American Journal of Fundamental, Applied & Experimental Research, 2017, #3 (6)

American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) ISSN 2474-9397 -дохоп огоннегохисп икнідевоп і икіхисп имадалзор зі хировх ітсовилбосо інсітсибосо індібромерП онйітсоп отх, хит у ясвивяив відалзор хинбідоп уктивзор кизир йинещивдіп онтотсІ. іннегоретег яннеж -осожім хинавушіривокжав, далкирпан, вікиннич хиньлаіцос хивилдікш увилпв умонвитаген ясваваддіп . [2]яттиж вому хивилтяирпсен оба мелборп хинсітсиб -іцосоркім у мелборп ьтсінвяан ьсалагіретсопс хировх иман хинежетсбо хісв у ощ, итичанзаз ділС оп имагелок, имязурд, имьтід оба имакьтаб з інидор в иткілфнок, яннечулзор, далкирпан, кя, хикат, іму .ощот ітобор од ясилисондів яннеждохоп огоннегохисп икнідевоп і икіхисп идалзор уроз икчот їончінілк З алам акя, їіцаутис їонйачивздан їонесенереп коділсанв ясьтюавивзор ощ, вінатс хинвиткаер-онсітсибосо -есопзеб илялватсдерп їіцаутис, далкирпан( инидюл їонтеркнок ялд реткарах йиннегохисп-оннеготап ,хиндір оба її ьтсінтечирп, инидюл яннавунсі огонніцонвоп оньлаіцос оба ончіголоіб ялд узоргаз юндер інйіхитс кя, хикат, – уреткарах огомерко оба огоньлаболг йіцаутис хинчіфортсатак од візурд, хикьзилб ).ощот ифортсатак іннегонхет оба инйів, ахил -ібаер ускелпмок юонитсач юовокзя’вобо итуб єам яіцатілібаер анчіголохисп-окидем умот емаС -удубдів огонвитка її од олевзирп ощ, ОТА в ітсачу коділсанв иладжартсоп ікя, бісо відохаз хинйіцатіл ікя, бісо відохаз хинйіцатілібаер хинскелпмок инитсач од яннечулаз оговокзя’вобо оговопутсоп ат яннав .ОТА в ітсачу коділсанв иладжартсоп -осохисп іпате ан ОТА вікинсачу в унатс огонйіцомеохисп яннечвив олуб яннежділсод огоьц юотеМ .утнегнитнок огонад їіцатілібаер їончіголохисп-окидем имаргорп яіцазілаер ат їіцатілібаер їоньлаіц -окидем ан ьсилидоханз ікя, ОТА вікинсачу хинавозілібомед80 ьтсачу олязв іннежділсод У юокьспісіссіМ аз анелідзор алуб хировх80 з апург анвонсо яннежділсод ідох У. їіцатілібаер йінчіголохисп укя в1, янначуртв упург ан) РСТП( удалзор оговосертс огончитамварттсоп ітсонвяан яннечанзив юолакш канзо илам ен ікя, хировх17 илшйіву укя в2, янначуртв упург ат(126,7±3,18), РСТП з хировх63 илшйіву (74,5±2,36). натс йинчіхисп ан игракс илам ела, РСТП -инвонсо амоьрт аз нидог40 могяторп ьсалавюнсйідз їіцатілібаер їончіголохисп-окидем амаргорП .мичюумиртдіп ат минйіцкерок, минчитсонгаід: имапате им огонйіцоме икитсонгаід їоннивреп ялд яннежділсод огончіголотапохисп-окінілк іпате умошреп аН їонвиткє’бо ат їонвиткє’бус илакш інпутсан інатсирокив илуб иман ОТА вікинсачу хинавозілібомед у унатс їонвиткаер икитсонгаід алакш, акеБ. А їісерпед алакш, анотьлімаГ. М їісерпед ат иговирт алакш: икніцо йивокьсйів( РСТП алакш акьспісіссіМ, минінаХ. Л.Ю анавотпада, арегребліпС. Д.Ч иговирт їонсітсибосо ат ).тнаірав -ив у ясилагіретсопс удалзор оговосертс огончитамварттсоп инемонеф інчіголотапохисп інвонсО :вімотпмис хинтагілбо ідялг огонесенереп яннавижереп енротвоп еваркся і енсачокторок, далкирпан( відагопс хивилзя’ван– «pavor nocturna»); ихаж інчін«flashback», ;ьнідивонс хивилжятбо– ;иговирт їонавойіцнерефиден– ;їіцаутис їочюумвартохисп яннавижереп огонротвоп яттучдів– илавудаган ощ, хяіцаутис у янвір оговосертс утрофмоксид огончіголохисп огортсог яннавижереп– ;юєідоп юочюумвартохисп юоннивреп з ясилавюіцоса оба ;яннеждубз огонавойіцнерефиден огонротомохисп– «anaesthesia dolorosa psychica». юнепутс од ьтіван, яннелпутирп огонйіцоме– -пмокомотпмис кя ясиладялгзор ідалзор умовосертс умончитамварттсоп ирп идагопс івилзя’ваН -ьлисдан мосертс минйіцомеохисп минтеркнок з укзя’вз умовокділсан-онничирп в ясьтидоханз ощ, скел -навижереп інсілоб-онвиткє’бус, іньлівомим, інротвоп илуб мовяорп минчінілк минвонсО. уреткарах огон .їіцаутис їочюумвартохисп ниватсбо ян хинсілоб хикжав ідялгив у юіцаутис учюумвартохисп илавижереп візар отагаб іцйіб інавозілібомеД онзарбо онйачивздан– идагопс іньлівомим івилзя’ван илакинив йачивзаз); йіцнецсінімер( ьнавижереп вімотпмис ідялгив у ітсовилзя’ван інниротв ясилавумроф отсаЧ. янвір огончитедйе од жа, івиж і іваркся .умвартохисп унесенереп орп мї илавудаган ощ, ниватсбо янненкину хокьлікед могяторп ясвавивзор удалзор оговосертс огончитамварттсоп скелпмок йинчитоімеС .иговирт вімотпмис ідоворпус у йачивзаз, аросертс огоннивреп їід ялсіп віцясім оба вінжит кя, ьнавижереп хинелврабаз онйіцоме-овилжятбо, хинтежюсзеб ідялгив у ясилачіртсуз ихаж інчіН .имавяорп иминвитатегевотамос иминежарив з, оливарп 51

