Обозрение психиатрии и медицинской психологии имени В.М. Бехтерева (Jul 2018)
Biopsychosocial model of schizophrenia and early maladaptive schemas Part 1. Vulnerability-diathesis-stress
Abstract
The article examines the biopsychosocial model of schizophrenia - particularly such concepts as vulnerability, barrier of vulnerability, psychic diathesis, barrier of diathesis, stressors, coupled with adaptation-compensatory model of the disease. These accents are made due to the fact that the current bias in favor of the biological treatment of schizophrenia is not always justified, while psychosocial factors that contribute to the development of this disease, as well as the formation of relapse, are often overlooked. Special attention is paid to the concept of maladaptive schemas and their role in the biopsychosocial model. These schemas are considered as additional risk factor that reduces patient’s adaptation potential and contribute to the exacerbation or recurrence of the disease.
