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Age-related psychology. Clinical forms of mental disorders in mature and elderly people (the most important)

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52. CLINICAL FORMS OF MENTAL DISORDERS OF MATURE AND ELDERLY AGE

It is generally accepted that the main cause of mental disorders in adulthood and old age are atrophic processes occurring in the cerebral cortex. Psychosis and senile dementia are considered difficult to treat, so specialists (psychiatrists, neuropathologists, therapists) often treat symptomatic. In old age, a person goes through many changing factors, his psyche disintegrates, which leads to insanity and other painful conditions.

The reasons for their occurrence:

1) the aging process of the body, organic disorders or changes in the functioning of the brain: vasoconstriction, sudden pressure surges, atrophic processes, metabolic disorders. All this interferes with the normal functioning of the brain;

2) unwillingness, rejection by a person of his age and the inevitability of death. A person begins to lose social positions to which he aspired all his life, friends, his former social circle, etc. The situation is aggravated by a person's understanding of the inevitability and proximity of death. The psychological protective functions of the body, protecting a person from painful experiences, block their access to consciousness, causing a mental disorder.

Emotions experienced by a person go through a certain stage of their altered development. First, he develops an anxiety state, trying to overcome which, a person falls into a state of painful bewilderment (it can be provoked by a stressful situation). He becomes thoughtful and silent, after which this state (or affect) turns into mental pain, which is very difficult for a person to express in words. This condition is called psychalgia.

The inability of a person to express his condition in words leads him to a new stage - alexithymia. During this period, a person reaches the stage of regression, both emotions and basic mental functions (thinking, speech, consciousness).

Gradually, the regression begins to deepen, which leads to physiological changes and a transition to a psychobiological conflict. This is what causes the emergence of psychosomatic diseases.

Psychopathies:

1) paranoid type;

2) schizoid type;

3) dissocial disorder;

4) emotionally unstable personality disorder;

5) hysterical personality disorder;

6) anancaste personality disorder;

7) anxious personality disorder;

8) a disorder of the dependent personality type.

Author: Loshchenkova Z.B.

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