Cardiac psychology

Today there is an urgent need to create a new trend in medicine, that is cardiopsychology. It is a synthesis of cardiology, psychology and innovation psychotherapy. The main purpose is to prevent the cardiovascular disorders, and to design non-drug therapy to decrease the pharmacological correction's intensity taking into account the uniqueness of patients already suffering from these disorders. The pathologies' priority is the coronary artery disease and hypertension.

While using the new approach it is important to understand the notion "norm" more precisely . We offer definition: the "norm" is a capacity of deliberate active functioning.
The initial diagnosis of psychoemotional tension and getting it under the control in the process of treatment and rehabilitation.
Having modified T. Dembo-Rubinshtain methods of self-evaluation of psychologically unstable individuals taking into account their most common complaints, the questionnaire was worked out called "Self-evaluation of psychoemotional tension level", including seven ten points scales.

Anxiety
Fear of death.
Agressiveness.
Despair.
Loneliness.
Suicide.
Depression.

3000 patients' pictures have been investigated. They were normal, with border disorders ( neurotic reactions and states), mental disorders (schizophrenia) functional ( neurocirculatory dystonia, asthenovegetative syndrome) and organic ( coronary artery disease, hypertension).
The graphic" Self-Identification Test System"(SITS) was worked out and clinically approved at Essential Hypertension Department of the N. D.

Strazhesko Ukrainian Research Institute of Cardiology.

The new non-drug method for psychological stabilization based on art therapy was designed.

Projective visualization

Non-drug method is characterized by minimum possible risk of negative effect due to psychological invasion. It is a kinesthetic ( synchronized with breathing motion) and graphic (free associative picture, correcting text) reflection of unconscious psychotraumatic images replacing them by adequate positive ones with the purpose to achieve psychological stability.
Projective visualization permits to discover marginal, pressed motives orienting to the opposite of the predominant ones. The displacement of the psychotraumatic images with their subsequent substitution is based on the feedback principle - formation of image, afoot, in picture or text with its fixation consciously or unconsciously.

"Perspectives of psychology"- Is.5, 2004.
Method of Projective visualization in appropriate modifications is used in different areas of medicine. It is also used for sportsmen to correct their psychoemotinal tension, and in business consulting to solve tactical issues and for strategic planning.

PROJECTIVE VISUALIZATION IN A PERSONAL STABILIZATION OF CARDIAC PATIENTS

The new projective visualization methods i.e. kinesthetic and graphic reflection of the unconscious psychotraumatic imagery have been used for the patients with asthenoneurotic syndrome, coronary artery disease and hypertension. It was noticed the significant reduction of anxiety, death fear, aggressiveness, depression, considerable heart pressure lowering, reduction of angina attack frequency. All these factors permit to decrease the pharmacological correction's intensity.

PROJECTIVE VISUALIZATION IN THE THERAPY OF PSYCHOLOGICALLY UNSTABLE PATIENTS WITH CORONARY ARTERY DISEASE AND HYPERTENSION, NEUROCIRCULATORY DISTHONIA

Two schemes of the new projective visualization method i.e kinesthetic and graphic correction of psychotraumatic imageries to decrease psychoemotinal tension were used for 30 patients with asthenoneurotic syndrome, stable exertion angina pectoris II-III FC and hypertension II St and 30 patients with neurocirculatory disthonia and schizophrenia.

The nature images and specially developed exercises in the conditions of natural landscape, which can be reproduced in the megalopolis conditions later, were used. In both groups were noticed the significant patients' conditions improvement, correlating with the positive dynamics of functional erythrocytes activity and hemodynamics. All these factors allow to reduce pharmacological correction intensity, especially psychotropic drugs.

Fragments of the articles " Projective visualization in the therapy of patients with cardiac type neurocirculatory disthonia and schizophrenia", " Projective visualization method application for psychologically unstable patients ".

"Association of psychiatrists of Ukraine" - 2003.- 1-2. C. 177-195.

PROJECTIVE VISUALIZATION IN THE THERAPY OF PATIENTS WITH CARDIAC TYPE NEUROCIRCULATORY DISTHENOA AND SCHIZOPHRENIA

To decrease the psychoemotinal tension for the patients with cardiac type neurocirculatory disthonia and schizophrenia, the new non-drug method of projective visualization of kinesthetic and graphic reflection of the personal condition was applied.

PV stimulates the self-identification increase, the new perception of personal capabilities, intensified the mechanisms of psychological defense based on new experience. The links between the doctor and patient have improved, without any binding to the doctor. As the result of using PV, the patient's psychoemotional tension has decreased, they started to accept themselves more adequately, and also their treatment, other members of the group, Center personnel, doctor in charge of the case.

Projective visualization method application for psychologically unstable patients.
The applied images of positive sense promote the development of adequate self-evaluation made by psychologically unstable patients themselves and it is very important for their rehabilitation. The additional effect is the forming stable productive link patient-doctor.

It is very important while using PV to combine psychological elements with physical ones based on associative images lines. We have got very good results using PV in medical -social rehabilitation for the patients suffering paranoid schizophrenia.

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