ISSN 2474-9397 American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) -арп кя, реткарах йинтежюс йиненрогзор илисон віцйіб яннідивонс івилжятбо, хин дів унімдів аН -ереп вікдапив ітсошьліб в іровХ. юєіцаутис юочюумвартохисп юоннивреп з юоназя’воп, юолубаф з, олив .ясьтюавубдів ощ, йідоп икинсачу індересопзеб кя яннідивонс іц илавиж -иден висон модалзор мивосертс минчитамварттсоп з хировх хинавужетсбо у морднис йинжовирТ огончінетса, огончібоф иматненопмок иминежарив шьлібйан з реткарах йинфромілоп, йинавойіцнереф .виткепсреп хінтубйам икніцо їонжовирт, утрофмоксид огонйіцоме огоньлагаз, уреткарах -ив ітсошьліб у модалзор мивосертс минчитамварттсоп з віцйіб у ощ, итавутатснок ділс умоліц В .уморднис огонжовирт итненопмок інчіхиспартні ясилялвяив вікдап -веп ілт ан илок, инатс інежарив ясилагіретсопс модалзор мивосертс минчитамварттсоп з хировх У -ижереп огонротвоп яттучдів олакинив, юєінегохисп юоннивреп з ясалавюіцоса ощ, їід їоьншінвоз їон канзо хинвиткє’бус алавубан ьтсінсйід яншилокван умоьц ирп; їіцаутис їочюумвартохисп їонвяан яннав .юомвартохисп з їоназя’воп, їоьншилок з отсач, юоговирт юортсог ясилавуждоворпус і ітсомодівс їонежеребз ілт ан ясилавивзор инатс іЦ -ив хикяед в умоьц ирП. имяіцкаер иминвитатегев-отамос иминежарив з, мохартс, икінап мотненопмок .натс йинзоропутсбус, икапван, оба яннеждубз енротомохисп ясолавивзор хакдап ,віскелпмок хинчитоімес дів, – йикориш іловод вуб щивя хинчіголотапохисп рткепс, монич микаТ .їіспелатак їоннегохисп од, ката хинчінап од хикьзилб -ирп енйіцоме илачанздів модалзор мивосертс минчитамварттсоп зі хировх иман хинежетсбо ьтсішьліБ .хакдапив хикжав овилбосо в їізетсена їончіхисп од жа, имязурд, имикьзилб, иминдір з ханисондів у яннелпут огонсондів ілт ан ясьтюавивзор йачивзаз ікя, ивяорп інчиторвен інзір илуб иминтагілбо ітсошьліб У -учанз оньлаудівидні з кя огоназя’воп оьндересопзеб, яннежурпанереп огонйіцоме огончотоп оголавирт хавому хиндалкс в ітсоньляід їонйісефорп имятсовилбосо з і кат, иманиватсбо имичюумвартохисп имищ ,мохаф аз итобор ьтсінтусдів, талпив хивошорг акмиртаз, умуш ьневір йинещивдіп, сач йинчін в атобор( ).ощот яннечорокс азоргаз, уктібораз ьтсіньлібатсен .ьтсінтадзецарп ясалавужинз ончанз, оливарп кя, ьнешуроп хинчиторвеноньлагаз хиназакв ілт аН -серкдіп алуб ощ, ьтсіньляід анвиткудорпен і авилшутем ясалялвя’з хировх хинежетсбо у вікдапив ідяр У -оньлаудівидні хиндібромерп яннертсогаз ясолагіретсопс окдіреН. їіцатпадазед унатс мяннавунімод анел -ат в ясилагіретсопс ощ, ивяорп інчіголотапохисп ат інчіголоносрепотап, інчиторвен ісУ. сир хинчіголопит :иретсалк оба, ипург інпутсан ан інелідзор илуб, хировх хик ;ьнешуроп, хинчінетса онжавереп, хинчиторвен хинчіфицепсен мяннажавереп з) а ;сир хинчіголопит-онсітсибосо мяннертсогаз зі) б ;вітнелавівке хинавозитамос мяннавумроф зі) в ;ьнавюровхаз хинчитамосохисп хичюунсі мяннертсогаз зі) г .вінатс хинчіголотапохисп ат ьнавюровхаз хинчіхисп хичюунсі юєіцабрецазке зі) д яннавижереп ощ, ет олуб миньлагаз далзор йивосертс йинчитамварттсоп ан хировх хісу в іцінілк В ясвавубдів, яннавуноіцкнуф еньлаіцос і яттиж ьлитс ичююнімз, огоровх іттиж в минволог олаватс имварт .икділсан її ан имварт їомас з вітнецка вусз -атсен, реткарах йивосачмит вуб вівяорп хинчиторвен хиназаквещив имятсовилбосо иминежариВ ьтсівилжом, хин од яннелватс енчитирк, ьнешуроп химерко ьтсінратнемгарф і ьтсіньлаицрап, ьтсіньліб .увилтяирпс ан ясалинімз ощ, їіцаутис мовилпв діп їіцкерок їонвоп і їокдивш яннертсогаз, сир хинчіголопит-онсітсибосо яннертсогаз кя, яннавугаер віпит хикат яіцкудер елА -отапохисп ат ьнавюровхаз хинчіхисп хичюунсі яіцабрецазке ат ьнавюровхаз хинчитамосохисп хичюунсі ьнешуроп) хинчінетсахисп ат хинчінетса( хинчиторвен з жіна, оньлівоп шьліб ясалавубдів, вінатс хинчігол .вітнелавівке хинавозитамос ат -ос янвір яннежинз ецсім олам модалзор мивосертс минчитамварттсоп з хировх хинежетсбо хісу В хировх ітсокйітс їончіхисп-ововрен ьневір, ітсотсибосо ітсовилжом і исрусер інвитпадА. їіцатпада їоньлаіц .ітсотсибосо йетсовилжом хинвитакінумок яннежинз енвеп жокат ясолагіретсопс; інежинз онтотсі илуб -еп з( ітсонжовирт менвір микосив ясвавузиреткарах юєіцатпадазед з хировх натс йивилборовХ оговс онсондів ьнавукічо хинвитаген жокат а, иговирт вітненопмок хинчібоф і хинчінетса мяннажавер -ім имяннешуроп, юортсан моноф минежинз, ітсокйітс їончіхисп-ововрен менвір микьзин), огоьнтубйам -ьлаіцосоркім имаканзо з ітсовилвітард і ітсонткілфнок їонещивдіп іннандєоп у йіцакінумок хинсітсибосож -ефс йіволсимс-онсінніц в имаводубереп иминвитпадазед, я’вородз имакинзакоп имикьзин, ітсонжелаз їон иминйеміс ютсінеловодазен юонвоп оба юовоктсач, ітсотсибосо имасрусер иминвитпада имикьзин, ір .ітсонавортсурф їоньлаіцос имяннечанз имикосив, иманисондів 52

American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) ISSN 2474-9397 1. іцилбат в ясьтятсім ікя, итатьлузер інпутсан олад яннежділсод енчіголохиспотаП 1 яцилбаТ віцвобжулсовокьсйів хинавозілібомед унатс огонйіцомеохисп інад інчитситатсоьндереС , n=80яннежділсод апург анвонсО 2, n=17 янначуртв апурГ1, n=63 янначуртв апурГ аз икинзакоП ималакш . % μ±mсбА. % μ±m сбА аговирт анвиткаер 63 100,0 46,8±1,04 15 88,2 45,7±1,23 вілаб>40 аговирТ юолакш аз( ансітсибосо- арегребліпС >40 57 90,5 44,5±1,12 8 47,1 43,7±1,31 ьтсінжовирт) анінаХ вілаб ) 54 85,7 15,1±2,04 11 64,7 17±1,3акеБ.А юолакш аз( яісерпеД вілаб>15 ) 48 76,2 17,7±0,5 6 35,3 13,2±1,3анотьлімаГ юолакш аз( яісерпеД вілаб>15 ) 59 93,7 20,6±2,3 9 52,9 20,6±2,3анотьлімаГ юолакш аз( аговирТ вілаб>18 йикосив вуб хировх хинежділсод хісв у ощ, илазакоп яннежділсод огончіголохиспотап итатьлузеР йитижереп ан яіцкаер кя2 – 88,2% (45,7±1,23)), ДГ ат1 – 100,0% (46,8±1,04) ДГ( иговирт їонвиткаер ьневір аз кя, РСТП зонгаід илам ікя, хировх дерес вавюлаверп ітсонжовирт їонсітсибосо ьневір кя ідот, сертс -кє’бус аз хапург хобо В90,5% (44,5±1,12)). у( юокніцо юонвиткє’бус і кат93,7% (20,6±2,3)), у( юонвиткє’бо 2 –ДГ у ат1 – 85,7% (15,1±2,04) ДГ у( їісерпед ьтсінвяан илавучдів оньлис овокандо іровх юокніцо юонвит (17,7±0,5). мищив вуб їісерпед ьневір РСТП з хировх76,2 % у иминад иминвиткє’бо аз ела64,7% (17±1,3)), вікинсачу хинавозілібомед ялд яіцатілібаер анчіголохисп-окидем анедеворп алуб іпате умогурд аН :мопицнирп мивенепутс аз ясалавюнсйідз акя, ОТА -йеміс– икиткарп їоньлагаз іракіл( я’вородз инорохо икнал їоннивреп идалказ– ьніпутс йишреП1. )иницидем їон ат хинчитамосоньлагаз хиньлаіротирет у агомопод анроталубма) – юобертоп аз( ьніпутс йигурД2. ).їіпаретохисп итенібак( я’вородз инорохо хадалказ хинавозілаіцепс вікинсачу і инйів вінаретев вілатіпсог яннеліддів інйіцатілібаер) – юобертоп аз( ьніпутс йітерТ3. .йід хивойоб -онротанас їіцатілібаер їончіголохисп-окидем) яннеліддів( иртнец) – юобертоп аз( ьніпутс йитревтеЧ4. ».іцинвородзофорпркУ« іжерем їонтрорук -жартсоп ікя, бісо їіцатілібаер їончіголохисп-окидем амаргорП алуб иметсис їєіц юонитсач юонвотсімЗ .вітраднатс хивотівс ат хикьсйепорвє од ондівопдів анелборзор акя, ОТА в ітсачу коділсанв илад ,хинчиткаліфорп-оньлавукіл скелпмок кя ясалачанзив яіцатілібаер анчіголохисп-окидем умоьц ирП -итпо, йіцкнуф хинчіголоізіфохисп яннелвондів ан хинавомярпс, відохаз хичвородзо ат хинйіцатілібаер -йів вікзя’вобо яннанокив сач діп иладжартсоп ікя, бісо ітсонвитка їоньлаіцос, ітсонтадзецарп їоньлам інавомярпс ікя, відохаз скелпмок кя– яіцатілібаер аньлаіцосохисп), вікзя’вобо хивобжулс( ибжулс їовокьс діп иладжартсоп ікя, бісо яттиж ітсокя і яннавуноіцкнуф огоньлаіцос янвір яннелвондів еньламискам ан ).вікзя’вобо хивобжулс( ибжулс їовокьсйів вікзя’вобо яннанокив сач -увотсирокив оньламитпо илуб їіцатілібаер їончіголохисп-окидем чадаз хинвонсо яннешірив ялД хинйіцатпада игурпанереп итункину бощ, ивилпв іньлавукіл інарбідіп оньлаудівидні, ироткаф інзір інав :емас а, відохаз хинйіцатілібаер иводубоп віпицнирп хинвонсо ьсичюумиртод, вімзінахем .скелпмок йинчитвепарет-тнєіцап-ракіл: автцинтіборвіпс огончігренис огоньламискам пицнирП1. .відохаз хиннегонас реткарах йивенвіротагаБ2. .вівилпв хинавотнєіро-ончіголохисп і хинчіголоіб реткарах йинечулопС3. .відохаз яннедеворп ьтсінпате і ьтсінводілсоП4. 53

