RU2016101680A - A method for the treatment and rehabilitation of people with chemical and non-chemical dependencies - Google Patents

A method for the treatment and rehabilitation of people with chemical and non-chemical dependencies Download PDF

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Publication number
RU2016101680A
RU2016101680A RU2016101680A RU2016101680A RU2016101680A RU 2016101680 A RU2016101680 A RU 2016101680A RU 2016101680 A RU2016101680 A RU 2016101680A RU 2016101680 A RU2016101680 A RU 2016101680A RU 2016101680 A RU2016101680 A RU 2016101680A
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rehabilitation
patient
relatives
chemical
treatment
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RU2016101680A
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Russian (ru)
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RU2636868C2 (en
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Ренат Данисович Миназов
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Ренат Данисович Миназов
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M21/00Other devices or methods to cause a change in the state of consciousness; Devices for producing or ending sleep by mechanical, optical, or acoustical means, e.g. for hypnosis

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  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)

Claims (14)

1. Способ лечения и реабилитации людей с химическими и нехимическими зависимостями, заключающийся в поэтапных лечении и реабилитации, в соответствии с которым пациенту оказывают медицинскую помощь, которая подразумевает снятие абстиненции и устранение физического влечения в случае с химическими зависимостями и лечебные и профилактические мероприятия, далее проводят реабилитацию за три этапа, отличающийся тем, что на первом этапе применяют методы когнитивно-поведенческой, гештальт-терапии, проективные методы, психообразовательный подход для целей формирования начальной мотивации на поддержание трезвости, появления у пациента критики собственного поведения, обнаружения причин формирования и поддержания зависимости, на втором этапе реабилитацию дополняют методами психодинамического подхода, психодрамы по Я. Морено и расстановок по Б. Хеллингеру для целей осознания пациентом деструктивных паттернов поведения, формирования внутренней мотивации на поддержание здорового образа жизни, четкого разделения «здорового Я» и «Я больного», на третьем этапе реабилитацию дополняют методами экзистенциальной психотерапии и еженедельными лечебными отпусками с постепенным увеличением длительности отпусков и сеансами обсуждения результатов отпусков со специалистом индивидуально и/или в психотерапевтической группе.1. A method for the treatment and rehabilitation of people with chemical and non-chemical dependencies, consisting in phased treatment and rehabilitation, in accordance with which the patient is provided with medical care, which includes withdrawal of withdrawal symptoms and the elimination of physical attraction in the case of chemical addictions and therapeutic and preventive measures, then carry out rehabilitation in three stages, characterized in that the first stage uses methods of cognitive-behavioral, gestalt therapy, projective methods, psycho-educational the course for the formation of initial motivation to maintain sobriety, the patient’s criticism of his own behavior, the identification of the reasons for the formation and maintenance of addiction, at the second stage, rehabilitation is supplemented by the methods of the psychodynamic approach, psychodrama by J. Moreno and B. Hellinger's constellations for the purpose of recognizing the patient's destructive patterns behavior, the formation of intrinsic motivation to maintain a healthy lifestyle, a clear separation of the “healthy I” and “I’m sick”, at the third stage, the rehabilitation of additional they are completed with the methods of existential psychotherapy and weekly therapeutic holidays with a gradual increase in the duration of the holidays and sessions of discussing the results of the holidays with a specialist individually and / or in the psychotherapeutic group. 2. Способ по п. 1, отличающийся тем, что перед реабилитацией выявляют коморбидные психические расстройства по критериям DSM-IV-TR методом структурированного клинического интервью - СКИД (SCID-Structured Clinical Interview for DSM-II-R), в результате чего определяют мишени психотерапии, гипотезы формирования и закрепления болезни, стратегии ведения пациента, формат работы с пациентом, причем последний выбирают из группового, индивидуального, семейного или их комбинации.2. The method according to p. 1, characterized in that prior to rehabilitation, comorbid mental disorders are detected according to the criteria of DSM-IV-TR by the method of structured clinical interview - SCID (SCID-Structured Clinical Interview for DSM-II-R), as a result of which the targets are determined psychotherapy, hypotheses of the formation and consolidation of the disease, patient management strategies, the format of work with the patient, the latter being selected from a group, individual, family or a combination thereof. 