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

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.

1. Balint M. Bazisnyj defekt: Terapevticheskie aspekty regressii. Per. s angl. M.: Kogito-Centr. 2002. (In Russ.).

2. Бейтсон Г., Джексон Д.Д., Хейли Дж., Уикленд Дж. К теории шизофрении. Московский психотерапевтический журнал. 1993;1 [PsyJournals.ru]. PsyJournals.ru. 2023 [обновлено 15 января 2023]. Доступно: https://psyjournals.ru/journals/cpp/archive/1993_n1/25725

3. Bion U.R. Nauchenie cherez opyt perezhivaniya. Per. s angl. M.: Kogito-Centr. 2008. (In Russ.).

4. Blejler E. Rukovodstvo po psihiatrii. Per. s nem. M.: NPA. 1993. (In Russ.).

5. Boulbi Dzh. Privyazannost’. Per. s angl. M.: Gardaki. 2003. (In Russ.).

6. Braun Dzh., Kristensen D. Teoriya i praktika semejnoj psihoterapii. 3-e izd. Per. s angl. SPb.: Piter. 2001. (In Russ.).

7. Brish K.H. Terapiya narushenij privyazannosti: Ot teorii k praktike. Per. s nem. M.: Kogito-Centr. 2012. (In Russ.).

8. Vid V.D. Psikhoterapiya shizofrenii. SPb.: Piter. 2009. (In Russ.).

9. Vlasova O.A. Antipsikhiatriya: Stanovlenie i razvitie. M.: RGSU “Soyuz”. 2006. (In Russ.).

10. Gantrip G. Shizoidnye yavleniya, ob»ektnye ot nosheniya i samost’. Per. s angl. M.: IOI. 2010. (In Russ.).

11. Garrabe Zh. Istoriya shizofrenii. Per. s franc. SPb.: Psihonevrologicheskij institut im. Bekhtereva V.M. 2000. (In Russ.).

12. Gilyarovskij V.A. Izbranny`e trudy`.Pod red. G.K. Ushakova. M.: Medicina. 1973. (In Russ.).

13. Grin H. Ya ne obeshchala vam rajskoj zhizni. Per. s angl. M.: Modern. 2017. (In Russ.).

14. Grinberg L., Sor D., Tabak de B.E. Vvedenie v raboty Biona: Gruppy, poznanie, psihozy, myshlenie, transformaciya, psihoanaliticheskaya praktika. Per. s angl. M.: Kogito-Centr. 2007. (In Russ.).

15. Гусева О.В., Коцюбинский А.П., Звенигородская Ю.Д. Нарушение привязанности как фактор психологической дезадаптации у здоровых и психически больных. Клиническая и медицинская психология: исследования, обучение, практика. 2016;4(14):4. Научный сетевой журнал: «Клиническая и медицинская психология: исследования, обучение, практика» [www.medpsy.ru]. Medpsy; 2023 [обновлено 15 января 2023]. Доступно: http://www.medpsy.ru/climp/ 2016_4_14/article07.php

16. Guseva OV, Kotsubinsky AP, Zvenigorodskaya YuD. Influence of attachment on socio-psychological ad aptation and its dynamics in the course of treat ment in adolescent patients with schizotypal dis order. Obozrenie psihiatrii i medicinskoj psihologii imeni V.M. Bekhtereva. 2021;55(3):89–100. https://doi.org/10.31363/2313-7053-2021-56-3-89 100. (In Russ.).

17. Karson R., Batcher Dzh., Mineka C. Anomal’naya psihologiya. Per. s angl. SPb.: Piter. 2004. (In Russ.).

18. Kempinskij A. Psihologiya shizofrenii. Per. s pol’sk. SPb.: Yuventa. 1998. (In Russ.).

19. Kernberg O.F. Tyazhelye lichnostnye rasstrojstva: Strategii psihoterapii. Per. s angl. M.: Klass, 2012. (In Russ.).

20. Klinicheskaya psikhologiya: Uchebnik dlya vuzov. 4-e izd. Pod red. B.D. Karvasarskij. SPb.: Piter, 2010. (In Russ.).

21. Klinicheskaya psihologiya: V 4 t. Pod red. A.B. Holmogorovoj. T.2. Chastnaya patopsihologiya. M.: Akademiya, 2012. (In Russ.).

