Аннотация:
The article describes findings of the study that involved 154 patients diagnosed with alcohol dependence and comorbid paranoid schizophrenia, who received combined treatment. The sample was randomized into the experimental and control groups. The experimental group received specially designed psychotherapeutic program in contrast to the control group. The proposed psychotherapeutic program based on the treatment of alcohol-dependence symptoms and patterns of coping with mental disorder symptoms used by the patients was found effective for the patients under this study. Participation in the program allowed patients with alcohol dependence and comorbid schizophrenia to reduce manifestations of pathological craving for alcohol. The evidence was received that appropriate psychopharmacotherapy of endogenous disorder symptoms is an essential condition for successful psychotherapy, especially at the beginning of the treatment. As the therapeutic alliance is strengthening, self-regulation skills and a new stress-coping strategy are being formed, the role of the supportive environment for the patient recovering from an acute episode of a mental disorder becomes increasingly prominent.
Ключевые слова:
alcohol dependence, paranoid schizophrenia, psychotherapy