Some aspects of clinical connections of anxiety syndrome with existential data, coping, anticipation (example of research and treatment patients with adjustment disorders of macrosocial genesis

Abstract

Article presents the research of 569 patients with adjustment disorders of macrosocial genesis (ADMG). The axial syndrome of investigation — anxiety syndrome is studied in connection with existential data, coping, anticipation. The article considers application of clinico-anthropological model to meaning of anxiety in the link with Eigen welt, Mitwelt, Welt der Träume, Umwelt on the psychotic, borderline, neurotic levels. A high level of the common psychotism (76,4 %) has been observed. The following relation of adaptive and maladaptive coping was established: maladjustment was highest among migrants (CAB < cognitive, aff ect, behavior > index diff erence Δ = –13); maladaptive coping also dominates in the group of miners (Δ = –8,8); the only group in which the common coping is constructive were the police (Δ = +38,3). The article mentions some features of the dynamic development of anxiety, its relationship with existential exponents during therapy: highest existential activity aimed to the meanings (as anxiety-depressive disorders were being corrected) or involution of the miners; vital or traumatical for the migrants; group-orientated, search, or transforming in the group of the policemen. We present a synergetic resume of patients with ADMG: unemployed miners (N = 300; M = 48,6 ± 8,8 years) — defi cit, cyclic and chaos processing; combatants (N = 400; M = 29,5 ± 6,7 years) — stability, torpid process; migrants (N = 100; M = 43,7 ± 11,8 years) — stable constructive dynamic. Refs 20. Tables 5.