Saratov JOURNAL of Medical and Scientific Research

Transformation of the personal identifcation system in the context of severe somatic disease

Year: 2019, volume 15 Issue: №2 Pages: 347-352
Heading: Sociology of Medicine Article type: Original article
Authors: Orlova M.M.
Organization: Saratov National Research University n.a. N. G. Chernyshevsky
Summary:

Resocialization of persons in a situation of illness determines one of the most important tasks of a health care system, namely, restoration of social opportunities of a patient. Objective: psychological analysis of identity system transformation of identifcations in a situation of a severe physical disease. Material and Methods. The study included a random sample of men and women aged 18–65: patients with ischemic heart disease (IHD) (n=116), and the control group (n=181). The following methods have been used: questionnaire, personal self-conception survey by S. R. Panteleev; R. Lazarus» study coping strategies; «Life style index»; family environment scale (FES) adapted by S. Y. Kupriyanov; WHO Quality of Life Questionnaire (WHOQOL); M. Kuhn»s test «Who am I?»; J. Rotter»s subjective control level test questionnaire; V. N. Dovlatova»s questionnaire for identifying cognitive inclination to dependency. Results. Signifcant diferences (p=0.01) in expression of identity indicators were obtained, which allowed to identify features of identifcation system characteristic of patients with ischemic heart disease without disability and with disability. Diferences in identifcation predictors with social roles, physical characteristics, negative self-identifcation and total number of self-descriptions were identifed using the regression analysis data. Conclusion. Change of personality of a patient with ischemic heart disease can be interpreted as othering and leads to difculties in social interactions and loss of opportunity to rely on their own personality, which requires psychotherapy. Socialization as a basic characteristic of modern society defnes one of the most important tasks of medical and social assistance to the population, namely, the restoration of the social capabilities of the patient. An analysis of the internal picture of the disease in patients with chronic somatic diseases in a social context makes it possible to determine the tasks of re-socialization in a situation of disability.

Bibliography:
3 Andreeva GM. Psychology of social cognition. Moscow, 2000; 288 p.
4 Erikson EH. Identity: youth and crisis. Moscow, 1996; 344 p.
5 Evstifeeva EA, Makarov AV. Infuence of modern technologies on transformation of physical identity. Science Prospects 2010; 3 (5): 52–5
6 Pavenkov OV. Normativistic concepts of values and valuable orientations in the sociological science (E. Durkheim, M. Veber and T. Parsons). Izvestia of Ural State University. Series 3: Social and political sciences 2011; 2 (91): 164–71
7 Orlova MM. Transformation of identity in patients with ischemic heart disease as a manifestation of adaptation strategies. Izvestia: Herzen University Journal of Humanities & Science 2015; 174: 101–8
8 Lazareva EYu, Nikolaev EL. Multi-level adaptation system of person with disease. The Bulletin of Chuvash Psychiatry and Psychology 2012; 8: 93–104
9 Orlova MM. The identity of the patient with coronary heart disease as a subjective component of the disease situations. Vestnik of Saint-Petersburg University. Series 12: Psychology. Sociology. Pedagogy 2014; 3: 90–7
10 Isaeva ER. Psychological adaptation resources of the individual in terms of health and disease. Medical psychology in Russia 2015; 1 (30): 8
11 Abrosimov IN, Yaltonkiy VM. The choice of coping strategy as a factor of psychological adaptation of the patient to chronic somatic disease. Herald of Omsk University. Series: Psychology 2018; 4: 12–8
12 Pantileev SR. Methodology of personal self-conseption research. Мoscow: Smysl, 1993; 32 p.
13 Methodology for psychological diagnosis of ways of coping with stressful and problematic situations for the individual: Manual for doctors and medical psychologists. St. Petersburg: SPbNIPNI n. a. V. M. Bekhterev, 2009; 38 p.
14 Vasserman LI, Yeryshev OF, Klubova EB. Psychological diagnostics of life style index. St. Petersburg: SPbNIPNI n. a. V. M. Bekhterev, 2005; 50 p.
15 Eydemiller EG, Dobryakov IV, Nikolskaya IM. Textbook for doctors and psychologists. 2nd corrected and additional edition. St. Petersburg: Rech», 2006; 352 p.
16 Nikiforov GS, ed. Diagnostics of health: Psychological workshop. St. Petersburg: Rech», 2007; 950 p.
17 Ivanova NL, Rumyantseva TV. Social identity: theory and practice. Мoscow, 2009; 456 p.
18 Rean AA. Practical Psychodiagnostics of the personality. St. Petersburg: St. Petersburg University press, 2001; 224 p.
19 Dolmatova VN. Psychological and pedagogical conditions of overcoming the dependent position of the pupils of the orphanage: PhD diss. Lipetsk, 2008; 171 p.

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