Clinical psychology

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.

We describe preliminary data from two studies aimed at investigating the psychometric properties and validity of newly developed measures of morphological knowledge and skills in Russian, namely, the Word Structure subtest, and the Test of Morphological Awareness, in two samples of young Russian-speaking children. Overall, both instruments demonstrated good psychometric properties when analyzed using both classical test theory and a Rasch-modeling IRT approach, and were positively associated with the criterion measures (i.e., the number of grammatical errors in elicited speech samples, spelling, and reading comprehension).

350 7 to 14-year-old students of a special school for children with severe speech and language disorders (SLD) were tested through psychological, neurolinguistic and clinical methods. It was a longitudinal study. During 4-5 years of studying at the special school, the majority of speech and language impairments reduce and communicative skills grow up. But the other students demonstrate regress of adaptation skills, intellectual efficiency and increase in restlessness, aggressive behavior, mood disorders, and neurotic disorders. We recognize it as the state of exacerbation. Comparative statistical analysis reveals that this state occurs mostly between 9.5 and 11.5 years of life. 50% of the decompensation cases observed occurs in this age range. The data obtained gave us an incentive to develop a prevention program. The target group included a population aged 9.5-10 with PSU (PPMI-program). The 2-year experience of incorporating the risk subgroup of SLIC into the PPMI-program gave a positive return. The amount of decompensations reduced significantly. Intensity of psychopatological disorders decreased.

The work presents historiographic and theoretical methodological study of establishment of fundamental theses of L.S. Vygotsky’s cultural-historical concept within the field of clinical psychology.

We prove potency in application of contemporary philosophical concepts, which help distinguish between the types of scientific rationality (classical, nonclassical, and postnonclassical), for scientific reflection over the development of psychology and designation of paradigmatic status of cultural-historic concept suggested by L.S. Vygotsky and Vygotsky-Luria syndrome approach at the contemporary stage of science.

Present study of scientific works of L.S. Vygotsky and his followers demonstrated that fundamentals of cultural-historic conception suggested by L.S. Vygotsky and further developed in methodology of Vygotsky-Luria syndrome approach, these fundamentals presented the origins of not only non-classical, but as well post-nonclassical model of scientific rationality. They are characterized by post-nonclassical understanding of the object and method of psychological study and post-nonclassical mode of thinking of the scientists.

As it was showed, in works of L.S. Vygotsky there formulated general methodological requirements to organization of mental studies, which, on the whole, go in tune with the requirements introduced for study of complex self-developing systems. There were produced arguments to prove that the concept of Vygotsky-Luria syndrome approach describes mental syndromes as dynamic structures, which display the features of self-organization, self-determination and adaptive rationality. Hence, they can be regarded as open self-developing systems.

We assume and verify the hypothesis that the syndrome analysis, due to the features of post-nonclassic modeling of scientific rationality it reveals, may be regarded as theoretically productive methodological approach at the modern stage of science.

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.

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.

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.

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.