Clinical-and-dynamical regularities of forming mental disorders accompanying orthopaedic diseases

The article deals with the regularities of forming mental disorders in orthopaedic diseases, which are determined by interaction of somatogenic, psychogenic and social factors. Phenomenological analysis reveals the necessity of dynamic studying psychopathological disorders within the framework of "reaction - state-development" continuum. The author has determined the clinical expression range of some nosological forms of the neurotic sphere - varying from those effaced situationally dependened to deeply personal. Moreover, the author also has distinguished clinical variants of dynamically developing mental disorders in patients with congenital and acquired pathology of the locomotor system.