THE PRINCIPLES OF GENDER-SPECIFIC PSYCHOSOCIAL REHABILITATION OF FEMALE PATIENTS WITH PARANOID SCHIZOPHRENIA
The methodological and organizational principles of gender-specific therapy and psychosocial rehabilitation for women suffering from the paranoid form of schizophrenia have been defined. They are based on certain international approaches, biopsychosocial concepts of development of mental disorders, and “the potential for the restoration of the social functioning”. The vector of the gender-specific psychosocial rehabilitation was a strategy of “retaining and restoring” of the social functioning, within which the psychosocial influence was implemented in the direction from the “prognostically negative syndromes” (reducing the life quality due to direct destruction of “supportive” skills) to the “prognostically positive syndromes” (influencing but not reducing the quality of life). The structure of gender-specific therapy and psychosocial rehabilitation appeared to be the same for all patients, however, scaled by the scope and content of psychosocial interventions depending on the degree of gender-specific maladjustment of the social functioning which is an integrated characteristic containing the evaluation of the pathogenic action of clinical and psychopathological and psychosocial factors in its genesis.