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Patients with characteristic features scenicheskoe circle

The originality of alcoholism in patients with character traits scenicheskoe range has already been noted in the literature (Trubchaninova, Savchenko, 1981).
From childhood, these people have much energy, ambition, the desire to dominate in companies peers leadership in children's games. They are susceptible to abuse, violation of the dignity and can act in a role of the defender of the weak, to fight for justice. Often patients have positive social attitudes that differ consistently interests and aspirations until propensity overvalued formations. They are characterized by persistence in achieving goals, the decisions are rarely overturned, often implemented by them. Close to them, people often mentioned willfulness, lack of flexibility, rigidity position sick. This, combined with some forwardness, high demands to the other, made contact with him is difficult. Characteristic of the patients had some kind of ego-centricity in combination with high self-esteem and vulnerable, the tendency to overestimate their own personality. As a result, being too blunt, demanding, imperative that patients do not always reach their goals. In this regard, they often experienced internal dissatisfaction, disappointment, which suppressed the strong-willed efforts and apparently tried not to show. Often in a similar situation began the systematic use of alcohol. The patients were found "useful" for himself the effects of alcohol, alcoholic excesses had a period when their long-term restricted, restricted in something, when they had to restrain myself and not to implement their capabilities and intentions, or, less often, when they straightforward persistent efforts proved inadequate when they suffered significant for its failure.
The beginning of systematic use of alcohol could be masked and drinking customs, micro-social environment. But in this case, patients quickly learned the individual effects are achieved with the help of alcohol: physical comfort in an intoxication, a significant weakening of mental stress, relaxation, rest, peace. Alcohol use was often a kind of "detente", muffled negative emotional experiences. Individual motives use of alcohol has been lasting for the duration of the illness and had a tendency to gradual expansion. The tradition of alcohol use in micro-social environment did not have them in great values, they are easily ignored or, on the contrary, used when they needed it. At stage I of the disease they could meet and individual cases of alcohol alone, relatively early on, they could act as initiators of drinking. However a few patients on the background of negative emotional experiences arose a kind of "the mood to get drunk, to bring themselves into a state of oblivion with alcohol. In such cases, even before the formation of secondary forms of pathological attraction to alcohol, and first of all "loss of control", the patients could drink before the development of severe alcohol intoxication.
At the same time unlike other patients of this group for a significant period of time retained the possibility of voluntary, conscious regulation own use of alcohol.
Short but intense desire to use alcohol, which on stage I was introduced only in specific situations, patients were able to suppress the use of willpower. Delay time implementation in the presence of inappropriate conditions and circumstances. However, suppressing a desire to use alcohol was often accompanied by an increased psychic tension, irritability, depression, grumbling, complaining.