On the Question of Procedural Issues of Psychological Examination of Individuals Previously Examined and Found to be Intoxicated with Alcohol

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Abstract

Stable presence of drug-related disorders (primarily related to drinking) among most prevalent diseases in the population of the Russian Federation indicates the need to revise the diagnostic/therapeutic approaches employed in the specialized institutions of the Russian Ministry of Health. Considerable focus is on prevention and early detection of disorders of the above-mentioned type, especially among individuals from "the risk group" - e.g. those previously examined and found to be intoxicated. So far there hasn't been developed a unified approach to psychological examination of the clients visiting the out-patient department of the drug rehabilitation service and therefore there is an obvious need to establish such an approach. This article presents the analysis of possibilities for resolving the formulated problem by shifting the target of examination from the immediate state of mental activity (functions, processes) (as viewed mainly by means of differential diagnostics) to psychological characteristics which may be the cause of persistent addiction-related disorders in the future.

General Information

Keywords: early detection of addiction-related disorders, prenosological forms of alcohol abuse, examination in the drunken state, a psychologist in a drug rehabilitation institution, alcohol screening

Journal rubric: Forensic and Clinical Psychology in Legal Context

Article type: scientific article

DOI: https://doi.org/10.17759/psylaw.2020100305

For citation: Bamburov K.A., Lukovtseva Z.V. On the Question of Procedural Issues of Psychological Examination of Individuals Previously Examined and Found to be Intoxicated with Alcohol [Elektronnyi resurs]. Psikhologiya i pravo = Psychology and Law, 2020. Vol. 10, no. 3, pp. 63–72. DOI: 10.17759/psylaw.2020100305. (In Russ., аbstr. in Engl.)

