Main event of the decade

23 

иЮль–2013  Профессиональная ПсихотераПевтическая Газета 

and quantitative analysis of paients’ status. Was demonstrated more 

expressed decline of either situational and/or personal anxiety, indexes of 

hostility and aggression (in scale points) were lowered in group combining 

12-steps with Holotropic Breathwork.

VIsUALIZATION BIOELECTrIC rEACTIVITy OF A BrAIN WITH 

DEPENDENCE syNDrOME: MONITOrINg «IN sITU» OF 

PsyCHOTHErAPEUTIC INTErVENTIONs

glushko A.A., Bryun E.A., Koporov s.g. – Moscow Research and Practical 

Center of Addictions. Russia, Moscow.

Selected invariant sequence of graphic element the Computer 

electroencephalography (CEEG) – biomarkers of pathological paroxysmal and 

non-paroxysmal reactivity of the brain at different stages with dependence 

syndrome. Use of graphic element – biomarkers of EEG in a mode of 

monitoring «in situ» allows to visualizing bioelectric reactivity of a brain in 

reply to significant verbal incentive during psychotherapy sessions.

PsyCHOTHErAPy OF gAMBLINg

Oleg Buzik – MD, Ph.D., Deputy Director of Moscow Scientific and Practical 

Centre for Addictions of the Moscow Department of Healthcare. Russia, Moscow.

Patients with gambling dependence are found to be highly immature 

psychologically; very infantile that should be taken into account while 

selecting psychotherapeutic methods. The other aspect of these patients’ 

specifics includes manifestations of pathological craving for gambling, 

especially of the ideatory component. This fact also contributes to a specific 

nature of psychotherapeutic help to these patients. There is a need in 

defining of a most optimal complex of psychotherapeutic intervention based 

on a variety of existing methods and techniques.

rEVIEW OF sUBsTANCE-ABUsE TrEATMENT CAsEs 

PrEsENTED FOr sUPErVIsION

Dmitry shustov – MD, Ph.D. Russia, Ryazan.

The report presents a review of 119 cases presented for supervision 

by Medical Doctors and psychologists working with dependent patients. 

The review was performed from the perspective of the process model of 

supervision. Differences between psychologists’ and doctors’ cases as well 

as between cases of beginners and experienced specialists are described. 

The most challenging issues in therapy with dependent people that affect 

its efficiency are highlighted. The conclusions refer to specific features of 

supervision sessions in substance abuse treatment.

COgNITIVE-BEHAVIOrAL PsyCHOTHErAPy IN sUBsTANCE 

ABUsE TrEATMENT

Olga rychkova – Leading Staff Scientist, Medical and Social Rehabilitation 

Department of the National Scientific Center for Research on Addictions of the 

Russian Ministry of Healthcare. Russia, Moscow.

Any addiction can be seen as a result of inadequate learning, generating 

problem behavior; beyond the behavior are dysfunctional beliefs reinforcing 

it. Any dependent behavior is considered to be an indication for CBT, that’s 

why the range of this psychotherapy application is very wide. CBT programs for 

treatment of people with depressions, anxiety disorders, PTSD, social phobia, 

even schizophrenia have been developed, hence the range of CBT application 

is broadened due to a large number of patients with comorbid diseases.

OPPOrTUNITIEs AND CHALLENgEs OF VOLUNTEEr 

TrAININg FOr WOrK IN MEDICAL AND sOCIAL 

rEHABILITATION OF PATIENTs IN sUBsTANCE-ABUsE 

TrEATMENT

sergey Kotov – Senior Staff Scientist, Medical and Social Rehabilitation 

Department of the National Scientific Center for Research on Addictions of the 

Russian Ministry of Healthcare, RATA & EATA member. Russia, Moscow.

There is a dramatic lack of professional psychotherapists working 

with addicted patients at the early stages of reconvalescence. Most 

help is provided by volunteer counselors who have own experience of 

reconvalescence. Training objectives have been adjusted for this project 

taking into account specifics brought about by counselors’ practical 

experience of working with dependants and lack of psychological education.

