Deformations of psychological adaptive resources in terms of amotivational and existential incompetence in schizophrenia

Objective: to study the schizophrenic disorder from the viewpoint of specific disturbances in the domain of adaptations, which are presumably interrelated with the emotional-personality core and the pathology of the internal motivational (intrinsic) complex. Tasks: to collect experimental data, with the help of which it is possible to analyze a certain situation of environmental influence, reflecting the association between the actual stress factors that arise in the life of a patient with schizophrenia and the failure of adaptive abilities in his/her psyche. Material and Methods. Based on the wards of the psychiatric hospital, 65 individuals (55 of them were men) aged 25 to 40 years, with manifest and recurrent episodes of schizophrenia (F20.0) were treated in 2016-2017. 70% of the examined had a disability group. The control group included 10 conscripts aged 17-18 years, with a relatively stable psychotic premorbid. The controls were examined by the referral of the district military registration and enlistment office. In addition to the main clinical-psychopathological method, the Life Style Index (LSI) questionnaire was used. Data processing was carried out using the nonparametric methods: the Mann-Whitney test (U) and Spearman's coefficient (r). Conclusion. The specificity of the disunity of conscious and unconscious defense patterns in patients with schizophrenia does not allow them to develop the universal psychological adaptation. Amotivational disturbances can presumably correlate with the vector of alienation of conscious and unconscious psychological defenses (for example, based only on the regressive-projective pole of adaptation or only on the rational one). In this regard, the decompensation of adaptive abilities reaches such sizes that adaptation to reality is perceived by the patient with schizophrenia as traditionally hostile, and is significant only within the framework of the disease, as it is charged with his/her identity. Any individual (and even super-individual) impulse turns out to be completely incompetent and non-implemented.