La Prensa MedicaISSN: 0032-745X

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Psychological Rehabilitation of Disabled People Due to Diseases of the Musculoskeletal System and Connective Tissue

According to the World Health Organization, about one fifth of the total numbers of people with disabilities are people with functional disorders of the musculoskeletal system and connective tissue. These functional disorders affect the musculoskeletal system due to a variety of injuries and defects. In their psychological essence, these diseases are the cause of a serious and difficult crisis in the development of the individual, requiring from the person huge internal efforts to restore optimal interaction with other people and with society as a whole. The defeat of the locomotor system affects the disturbance of the morphological and functional characteristics of a person, entails a change in self-consciousness, namely self-esteem and identity in the characteristics of the physical "I". In connection with this, the basis for restoring (rehabilitating) the psychological (personal) status of a disabled person should be the elimination of incorrect representations of self-consciousness about his physical self, ensuring his acceptance of his changed external appearance, the development of a desire to compensate for physical limitations that have arisen after trauma and neutralize feelings inferiority. In the course of rehabilitation of disabled people with functional disorders due to diseases of the musculoskeletal system and connective tissue, the formation of a real and positive attitude to the image of the physical "I" is designed to reduce the level of depression, anxiety, feelings of hopelessness, activation of the person's life plans and her ability to overcome life difficulties. The positive outcome of rehabilitation as an achievement of the state of adaptation depends on the resources of the person who became disabled as a result of physical trauma and the effectiveness of specially organized psychological influences carried out in the process of implementing trainings aimed at forming a positive attitude towards the image of the physical self. For this category of disabled people, the use of the complex of author psychological training programs is proved to be very effective: "Self-knowledge and self-development", "Temporary perspective", dance-expressive training, art therapy training and development of compensatory abilities.

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