Zapuskalov S V, Sudakov V N, Polozhiĭ B S
Zh Nevropatol Psikhiatr Im S S Korsakova. 1988;88(10):116-20.
The authors examined 287 patients who developed neurosis-like and psychopathy-like disorders 1-15 years after the experienced exogenous organic diseases (brain traumas, vascular diseases and infectious-toxic diseases). In the assessment of adaptation under conditions of a large industrial enterprise the factors under consideration were: the patient's attitude to his fellow workers and superiors, participation in social work, the attitude of the fellow-workers and superiors to the patient, etc. Four levels of adaptation were identified: (1) complete stable; (2) incomplete professional; (3) incomplete psychological; (4) incomplete unstable (formal). The level of adaptation and the nature of mental disorders were found to correlate. The elucidated regularities may serve as a basis for elaborating rehabilitative programmes for individual groups of patients.
作者对287名在经历外源性器质性疾病（脑外伤、血管疾病和感染中毒性疾病）1至15年后出现神经症样和精神病样障碍的患者进行了检查。在一家大型工业企业的条件下评估适应情况时，考虑的因素有：患者对同事和上级的态度、参与社会工作的情况、同事和上级对患者的态度等。确定了四个适应水平：（1）完全稳定；（2）不完全职业性；（3）不完全心理性；（4）不完全不稳定（形式上的）。发现适应水平与精神障碍的性质相关。所阐明的规律可为制定针对个别患者群体的康复计划提供依据。
