Обозрение психиатрии и медицинской психологии имени В.М. Бехтерева (Jun 2023)

Features of emotional relationships of patients with schizophrenia to their family members

  • D. V. Neshchadim

DOI
https://doi.org/10.31363/2313-7053-2023-680
Journal volume & issue
Vol. 57, no. 2
pp. 93 – 104

Abstract

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Schizophrenia has accompanied mankind since ancient times. The symptoms of this disease were reflected in ancient literature and in Holy Scripture. About 1% of the general population suffers from schizophrenia in civilized countries, and in turn, about 25 to 50% of patients in psychiatric clinics are represented by patients with schizophrenia. VD Vid cites data that schizophrenia is the cause of 39.9% of cases of the total number of mentally disabled people and links such a high percentage of morbidity with insufficient development and implementation of secondary and tertiary prevention. The purpose of this article was to investigate the features of emotional relationships of schizophrenia patients to other people and family members presented in the scientific literature. There are two groups of authors with the opposite opinion about the emotional relationships of a schizophrenic patient. One group of authors (E. Bleiler, E. Kraepelin, V.P. Kritskaya et al., I.Ya. Lagun, D. Hell and M. Fischer-Felten, K. Jaspers) notes that at the beginning of the disease, and then—in a developing weakly or with a pronounced personality defect, patients develop emotional cooling, isolation from loved ones. Another group (V.D. Vid, A.A. Kempinski, Сz.P. Korolenko and N.V. Dmitrieva, A.P. Kotsiubinsky etc., A.S. Tiganov etc., A.B. Kholmogorova etc., S. Arieti) at the same time has information that to some extent an altruistic, attentive attitude to abstract, unfamiliar and unfamiliar people is preserved, and can also have a “symbiotic” relationship with one of the parents. These contradictory aspects of the emotional side, as a reflection of emotional attachment, the relationship of patients to their close environment, allow us to outline the vector of subsequent experimental verification and refinement.

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