FEATURES OF AGE DYNAMICS OF DEVIANT BEHAVIOR OF CHILDREN AND TEENAGERS WITH NEUROSIS-LIKE STATE OF RESIDUAL-ORGANIC GENESIS

The study presents the identification and study of the characteristics of the formation and dynamics of various forms of deviant behavior in the clinic of neurosis-like states of residual-organic genesis, that is guided by the principles not previously used in the study of the studied pathology. Behavioral disorders were studied in a comparative aspect in two clinical variants, which are asthenohyperdynamic and astheno-adynamic manifestations of the cerebrastenic syndrome, which is a part of the structure of a neurosis-like state. The age dynamics of behavioral disorders was studied at different stages of ontogenesis, including childhood, prepubertal and puberty, by comparing the obtained data labeled by the subheadings "Period of the first age crisis", "Period of the second age crisis" and "Puberty period". The study found that age response forms reflect the low personal resources of adolescents and the massiveness of negative social influences. As the analysis of clinical material has shown, during puberty, violations in the sphere of cravings became more distinct. Disorders in the sphere of inclinations at this age are closely correlated with the features of the somato-endocrine metamorphosis and with the unfavorable influence of socio-psychological factors. Lack of sexual desire was in direct proportion with a pronounced delay in puberty. Violations in the sphere of sexual desire, reflecting the nondifferentiation of the sexual attitudes of adolescents with delayed puberty, were characteristic of those studied with pronounced volitional immaturity, in particular with such signs as suggestibility, a tendency to imitation. During puberty, the clinical picture of the studied adolescents revealed more clearly the qualitatively new pathological properties of the personality due to the development of excitable, unstable, less often labile and hysterical manifestations. In contrast to psychopathic behavior in sick children and adolescents, no correlation was found between the first signs of deviant behavior and cerebrastenic disorders. In all cases, behavioral disturbances are caused by unfavorable micro-social factors. Based on the follow-up data, the study has found that the studied group of sick children and adolescents is characterized by both favorable dynamics (22) and a negative outcome (20 patients). This suggests that the pubertal period is characterized by a polymorphism of behavioral disorders and is one of the decisive factors in the prognosis of the further development of the child.