Patients with characteristic features interessnogo circle 1

In the observed us sick in the structure of nature is clearly revealed the desire to achieve recognition, gain social approval, to make an impression, "to seem larger than it actually is". In behavior was a tendency to demonstrative behavior, posturing. They were peculiar emotional immaturity, expressive, emotional reactions, sometimes inadequate stimulus. They had increased fragility, sensitivity, combined with a low ability to control his emotions, to delay the satisfaction of needs. Patients showed surrounding increased requirements, sought to subordinate them to himself. They differed egocentrism, high self-esteem, a high level of claims, the tendency to wishful thinking.
However, until the beginning of the systematic use of alcohol in patients not have been serious violations of social adaptation. The systematic use of alcohol sick of this group rarely started and maintained exclusively external adverse micro-social impacts. Usually in drinking their company cited dissatisfaction with the real situation. Striving for self-assertion and not having sufficient skills and personal qualities to achieve, patients were easily incorporated into various alcohol companies. In alcoholic intoxication was achieved positive self-esteem and softened the negative emotions that often ate of long-existing stressful situation, demonstrating the failure of the patient, his real and imagined grievances; Sick and in such companies often tried as soon as possible to gain credibility, adaptable alcoholic leaders. As a result, the use of alcohol in some of them wore exaggerated nature and characterized by excessive. The peculiarity of these patients was relatively easy, and soon the ongoing transition from the real world into the world of alcoholic traditions and customs. "The positive properties of alcohol valued and were inclined to allocate acceptance of alcohol and the effects of intoxication, of the numerous drinking traditions. However, when explaining his drunkenness close demonstrated complete non-critical and entirely attributed own drunkenness at the expense of external influences. Internal prohibitions on the use of alcohol was quickly lost its power, and patients often used and traditional reasons for drinking alcohol. They reported that early began to realize the desire to use alcohol, but did not try to fight him. On the contrary, whenever such desires were eager to implement it. In their opinion, the desire to use alcohol from the very beginning, at the stage I was born in a very intensive manner. When the delay its implementation sharply increased mental stress, decreased mood, "all things dropped out of the hands", appeared agitated, restless. Relatives of patients reported that at the mention of alcohol during such periods in patients arose bright emotional reaction, the contents of which are determined by the possibility to use alcohol or absence of such possibility. If relatives prevented the admission of alcohol, patients were very creative in finding reasons for leaving home, and often they were able to deceive relatives, to make them believe yourself.
The peculiarity of patients of this group was relatively early formation intensive secondary forms of attraction to alcohol, in particular, has "lost control" over the amount of alcohol consumed. On stage I disease, the impression was largely due to the fact that intense desire to use alcohol arising before, conditioned and fast reception of a significant amount of alcohol during a short period of time. However, in the future, the closer II stage (within 2-4 years after onset of illness), the loss of quantitative control occurred at a relatively low intensity of the primary pathological attraction to alcohol, and the impossibility to continue the kurtosis has led to the rapid negative emotions.

During the transition to the second stage and in her early (within 3-5 years after onset of illness) updating attraction to alcohol was mainly under the influence of experiences regarding the main intrapersonal conflicts. During this period, the actualization of the primary pathological attraction to alcohol was accompanied by the struggle of motives. The struggle with the intention to use alcohol especially frequently in cases when reception of alcohol could prevent a sick social approval. Uncomfortable for most patients, the struggle of motives in subsequent could speed up the admission of alcohol to stop painful for themselves vnutripsihicheskoy struggle of motives.
The pursuit hung over were formed quickly, already in the beginning of the second stage of alcoholism, and the delay in hung over from the beginning was to patients with significant difficulties. In periods of actualization of this form of secondary attraction to alcohol was brightly shown peculiar to patients irritability, hot temper, aggression.
At the second stage, starting from the time of formation of deployed forms of secondary attraction to alcohol, dramatically reduces the element of struggle of motives when updating the primary pathological attraction.
The development of attraction is characterized by rapidly increasing affective disorders. The desire to use alcohol have been sick at the last moment, just before kurtosis. Before doing it, according to patients, sometimes accidentally flashed in my head". It gave a pathological attraction to stage II some impulsiveness and unpredictability. Clear the link with previous factors of actualization of attraction were lost: in some patients there are "groundless", insufficiently motivated techniques of alcohol. Some of them already in the beginning of the II stage of the disease urgent implementation desire led to the fact that the new alcoholic excess could start in the wrong period, in inappropriate conditions and thus contrary to the objective interests of the patient, promoted social disadaptation.
Symptoms actualization pathological attraction to alcohol in patients with characteristic features interessnogo circle was polymorphic, with the prevalence of mental health disorders.

1. A. E. Licko (1977) notes that "pure" istorikov true alcoholism is extremely rare, and in cases of alcoholism hysterical personality characteristics are combined with features of another type. C. A. Guriev and B. Ya. Gindikin VJ (1980) found that the propensity for systematic alcoholism in hysterical teenagers usually occurs when they have elements anxiety and instability. E. M. Novikov (1977), exploring the characteristics of chronic alcoholism, hysterical personalities, found in the vast number of them combination hysterical and excitable character traits. N. N. Ivanets, A. L. Igonin (1983) indicate that in alcoholism hysterical features so often combined with anxiety that is more adequate qualification to these patients as asteroussia.