Background. At different stages of the development of the society, the principles that lie in the basis of rehabilitation programs and are justified by experts of various fields are changing. The opportunities that modern society possesses, the resources that it is ready to spend to solve a wide range of rehabilitation problems, are transformed, evolve and require scientific reflection.
The Objective is to discuss modern principles of rehabilitation and social integration of mentally disturbed individuals.
Design. The role of the subject of the rehabilitation program and the role of society in implementing the programs are discussed. The principle of general and targeted rehabilitation work is justified, the principle of continuity and increasing specificity of psychological assistance, the principle of the subject's own activity are identified.
Research results. The need to address not only the conscious motivation of the subject, but also the consideration of unconscious motives for participation in rehabilitation activities and in maintaining health is disclosed. The fixed notion of norm as the ideal and the difficulty of changing stereotypes towards a mentally disturbed person are discussed.Conclusion. On the one hand, rehabilitation of a mental patients should be based on the developed and appropriately maintained personality orientation, the ability to take partial responsibility for mental condition and development. On the other hand, the patient needs societal support, preparedness of society to integrate into an active social life and to change the established stereotypes.
Sections: Health Psychology;
Available Online 01.08.2018
Baldwin, А.S., & Sala, М. (2018) Perceived Satisfaction with Health Behavior Change. In: Affective Determinants of Health Behavior. Eds David M. Williams, Ryan E. Rhodes, & Mark T. Conner. Oxford University Press, 138–161. doi: 10.1093/oso/9780190499037.003.0004
Butcher, J.N., Rouse S.V., & Perry J.N. (1998) Assessing resistance to psychological treatment. Measurement and Evaluation in Counseling and Development, 31(2), 95–104.
Carta, M.G., Patten, S., Nardi, A.E., & Bhugra, D. (2017) Mental health and chronic diseases: a challenge to be faced from a new perspective. International Review of Psychiatry, 29(5), 373–376. doi: 10.1080/09540261.2017.1364885
Cockerham, W.C. (2016) Medical Sociology. Routledge. NY. 439. doi: 10.1002/9781405165518.wbeosm075.pub2
Dwamena, F., & Holmes-Rovner M. et al. (2012) Interventions for providers to promote a patient-centred approach in clinical consultations. Cochrane Database Syst Rev. doi: 10.1002/14651858.CD003267.pub2
Ezzati, M., Lopez, A.D., Rodgers, A, & Murray, C.J.L. (2004) Mortality and burden of disease attributable to individual risk factors. In: Eds. Bull F.C., Armstrong T.P., Dixon T., Ham S., Nieman A., & Pratt M. Comparative Quantification of Health Risks Global and Regional Burden of Disease Attributable to Selected Major Risk Factors. Geneva: World Health Organization.
Fulford, D., Campellone, T., & Gard, D.E. (2018) Social motivation in schizophrenia: How research on basic reward processes informs and limits our understanding. Clinical Psychology Review, 63, 12–24. doi: 10.1016/j.cpr.2018.05.007
Gallagher, P., Yancy, W.S. Jr., Swartout, K., Denissen, JJA., Kühnel, A., & Voils, C.I. (2012) Age and sex differences in prospective effects of health goals and motivations on daily leisure-time physical activity. Preventive Medicine, 55(4), Oct. 2012, 322–324. doi: 10.1016/j.ypmed.2012.07.017
Gerasimenko, V.N., Tkhostov, A.Sh., & Koshchug, N.G. (1986) Social attitudes and attitude to oncological patients. [Voprosy onkologii], 11, 50–55.
Grassi, L., Mezzich, J. E., Nanni, M. G., Riba, M. B., Sabato, S., & Caruso, R. (2017) A person-centred approach in medicine to reduce the psychosocial and existential burden of chronic and life-threatening medical illness. International Review of Psychiatry, 29(5), 377–388. doi: 10.1080/09540261.2017.1294558
Grigorieva, V.N., Kovyazina, M.S., & Tkhostov, A.Sh. (2006) Cognitive neurorehabilitation of patients with focal brain lesions. Moscow, UMK «Psikhologiya».
Gurovich, I.Ya., Shmukler, AB, & Storozhakova, Ya.A. (2004) Psychosocial therapy and psychosocial rehabilitation in psychiatry. Moscow, Medpraktika-M.