ISSN 2474-9397 American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) ісв ан вилпв йинводілсоп йинечулопс отбот, чадаз хинчінілк яннешірив ялд діхдіп йинскелпмоК5. .відалзор хиньланоіцкнуф икнал інчитенеготапоіте ,хиндорирп, хинчитвепаретохисп, хинчіголохисп-окидем яннавусотсаз ітсоньламитпо пицнирП6. .віроткаф хинзотнемакидемен і хинзотнемакидем, хинавомроферп .бід21 од12 дів– имаргорп ьтсілавирТ :имапате3 аз ясалавузілаер амаргорП ).уснєалпмок– уткатнок огончитвепарет яннеждогалан пате( йивоктачоП1) .ибод– 2 – 3 ьтсілавирТ :ясолидоворП ;моголохисп мецвіхаф з яісес анчитсонгаідохисп; яракіл ю’вретні енчитсонгаід енаворуткуртс– -сидитьлум мопицнирп аз имаргорп їонйіцатілібаер-оньлавукіл їоньлаудівидні яннечанзив– ;яннеровогбо огонранілпиц ;мотнєіцап з имаргорп їонйіцатілібаер-оньлавукіл їоньлаудівидні яннеждогзу– .имаргорп їонйіцатілібаер-оньлавукіл їоньлаудівидні котачоп– ).йинйіцатілібаер( йинвонсО2) .бід– 14-18 ьтсілавирТ :ясолидоворП );їісес(4 яіпаретохисп аньлаудівидні– );йісес(10-12 яіпаретохисп авопург– );онйітсоп( яннавунерт огоннеготуа вітнемеле мяннєовсаз з идотем інйіцаскалер– );онйітсоп( увилпв огонзотнемакидемен идотем ішні ат яіпаретоскелфер, яіпаретамора, КФЛ, ОТФ– ).имянназакоп аз( яіпарет анзотнемакидем– ).йичюумиртдіп/ йичюушреваз( йинвитропуС3) .ибод– 2-3 ьтсілавирТ :ясолидоворП );їісес(2-3 яіпаретохисп аньлаудівидні– );онйітсоп( яннавунерт огоннеготуа вітнемеле мяннєовсаз з идотем інйіцаскалер– .відохаз хиньлавукіл хишні хісв яннешреваз– -од апург хобо в ощ, онелвяив олуб їіцатілібаер їончіголохисп-окидем їонедеворп имататьлузер аЗ -вондів, їіцялугеромас кочиван яннелборив конухар аз натс йинйіцоме ясвавузілібатс хировх у хинежділс -чіхисп У. відохаз хинчіголохисп хилавирт яннедеворп і віцвобжулсовокьсйів улаіцнетоп огончизіф яннел .утитепа яннещаркоп, ітсовилвітард яннежинз, унс яіцазілібатс ьсалагіретсопс РСТП ан хировх ісутатс умон (34,7±1,82). иговирт їонвиткаер ьневір ясвизинЗ -висерпед яіцазілібатс ясолагіретсопс юокніцо(15,7±1,1) юонвиткє’бо ат(11,2±0,8) юонвиткє’бус аЗ унчитамварт в янненревоп і яннавижереп огонйіцоме итотсач яннежинз илачімдів іровХ. удалзор огон (p<0,05). юіцаутис -етопі юогомопод аз ясалидоворп іпате умонвитропус ан вітнатабмок яіцатілібаер аньлаіцосохисП .юодорирп з инидюл їідомєазв яннелвонатсв є моткепса минйіцкерокохисп мивилжаВ. їіпар і иматнатабмок жім козя’вз умокя в, їіцатілібаер в діхдіп йинсіліц єучепзебаз яіпаретоламінА -уртв огончитвепарет амроф авон ец– яіпаретопІ. яннелвондів ялд мороткаф є иматвепарет-иманиравт -оромас янненгясод ялд иматнатабмок з итобор ялд тнемуртсні кя ясьтюувотсирокив інок умокя ирп, яннач яннешнемз ялд иниравт і инидюл юідомєазв итичепзебаз– їіпаретопі атеМ. яннатсорз огонйіцоме і яннімуз [3]. ирівод їонмєазв яннешьлібз і усертс -аз ітсибосо итавушірив гім тнєілк бощ, огот ялд урефсомта уньлакіну єюровтс їіпаретопі аруткуртС ,имамелборп имінтубйам і имяіцаутис иминчотоп яннілварпу дівсод йиньлакіну ясьтєадан матнєілК. итип .вісрусер і маноротс миньлис мїовс угаву увилбосо ичюялідирп илок, інок ан яннанокив ялд яннадваз єумирто тнатабмок ощ, єачабдереп їіпаретопі яісес авопиТ аз ьтижетс ряноК. яситавусереп оньлів ьтужом і, інера, далкирпан, іротсорп умотирказ в ясьтядоханз инов йачивзаз акя, юідомєазв юц в ясьтєачуртв ен ела, єагіретсопс твепаретохисп, атнатабмок і янок юокепзеб [4]. инидог окьзилб єавирт яЦ. имьнік з ітобор ирп овилбосо, имяіцоме ат имяттучоп з ітобор ирп ясьтюялвя’з яітапме і тйаснІ .їіпарет сач діп итавусотсаз ьтужом і івтсьліпсус в ьтюавубан итнєілк йикя, дівсод єажарбодів яідомєазв іннежеретсопс в і РСТП з вітнатабмок їіцатілібаер в угомопод укилев ьтюадан інок, монич микаТ ед, їіпарет йіц в мотнемуртсні жін, морентрап ешірокс єапутсив ьніК. юєідомєазв юонаворуткуртс хї аз 54

American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) ISSN 2474-9397 -нежинз, иговирт яннежинз є иматкефе иминчитвепарет имивоктадоД. мотненопмок минвонсо є арівод ітсоненвепв яннещивдіп, їісерга яннежинз, кочиван хиньлаіцос і хинвитакінумок яннешпілоп, їіцялозі ян ьніК. вітнатабмок їіцкаер інйіцоме і інчизіф икьліт ен івилжав їіпарет імроф йіц У. икніцоомас і ібос в йинйіцоме йинторовз йинніц єучепзебаз нів умокя в, усецорп огончитвепарет юонитсач юонмє’дівен є .їіпарет юовонсо є менок і мотнатабмок жім ьтсікьзилб анйіцоме яЦ. козя’вз :лережд хинатсирокив косипС .диВ. – аволйахиМ. В.Б. форп. дер. газ діП/ кинбісоп йиньлачваН: идалзор івосертс інчитамварттсоП1. .с, 2014. – 285 ОПАМХ. : Х. – ененвопод ат енелборереп, е2- -ертс огончитамварттсоп їіцатілібаер ат іннавукіл умонскелпмок в яіпаретокамрафохисП. І.В йітсороК2. . –ланруж йинчіголорвен йиндоранжіМ// йинтороваЗ. І.В, кущілоП. Т.В, йітсороК. І.В/ удалзор оговос . 59-71.С2015. – № 6 (76). – 3. Chandler C. Animal assisted therapy in counseling. New York, Routledge, 2005. 4. Dereli E. Examining the permanence of the effect of a social skills training program for the acquisition of social problem-solving skills. Social Behavior and Personality, 2009, no. 37, pp. 1419-1428. 55