References

  1. Baulina M.E. Neiropsikhologiya: uchebnik dlya vuzov [Neuropsychology]. Moscow: VLADOS, 2018. 391 p.
  2. Bekhtel' E.E. Donozologicheskie formy zloupotrebleniya alkogolem [Pre-nosological forms of alcohol abuse]. Moscow: Meditsina, 1986. 272 p.
  3. Bleikher V. M., Kruk I. V., Bokov S. N. Klinicheskaya patopsikhologiya: Rukovodstvo dlya vrachei i klinicheskikh psikhologov [Clinical pathopsychology: Manual for doctors and clinical psychologists]. Moscow: MPSI; Voronezh: NPO «MODEK», 2002. 512 p.
  4. Bratus' B.S. Anomalii lichnosti [Anomalies of personality].  Moscow: Mysl', 1988. 301 p.
  5. Burtsev A.A. Nekotorye pokazateli rezul'tatov meditsinskogo osvidetel'stvovaniya na sostoyanie op'yaneniya v Moskve i ikh analiz [Some indications of alcohol intoxication examinations in Moscow. Analysis] // Voprosy narkologii [Issues of Narcology], 2011, no. 4, pp. 28–31.
  6. Gofman A.G. Klinicheskaya narkologiya [Clinical narcology]. Moscow: Miklosh, 2003. 215 p.
  7. Doklad «O sostoyanii zdorov'ya naseleniya i organizatsii zdravookhraneniya po itogam deyatel'nosti organov ispolnitel'noi vlasti sub"ektov Rossiiskoi Federatsii za 2014 god» [Report «On the state of public health and healthcare organization based on the results of the activities of the executive authorities of the constituent entities of the Russian Federation at 2014»] [Elektronnyi resurs]: Ofitsial'nyi saut MZ RF. 2015. Data obnovleniya: 18.06.2015. URL: https://static-0.rosminzdrav.ru/system/attachments/attaches/000/026/627/original/Doklad_o_sostojanii_zdorovja_naselenija_2014.pdf?1434640648 (Accessed 30.04.2019)
  8. Egorov A.Yu. Neiropsikhologiya deviantnogo povedeniya [Neuropsychology of deviant behavior]. Saint–Petersburg: Rech, 2006. 224 p.
  9. Zdravookhranenie v Rossii. 2017: Statisticheskii sbornik [Healthcare in Russian Federation. Statistics] / Rosstat. Moscow, 2017. 170 p.
  10. Ivanets N.N., Zerenin A.G. K voprosu o meditsinskom osvidetel'stvovanii na sostoyanie op'yaneniya [To the issue of medical examination of a state of alcohol intoxication] // Voprosy narkologii [Issues of Narcology], 2005, no. 1, pp. 41–47.
  11. Koshkina E.A. Zabolevaemost' psikhicheskimi i povedencheskimi rasstroistvami, svyazannymi s upotrebleniem psikhoaktivnykh veshchestv, v Rossiiskoi Federatsii v dinamike za 5 let [The incidence of mental and behavioral disorders associated with the use of psychoactive substances in the Russian Federation over the course of 5 years] // Voprosy narkologii [Issues of narcology], 2011, no. 1, pp. 17–27.
  12. Lapin I.P. Lichnost' i lekarstvo. Vvedenie v psikhologiyu farmakoterapii [Personality and medicine. Pharmacotherapeutical guidance]. Saint–Petersburg: DEAN, 2001. 416 p.
  13. Minko A.A. Sovremennye podkhody k diagnostike zavisimosti ot psikhoaktivnykh veshchestv [Modern approaches of diagnostics of drug addiction] // Ukrainskii vestnik psikhonevrologii [Ukranian Magazine of Psychoneurology], 2008, V. 16, no. 4, pp. 81–88.
  14. Meditsinskaya profilaktika narkologicheskikh zabolevanii: klinicheskie rekomendatsii [Medical prevention of  narcological disorders: clinical guidance]. Moscow: OOO «N'yuTerra», 2015. 154 p.
  15. Neiropsikhologiya individual'nykh razlichii: uchebnoe posobie dlya studentov uchrezhdenii vyssh. prof. obrazovaniya [Differential neuropsychology] / Khomskaya E.D., Efimova I.V., Budyka E.V. i dr. Moscow : Akademiya, 2011. 160 p.
  16. Nenast'eva A.Yu. Psikhometricheskie shkaly v sovremennoi klinicheskoi narkologi [Psychometrical Scales in a modern clinical narcology] // Voprosy narkologii [Issues of narcology], 2018, no. 7, pp. 46–71.
  17. Ob organizatsii spetsializirovannoi meditsinskoi narkologicheskoi pomoshchi v pervichnom zvene zdravookhraneniya [On the organization of specialized medical narcological treatment in primary healthcare service] / Klimenko T.V., Korchagina G.A., Rybakova L.N., Grechanaya T.B. // Voprosy narkologii [Issues of narcology], 2018, no. 4, pp. 89–100.
  18. Organizatsiya lecheniya i mediko-sotsial'noi reabilitatsii bol'nykh narkomaniei, sovershivshikh prestuplenie nebol'shoi tyazhesti i poluchivshikh otsrochku otbyvaniya nakazaniya: Metodicheskie rekomendatsii [The organization of treatment and medical / social rehabilitation of drug-addicted persons who have committed a minor offense and who have received a deferment of serving a sentence: Methodical guidance] / Igonin A.L., Kekelidze Z.I., Klimenko T.V., Koshkina E.A., Makushkin E.V, Shishkov S.N. Moscow: FGBU «GNTsSSP im. V.P. Serbskogo» Minzdrava Rossii, 2013. 23 p.