3. Способ по п. 1, отличающийся тем, что перед реабилитацией выставляют многоосевой диагноз в следующих осях:3. The method according to p. 1, characterized in that before rehabilitation a multiaxial diagnosis is made in the following axes: A) Клинические расстройства либо клинически релевантные проблемы,A) Clinical disorders or clinically relevant problems, Б) Расстройства личности и задержка умственного развития,B) Personality disorders and mental retardation, B) Соматические болезни,B) Somatic diseases Г) Психосоциальные проблемы и проблемы, обусловленные окружающей средой.D) Psychosocial and environmental problems. 4. Способ по п. 1, отличающийся тем, что в сеансах и процедурах лечения и реабилитации принимают участие члены семьи пациента, а именно, при поступлении в отделение реабилитации врач психиатр-нарколог, психотерапевт, психолог и специалист по социальной работе производят диагностику с участием всех членов семьи, далее с 3 по 7 сутки ведут индивидуальную психотерапевтическую работу с каждым членом семьи, далее начиная с 8-10 суток членов семей подвергают в групповой семейной психотерапии с частотой сеансов 2 раза в неделю, при этом количество сеансов сокращается до 1 раза в неделю при достижении удовлетворительного комплаенса с родственниками и пациентом, который определяют при выполнении следующих критериев:4. The method according to claim 1, characterized in that the patient’s family members participate in the sessions and treatment and rehabilitation procedures, namely, upon admission to the rehabilitation department, a psychiatrist-narcologist, psychotherapist, psychologist and social work specialist diagnose with all family members, then from 3 to 7 days they conduct individual psychotherapeutic work with each family member, then from 8-10 days, family members are subjected to group psychotherapy with a frequency of sessions 2 times a week, with the number of sea nsov is reduced to 1 time per week upon reaching satisfactory compliance with relatives and the patient, which is determined when the following criteria are met: 1. Активность родственников пациента, написание ими заданий, посещение всех назначенных мероприятий,1. The activity of the patient’s relatives, writing tasks, visiting all assigned events, 2. Посещение лекций для близких и родственников зависимого человека, которые проводятся 1 раз в неделю,2. Visiting lectures for relatives and relatives of the dependent person, which are held once a week, 3. Включенность пациента во все мероприятия реабилитационного процесса, мотивация на осознание болезни и работу с ее проявлениями,3. The patient’s involvement in all measures of the rehabilitation process, motivation for the recognition of the disease and work with its manifestations, 4. Энтузиазм, доверие, интерес к выздоровлению,4. Enthusiasm, trust, interest in recovery, 5. Ответственность пациента и самостоятельность в отношении приема препаратов (по назначению врача психиатра-нарколога),5. Responsibility of the patient and independence regarding the administration of drugs (as prescribed by the psychiatrist-narcologist), 6. Согласие родственников на разумный контроль состояния пациента самими родственниками и психотерапевтом в течение 12 месяцев.6. The consent of the relatives to a reasonable control of the patient's condition by the relatives themselves and the therapist for 12 months.
RU2016101680A 2016-01-20 2016-01-20 Method for treatment and rehabilitation of persons with chemical and non-chemical addictions RU2636868C2 (en)

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RU2725339C1 (en) * 2019-08-20 2020-07-02 Владимир Александрович Андреев Andreev's method for psychotherapy of drug addictions

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RU2244569C2 (en) * 2002-01-22 2005-01-20 Научно-исследовательский институт психического здоровья Томского научного центра Сибирского отделения Российской академии медицинских наук Method for treating food addiction accompanied with obesity
RU2226409C1 (en) * 2003-05-05 2004-04-10 Соляников Валентин Владимирович Method for treating the cases of alcoholism, narcomania, tobaccosmoking, adiposity, game mania and sexual inadequacy
RU2538173C2 (en) * 2013-04-16 2015-01-10 Ирина Анатольевна Нелаева Method for integrated treatment of psychological addictions

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