ISSN 2474-9397 American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) THE FORMATION OF NATIONAL CONSCIOUSNESS AND NATIONAL DIGNITY AS THE OBJECTIVE OF A STUDENT’S SOCIALIZATION Savchyn M. Zhyhaylo N. Dr. Sc. in Psychology, Dr. Sc. in Psychology, Professor, Professor, Drohobych Ivan Franko State Ivan Franko Na onal Pedagogical University University of Lviv [email protected] [email protected] The ar cle deals with the problem of students’ na onal self-consciousness and na onal dignity forma on. The psycholo- gical content of such concepts as “na onal consciousness” and “na onal dignity” was described; general socio-psychological bases of the studied phenomena forma on were explained. The value system based on Chris an morality was presented. The approaches to the forma on of students’ na onal consciousness and dignity based on Chris an values were suggested. Key words: na onal self-consciousness, na onal dignity, university students, conceptual model, Chris an values, criteria and characteris cs of spirituality, spiritual forma on of a personality. -тнедутс ітсондіг їоньланоіцан ат ітсомодівсомас їоньланоіцан яннавумроф імелборп анечявсирп яттатС »;ьтсіндіг аньланоіцан« ат» ьтсімодівсомас аньланоіцан« ьтяноп тсімз йинчіголохисп онавонопорпаЗ. ідолом їокьс уметсис онелватсдерП. вінемонеф хинавужділсод яннелвонатс ивонсо інчіголохисп-оньлаіцос іньлагаз отиркзор ат ітсомодівсомас їоньланоіцан яннавумроф од идохдіп онавонопорпаЗ. іларом їокьсняитсирх хадасаз ан йетсотрав .йетсонніц хикьсняитсирх івонсо ан ідолом їокьстнедутс ітсотсибосо ітсондіг аньлаутпецнок, ьдолом акьстнедутс, ьтсіндіг аньланоіцан, ьтсімодівсомас аньланоіцан: аволс івочюлК .ітсотсибосо яннелвонатс енвохуд, ітсонвохуд икинзакоп ат їіретирк, ітсонніц ікьсняитсирх, ьледом The actuality of the research. An important task of a higher educa onal establishment is to form university students’ na onal consciousness and dignity. In psychological literature, na onal consciousness is a person’s awareness that he is a member of some na onal (ethnic) community and the bearer of na onal (ethnic) va- lues formed in the course of the long historical development of the na onal community, his self-realization as the subject of the na onal reality. The na onal self-consciousness of a par cular individual, as well as the es himself with, have some inherent desire ficonsciousness of other members of the na on, the individual iden for self-expression and self-realiza on of his na onal iden ty and uniqueness, the necessity to take a proper cant contribu on to the development of human fiplace among other na onal communi es and make a signi history. National self-identity of a personality is a phenomenon that should be examined taking into consideration not only the informative component (knowledge of the language, history and culture of the nation), but also value components which, in the structure of consciousness, determine internal factors of actions, and are orienting points in purposeful and meaningful actions of a person. The objective of the research is to find out socio-psychological principles of students’ national consciousness and dignity formation. The main material. The basis for the forma on of a person’s na onal values is moral and world outlook values of the Ukrainian ethnos. The content structure singles out the following components (Zhyhailo, 2008): har- mony (harmony of life, inner world, interpersonal rela onships, rela onships with nature); good (good as the truth, supreme good, deep belief in the triumph of good over evil, charity, mercy, humanism); freedom (inner freedom, love of freedom, recogni on of human uniqueness, intolerance of slavery, freedom of expression); jus ce (sincerity, honesty, desire for truth, social jus ce, belief in the Higher Jus ce – God); family as a funda- mental principle of a person’s development and forma on; spiritual, cultural and economic development of the 56

American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) ISSN 2474-9397 society; people (the respect for working people, the ability to comprehend the history, culture, tradi ons and moral values of your people, the belief in their spiritual strength, the desire to see the Ukrainian people take their righ ul place in the civilized world); Ukraine (patrio sm, striving for the strenthening of statehood, econ- omy, culture, readiness to make every eff ort for the sake of your Motherland). It is natural that every normal, civilized national community’s desire to discover and implement their national distinctive features is integrally combined with the need for the discovery and development of common to mankind values and characteristics. National dignity is an inseparable component of the national consciousness formation and the most characteristic feature of national identity. It is based on the understanding of the importance of all positive things in the national life of the people, and these positive things involve everything created by the nation and received in the international communication process. The formation of students’ national dignity means teaching deep respect for the Ukrainian language, culture, their ancestors’ land, deep respect for everything created by the people, especially for their history, traditions and customs. National dignity implies respect for everything that had national importance in the lives of previous generations and takes a significant interest in the modern period, when we have a real opportunity to fully develop on the national basis. National dignity in the independent Ukrainian state is becoming more and more important, because it is connected with the love of the native land, the father’s house, the native language, respect for elderly people. This noble feeling is passed from generation to generation through the mother’s milk, through the melody of folk songs. National dignity is displayed in the sense of belonging to your people, the awareness that you are their flesh and blood, and the desire to learn, save and pass the spiritual heritage to the future generations. The whole path traversed by the mankind shows that only the ideals defi ned and protected by the Chris- an tradi on for centuries can be the basis according to which a human personality is formed. Moreover, the historical experience proves that religion was and s ll is the stabilizing factor which increases and promotes the welfare of the society. This is confi rmed by the words of prominent public fi gures and thinkers: - Socrates (469-399 B.C.), a Greek philosopher says, “The wisest and most powerful na ons are at the same me the most religious ones”; - George Washington (1732-1799), the fi rst US president says: “Faith, religion and morality are indispens- able supports of prosperity and government. In vain would that man claim the tribute of Patrio sm, who should labor to subvert these great pillars of human happiness. Reason and experience show us that morality can not exist without faith”; - Gustav Fechner (1801-1887), a German physiologist states: “My soul fi nds peace in God. As God is alive, I am also alive. I can not exist if He does not help me”; - Charles Darwin (1809-1882), an English biologist, a naturalist claims, “I have never denied the existence of God. I think the theory of evolu on is fully compa ble with faith in God. I think the greatest argument for the existence of God is the impossibility of demonstra ng and understanding that the immense universe, sublime above all measure, and man were the result of chance”; - Volodymyr Vernadskyi (1863-1945), the founder and fi rst president of the Ukrainian Academy of Sciences, the founder of geochemistry, biogeochemistry, and radiogeology says: “Religious ideas, the leading for many centuries, if not millenniums ideas, preceded philosophical intui ons and generaliza ons.” Faith in God is the evidence of high scien fi c and moral culture of a personality. Science and religion have the same sources and lead to the same goal. They both search for the truth and complement one another. Religion leads directly to God, seeking the Creator, and science comes to the Creator indirectly, through His cre- a on. The great scien st, the founder of quantum fi eld theory Max Planck wrote: “For believers, God is in the beginning, and for physicists He is at the end of all considera ons.” Science can not deny the existence of God and its fi ndings rather prove His existence than reject Him. There is no confl ict between science and Chris anity. Faith helps the scien st to choose the scien fi c direc on which will be benefi al and good for the humanity, and science helps the believer to be er understand his faith. St. Augus ne taught: “Understand so that you may believe, believe so that you may understand.” Modern sci- ence helps religion to free from supers on, and Chris an faith frees science from absolu sm. The evidence of high scien fi c and moral culture of a personality, refl ected in the proper Chris an con- sciousness, is the famous Ukrainian devotees: Professor Ivan Polui – an outstanding physicist and translator of the Holy Scripture, Hryhorii Vashchenko – a famous pedagogoue and psychologist. The high intellectuality and spirituality were characteris c of such Ukrainian geniuses as Taras Shevchenko, Ivan Franko, Lesia Ukrainka, Ivan Ohienko who glorifi ed our culture and spirituality. 57

