Clinical-psychopathological and clinical-psychological features of volition regulation in adolescents with disorders of behavior

Introduction. The relevance of work is determined by the absence of the typology of the disturbances of volitional regulation in adolescents with the disorders of behavior, and also by the need for the scientific substantiation of the ways of the optimization of the methods of psychotherapeutic correction and preventive maintenance of disadaptation in this group of adolescents. Purpose of the study - the study of the features of the disturbances of volitional regulation which the adolescents have with the disorders of behavior, the optimization of rehabilitative measures. Methods. Clinical-psychopathological study (estimation of the behavior of adolescent in the family, educational environment, among the peers and the feature of moral and ethical sphere) was supplemented with data of psychological examination on the study of the level of the development of personal agency, volitional qualities of personality and emotional intellect. Data analysis was conducted with the use of the statistical packet SHSS 11.5. For the comparison of qualitative data the criterion x2 (chi-square) and the precise criterion of Fischer were used. With the plural comparisons the correction of Bonferroni was used. Results. The disorders of behavior in adolescents were characterized by polymorphism, durability and manifestation of clinical manifestations, the dysfunction of volitional regulation was pivotal symptom. The phenomenological analysis of the behavior of adolescents made it possible to isolate three types of the disorders of the behavior: with the predominance of physical aggression (26.4%), with the predominance of criminal delinquency (36.3%), with the predominance of withdrawals and vagabondage (37.3%). With the chosen types of the disorders of behavior in adolescents the different level of the formation of volitional regulation, and also dysfunction by it cognitive, emotional and moral components were noted. The methods of psychotherapeutic correction in the system of the rehabilitation of patients with the disorders of behavior were developed. Conclusion. The chosen types of the disorders of behavior and feature of the disturbances of volitional regulation in adolescents made it possible to develop the complex of the differentiated psychotherapeutic measures in the structure of contemporary rehabilitative programs. The most noticeable dynamics of mental condition was noted toward the end the first month of therapy, during the first year after discharge from the hospital repeatedly into the hospital no one of the adolescents entered.