Et al., 1971, etc.), as well as widespread in the population of patients with chronic schizophrenia, extrapyramidal disorders. The diagnosis of schizophrenia, finally ceased to be a symptom of a fatal outcome in dementia, and the border between progradient and phase type of flow has shifted toward the phases. Much less have observed such fundamental manifestation of schizophrenia, like autism, the final defective condition, the secondary catatonia, and many of the symptoms that were previously regarded as irreversible, were exposed to therapeutic intervention. However, the cases of flaccid continuous flow with a predominance of non-deployed erased psychotic forms of negative symptoms and cognitive impairments that are resistant to neuroleptic therapy, as well as the phenomenon of intolerance. It is curious that the natural economic experiment with a sharp deterioration of the drug provision of mental hospitals during the period of "perestroika" in general, confirmed the hypothesis GY Avrutskogo the prevalence of psychosis drug pathomorphism genesis of general biological. During a break neuroleptic therapy, especially in peripheral hospitals, again the cases of malignant course with the advent of shizofazii, heavy and hebephrenia catatonic states, until the resumption of almost forgotten by doctors tube feeding. The subsequent improvement in supply situation quickly returned to its previous position, and the increasing adoption of a new generation of antipsychotics has significantly humanized therapeutic process and to achieve in some patients with schizophrenia previously unseen level of re-socialization and exposure to negative symptoms. Fourth, due to changes in the classical picture and course of mental illness with a predominance of milder forms of the majority of such patients encountered in ambulatory and somatic practices, which currently carries the brunt of the healing process. Therefore essential to its success is a rational combination pharmacotherapy with sotsioreabilitatsionnymi and psychotherapeutic interventions, including psihoobrazovatelnuyu work with the active involvement of the patient and his relatives in the therapeutic process. Known studies, which held once in 3 months of seminars to explain to the patient and his relatives goals of therapy, possible side effects, mechanisms of action, the prospects for treatment, etc. raise the effectiveness of long-term drug therapy, mainly due to increase compliance. Paramount importance in this context acquire development of methods for secondary farmakoprofilaktiki mental disorders, and special training for general practitioners. The latter is particularly important in the treatment of depression, various anxiety and psychosomatic disorders, which appear mainly in the Tourist Attractions network. Fifthly, the situation is complicated by the fact that significant changes in the taxonomy of mental illness. Adopted throughout the world a new revision of the International Classification of Diseases (MKB10) based in the diagnosis of the unusual for our psychiatrists OPERATIONAL criteria.
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