ISSN 2474-9397 American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) A vivid example of the Chris an moral values adop on is “The Instruc ons of Vlolodymyr Monomakh.” This is a sort of father’s testament to his children. The author dwells on important issues of moral educa on, provides the rules and norms of behaviour which he considers to be the criteria of a well-bred person. It is easy to no ce that they are based on Chris an principles: to be obedient, respect your peers and younger people, be helpful to others, keep your promises, sympathize with other person’s grief, do good. The necessity of educa on based on the principles of Chris anity was ardently argued by a Ukrainian philosopher Hryhorii Skovoroda. The leitmo f of all his philosophical works is the idea of man returning to his original, i.e. spiritual nature. According H. Skovoroda, there is no way to God without faith, and man will always remain a prisoner of his fl esh without God (Pomytkin, 2005). H.Skovoroda claims that people must get to know themselves, which means they must get to know the divine in themselves. Following the Gospel principles, the philosopher condemns social exploita on and inequality, feud, desire for money, physical pleasures, tles, awards and honors. God is not an object of blind faith and worship for Skovoroda. The philosopher felt His super- natural power searching for the truth, moral choice, and even for the des na on of his life. The true exponent of Chris an educa onal tradi ons was Shevchenko. He contributed to rich spiritual heritage of the Ukrainian culture. Shevchenko is a poet, prophet, Chris an-poet, Messiah-poet. All his life he was a believer, and never parted with the Bible, which was an inexhaus ble source of absolute truth for him. In Kobzar’s works, par cularly in his “Primer”, poem “Haidamaky”, “Psalms of David” poems “It’s not that I’m of God complaining”, “The Prophet” we can feel some infi nite, extrasensory experience of God. Nowadays, when we try to teach the young Chris an morality and faith in God, we cannot ignore the legacy of the talented poet, teacher, translator of liturgical books, historian Ivan Ohienko; he entered the history of Ukraine as the Prophet of God’s Truth and should be taken as a model of moral and spiritual growth for the young genera on. Till the end of his life he followed the commandments of God, serving people, helping the poor, the underprivileged, and this way he professed Chris an morality. Ivan Ohienko gave the transla on of the Bible, prayer books, and scien fi c works to his descendants. He treated the concept of spirituality as a broad category. In his opinion, spirituality is not only a theological interpreta on, but also culture, language, literature and art. According to Ivan Ohienko, educa on based on Chris an morality provides us with self-awareness as well as a deep knowledge of na onal spirituality, Chris an culture and it makes people worthy. Modern Ukrainian psychological and pedagogical ideas work out a system of values based on Chris- tian principles, because it corresponds to our educational traditions, mentality and culture. The future of the Ukrainian nation depends on the extent spirituality becomes the basis of our life. Thus, the research found out that only new Ukrainian teachers will bring up the healthy and effective Ukrainian society and state. Teachers are the most numerous representatives of the national intelligentsia. Teachers should be the main promoters of the national idea, prepare the future active citizens and patriots of the state. The Ukrainian society should strive for new teachers and educate them. The society should create conditions for the formation of a new teacher, so that the pedagogical university will receive the strongest applicants who are not only intelligent, gifted, but also well-bred. The President, the Prime Minister, the Speaker of the Parliament, the head of the parliamentary committee on education and science, politicians and public figures should give publicity to the problem of education. Educational authorities and establishments will not solve the problem on their own. What is the new teacher? Firstly, his primary task is to “teach a man”, teach him how to live, teach how to become a ci zen, teach his students how to become future specialists. Secondly, he is a developed, mentally, psychologically, socially, morally and spiritually healthy and strong personality. It means he has personal abili es: a) fundamental abili es: to believe, love, do good, freedom and responsibility; b) abili es to live eff ec vely (he can cope with problems); c) to develop, bring up, educate stu- dents and to defend himself; e) to construc vely feel, think and refl ect. Thirdly, he has construc ve professional competence. Fourthly, the pedagogue has a healthy style of educa onal work. What is healthy educational work? It: a) is productive; b) effective; c) has the personal and social im- portance; d) doesn’t interfere with personal life; f) doesn’t deprive the teacher of his health. Politicians and pragmatists will have a huge economic benefit from the new teacher working at school: he will teach, educate and develop healthy future citizens who will later become eff ec ve workers and actively par cipate in the development of the Ukrainian society and state; they will not get ill, they will take pleasure in life, and bring up healthy children – good future citizens – in their families. The famous Ukrainian pedagogue Hryhorii Vashchenko developed a na onal Ukrainian educational sys- tem, the main elements of which are idealis c world-view, Chris an morality, high level of pedagogical education, 58

American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) ISSN 2474-9397 organizing and conduc ng educa onal researches, publishing educa onal works, textbooks on the highest ar- s c and technical level. Morality is a doctrine or a set of specifi c principles (rules), which people must follow in life. If the ideal of morality is imperfect, the formula on of moral behavior rules has rela ve character. Psychologists (Boryshevskyi, 2000; Moskalets, 2004) defi ne three spheres of the morality expression: 1) Social sphere: morality regula ng the rela ons among people. Here we o en see what is moral and what is immoral; 2) Psychological sphere: fi rst of all we mean mental health (the balance of all energy kinds). Everyone un- derstands that truth is be er than a lie, love is be er than hate. We are created in such a way that when we come into confl ict with this knowledge, we feel anxiety and confusion. This is our remorse, our conscience. So, the universal moral law says, “Do good, avoid evil”; 3) Spiritual sphere: the precondi on of a person’s morality is the clear answer to the ques on: why should a person be moral? And we fi nd the answer in the spiritual sphere, in the sphere of faith. Taking into considera on the centuries-old experience of educa on based on Chris an values, its increasing importance in the Ukrainian society and taking into account its signifi cant opportuni es to improve the educa- onal process, Ivan Franko Na onal University of Lviv and Ivan Franko Drohobych State Pedagogical University developed and worked out the approaches to the forma on of students’ na onal consciousness and dignity based on Chris an values. The forma on of the students’ national consciousness and dignity based on Christian morality principles of future specialists is implemented with the help of lectures and practical classes in such courses as “General Psychology”, “Social Psychology”, “Educational Psychology”, ‘Social Pedagogics” and others. Due to these dicsiplines, students learn the fundamentals of psychological knowledge for self-knowledge and spiritual development, at the same me they are explained the important problems of psychology such as sanc ty, charity, self-denial, it describes the aspects of national consciousness and dignity, and focuses on interpersonal communication. During lessons, students have to cover the important stages of research work: to learn the basic inves ga- on methods of phenomena, observe these phenomena and identify their properties, relationships with other phenomena; master the inves ga on methods of phenomena by means of experiment; learn the rules of research work (making a scientific hypotheses, verifying it by a complex of techniques and special methods, proving it by statistic analysis, explaining the received data and findings of the problem theoretical and practical aspects). After familiarizing themselves with the research rules, all students receive practical tasks, for example, making a genealogical tree. In particular, they must know their origins, parents, grandparents and ancestors, usually to the seventh genera on. The first genera on – me; the second – father and mother; the third – two grandfathers and two grandmothers; the fourth – four great-grandfathers and four great-grandmothers; the fifth – eight great-grandfathers and great-grandmothers; the sixth – 16 great-grandfathers and 16 great- grandmothers; the seventh genera on includes 32 male ancestors and 32 female ancestors. The top of the tree has 32 branches on the mother’s side and 32 branches on the father’s side. Students receive a number of specific research tasks. For instance, studying the theme “The role and importance of the na ve language for the personality forma on”, students provide examples from scientific and pedagogical literature about the views and opinions of scientists concerning the importance of the Ukrainian language and speech in the life and activity of the Ukrainian people and every Ukrainian in par cular; collect folk proverbs, tales, legends, myths. Studying the theme “The role and significance of national education for communication” students choose a national Ukrainian hero as a model of an ideal to admire. Having studied the theme “The importance of religious education for the development of a personality” students use par cular examples to prove the importance and meaning of Christian morality and ethic education norms by quo ng the scientists: art historians, religion scholars, clergymen, poets, writers, artists, etc. Under the supervision of the teacher, students prepare researches, make hypotheses, study methodology and methods of verifi ca on, develop methods of collecting material, select methods of static processing of the received qualitative and quantitative characteristics of the results. At the fi nal lesson, students speak on the crea ve research works, make scien fi c conclusions in their course papers and Bachelor’s projects, which confi rm theore cal principles, prac cal signifi cance of the fi ndings and their crea ve independent work. How can we form students’ na onal consciousness and dignity? First of all, it can be done through the morality of a god-given teacher, a wise teacher who makes all his crea ve eff orts to provide students with 59

