Identity disorder and social-psychological adaptation in patients with hepatobiliary disease

Authors

  • V. V. Khramtsova State Institution "Ukrainian State Research Institute of Medical and Social Problems of Disability Ministry of Health of Ukraine", Dnipro,
  • S. S. Panina State Institution "Ukrainian State Research Institute of Medical and Social Problems of Disability Ministry of Health of Ukraine", Dnipro,

DOI:

https://doi.org/10.14739/2409-2932.2017.3.113625

Keywords:

social adjustment, anomie, psychological adaptation

Abstract

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.


References

Kutova, N. V., & Markova, M. V. (2015). Osobystisni vlastyvosti patsiientiv iz khronichnym pankreatytom biliarnoi ta alkoholnoi etiolohii: obgruntuvannia dyferentsiatsii psykhokorektsiinykh pidkhodiv [Personality features of Patients with chronic Pancreatitis of biliary and alcoholic origin: differentiation of Psychocorrection approaches]. Medychna psykholohiia, 2, 82–88. [in Ukrainian].

Vasilenko, T. D. (2014). Trudnaya zhiznennaya situaciya: metodologicheskij analiz [The difficult situation in life: methodological analysis]. Medicinskaya psihologiya v Rossii: e´lektronyj nauchnyj zhurnal, 6(29). Retrieved from http://mprj.ru [in Russian].

Pushkin, I. A. (2012). Psikhologicheskie mekhanizmy adaptacii i dezadaptaсii bоl´nykh alkogolizmom, prozhivayucshikh v usloviyakh chastichnoj socialnoj izolyacii [Psychological mechanisms of adaptation and disadaptation of alcoholics living in conditions of partial social isolation]. Vestnik Sankt-Peterburgskogo universiteta, 12(3), 44–48. [in Russian].

Kabanov, M. M., & Neznanov, N. G. (2003). Ocherki dinamicheskoj psikhiatrii. Transkul´tural´noe issledovanie [Sketches of dynamic psychiatry. Transcultural study]. Saint Petersburg: Institut im. V. M. Behtereva. [in Russian].

Zhukova, O. V., & Zhukov, V. D. (2014). Krizis identichnosti kak normoobrazuyuschee stanovlenie lichnosti [Identity Crisis as a Norm-Setting Formation of Personality]. Vestnik Kemerovskogo gosudarstvennogo universiteta kul'tury i iskusstv, 4(29-1), 81–88. [in Russian].

Morozova, E. V. (2012). Struktura identichnosti kak faktor reabilitacii lichnosti [Structure of identity as a factor of rehabilitation of personality]. Mediko-social´naya e´kspertiza i reabilitaciya, 3, 16–19. [in Russian].

Arshinskaya, S. E. (2009). Struktura identichnosti: problemy analiza [Strukture of identity: problems of analisis]. Vestnik Buryatskogo gosudarstvennogo universiteta, 14, 83–89. [in Russian].

Nalchadzgyan, A. A. (1988). Social´no-psikhicheskaya adaptaciya lichnosti [Socio-psychological adaptation of the person]. Erevan. [in Russian].

Krasilnikov, I. V., & Konstantinov, V. V. (2009). Social´no-psikhologicheskaya adaptaciya lichnosti i strategii razresheniya vnutrennikh konfliktov [Social and psychological adaptation of a person. Strategies of inner conflicts solution]. Izvestiya Samarskogo nauchnogo centra Rossijskoj akademii nauk. Social'nye, gumanitarnye, mediko-biologicheskie nauki, 11(4-4), 932–937. [in Russian].

Malyshev, I. V. (2012). Kharakteristika social´no-psikhologicheskoj adaptacii i koping-strategii lichnosti v raznykh usloviyakh socializacii [The characteristic of the social-psycholodical adaptation and the coping-strategy of a personality in different conditions of the socialization]. Sovremennye issledovaniya social´nykh problem, 12(20). Retrieved from www.sips.nkras.ru [in Russian].

Rajgorodskij, D. Y. (2000). Prakticheskaya psikhodiagnostika. Metodiki i testy. [Practical psychodiagnostics. Procedures and tests]. Samara. [in Russian].

Vodop´yanova, N. E. (2009). Psikhodiagnostika stressa [Stress Psychodiagnostics]. Samara: Piter. [in Russian].

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How to Cite

1.
Khramtsova VV, Panina SS. Identity disorder and social-psychological adaptation in patients with hepatobiliary disease. Current issues in pharmacy and medicine: science and practice [Internet]. 2017Nov.1 [cited 2024Apr.26];(3). Available from: http://pharmed.zsmu.edu.ua/article/view/113625

Issue

No. 3 (2017)

Section

Original research

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