Formation Stages of a Dependent Position in a Situation of Disease
The concept of the disease situation can be considered as interdisciplinary because it has both a bodily and social, objective and subjective context. The physical components of the disease form a limitation of the physical and social possibilities of the patient. In the social sense, the disease situation reflects a different degree of a loss of professional status, social roles, in particular, forming the role of a person to be cared for. The most significant mechanisms of personal transformation are the intensity of internality and the reflection of the self-determination's sphere. The author shows the ambiguous relationship of the emerging dependent position with the personal mechanisms of the patient with ischemic heart disease. It is emphasized that with the loss of health in connection with ischemic heart disease, patients feel a decreased sense of control over their lives and activities, including professional, and the disabled with ischemic heart disease are alienated from themselves and adapt to new social relationships. For them, this mechanism of social and socio-psychological adaptation is typical and emphasizes the loss of internal support which reduces the personality and is an additional factor of their impairment.
1. Orlova M. M. Subjektno-sotsialniy podhod k issledovaniyu zdorovya [Subject-Social Approach to the Study of Health]. Saratov, 2014. 220 p. (in Russian).
2. Orlova M. M. Adaptacionnye strategii v usloviyah tyazhelogo, invalidiziruyuschego zabolevaniya kak subjektivnaya sostavlyayuschaya situacii bolezni [Adaptation strategies in conditions of a severe, disabling disease as a subjective component of a disease situation]. Izv. Saratov Univ. (N. S.), Philosophy. Psychology. Pedagogy, 2013, vol. 13, iss. 4, pp. 64–69 (in Russian).
3. Belyaev L. A. Russian society on the eve of the market: anxieties, expectations, hopes. Mir Rossii [World of Russia], 1992, no. 1, pp. 39–65 (in Russian).
4. Bannikova L. M. Marginality as a socio-pathological form of adaptation of the population to changing living conditions [To the Formulation of the Problem]. Polzunovskij almanah [Polzunovsky Vestnik], 2000, no. 2. Available at: http://new.elib.altstu.ru (accessed 20 November 2018).
5. Weber M. Ponyatie sociologii i «smisla» sotsialnogo deystviya [The Concept of Sociology and the “Meaning” of Social Action]. In: Obschaya sotsiologiya: khrestomatiya [General Sociology. Reader]. Sost. A. G. Zdravomislov, N. I. Lapin; per. V. G. Kuzminov; pod obsch. red. N. I. Lapina [Comp. A. G. Zdravomyslov, N. I. Lapin; trans. V. G. Kuzminov; by total ed. N. I. Lapin]. Moscow, 2006, pp. 39–43 (in Russia).
6. Karpikova I. S., Zimina E. V. Sotsialnoe izhdivenchestvo kak fenomen sovremennoy Rossii: teoreticheskie podhody k issledovaniyu [Social dependency as a phenomenon of modern Russia: theoretical approaches to research]. Formi i metodi sotsialnoy raboti v razlichnih sferakh zhiznedeyatelnosti [Forms and methods social work in various spheres of life]. Materialy IV Mezhdunar. nauch.-prakt. konf., posvyaschennoy 10-letiyu otkritiya pervogo v Buryatii kabineta med.-sots. pomoschhiv v poliklinicheskom zvene [Materials of the IV International Scientifi c Practical conf., dedicated to the 10th anniversary of the opening of the fi rst in Buryatia medical and social help in a clinic]. Ulan-Ude, 2015, pp. 166–167 (in Russia).
7. Makarenko O. N. K voprosu o psikhologii marginalnoy lichnosti [To the question of the psychology of a marginal person]. Vestnik Volgogradskogo gos. un-ta Ser. 7. Filosofi ya. Sociologiya i sotsial’nie tekhnologii [Science Journal of Volgograd State University. Ser. 7. Philosophy. Sosiology and Social Technologies], 2009, no. 1, pp. 173–177 (in Russia).