PsyCHOTHErAPEUTIC PrOgrAMs FOr rELATIVEs OF 

PATIENTs IN sUBsTANCE-ABUsE TrEATMENT 

Tatiana Em – M.D., Candidate of Science, Psychotherapist of the Clinic of the 

National Scientific Center for Research on Addictions of the Russian Ministry of 

Healthcare, RATA & EATA member, Russia, Moscow.

The research performed has shown that relatives of patients in 

substance-abuse treatment need psychotherapy and some of them need 

psychiatric and psychotherapeutic treatment and observation. At the same 

time, low motivation for any kind of medical help has been identified 

in all groups of wives and mothers under study. The following targets 

of psychotherapy are identical in all groups: problems in interpersonal 

communication, intrapsychic conflicts, early traumatic experience, 

depressive disorders, unawareness of own needs and inability to fulfill 

them.

PsyCHOTHErAPEUTIC FAILUrEs IN sUBsTANCE ABUsE 

TrEATMENT PrACTICE

Helena rechkina – Medical Psychologist, Medical and Social Rehabilitation 

Department of the National Scientific Center for Research on Addictions of the 

Russian Ministry of Healthcare, RATA & EATA member, Russia, Moscow.

According to the personality theory in Transactional Analysis, alcohol 

abuse and other types of addictions are the so-called program or script of 

self-destructive behavior formed in early childhood. Addicted clients play a 

Game as a Victim of their dependence; they look for Saviors who switch to 

Persecutors later having failed to help. Discussion of 7 groups of failures in 

TA treatment of substance abuse is presented.

PsyCHOTHErAPEUTIC TrANsACTIONAL-ANALysIs-BAsED 

PrOgrAM FOr TrEATMENT OF PATIENTs WITH DEPENDENCE 

syNDrOME

Pavel Tuchin – Head of Medical and Social Rehabilitation Department of the 

National Scientific Center for Research on Addictions of the Russian Ministry of 

Healthcare, RATA & EATA member, Russia, Moscow.

Starting work at the earliest stages of psychotherapy with TA, we take 

advantage of this approach that involves gaining control over destructive 

symptoms of the disease in the current situation and planning of changes 

enabling the client to be successful in the future. Use of TA in group and 

individual therapy allows generating a new positive communication style 

and mutual commitments at the early stages of treatment which contributes 

significantly to remission.

rELATIONsHIP BETWEEN PErsONALITy TrAITs AND 

gENETIC rIsK OF ADDICTION DEVELOPMENT

Boris Biryukov – Postgraduate Student of Medical and Social Rehabilitation 

Department of the National Scientific Center for Research on Addictions of the 

Russian Ministry of Healthcare, Russia, Moscow.

Individual personality traits are controlled genetically to a great extent, 

and social functioning largely depends on personality traits, individual stress 

reaction patterns which include a genetic component too. Identifying the 

individual’s specific personality features, we have a right to suggest the 

existence of some genetic predictors of addiction. Profiling of genes allows 

studying contribution of different variants of the dopamine system genes 

structure to the disease genesis.

NEW APPrOACHEs TO WOrK WITH DrUg DEPENDENCE 

sergei grebnev – psychotherapist, psychotherapist European registration, 

according to a leading professional PPL 2010. Russia, Yekaterinburg. 

The report takes twenty years of experience with this category of 

clients that will create two new methods, «Crystallization of thinking» and 

«Suggestion able to concentration of attention by Grebnev», which turned 

out to be highly effective in changing the thinking of a dependent person. 

A similarity between these methods with the natural process of replacing 

some beliefs on others makes the results of stable and sustainable over time, 

creates a platform for further behavioral changes.

POLyMODAL PsyCHOTHErAPy PATIENTs WITH OVErWEIgHT 

AND OBEsITy

Valentina Berezina – psychotherapist, enter of Medical Psychology and 

Psychotherapy, MCPC of Addictions, Branch № 6, full member of PPL. Russia, 

Moscow.

I. Berezovskaya – a clinical psychologist, Center of Medical Psychology and 

Psychotherapy, MCPC of Addictions, Branch № 6. Russia, Moscow.

In article we raise the problem of overweight and fatness. There are 

described a multimodal psychotherapeutic approach to the treatment 

of eating disorders in the structure of the outpatient Center of Medical 

Psychology and Psychotherapy MCPC of Addictions for patients with 

unsuccessful experience weight loss in short-term therapy groups.

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