[The phenomenon of attachment to parents, the duration of therapeutic remissions and autoaggressive behavior among inpatients with alcohol addiction].

Objective: To determine the role of phenomenon of attachment to parents in the formation of therapeutic remission and the relationship between attachment styles and autoaggressive behavior in patients with alcohol addiction (AA).

Material And Methods: Sixty-two patients with AA and 30 controls were examined.

Results And Conclusion: Insecure attachment styles were most frequents in AA patients that indicated a role of attachment pathology in the development of the disease.

[The practical use of placebo effect in psychotherapeutic treatment of patients with substance use disorders: therapeutic and ethic consequences].

The article discusses therapeutic potential of placebo and nocebo effects in treatment of substance use disorders. The authors review the background of the issue, describe neurobiological and psychological mechanisms of placebo effects and demonstrate their impact on psychotherapy of patients with substance use disorders. Attention is drawn to the clinical and ethical issues of practical use of placebo effects including that in terms of placebo-therapy, indirect suggestion psychotherapy, motivational interventions and cognitive-behavioral psychotherapy, psychotherapy with the use of disulfiram, psychopharmacotherapy with opioid antagonists.

[The therapeutic alliance as a main factor of building cooperation during the treatment of patients with opiate addiction].

Objective. To assess an alliance-centred method of short-term psychotherapy (AP) in the formation of compliance in patients with opiate addiction. Material and methods.

[The comparative analysis of patients with co-morbid psychiatric and substance abuse pathologies in follow-up outpatients].

The findings of the comparative analysis of patients with alcohol dependence and psychopathology are presented. The main group (active follow-up) comprised 33 patients who had committed socially dangerous actions and the control follow-up group comprised 75 patients. Between-group differences in personality changes, specifics of the alcohol-use component of the comorbid disorder and responsiveness to psychotherapy are shown.

[Peculiarities of erectile dysfunction in men with alcohol dependence].

To verify the etiopathogenic structure of erectile dysfunction in alcohol dependence, we have investigated 80 men with erectile dysfunction and alcohol dependence (the main group) and 40 men with erectile dysfunction without alcohol dependence (the control group). Endocrine and vasculogenic forms of erectile dysfunction were more frequent in men with alcohol dependence as compared to men without alcohol dependence, and the presentation of sexual disorder was complicated due to the increase in the number of accompanying syndromes. At the same time, as alcohol dependence progresses, the part of organic forms of erectile dysfunction and the number of syndromes which accompany erectile dysfunction increase.