22. Klinicheskaya psihologiya i psihoterapiya. 3-e izd. Per. s nem.; pod red. M. Perre, U. Baumanna. SPb.: Piter. 2012. (In Russ.).

23. Komer R. Patopsihologiya povedeniya. Narusheniya i patologii psihiki. 4-e izd. SPb.: Prajm-EVROZNAK. 2005. (In Russ.).

24. Korolenko C.P., Dmitrieva N.V. Sociodinamicheskaya psihiatriya. M.: Akademicheskij proekt; Ekb.: Delovaya kniga. 2000. (In Russ.).

25. Korolenko C.P., Dmitrieva N.V. Homo Postmodernus. Psihologicheskie i psihicheskie narusheniya v postmodernistskom mire. M.: NGPU. 2009. (In Russ.).

26. Kocyubinskij AP. Biopsychosocial model of schizophrenia. Psychosocial rehabilitation and quality of life. Sbornik nauchnyh trudov NIPNI im. V.M. Bekhtereva. 2001;137:230–241. (In Russ.).

27. Kocyubinskij A.P., Skorik A.I., Aksenova I.O. i dr. Shizofreniya: uyazvimost’-diatez-stress-zabolevanie. SPb.: Gippokrat+. 2004. (In Russ.).

28. Krepelin E. Vvedenie v psihiatricheskuyu kliniku. 3-e izd. Per. s nem.; Pod red. P.B. Gannushkina. M.: Narkomzdrav. 1923. (In Russ.).

29. Kritskaya V.P., Meleshko T.K., Polyakov Yu.F. Patologiya psihicheskoj deyatel›nosti pri shizofrenii: motivaciya, obshchenie, poznanie. M.: MGU. 1991. (In Russ.).

30. Lagun I.Ya. Prichinnost’ shizofrenii: Konspekt-analiz problemy. Lipeck: Orius, 2008. (In Russ.).

31. Lauveng A. Zavtra ya vsegda byla l’vom. Per. s norvezh. Samara: ID «Bahrah-M», 2012. (In Russ.).

32. Ligner E. Nenavist›, kotoraya lechit: psihologicheskaya obratimost› shizofrenii: Sb. Statej. Per. s angl. Izhevsk: ERGO. 2014. (In Russ.).

33. Leng R.D. Raskolotoe «Ya». Per. s angl. SPb.: Belyj Krolik. 1995. (In Russ.).

34. Mak-Vil›yams N. Psihoanaliticheskaya diagnostika: Ponimanie struktury lichnosti v klinicheskom processe. Per. s angl. M.: Klass. 2010. (In Russ.).

35. Maler M.S., Pajn F., Bergman A. Psihologicheskoe rozhdenie chelovecheskogo mladenca: Simbioz i in dividuaciya. Per. s angl. M.: Kogito-Centr. 2011. (In Russ.).

36. Медведев С.Э. Опыт использования теории М. Боуэна в работе с семьями больных шизофрени ей на госпитальном этапе и в амбулаторных условиях. Журнал практической психологии и психоанализа. 2005;4. Журнал Практической Психологии и Психоанализа [psyjournal.ru]. Psyjournal; 2023; [обновлено 15 января 2023]. Доступно: http://psyjournal.ru/psyjournal/arti cles/detail.php?ID=2677&sphrase_id=32107

37. Mencos S. Psihodinamicheskoe modeli v psihiatrii. Per. s nem. M.: Aleteja, 2001. (In Russ.).

38. Model’ bezumiya: Psihologicheskie, social’nye i biologicheskie podhody k ponimaniyu shizofrenii. Per. s angl.; Pod red.: Dzh. Rid, L. Mosher i R. Bental. Stavropol’: ANO «ProPsi». 2008. (In Russ.).