Hagger, M.S., & Chatzisarantis, N.L. (2009) Integrating the theory of planned behavior and self-determination theory in health behavior: a meta-analysis. Br. J. Health Psychol. May 2009;14 (Pt 2), 275–302. doi: 10.1348/135910708X373959
Henshaw, E.J., & Freedman-Doan, C.R. (2009) Conceptualizing mental health care utilization using the health belief model. Clinical Psychology: Science and Practice, 16 (4), 420–439. 10.1111/j.1468-2850.2009.01181.x
Holland J.C. et al. (Eds.) (2010) Psycho-onchology. Oxford University Press, NY, 692. doi: 10.1093/med/9780195367430.001.0001
Kholmogorova, A.B. (2014) The aggravation of the struggle of paradigms in the sciences of mental health: in search of an exit. [Social’naya i klinicheskaya psihiatriya], 4, 53–61.
Kholmogorova, A.B., Dovzhenko, T.V., Garanyan, N.G. et al. (2001) Interaction of specialists in the complex treatment of mental disorders. [Konsul’tativnaya psikhologiya i psikhoterapiya], 4, 144–153.
Kovyazina, M.S., Fomina, K. A., & Moskvin, V.V. et al. (2018) Clinical and psychological approach to the rehabilitation of patients in a state of the depression of consciousness after suffering a stroke. Papeles del Psicologo, 39(2), 155–160.
Miller. A.M., & Iris. M. (2002) Health promotion attitudes and strategies in older adults. Health Educ Behav. Apr 2002; 29(2), 249–267. 10.1177/1090198102029002009
Mohr, D.C., Ho, J., Duffecy, J., Baron, K.G., Lehman, K.A., Jin, L., & Reifler, D. (2010) Perceived barriers to psychological treatments and their relationship to depression. Journal of Clinical Psychology, 66(4), 394–409. doi: 10.1002/jclp.20659
Pratt, C., Gill, K., Barrett, N., & Roberts, M. (2013) Psychiatric Rehabilitation. 3rd Ed. Elsevier, 634.
Prochaska, J.O., Redding, C.A., & Evers, K.E. (2008) The transtheoretical model and stages of change. In: K. Glanz, B.K. Rimer, & K. Viswanath (Eds.), Health behavior and health education: Theory, research, and practice. 4th Ed. Jossey-Bass (Wiley), San Francisco, CA, 458.
Rasskazova, E.I., & Tkhostov, A.Sh. (2015) Biopsychosocial approach to understanding health and disease. [Obozrenie psikhiatrii i meditsinskoy psikhologii im. V.M. Bekhtereva], 2, 17–21.
Rhodes, R.E., Williams, D.M., & Conner, M.T. (2018) Affective Determinants of Health Behavior: Common Themes, Future Directions, and Implications for Health Behavior Change. In: David M. Williams, Ryan E. Rhodes, Mark T. Conner (Eds.) Affective Determinants of Health Behavior. Oxford University Press, 485–498. doi: 10.1093/oso/9780190499037.003.0021
Taylor, S.E., & Brown, J.D. (1988) Illusion and well-being: a social psychological perspective on mental health. Psychological Bulletin, 116, 193–210. doi: 10.1037/0033-2909.103.2.193
Tkhostov, A.Sh. (2017) Possibilities and prospects of social pathopsychology. [Vestnik Moskovskogo universiteta]. Series 14. Psychology, 1, 36–50.
Turnock, B.J. (2015) Public Health: What It Is and How It Works. 6th Ed. Jones & Bartlett L., 454.
Schauman, O., & Mansell, W. (2012) Processes underlying ambivalence in help-seeking: The loss of valued control model. Clinical Psychology: Science and Practice. 19 (2), 107–124. doi: 10.1111/j.1468-2850.2012.01277.x
Weinstein, N., & Ryan, R.M. (2010) When helping helps: Autonomous motivation for prosocial behavior and its influence on well-being for the helper and recipient. Journal of Personality and Social Psychology, 98(2), 222–244. doi: 10.1037/a0016984
White M., & Casey, L.M. (2018) What do help-seeking measures assess? Building a conceptualization framework for help-seeking intentions through a systematic review of measure content. Clinical Psychology Review, Feb. 2018, 59, 61–77.White, P. (2005) Biopsychosocial medicine: An integrated approach to understanding illness. Oxford Un, P. 272. doi: 10.1093/med:psy ch/9780198530343.001.0001
Tkhostov A.Sh., Vinogradova M.G. (2018) Psychological issues of rehabilitation of mental patients. National Psychological Journal, 11(2), 32–37