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4.4.8. Psychotherapy and psychocorrections


The mental condition of the patient makes appreciable impact on vyyorazhennost a neurogenic component of contractures of a knee joint. The most serious contractures develop, as a rule, at persons with the emotional instability raised by suggestibility, the reactance, inclined to dramatisation.

Available psychopathologic disorders aggravate tjayozhest conditions of patients and negatively affect duration of the period of aftertreatment.

We used a technique of rational psychotherapy. A basis of this method is the logic argument. The method includes razjasyonenie, suggestion, emotional influence, didactic and rhetorical questions. A hinge of rational psychotherapy is correct, dostupyonaja to understanding of the patient the treatment of character, the reasons of occurrence and prognoyoza diseases. The ego promotes formation at the sick adequate relation to the illness. In the simplified form data of analyses, radiological and tool researches, meyohanizmy occurrence of painful semiology were explained to patients. The logic belief about possibility of full recover was spent. Thus everyone posleyodujushchaja conversation was continuation previous. One of advantages rayotsionalnoj psychotherapies is active participation of the patient in the course of the treatment.

The progressive muscular relaxation and autogenic training were used also. Patients trained in recognition of irrational thoughts and vozyorazhenijam to the internal critic, daily record disfunktsionalnyh mysyolej and to a finding of rational answers, a method of positive forecasts and self-approval art, a method of distinct representation of success.

Psychocorrection was spent invited spetsalistami-psiho - therapists with use of methods psychosuggestive, emotionally - kognitivnoj therapy and behavioural psychotherapy.

4.5.

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Scientific source Ivanov PETER VALENTINOVICH. OPTIMIZATION of TACTICS of SURGICAL TREATMENT And POSTOPERATIVE AFTERTREATMENT of PATIENTS With CALCANEUS FRACTURES. The dissertation on competition of a scientific degree of the candidate of medical sciences. Kazan -.

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