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Psychotherapy in the complex treatment of neurosis at children and adolescents


Author: Leaşoc Tatiana
Degree:doctor of medicine
Speciality: 14.00.18 - Psihiatrics and Narcology
Year:2009
Scientific adviser: Anatol Nacu
doctor habilitat, professor, State University of Medicine and Pharmacy "Nicolae Testemitanu"
Institution:
Scientific council:

Status

The thesis was presented on the 8 April, 2009
Approved by NCAA on the 18 June, 2009

Abstract

Adobe PDF document0.38 Mb / in romanian

Thesis

CZU 616.891 – 053.2/.7 + 615.851.1

Adobe PDF document 5.33 Mb / in romanian
154 pages


Keywords

psychoanalysis, individual, group, family psychotherapy, neurosis at children and adolescents, psychosomatic disorders, anxious-phobic, obsessive, depressive, behavioural–motor disorders, the premorbid peculiarities, conflict intrapsihic, education disturbances, projective methods, Eysenck H. survey, Eydemiller E.G. survey

Summary

Psychotherapy in the complex treatment of neurosis at children and adolescents” speciality 14.00.18 – Psychiatry and narcology. The study is based on the clinical-pathopsychological, catamnestic and statistic research of 140 patients (105 boys and 35 girls) aged from 5 to 17 (10,83 ± 0,26) with a large scale of neurotic disorders (psychosomatic disorders – 41 patients, anxious-phobic, obsessive and depressive disorders – 25 patients, behavioural – motor disorders - 74 patients). The clinical peculiarities of the neurosis were investigated at the various stages of its appearance and development including the prenosological stage and the symptoms in the catamnesis (17,5 ± 2,3 months). There were applied the methods of psychoanalytically oriented psychotherapy that were applied individually - 47 (33,6%) patients, in family therapy - 44 (31,4%) patients and in a group with elements of Gestalt therapy, psychodrama, cognitive-behavioural (feedback) psychotherapy - 15 (10,7%) patients. The methods of psychotherapy were applied in accordance with personality, capacity of autoanalysis of the patients. The data analysis of the clinical-pathopsychological investigations of the patients (pattern method, the Eysenck H. survey, Eydemiller E.G. survey), the data of psychotherapy of the patients established at the basis of the neurotic symptomatology the intrapsychic conflict and psychological benefits caused by the disorder that have tracked the close connection with the peculiarities of the family functioning, education and the parent personalities. While comparing the effect of the different types of treatment such as complex treatment (psychotherapy and pharmacotherapy) – 78 (55,7%) patients; psychotherapy – 22 (15,7%) patients; pharmacotherapy (test group) – 40 (28,6%) patients, there were identified the increase of the effect stability in the differential use of the psychology methods. The combination of individual, group and family psychotherapy increased the efficiency of the treatment of the patients as it is facilitated the analysis of the psychological aspect of the neurotic disorder in the family environment and intrapersonal relationships. The pharmacotherapy administration was expedient in cases of acute neurotic symptomatology at the stage of preparing for the psychotherapy realization. The received data allowed identifying the algorithm of the application of the complex treatment in specific psychopathological conditions and measures of psycho-prophylaxis, which includes especially family psychotherapy. Key words: psychoanalysis, individual, group, family psychotherapy, neurosis at children and adolescents, psychosomatic disorders, anxious-phobic, obsessive, depressive, behavioural–motor disorders, the premorbid peculiarities, conflict intrapsihic, education disturbances, projective methods, Eysenck H. survey, Eydemiller E.G. survey.