  19. Osnovnye pokazateli deyatel'nosti narkologicheskoi sluzhby v Rossiiskoi Federatsii v 2015-2016 godakh: Statisticheskii sbornik [Main indications of narcological treatment in the Russian Federation at 2015-2016] / Kirzhanova V.V., Grigorova N.I., Kirzhanov V.N., Sidoryuk O.V. Moscow: FGBU «FMITsPN im. V.P. Serbskogo» Minzdrava Rossii, 2017. 183 p.
  20. Polunina A.G., Davydov D.M., Bryun E.A. Neiropsikhologicheskie issledovaniya kognitivnykh narushenii pri alkogolizme i narkomaniyakh [Neuropsychological Researches of cognitive disorders caused by alcohol- and drug-addiction] // Psikhologicheskii zhurnal [Psychological Magazine], 2004, V.25, no. 5, pp. 70–76.
  21. Prikaz Ministerstva zdravookhraneniya Rossiiskoi Federatsii ot 18 dekabrya 2015 g. N 933n. «O poryadke provedeniya meditsinskogo osvidetel'stvovaniya na sostoyanie op'yaneniya (alkogol'nogo, narkoticheskogo ili inogo toksicheskogo)» [Order of the Ministry of Health of the Russian Federation at the 18th of December, 2015 № 933n. «On the procedure of a medical examination of a state of intoxication (alcohol, drug or other toxic)»][Elektronnyi resurs]: Rossiiskaya gazeta. 2016. URL: https://rg.ru/2016/03/23/alkogol-dok.html (Accessed 30.04.2019)
  22. Semenovich A.V. Neiropsikhologicheskaya diagnostika i korrektsiya v detskom vozraste [Neuropsychological diagnostics and treatment in childhood]. Moscow: Akademiya, 2002. 232 p.
  23. Sirota N. A., Yaltonskii V. M. Rabota s motivatsiei lits, zavisimykh ot narkotikov i drugikh psikhoaktivnykh veshchestv [Motivational work with drug-addicted personalities] // Rukovodstvo po reabilitatsii bol'nykh s zavisimost'yu ot psikhoaktivnykh veshchestv [The manual for rehabilitation of drug-addicted personalities] / Pod red. Valentika Yu.V., Sirota N.A. Moscow: Litera–2000, 2002, pp. 93–124.
  24. Tarkhan A.U. Vozmozhnosti neiropsikhologicheskogo metoda issledovaniya dlya izucheniya alkogolizma [The Abilities of neuropsychological method in alcohol-addiction research] // Zhurnal nevrologii i psikhiatrii [Neurology’s and Psychiatry’s Magazine]. Saint–Petersburg, 2009, no. 11, pp. 69–75.
  25. Ul'yanovskaya T.N., Smirnova N.N., Solov'ev A.G. Rol' psikhologa v psikhodiagnosticheskoi i lechebno-korrektsionnoi pomoshchi narkologicheskim bol'nym: uchebno-metodicheskoe posobie [The role of psychologist in diagnostics and treatment of personalities with addiction]. Arkhangelsk: Publ. Severnogo gosudarstvennogo meditsinskogo universiteta, 2017. 102 p.
  26. Chernobrovkina T.V. Teoreticheskie i prakticheskie aspekty pamyati v genezise motivatsionnoi dominanty i klinicheskikh fenomenov u bol'nykh zavisimost'yu [Theoretical and practical aspects of memory in genesis of motivational dominant and clinical phenomenas of addicted personalities] // Narkologiya [Narcology], 2018, no. 4, pp. 80–98.
  27. Chernobrovkina T.V. Teoreticheskie i prakticheskie aspekty pamyati v genezise motivatsionnoi dominanty i klinicheskikh fenomenov u bol'nykh zavisimost'yu. Lektsiya 3 [Theoretical and practical aspects of memory in genesis of motivational dominant and clinical phenomenas of addicted personalities. Lection 3] // Narkologiya [Narcology], 2018, no. 6, pp. 69–81.
  28. Chernobrovkina T.V. Teoreticheskie i prakticheskie aspekty pamyati v genezise motivatsionnoi dominanty i klinicheskikh fenomenov u bol'nykh zavisimost'yu. Lektsiya 4 [Theoretical and practical aspects of memory in genesis of motivational dominant and clinical phenomenas of addicted personalities. Lection 4] // Narkologiya [Narcology], 2018, no. 7, pp. 63–83.
  29. Chuprikov A.P., Martsenkovskii I.A. Alkogolizm i lateral'naya uyazvimost' mozga (Neironarkologicheskoe issledovanie) [Alcohol-addiction and brain lateral vulnerability (Neuropsychological Research)]. Kyiv: Akmis, 1995. 168 p.

Information About the Authors

Kirill A. Bamburov, Medical psychologist of medical rehabilitation department, Moscow Research and Practical Centre for Narcology of the Department of Public Health, Moscow, Russia, ORCID: https://orcid.org/0000-0001-6544-9405, e-mail: bamburov.kirill@gmail.com

Zoya V. Lukovtseva, PhD in Psychology, Docent, Associate Professor, Chair of Clinical and Forensic Psychology, Faculty of Legal Psychology, Moscow State University of Psychology and Education, Moscow, Russia, ORCID: https://orcid.org/0000-0002-3033-498X, e-mail: sverchokk@list.ru

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