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Psychologist (psychotherapist, consultant at a narcological dispensary)

Recently, psychology is increasingly spreading to the medical field. At first, psychologists here faced with a misunderstanding and suspicious attitude of medical workers.

Currently, the situation is changing dramatically. Demand for psychologists in such institutions is growing rapidly, and psychologists themselves began to enjoy the respect and recognition of doctors.

This article will focus on the work of a psychologist based on a narcological dispensary. In this institution, people suffering from alcoholism and drug addiction undergo a course of treatment and rehabilitation. It is now difficult to underestimate the role of psychological assistance in working with such people, given the importance of the psychological factor in the treatment of addictions, or pathological attachments (from psychoactive substances). Of course, it is impossible to do without medical treatment, because the dependence extends to the organic level. However, a person who has decided to fight it needs support and help from a psychologist, because his main task is to restore himself as a person and a full member of society. Moreover, the true causes of the disease are often precisely psychological, therefore it is impossible to limit oneself to purely medical means; each patient needs attention to his personality and internal personal problems.

The tasks of the psychologist occupying this post include psycho-diagnostics, assistance in treatment, individual counseling, as well as work with relatives of patients. For diagnostic purposes, various tests are used to assess attention, memory, intelligence, emotional-volitional sphere, personality orientation, and attitudes towards alcohol and drugs. Based on the results, the psychologist writes his conclusion. Data on the patient, test results, as well as the conclusion of a psychologist are recorded in a special diary. The psychologist provides his opinion to the attending physician and the patient himself. The treatment uses methods such as various types of medical “coding” and psychotherapy. Forms of work such as group and family therapy are also possible, however, they require special conditions, organization, and often turn out to be impossible due to the high "turnover" of patients.

The psychologist, in addition, regularly conducts interviews and consultations with patients and their relatives, constantly liaises with the attending physicians and staff.

Up to this point, mainly formal, external characteristics of the psychologist’s work were discussed, but what really stands behind it and what personal qualities does it require from a person holding this position? First of all, patient characteristics should be considered. Here, the psychologist may encounter misunderstanding and distrust, skepticism from patients. Unfortunately, a typical situation is when the patient initially reacts negatively to a psychologist and openly resists brainwashing. In such a situation, of course, the psychologist requires not only kindness, patience, the ability to think broadly, a sincere desire to understand the other and help him, but also the presence of a solid internal foundation, a special philosophy that allows you to not give up on difficulties and skillfully overcome them. Therefore, such work is contraindicated for those people who do not have a personal interest, who are not persistent and persistent, are not ready to communicate with such patients, cannot guarantee that they will not be intolerant and aggressive in their relation. Communication with patients here is associated with increased emotional stress, so the psychologist should first of all be responsible for his own ability to self-regulation. Of course, positive feedback comes from both the patients themselves and their relatives and doctors. In addition, the psychologist has the opportunity to observe the real results of his work. Nevertheless, one should focus not on gratitude and praise, but on satisfying one's personal research interest.
Indeed, from the point of view of scientific psychology such work provides a wealth of material for analysis.

The nature of human dependence on psychoactive substances is still a deep mystery. And, perhaps, in unraveling the essence of this irresistible craving, there is a clue to the mystery of a person, his essence (according to the psychologist with whom the interview was conducted). In addition, each patient is a person with a special fate, which in itself is of undoubted value and interest to the psychologist.

The difficulties faced by the psychologist in this position, however, are not limited to communication. It is important to mention purely objective difficulties: low wages, lack of modern technical means. The psychologist with whom the interview was conducted works at a rate of one and a half: every day from 10 to 16 hours, except Saturday and Sunday, and at the same time admits that it would be difficult to withstand a large load; for any other work, there is no more strength left. However, if you work at the same rate, this work can be combined with something else.

Regarding technical difficulties, the psychologist noted that "this is temporary, profitable," because "the main tool of the psychologist is his personality." In addition, in her opinion, technical means, computer programs, etc., can even interfere with the work of a psychologist, since there is a risk that he will rely too much on technology and stop thinking independently.

So, the complexity of this work is associated not only with technical inconveniences, but with emotional stress. It is difficult to imagine how much endurance and self-control, what emotional stability is required from a person working in the oppressive atmosphere of a narcological dispensary, every day confronted with what is considered to be the shadow side in a person, his vice. Although, on the other hand, a clash with this part of reality provides opportunities for personal growth. When every day a great variety of human destinies, real life tragedies, flashes before one’s eyes, one’s involuntary change in one’s outlook on life and values. Perhaps he begins to appreciate more what seems ordinary, learns to love life in a new way, overestimates his place in it.

According to the interviewed psychologist, she is proud of her work. Indeed, despite the great demand, few dare to work in such conditions. Low wages, lack of technical equipment, a strong emotional burden - all this frightens away young specialists, many leave; after working just a couple of months. Therefore, choosing this position, you should think more than once, evaluate your capabilities, understand what is the true goal of the aspirations of a novice psychologist. It takes a strong personal interest and the ability to sacrifice in many situations. Discussing this problem, our interlocutor noted that the choice of this place of work is more likely connected with a special vocation and a special type of personality.