ISSN 2474-9397 American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) spiritual, moral, social, psychological, mental and physical health through the program of spiritual and intellec- tual self-development. We presented the criteria the personality of the teacher should possess: 1) morality: a spiritual personality is a religious person; a prac cing Chris an; has objec ve and subjec ve authority, nobleness, inspira on; loves and respects his work; is fair; has ethic and business tact and gets pleasure from communica on; 2) intellectual and professional development: high level of professional training; good memory, fl exible thinking, crea ve imagina on; temperament, labile nervous system (innate factors); willpower and faith (acquired factors); lan- guage culture, rhetoric; intui on; observa on; 3) physical features: clothes, posture, behavior; The sources of the spiritual personality forma on are: the book of books – the Holy Scriptures; Theology (the science about God); Divine Liturgy – the teacher of life (A. Sheptytskyi); Prayer – the development of soul; church art; Chris an philosophy (knowledge of God); nature, culture, art, sports, etc. Conclusions. The consolida on and prosperity of our country is possible only on condi on of professional and spiritual development of every ci zen, professional, specialist, strengthening their na onal consciousness and na onal dignity, which must become the crucial force ensuring Ukraine’s irreversible progress towards the will, glory, economic and social welfare, healthy na on and strong state of the world level. Reference: Ball, G. (2005). Psyhologiia i duhovnist [Psychology and Spirituality]. Humanistychna Psyhologiia. G. Ball, R. Trach (Eds.). Kyiv: PULSARY. Boryshevskyi, M. Y. (2000). Natsionalna samosvidomist u hromadianskomu stanovlenni osobystos [Na onal self-consciousness in civil becoming of personality]. Kyiv: Berkut. Makselon, O. Yu. (Ed.). (1998). Psyhologiia. Z vykladom osnov psyhologii religii [Psychology. With the exposi on of the basis of psychology of religion]. Lviv: Svichado. Maksymenko, S.D. (2006). Geneza zdiisnennia osobystos : naukova monografi ia [Genesis of realisa on of personality: scien fi c monograph]. Kyiv: KMM. Maksymenko, S.D. (2007). Psyhologiia osobystos : pidruchnyk [Personality Psychology: textbook]. Kyiv: KMM. Moskalets, V.P. (2004). Psyhologiia religii: Posibnyk [Psychology of Religion: Manual]. Kyiv: Akademvydav. Pomytkin, E.O. (2005). Psyhologiia duhovnoho rozvytku osobystos : monografi ia [Psychology of spiritual development of personality: monograph]. Kyiv: Nash chas. Savchyn, M.V. (2001). Duhovnyi potentsial liudyny: monografi ia [Spiritual poten al of man: monograph]. Ivano- Frankivsk: Plai. Savchyn, M.V. (2009). Vira v Boha yak duhovnyi stan liudyny [Faith in God as the spiritual condi on of man]. Psyhologiia i suspilstvo, 2 (36), 54-59. Zhyhailo, N.I. (2008). Psyhologiia duhovnoho stanovlennia osobystos maibutnioho fahivtsia: Monografi ia [Psychology of spiritual becoming of personality of future professional: Monograph]. Lviv: Publishing center of Ivan Franko LNU. 60

American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) ISSN 2474-9397 UDC 616.131-005.7+616.12.331.1-02:616.131-005.7|-07-08-084 CHOICE OF TREATMENT MODALITIES FOR PULMONARY EMBOLISM Skyba V.V. Osadchy O.I., Ph.D. in Medicine, Associate Professor Dr. Sc. in Medicine, Boris R.M., Dr. Sc. in Medicine, Professor Professor tska O.V., Ph.D. in Medicine, assistant,уBogomolets National Lev Medical University, doctor-anesthesiologist Director Mukhalchuk I.E., doctor-surgeon at the Surgery Centre, Voituk N.V., doctor-surgeon Ukraine Kyiv City Hospital № 1, Surgery Centre [email protected] The pulmonary embolism (PE) is a serious disease associated with high mortality rates – approx. 30% (Osadchiy, 2003; Alpert, Dalen, 1994; Beno , Ockene, Alpert, 1983). In the general structure of the causes of mortality due to cardiovascular diseases, PE comes the third (Beno , Ockene, Alpert, 1983). In 85% of clinical observa ons, it is caused by venous thrombosis in the inferior vena cava (IVC), which is asymptoma c in 10-20% of cases. Thromboly c therapy has become a treatment of choice for such pathology. Special a en on should be paid to pa ents with developed chronic post-embolic pulmonary hypertension (CPEPH ). ering from acute PE (Lewczuk, Piszko, Jagas, Porada, Wojciak, Sobkowicz, ffIts development is observed in 0.1-4% of pa ents su Wrabec, 2001; Moser, Bloor, 1993; The PIOPED Inves gators, 1990). The drama c nature of the situa on is exacerbated by the poor prognosis of both the natural course of the disease and the outcomes of conserva ve treatment. The key factor contribu ng to a decrease in life expectancy is the development of right ventricular (RV) dysfunc on against the background of excessive pressure ve- fiin the pulmonary artery (PA). Thus, pa ents with mean pressure in the pulmonary artery (mean PAP) of >30 mm Hg have a ve-year survival rate to 10% (Dartevelle, fiyear survival rate of approx. 30%, and an increase of more than 50 mm Hg reduces the Fadel, Mussot, Chapelier, Hervet, de Perrot, Cerrina, Ladurie, Lehouerou, Humbert, 2004; TIartz, Byrne, Levitsky, Park, Rich, 1996; Jamieson, Kapelanski, Sakakibara, Manecke, Thistlethwaite, Kerr, Channick, Fedullo, Auger, 2003). According to several clinics, the ve-year survival rate in pa ents a er surgical treatment of CPEPH remains close to 80-83%, which clearly demonstrates the ben- fi t of the treatment modality. fie Keywords: pulmonary embolism, post-embolic pulmonary hypertension, thrombolysis, venous thrombosis, D-dimer. – юьтсіньлател юокосив ясьтєуждоворпус ощ, яннавюровхаз екжав) – АЛЕТ( їіретра їовенегел яілобмеобморТ єамйаз АЛЕТ ьнавюровхаз хиннидус-овецрес вікділсан хиньлател ничирп іруткуртс йіньлагаз В30% [1, 2, 7]. окьзилб 10- в йикя, инев їотсинжороп їоьнжин іметсис в зобморт йинзонев єакилкив її ьнежеретсопс85% У[2]. ецсім єтерт .їіголотап їєіц яннавукіл уробив модотем алатс яіпарет анчитілобморТ. онмотпмисзеб єагібереп вікдапив20% юєізнетрепіг юовенегел юончілобмеобморттсоп юончінорх юонавомрофс із итнєіцап ьтюувогулсаз игаву їовилбосО їіцаутис мзитамарД[5, 6, 8]. АЛЕТ уртсог илсенереп ощ, вітнєіцап0,1- 4% у ьтюагіретсопс яннавумроф їЇ). ГЛТПХ( огонвитавреснок вітатьлузер і кат, яннавюровхаз угібереп огоьндорирп кя мозонгорп мивилтяирпсен ясьтєюлбилгоп акчонулш оговарп їіцкнуфсидкотивзор є, яттиж ітсолавирт юннешнемз єяирпс ощ, мороткаф минвонсО. яннавукіл .рес( їіретра йівенегел в моксит міндерес з итнєіцап, каТ). АЛ( їіретра йівенегел в уксит оговокшилданіноф ан) ШП( енчіритя’п єужинз. тс. тр мм50 ешьліб огой яннешьлібз а30%, окьзилб яннавижив енчіритя’п ьтюам. тс. тр мм)>30 АЛТ ГЛПХ яннавукіл огончігруріх ялсіп вітнєіцап яннавижив енчіритя’п, кінілкикзин ьнелмодівоп ондігЗ10% [4]. од яннавижив .яннавукіл адотем ьтсироканьтичдівс онвя ощ80-83%, інвір ан ясьтєашилаз ,сизілобморт, яізнетрепіг авенегел анчілобмеобморттсоп, їіретраїовенегел яілобмеобморт: аволс івочюлК , D-dim.зобморт йинзонев Materials and methods: 255 pa ents with clinical diagnosis of pulmonary embolism were observed and treated in this study. The pa ents were 18 to 84 years of age (on average 49±6.4). The diagnosis involved the analysis of clinical data and laboratory tests: CBC, urinalysis, blood chemistry values, including determina on of the D-dim level. Instrumental studies included registra on of ECG, echo, chest X-ray, computed tomography, and angiopulmonography. The pulmonary artery systolic pressure (PASP) was in the range of 45-85 mm Hg, and 61

