Clinical and Health psychology

The article aims to demonstrate advances in methodological means suggested by Vygotsky’s cultural-historical concept in association with a theoretical model of a Person-centered diagnosis and practical use of the construct for clinical psychology and medicine. This, to a greater extent, arises from the fact that the cultural-historical concept (due to its humanistic nature and epistemological content) is closely related to the person-centered integrative approach. But for all that the concept corresponds to the ideals of postnonclassical model of scientific rationality with a number of ‘key’ features. Above all it manifests its “methodological maturity” to cope with open self-developing systems, which is most essential at the modern stage of scientific knowledge.

The work gives consideration to ‘defining pillars’ of Person-centered approach in modern medicine, to humanistic traditions of the Russian clinical school, and high prospects in diagnostics of such mental constructs as “subjective pattern of disease” and “social situation of personal development in disease” - within the context of person-centered integrative diagnosis.

This article discusses the need for implementation a cross-cultural study of subjective pattern of disease and its correlation with a particular “social situation of personality development under disease conditions”. It aims at development and substantiation of the model of person-centered integrative approach, enhancement of its diagnostic scope and, consequently, improvement of the model of person-centered care in modern psychiatry and medicine.

Over the last decade, the problem of young people's health has been among the most important and complicated ones for Russian society; these problems affect not only young children but also students in higher education institutions. The low level of physical and psychological health of young people has become an alarming characteristic of the demographic situation in modern Russia.

This study was carried out at the State University of St. Petersburg, which is one of the largest higher education institutions in Russia. The university consists of many academic departments, and thus it is possible to study the health-related behavior of students with different professional backgrounds.

The results show that drug use among students in Russia still remains relatively rare and episodic; in most cases, students use "light" drugs and thus have both slow rates of developing an addiction and an alternative but successful socialization in modern youth subculture. Such drugs are also not generally associated with significant health risks.

Research was carried out to explore coping strategies in cancer patients. In all, 70 women with breast cancer were studied: 35 of them had visible postsurgery deformity, and 35 did not have visible postsurgery deformity. The purpose of the research was to uncover their preferences for using various strategies and resources to cope with their illness. The results showed that both groups of women had a special set of strategies for coping with stress. The women with visible postsurgery deformity made significantly less use of resources for coping with their illness than did the subgroup of women without visible postsurgery deformity.

The author discusses sources for, problems in, and ways of forming a hierarchical model of the development of whole affective behavioral complexes, not just mechanisms of emotional regulation, as was done in the original level-based model elaborated by Victor Lebedinsky. The author describes specific traits of affective behavioral complexes and types of links between them on different levels. Primitive affective behavioral complexes, either isolated or rigidly linked, dominate on the lower three levels. On the fourth level attachment behavior plays a “star” role, mediating and regulating all vital behaviors. On the fifth level symbolic activity permanently rebuilds the experience obtained on the lower levels. The author discusses links between affective behavioral complexes and nuclear personality formations.