39. Myasishchev V.N. Psihologiya otnoshenij. Pod red. A.A. Bodaleva. M.: MPSI; Voronezh: NPO «MODEK». 2003. (In Russ.).

40. O’Brajen B. Neobyknovennoe puteshestvie v bezumie i obratno: Operatory i Veshchi. Per. s angl. M.: Klass. 1996. (In Russ.).

41. Sallivan G.C. Interpersonal’naya teoriya psihiatrii. Per. s angl. SPb.: Yuventa; M.: KSP+. 1999. (In Russ.).

42. Seshej M.A. Dnevnik shizofrenichki. Samonablyudeniya bol›noj shizofrenichki vo vremya psihoterapevticheskogo lecheniya. Per. s fr. M.: KogitoCentr. 2013. (In Russ.).

43. Spotnic H. Sovremennyj psihoanaliz shizofrenicheskogo pacienta. Teoriya tekhniki. SPb.: VEIP. 2004. (In Russ.).

44. Tajson F., Tajson R.L. Psihoanaliticheskaya teoriya razvitiya. Per. s angl. M.: Kogito-Centr. 2017. (In Russ.).

45. Tausk V. O vozniknovenii «apparata vliyaniya» pri shizofrenii. Per. s nem. Izhevsk: ERGO. 2011. (In Russ.).

46. Tiganov A.S., Snezhnevskij A.V., Orlovskaya D.D. i dr. Rukovodstvo po psihiatrii. V 2 tomah. Tom 1. Pod red. A.S. Tiganova. M.: Medicina. 1999. (In Russ.).

47. Fedorov Ya.O., Belova E.N., Klokova M.V., Shikanova E.A. Totem bez tabu: psihoanaliz doedipal’nyh sostoyanij (shizofreniya, rasstrojstva lichnosti, affektivnye rasstrojstva i dr.). 2-e izd., isprav. SPb.: OOO «IPK “KOSTA”». 2018. (In Russ.).

48. Hell D., Fisher-Fel’ten M. Shizofreniya. Per. s nem. M.: Aleteja. 1998. (In Russ.).

49. Shizofreniya: Mul›tidisciplinarnoe issledovanie. Pod red. A.V. Snezhnevskogo. M.: Medicina. 1972. (In Russ.).

50. Shpil’rejn S. O psihologicheskom soderzhanii odnogo iz sluchaev shizofrenii (Dementia praecox). Per. s nem. Izhevsk: ERGO. 2012. (In Russ.).

51. Shutcenberger A.A. Sindrom predkov: Transgeneracionnye svyazi, semejnye tajny, sindrom godovshchiny, peredacha travm i prakticheskoe ispol›zovanie genosociogrammy. Per. s fr. M.: Psihoterapiya. 2009. (In Russ.).

52. Ejdemiller E.G., Medvedev S.E. Analitiko-sistemnaya semejnaya psihoterapiya pri shizofrenii. SPb: Rech’. 2012. (In Russ.).

53. Yagnyuk K.V. Psikhologiya i psikhoterapiya v aforizmakh. M.: ICSR. 2008. (In Russ.).

54. Yaspers K. Obshchaya psihopatologiya. Per. s nem. M.: Praktika. 1997. (In Russ.).

55. Arieti S. Interpretation of Schizophrenia (2nd Ed.). New York: Basic Books. 1974

56. Federn P. Ego Psychology and the Psychoses. New York: Basic Book. 1952

57. Kring AM, Caponigro JM. Emotion in Schizophrenia: Where feeling Meets Thinking. Curr. Dir. Psychol. Sci. 2010;19(4):255–259. https://doi.org/10.1177/0963721410377599

58. Lotterman A. Psychotherapy for People Diagnosed with Schizophrenia: Specific Techniques. New York: Routledge. 2016.

59. Rosberg J, Karon BP. The Oedipus complex in a case of deteriorated schizophrenia. J. Abnorm. Soc. Psychol. 1958;57(2):221–225. https://doi. org/10.1037/h0044623

60. Wagner P.S., Spiro C.S. Divided Mind: Twin Sisters and Journey Through Schizophrenia. New York: St. Martins Griffin. 2005.