ISSN 2474-9397 American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) 2 -5 was on average 66±9.0 mm Hg, the total pulmonary resistance (TPR) was on average 850±135 dyn/cm /sec . The amount of treatment was determined with a view to the clinical presenta on, dura on of the disease, central haemodynamic disorder, and pancrea c dysfunc on, according to the echo and the D-dim blood level. Conserva ve treatment was administered in 235 (92.2%) pa ents and surgical removal of thromboembolic lesions due to the ineff ec veness of therapeu c measures was carried out in 20 (7.8%) pa ents. Study outcomes: Massive pulmonary embolism was diagnosed in 85 (33.3%) pa ents, submassive – in 35 (14.9%) pa ents, and nonmassive – in 135 (52.9%) pa ents. The right ventricular dysfunc on was detected in all pa ents with massive and submassive PE, and in 59 (43.7%) pa ents with the nonmassive pulmonary embolism. Right ventricular dysfunc on, as a predictor of more severe haemodynamic circulatory disorders, was characteris c of massive and submassive PE (95% and 34%, p<0.05, r = 0.86, respec vely). Another important indicator of the acuity of thrombo c process against the background of PE was a signifi cantly elevated D-dimer level in blood. So, in pa ents with acute pul- monary embolism, depending on the severity of the process and the extent of thrombosis, there wasits pronounced increase in the blood (10000±2000 mg/L) within the fi rst 5-7 days, which was typical for 92% of pa ents with acute PE. We interpreted the insignifi cant increase in the D-dimer blood level (500±50 mg/L) against the background of severe RVH (>7±2 mm, p<0.05, r = 0.78) as chronic post-embolic pulmonary hypertension (CPEPH), which was detected in 20 (7.8%) pa ents. Thromboly c therapy was carried out for all pa ents with massive and submassive PE, as well as 59 (43.7%) pa ents with nonmassive PE with unstable haemodynamics and RV dysfunc on. 100 mg of Alteplaza ssue plasminogen ac vator (tPA) or 1500000 IU of Streptase were used as thromboly cs. The IV infusion took 120 minutes. Pa ents with nonmassive PE and stable haemodynamics without RV dysfunc on received heparin infusion. A er the bolus injec on of 10,000 IU of heparin, it was administered as 18 IU/kg/h IV infusions. Control over APTT made it possible to correct the infusion rate of heparin and maintain the level of hypocoagula on by 1.5-2.0-fold higher than the ini al one. The an coagulant therapy took 7 days with the subsequent transi on to the administra on of indirect an coagulants. Pa ents, for whom acute pulmonary embolism was ruled out, as evidenced by the low D-dimer level, severe right ventricular myocardial hypertrophy and the chronic right ventricular failure, subsequently underwent surgeries in various medical ins tu ons. Surgical treatment was performed in 20 (7.8%) pa ents: with the use of car- diopulmonary bypass – in 8 pa ents, and with the help of a closed procedure on the side of the lesion – in 12 pa ents. A posi ve eff ect of the treatment was observed in 230 (90.2%) pa ents. The index of a posi ve result (Table 1) was a decrease in systolic pressure in the pulmonary artery by 42.3%, an increase of СI by 27.6% and a 31.2% decrease in the ACP, and an increase of PaO2 by 28.6% (p<0.05). Table 1 Examina on of haemodynamics and Ра О2 in pa ents with the PE before and a er the treatment (n = 248) Indicator Before treatment A er treatment p PASP, mm Hg 6644 38±2.6 <0.05 2 TPR, dyn/cm /sec -5 965±234 3014123 <0.05 Ра O2, mm Hg 65±11 91411 <0.05 CI, L/min/m 2 2.1±0.7 2.9±0.9 <0.01 Recovery of haemodynamics was accompanied by an increase in the func onal class of NYHA by 1.2-fold in 93% of pa ents (Table 2). Mortality was 2.7% (7). Table 2 Distribu on of PE pa ents by the degree of pulmonary hypertension before and a er the treatment PASP, mm Before treatment A er treatment p Degree of PH Hg n = 255 % n = 248 % P 0 <30 0 0 85 34.2 >0.05 I 31-50 109 42.9 125 50.6 >0.05 II 51-70 134 52.4 31 12.7 >0.01 III 71-90 12 4.7 7 2.8 <0.01 IV >90 - - - - - 62

American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) ISSN 2474-9397 Discussion.Contrary to a conven onal opinion about the low eff ec veness of conserva ve methods of treat- ment of PE and their lack of prospects, our experience of treatment argues otherwise. In many respects, the eff ect of treatment is determined by its mely provision. The main point in achieving the result is the normal- iza on of pressure in the PA and the reduc on of the pulmonary resistance. The key factor contribu ng to a decrease in life expectancy is the development of the RV dysfunc on against the background of excessive pres- sure in the PA. Thus, pa ents with mean pressure in the pulmonary artery (mean PAP) of >30 mm Hg have a fi ve-year survival rate of 30%, and its increase by more than 50 mm Hg reduces the fi ve-year survival rate to 10% (Dartevelle, Fadel, Mussot, Chapelier, Hervet, de Perrot, Cerrina, Ladurie, Lehouerou, Humbert, 2004; TIartz, Byrne, Levitsky, Park, Rich, 1996). The achievement of a posi ve result in our series of observa ons is due precisely to a decrease in the afore- men oned indicators. The clinical determina on of the markers of acute thrombosis in combina on with the defi ni onof RV dysfunc on signifi cantly increased the quality of diagnosis and made it possible to determine the op mal type of treatment. CONCLUSIONS: The improved treatment effi cacy is due to the determina on of an eff ec ve therapeu c window for throm- bolysis – an average of 6±0.8 days with a posi ve result of thromboly c therapy in 87.1% of cases. Its predictors are the prescrip on of the disease of at least 72 hours and the mPAP of <60 mm Hg. Determina on of thrombosis markers is a sensi ve method for diagnos cs of acute thrombo c condi ons. Using determina on of D-dimer along with the determina on of the RV dysfunc on can improve the accuracy of diagnosis of PE (95%, p<0.05, r = 0.86, respec vely). The surgical disoblitera on of the PA branches remains the treatment of choice for pa ents with chronic post-embolic pulmonary hypertension (CPEPH). References: Alpert, J.S., Dalen, J.E. (1994). Epidemiology and natural history of venous thromboembolism. Prog Cardiovasc Dis, 36, 417-422. Beno , J.R., Ockene, S., Alpert, J.S. (1983). The clinical profi le of unresolved pulmonary embolism. Chest, 84, 669-678. Dantzker, D.R., Bower, J. S. (1981). Par al reversibility of chronic pulmonary hypertension caused by pulmonary thromboembolic disease. Am Rev Respir Dis, 124, 129-131. Dartevelle, P., Fadel, E., Mussot, S., Chapelier, A., Hervet, P., de Perrot,M. et al. (2004). Chronic thromboembolic pulmonary hypertension. EurRespir, 23, 637-648. Jamieson, S.W., Kapelanski, D.P., Sakakibara, N., Manecke, G.R., Thistlethwaite, P.A., Kerr, K. M. et al. (2003). Pulmonary endarterectomy: experience and lessons learned in 1,500 cases. ThoracSurg, 76, 1457-1462. Lewczuk, J., Piszko, P., Jagas, J., Porada, A., Wojciak, S., Sobkowicz, B. et al. (2001). Prognos c Factors in Medically Treated Pa ents With Chronic Pulmonary Embolism. Chest, 119 (3), 818-23.(8) Moser, K. M., Bloor, C.M. (1993). Pulmonary vascular lesions occurring in pa ents with chronic major vessel thromboembolic pulmonary hypertension. Chest, 103, 685-692. Osadchiy, A.I. (2003). Hirurgicheskoe lechenie postromboembolicheskoy legochnoy gipertenzii [Surgical treatment of embryoembolic pulmonary hypertension]. Sertsevo-sudynna hirurgiia: Zbirnyk naukovyh prats sertsevo-sudynnuh hirurgiv, 11, 269-270. The PIOPED Inves gators. (1990). Value of the ven la on – perfusion scan in acute pulmonary embolism: results of the Prospec ve inves gators of Pulmonary Embolism Diagnosis (PIOPED). JAMA, 263, 2753-2759. TIartz, R.S., Byrne, J.G., Levitsky, S., Park, J., Rich, S. (1996). Predictors of mortality in pulmonary thrombo- endarterectomy. Ann Thorac Surg, 62(5), 1255-9. Wartski, M., Collignon, M.A. (2000). Incomplete recovery of lung perfusion a er 3 months in pa ents with acute pulmonary embolism treated with an thrombo c agents. 1 Nucl Med, 41, 1043-1048. Weir, E.K., Archer, S.E., Edwards, J.E. (1988). Chronic primary and secondary thromboembolic pulmonary hypertension. Chest, 93, 149S-154S. 63