In conclusion, we should dwell on the problem of professional training, which is required to work in this position. At the beginning of independent work, a young specialist psychologist feels a lack of practice, his general psychological education is not enough, and this is overcome only with time. Graduates of the department of clinical psychology will be in a more favorable position.

From the point of view of professional growth, for a psychologist working in a narcological dispensary, the prospects, at first glance, are extremely small, but here it is inappropriate to talk about career and ambitions. At the same time, the experience that a psychologist can gain by working in this position is a unique and indispensable experience both for the development of science and for the development of his own personality.
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Psychologist (psychotherapist, consultant at a narcological dispensary)

  1. Test. Functions of a psychologist, psychotherapist, psychiatrist, 2011
    Discipline - Introduction to the profession Psychiatrist - personal qualities, responsibilities. Psychologist - duties, personal qualities, social functions, the functions of a school psychologist. The psychotherapist is psychotherapy. CV as
  2. Additional features of the profession, as well as the difference between a psychologist and a psychiatrist and psychotherapist
    The nature of the work is mainly indoors, sedentary. A medical contraindication to this profession is: the presence of infectious or mental illness. It is important to understand that a psychologist, unlike a psychotherapist and, especially, a psychiatrist, does not have a medical education and only works with mentally healthy people, carrying out prevention and providing assistance in solving
  3. Family Psychologist Consultant
    A consultant psychologist can be a supporter of any of the areas of psychological science - cognitivism, psychoanalysis, humanistic psychology, etc. The task of a consultant psychologist is to provide psychological assistance to a particular person or a small group of people who have turned to a psychologist, using methods and techniques, which have shown their reliability. Family Psychologist Consultant -
  4. Abstract. Features of the personality of a psychologist consultant, 2012
    General requirements for psychological counseling and a counseling psychologist Requirement for a consultant's personality - model of an effective consultant Consultant's value system
  5. Psychologist consultant
    Psychological counseling is one of the typical types of work of a psychologist in different spheres of life and professional activity of people. Counseling is used wherever psychological knowledge is needed: in the pedagogical sphere, in the field of family relations, in health problems, in business and management. Counseling psychologists usually work in mental health centers,
  6. Consultant Identity Requirement - Effective Consultant Model
    The personality of the consultant (psychotherapist) stands out in almost all theoretical systems as the most important healing tool in the counseling process. It emphasizes one or the other of its features. The famous English psychoanalyst of Hungarian descent M. Balint in 1957 spoke of the complete oblivion that psychotherapy is not theoretical knowledge, but personal skills. He echoes no less
  7. General requirements for psychological counseling and counseling psychologist
    The system of general, professional, and moral and ethical requirements for psychological counseling and for the practical work of a counseling psychologist is best reflected in existing codes of professional ethics for practical psychologists. Many of the provisions of these codes are directly applicable to the work of a counseling psychologist. Recall these provisions by including in their
  8. Professional competence of counseling psychologist
    The main task of the consultant psychologist is to help the client look at their life difficulties from the side, discuss with him those features of his behavior and interpersonal relationships that have become a source of difficulties. Usually they are not realized or controlled by the person himself. During the consultation conversation, the client gets the opportunity to realize this, take a wider look at
  9. Features of the behavior during the consultation of a good and bad counseling psychologist
    A good psychologist-consultant -Tries to help the client to achieve certain goals by himself -Offers to the client different ways of behavior and, if necessary, tells the client specific actions that should be performed-Understands and is able to accept and accept as any point of view on the problem, practically act in accordance with it - Understands, accepts and
  10. Consulting psychologist in the emergency psychological assistance service - “Helpline”
    Telephone counseling arose in Russia relatively recently. The first telephone counseling service in the USSR appeared in Moscow in 1982. By 1991, there were already about 25 such organizations in our country, and therefore the foundation in the same year of the Russian Association of Emergency Psychological Assistance Phones (RATEPP) was a logical step in the development of this type of counseling in
  11. Code of Ethics (ethical standards) of a counseling psychologist
    1. General rules 1.1. Boundaries of competence (a) Consulting psychologists are engaged in professional activities only within the boundaries of their competence, which is determined by education, advanced training and relevant professional experience. (c) Consulting psychologists carry out professional activities in new areas or use new techniques only after
  12. Qualities that a psychologist-consultant should possess and which he should show in communication with clients.
    1. The tendency to empathy, empathy, sympathy. This ability is understood as the ability to penetrate deeply psychologically into the inner world of another person - the client, to understand him, to see what is happening from his own position, to perceive the world through his eyes, to accept his point of view as valid and correct. 2. Openness. Trying to understand the client, to penetrate his inner world,
    The psychotherapist - “The Psychotherapeutic Encyclopedia” edited by the chief psychotherapist of the Ministry of Health B. D. Karvasarsky, defines it as follows: “he is a trained specialist who can diagnose and treat diseases, mainly of psychogenic origin, purposefully using psychological influence as a therapeutic agent. Due to the specifics of psychotherapy to one degree or another
  14. What recommendations should be given to a psychologist to potential clients when choosing a family or individual psychologist?
    The success of psychotherapy depends on the choice of a psychologist. It is the totality of the professional knowledge and experience of the psychologist plus his individual qualities that are crucial in solving your problems. Therefore, the choice should be thorough, because it is this person who will help you change for the better. In our country, psychological counseling and psychotherapy are relatively new.
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