Health Psychology, Clinical Psychology, Neuropsychology

This article considers the potential for applying contemporary philosophical theories (which distinguish classical, nonclassical, and postnonclassical types of scientific rationality) to the specification of theoretical methodological principles in the study of clinical psychology. We prove that psychological syndrome analysis (developed by the Vygotsky–Luria–Zeigarnik school), taken as a system of principles for organizing research as well as for interpreting its results, conforms to the epistemological complexity of the object of study in clinical psychology, which is understood in the postnonclassical scientific view as a self-developing system. We present an example of the formation of a psychosomatic syndrome in 290 patients with mitral-valve prolapse, applying methods of qualitative and statistical data analysis in a longitudinal clinical-psychological study. We prove that the syndrome is system-defined and has a multilevel character, and that its structure is determined by several factors: the motivational factor (with the domination of the failure-avoidance motive and the unsatisfied self-approval need); the factor of the emotional-regulation disorders, represented by both excessive emotional repression and lack of emotional control; and a psychophysiological factor. We argue that a psychosomatic syndrome can be used as a means for approaching not only diagnostic but also prognostic tasks both in clinical psychology and in medicine. We conclude that the results of our empirical study, conducted within the framework of postnonclassical philosophy and using the methods of psychological syndrome analysis, not only expand the scientific background on the nature of a particular disease (mitral-valve prolapse) but also pose further questions whose investigation will broaden our view of the psychological mechanisms of psychosomatic- syndrome genesis.

The quality of a pregnant woman’s life in Russia is usually much lower than in any European country. Because of this situation it is most important to look for psychological resources that could enable pregnant women to have a higher quality of life. My empirical research showed that pregnant women who are not officially married feel fear and anxiety during their pregnancy more often than those who are married. There are statistically relevant differences between the control group (the group of officially married pregnant women) and unmarried pregnant women in their level of comfort during pregnancy. Unmarried pregnant women also feel such emotions as guilt, remorse, shame, and shyness more often (these data were obtained by means of C.E. Izard’s method). Data obtained through a clinical interview showed that pregnant women who are not married often feel that they are not being protected by society, have financial problems, and experience pain during the delivery of the child. They also feel guilt when they think of bringing up their children (“I won’t be able to give my child all those things that I could possibly give him or her if I were married”); and they are quite often ashamed of their pregnancy when they communicate with their parents and other relatives and with their friends, acquaintances, and doctors. The research showed no direct influence of such factors as the material wealth of a pregnant woman’s family on her emotional state. The number of children that women expect to have depends on their level of education but not on the level of the material wealth of their families.

Modern approaches to the psychological diagnostics of children are based on need analysis and the systematization of existing trends in domestic and foreign children’s neuropsychological diagnoses. This article highlights the strengths and weaknesses of each approach, as well as identifying possible areas of integration. One of the most acute problems is the development of experimental psychological methods to determine the quantitative and expressed characteristics of the mental development of children by flexibly combining qualitative and quantitative approaches, with a view to putting into practice foreign neuroscience principles and standards of evidence. An analysis of contemporary publications on neuropsychological diagnosis reveals the need to consider the standardization of neuropsychological research in the context of current approaches, requirements, and psychodiagnostic criteria. In the domestic neuropsychological literature, these issues are need attention: standardized procedures for presenting stimuli are not, as a rule, described; basic psychometric assessment of the results of the tests is lacking; no investigation of their clinical and psychometric validity is carried out. An analysis was made of the nature of the psychometric approach in foreign child neuropsychology, which relies on mathematical procedures of processing qualitative (ordinal) data converted into quantitative indicators. We examined separately the mathematical software for clinical trials (based on the principles of «evidencebased medicine»), which relies on the «abnormal» nature of the distribution of clinical phenomena.

The article describes the development of an integrative bio-psycho-social model of personality disorders. This model is based on the interconnection of intellect, self-regulation, self-identity, and social relationships. The prognostic value of the category of “affective-cognitive style” is estimated on the grounds of a meta-analysis of various empirical studies and theoretical models. The article discusses the results of clinical and experimental studies that specify the functions of cognitive differentiation and integrity and of symbolic mediation and reflection in the regulation of the content, emotional valence, temporal stability, and spatial organization of intrapsychic representations of self and interpersonal relationships, as well as the systemic organization of defense and coping operations.

Suicide is a controversial phenomenon that people of different cultures and even of different epochs have had difficulty naming. It used to be an enduring theme of many medical, psychological, philosophical, and moralistic discussions. It is a paradoxical act of ultimate self-destruction, a flight from life to death. To commit suicide is to overcome the fear of personal death and to make a step into nothingness. Such a desperately brave deed requires an abandonment of one's sense of immortality, which we all have, a change of values and worldviews. But if one's suicide attempt proves unsuccessful, the question becomes how to explain to oneself and others one's recent act of self-violence. To discover these explanations, we conducted a study of 319 people, ranging in age from 18 to 25; they were all either students (n = 156) or patients in an emergency toxicology ward (people who had attempted to poison themselves, n = 163). This article summarizes theories of suicidal behavior and of the fear of death together with the ideas of cultural anthropologist E. Becker on these matters and puts suicide into the terror-management perspective. The suicidal act is viewed as a mortality salience, and the hypothesis is that people who deny their recent suicide attempt (n = 33) and who have one (n = 95) or several (n = 35) suicide attempts in their personal history exhibit different terror-management patterns in comparison with each other and with the control group. They fall back on different resources with various degrees of effectiveness. Implications of these results for understanding suicidal and postsuicidal behavior are discussed and suggestions for rehabilitation are made.

The Influence of genetic and environmental factors on liability to depression in Russian teenage sample was investigated. 196 twin pairs aged 13 to 17 (M=15,2) from Moscow, Izhevsk and Bishkek took part in the survey. We have found out that genetic factors had an effect on individual difference in depressiveness among Russian teenagers: more than 50% of variance was explained by additive genetic factors which correspond to international results. The biggest genetic influence was obtained for such scales as negative emotions, negative self esteem and externalization which are the most replicable factor scales in CDI structure worldwide.