[Structuro-dynamic features of situational and psychogenic disorders in the late period of craniocerebral injuries (in relation to the task of patient rehabilitation)].

The author describes the results of clinico-psychopathological study of 68 patients with neurotic states (hysterical, anxiety-phobic) and a psychopath-like syndrome (affective-explosive, hystero-hypochondriac and litigious-quarrelsome) observed long after occupational craniocerebral traumas. Attention is drawn to a heterogenous nature of relationships of cerebral-organic and psychogenic-situational mechanisms in the origin of these symptom complexes. Different types of "an insight into the disease" (harmonic, nosocentrical-aggravational, pretentions and hypochondriac) reflecting a degree of disorganization of the motivational-value system of patients were identified on the basis of a comprehensive study of the personality. The mechanisms of psychological compensation were found to play an important role in the genesis of analyzed disturbances and the adaptive activity of patients. Guidelines of rehabilitative tactics with a special emphasis on the conduction of psycho- and socio-therapeutic measures are proposed.