Premorbid-personal features of formation of somatonosognosia...

Premorbid-personal features of somatosognosia formation

Somatosognosia is a psychological characteristic of somatic health, which is determined by the content of the person's relationship to their health and is the result of the interaction of the individual, the disease and the situation associated with it.

The determining role in the formation of somatonosognosia is played by the personality with the inherent features of the biological, psychological and socio-psychological level. Personal features, respectively, contribute to or hinder the rehabilitation and adaptation of the patient.

The biological level the level of consideration of personality involves analysis primarily of physiological indicators of response to the disease: the resistance of the organism and its individual systems to the transfer of extreme conditions of life, the specific functioning of sensory systems, musculoskeletal and muscular system, as well as strength, mobility and balance of nerve processes.

Psychological the level of personal analysis concerns primarily mental cognitive processes, mental properties and states, emotions and the will of the patient. Cognitive processes act in this case as the primary regulators of behavior, the psychic properties determine the qualitative and quantitative characteristics of the response to the disease and participate in the formation of personal relationships. Mental states, in turn, are the common background of the course of mental processes and mental properties, which is manifested in the vivacity or depression, joy or dullness of the individual.

Socially-psychological level provides an opportunity to analyze the relationship of the individual with others and society as a whole. At this level, there is an active process of shaping social needs, interests, motives and attitudes, ie. individual socialization of a person. The essence of individual socialization lies in the formation of the inner world of man, the development of a system of social relations and a common line of behavior in relation to the evolving reality and himself.

In the most general form, it can be said that the biological level of personality analysis characterizes the sensorological stage of the development of disability, the psychological level is more connected with the evaluation stage, and the socio-psychological level of analysis manifests itself at the stage of the patient's attitude to his illness formation.

Personality reactions to somatic suffering

Personal reactions to somatic suffering can be classified as follows: normosomatonosognosia, hypersomatonosognosia, hypo-somnonosognosia, dissomatonosognosia.

Normosomonosognosia is a type of personal reaction to somatic suffering, in which the patient correctly assesses his condition and perspective, his assessments coincide with the treatment of doctors, the attitude towards the disease is adequate and the patient has a positive attitude towards treatment (diagnostic and rehabilitation procedures). Patients of this group are represented in two ways: some are active in the fight against the disease, trying to find the best way out of the situation, overcome it or adapt to it. Patients with normosomonosognosia before the illness are usually strong, balanced and harmonious individuals. Other patients are characterized by a decrease in activity, inability to overcome negative experiences, acting as a passive-contemplative observer. In this case, the estimated symptoms prevail over the sensory ones.

Hyper somatosognosia is a type of personal reaction to somatic suffering, in which patients tend to overestimate the significance of individual symptoms and the disease as a whole, their consequences, which does not correspond to the objective danger of the clinical picture. Such hyperactualization, affective coloring of painful phenomena leads to concentration of attention and human efforts aimed at recovery. Revaluation of the significance of the disease can be expressed in the representations and vital threat, the danger of limiting (losing) the possibility of professional and labor and social activities, as well as hypertrophied evaluation of the ethical, aesthetic and intimate components of the consequences of the disease. In some cases, elements of anxiety, panic, mood reduction, and the confinement of thought to illness are typical. Patients are rushing about in search of a more qualified doctor, in their opinion; acquire the newest medications; Strongly read special literature on their illness. In other cases, there is a decrease in mood, but without a plaque of anxiety, apathy and monotony. Affirming the aimlessness of treatment and rehabilitation procedures, patients, nevertheless, punctually fulfill all prescriptions of specialists and drug treatment.

Hypoxomonosognosia refers to this type of personal response to a somatic disease, which reveals an underestimation by a person of the severity and severity of the disease, its individual signs or symptoms in general. Such underestimation manifests itself in statements, statements, ideas and behavior.

Dyssomatonosognosia is called a kind of protective psychological reaction, when, with formal awareness and disease, it is actually ignored in the patient's behavior. As a rule, there is a non-recognition of the disease with a weak expression of objective signs, fraught with a threat to the health and even the life of the patient. Fear of the consequences of the disease leads to the exclusion of thoughts about the illness from the mind, especially when the prospect of an unfavorable outcome in the process of social interaction is outlined. External signs of such behavior of the patient are manifested in the desire to deny the fact of the disease and the lack of desire to discuss painful symptoms.

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