobiliary disease, it is necessary to take into account the presence of diffuse identity and violations of social-psychological adaptation.http://pharmed.zsmu.edu.ua/article/view/113625/110381social adjustmentanomiepsychological adaptation |
| spellingShingle | V. V. Khramtsova S. S. Panina Identity disorder and social-psychological adaptation in patients with hepatobiliary disease Aktualʹnì Pitannâ Farmacevtičnoï ì Medičnoï Nauki ta Praktiki social adjustment anomie psychological adaptation |
| title | Identity disorder and social-psychological adaptation in patients with hepatobiliary disease |
| title_full | Identity disorder and social-psychological adaptation in patients with hepatobiliary disease |
| title_fullStr | Identity disorder and social-psychological adaptation in patients with hepatobiliary disease |
| title_full_unstemmed | Identity disorder and social-psychological adaptation in patients with hepatobiliary disease |
| title_short | Identity disorder and social-psychological adaptation in patients with hepatobiliary disease |
| title_sort | identity disorder and social psychological adaptation in patients with hepatobiliary disease |
| topic | social adjustment anomie psychological adaptation |
| url | http://pharmed.zsmu.edu.ua/article/view/113625/110381 |
| work_keys_str_mv | AT vvkhramtsova identitydisorderandsocialpsychologicaladaptationinpatientswithhepatobiliarydisease AT sspanina identitydisorderandsocialpsychologicaladaptationinpatientswithhepatobiliarydisease |