Vol 18, No 3 (2015)

The article highlights the legal basis of medical diagnosis, highlight the role of the physician in the clinical diagnosis according to ICD-10. The analysis of the medical powers of organization and service of medical and social assessment at the present stage.

The paper discusses main activities of an expert psychologist in the bureau of medical and social assessment (MSA) at the stage of system reorganization of medical and social assessment and rehabilitation of the disabled. The optimal way of expert psychologist’s activity was determined on the basis of legal and methodological documents regulating special features of their professional education. The authors presented specific tasks of the psychologist’s work in the field of medical and social expertise and rehabilitation of the disabled.

The paper presents the results of the study of specific influence of phantom and anginal pain on formation of “internal picture of the disease” in patients after myocardial revascularization and lower-limb amputation. The main amputation reasons were chronic diseases and different traumas. The patients with coronary heart disease (CHD) and those with phantom limb pain, who had amputations as a result of trauma, revealed the most severe disturbances in the emotional sphere. Recommencement of the anginal pain after myocardial revascularization and a dramatic change of social and economic status of patients with phantom pain lead to more marked changes of psychological and biological components of “internal picture of the disease” in these groups. The empatho-technique application favored the decrease of pain intensity, reduction of psychopathological symptom manifestation and improved quality of life in all of the three patient groups. Correlation analysis showed special interrelations between pain characteristics and other components of “internal picture of the disease” in patients with phantom and anginal pain.

The article is an analysis of the primary childhood disability in the Ivanovo region, which reveals the dominant pathology, leading to disability in children of different age and gender. This study is necessary for the development and optimization of programs of medical and social support for children with disabilities.

The paper analyzes the rate of repeated disability as a result of ischemic cardiac disease in the Russian Federation, federal regions and in all subjects in dynamics over 2009-2014.

The ratification of the United Nations (UN) Convention on the Rights of Persons with Disabilities (the Convention) by the Russian Federation requires the improvement of approaches to solving the problem of realization of this social group’s rights. This paper presents some aspects of the sociological component of the monitoring of keeping the rights of the disabled, which aims to identify the changes associated with various aspects of the Convention implementation, prevention of negative trends and short-term forecasting of social processes and problems. Special attention was paid to the concept of sociological monitoring, its significance, object, subject, aim, objectives, special features of empirical indicators determination, and requirements to the respondent selection, as well as the questionnaire survey to collect the primary sociological information.

The review of scientific articles over the past fifteen years studies the links between social (interpersonal) support and psychological well-being of the patients. It describes the types and methods of investigation of social support and its relation to depression and somatic complications, as well as adaptation and satisfaction with person’s life. The review revealed «white spots» of rehabilitation and employment in studying relations between different types of social support and motivation in patients with spinal cord injury consequences and the unresolved issue of correlation between social skills and types of social support. The study of specific social skills that support social integration of patients with spinal cord injury and improve their communication with others seems promising. Understanding this issue will allow psychotherapist to make individual and group work with the patients more effective.