The Features of the Interrelation between Inward Picture of the Diseaseand Autobiographical Memory among Offenders with Schizophrenia

Dubinsky Alex, er Aleks, rovich, Bulygina Vera Gennadievna, Pronicheva Maria Mikhailovna
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Abstract

The results of studies on the interrelation of autobiographical memory with the features of the inward picture of the disease among offenders with schizophrenia. There were examined 17 patients with schizophrenia with criminal history, under compulsory treatment. The comparison group consisted of 17 patients with schizophrenia with prosocial behavior and 18 mentally healthy individuals without criminal history. The following techniques aimed to study the inward picture of disease were used: the types of attitude towards disease, symptom checklist-90-revised, life-line (for studying the autobiographical memory), metaphor of the past, functions of autobiographical memory, the questionnaire of self-attitude and balanced inventory of desirable responding. Specific interrelationships between the types of attitude to the disease and perceived symptoms with the peculiarities of functioning of autobiographical memory were revealed. It was found that patients have less realistic possibilities of consciousness with reduced mediation of autobiographical memory representations of the disease at the higher level of severity of distress due to the perceived symptoms and to the less realistic and adaptive types of attitude to disease. It was discovered that offenders with schizophrenia are characterized by the predominance of negative perceptions of past experience, the fragmentation of attitude to disease with low awareness of their symptoms, which is associated with a lower contribution to the mediation of ideas about the disease of functional constructs of autobiographical memory.
精神分裂症罪犯疾病内向图景与自传体记忆的相互关系特征
精神分裂症罪犯自传体记忆与疾病内在图景特征关系的研究结果。对17例有犯罪史的精神分裂症患者进行了检查。对照组为17例有亲社会行为的精神分裂症患者和18例无犯罪史的精神健康个体。研究方法包括:疾病态度类型、症状表-90修正、生命线(用于研究自传体记忆)、过去隐喻、自传体记忆功能、自我态度问卷和期望反应平衡量表。对疾病的态度类型和感知症状与自传体记忆功能的特殊性之间的具体相互关系被揭示。研究发现,由于感知到的症状和对疾病的不太现实和适应性的态度,患者在较高的痛苦严重程度上具有较低的自传式记忆表征的媒介,具有较低的现实意识可能性。研究发现,精神分裂症罪犯的特点是对过去经验的负面看法占主导地位,对疾病的态度支离破碎,对其症状的认识较低,这与自传体记忆功能结构对疾病观念的调解作用较低有关。
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