ISSN 2474-9397 American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) UDC 616.89-008.441.33-085:615.017 DIDACTIC PARADIGMS OF LASER INTEGRATED NANOTECHNOLOGIES IN COMPLEX TREATMENT OF ADDICTION DISEASES Sosin I.K. Chuev Yu.F. Dr. Sc. in Medicine, Professor Ph.D. in Medicine, Honored inventor of Ukraine, Associate Professor Academician of the UAS Kharkiv Medical Academy Kharkiv Medical Academy of Postgraduate Educa on, of Postgraduate Educa on Ukraine [email protected] [email protected] .Yu.ОBurmaka N.P. Goncharova Ph.D. in Psychology, Professor Ph.D. in Medicine, Associate Professor Full member of European Academy of Natural Kharkiv Medical Academy of History (Scotland, UK), Postgraduate Educa on, USA Ukraine [email protected] [email protected] The ar cle presents and summarizes long-term experience of didac c implementa on and usage of up-to-date laser integrated nanotechnologies in complex treatment of the pa ents with addic on diseases. It is shown that applica on of laser ec vely emergency condi ons in alcohol and opioid dependence syndrome clinical course fftherapy techniques allows to relieve e and to reduce dura on of treatment for this cohort. Laser therapy and medical restora on programs which include combined ca on, fica on capacity and hemocorrec ve extracorporeal methods (electrochemical detoxi fiapplica on of laser therapy detoxi ca on and an depressants fiects of detoxi ffhemosorp on, membrane plasmapheresis) are described. Laser poten ated medical e are described. Key words: laser, nanotechnology, addiction diseases, alcohol dependence syndrome, opioid dependence syndrome, ca on, treatment fidetoxi -сачус яннавусотсаз ат їіцатнемелпмі їончиткадид дівсод йинчіротагаб оненьлагазу ат онелватсдерп іттатс У -отсаз ощ, оназакоП. їіголотапокран мроф хинсачус іннавукіл умонскелпмок у йіголонхетонан хинаворгетні хинрезал хин ат їоньлогокла уморднис іцінілк в инатс індалкдівен итавуріпук онвиткефе єяловзод їіпарет їонрезал відотем яннавус і хинчитвепарет хинрезал сипо онедеваН. хировх утнегнитнок огоьц яннавукіл инімрет ититорокс, ітсонжелаз їондїоіпо удотем хивитсалв, йетсовилжом хинйіцакискотед юіцазілаер унавонібмок ьтюачюлкв ікя, маргорп хинвондів-оньлавукіл -нарбмем, яіцбросомег, яіцакискотед анчіміхорткеле( їіцкерокомег відотем хиньларопрокартске ат, їіпарет їонрезал ат їонйіцакискотед вітараперп віткефе хиньлавукіл яннавюіцнетоп огонрезал идотем онелтівсиВ). зерефамзалп йин .їід їонвисерпедитна -желаз їондїоіпо морднис, ітсонжелаз їоньлогокла морднис, яіголотапокран, яіголонхетонан, резал: аволс івочюлК .яннавукіл, яіцакискотед, ітсон Introduc on. Crea on of principally new medical technical nanotechnologies simula ng and poten- tiating ca on, elimina on and neurometabolic correc on is one of priority issues in cur- finatural mechanisms of detoxi - firent addic on therapy. This stream in clinical addictology is one of priori es, and numerous hardware detoxi ca on methods, which were developed under the direc on of Professor I.K. Sosin at addictology department of erent therapy which ffKharkiv Medical Academy of Postgraduate Educa on (KhMAPE), created a new chapter – e uses laser therapy methods as basic techniques to construct many innova on therapeu c programs. Currently, integra ve nanotechnologies in addictology are seen as applica on of combined approaches in treatment of addicts with comorbidity by intensive therapy methods, including pharmacotherapy, medica on- free and therapeu c restora ve methods. 64

American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) ISSN 2474-9397 Laser adjuvant variants of extracorporeal detoxifi ca on (hemosorp on, electrochemical detoxifi ca on, membrane plasmapheresis, etc.) and pharmacotherapy are prevalent in clinical addictology. These methods include combined synergism of detoxifi ca on capaci es essen ally of intensive detoxifying techniques and laser therapy which allow to solve the most complex and cri cal me-dependent issues of addic on. Development of adjuvant therapeu c rehabilita on complexes based on laser nanotechnologies is an extremely important task for all stages of intensive care for addic on diseases. Recently, tandem intensive care techniques based on interpoten ated cura ve eff ects of laser therapy and hemosorp on, laser therapy and electrochemical detoxifi ca on, membrane plasmapheresis are becoming increasingly perspec ve. However, emergency condi ons in clinical course of alcohol and opioid dependence which mostly determine serious current situa on in our country, must be the priority in research and introduc on of laser detoxifi ca on programs (Narcology. Sosin, Chuev, Artemchuk, et al., 2014; Chuev, 2015; Chuev, 2010). Background. Various modifi ed laser impact techniques are seen as prospec ve medica on-free methods. It is confi rmed by recently appeared fundamental inves ga ons on effi ciency of their applica on undertaken to solve issues of emergency and rou ne addictology [Narcology. Sosin, Chuev, Artemchuk, et al., 2014; Sosin, Chuev, 2011). These works are systemic, comprehensive and targeted, they were performed under target na onal programs covering these problems. Mechanisms of medical eff ects provided by laser detoxifi ca on in emergency states in clinical course of addic on diseases were studied, feasible areas and methods of their applica on in addictology prac ce, perspec ves of their combined use with other eff erent modifi ca ons and pharmacotherapy were described. Laser therapy techniques modifi ed for addictology, parameters of therapeu c infl uence, hardware register modes in complex of medical measures have been developed. Perspec ves for combined usage of laser and pharmacotherapy have been studied (Sosin, Chuev, Honcharova, Misna, Misnyi, Deineka, 2014; Sosin, Chuev, Honcharova, 2016). Recently, isolated and combined modifi ed laser nanotechnology techniques were developed for treat- ment of various urgent issues associated with addic on: 1) current medica on-resistant forms of dependence with severe forms of abs nence syndrome; 2) post-intoxica on organ dysfunc on; 3) paroxysmal and pre-delirious preparedness; 4) psychoneurological consequences of massive intoxica on. Based on many years’ experience, new approaches to the treatment have been grounded, including usage of hardware detoxifi ca on methods and present-day advances in psychopharmacology, prospec ve scien fi c direc ons have been determined. Development and improvement of laser therapy methods logically yielded series of priority Patents of Ukraine, innova ons and inven ons. This communica on introduces current aspects of laser nanotechnologies applied in complex therapy associated with clinical situa on issues arisen in addictology prac ce (Narcology. Sosin, Chuev, Artemchuk, et al., 2014; Sosin, Chuev, 2011; Sosin, Chuev, Honcharova, Misna, Misnyi, Deineka, 2014; Sosin, Chuev, Honcharova, 2016; Chuev, 2015; Chuev, 2010). The research was performed within the theme of scien fi c research of addictology department of Kharkiv Medical Academy of Postgraduate Educa on “Integrated approaches to diagnosis, therapy, preven on and rehabilita on in modern addictology” (state registra on number 0114U000515). Objec ve of the research is to develop complex laser integra ve detoxifi ca on techniques for therapy of alcohol and opioid dependence syndrome. Results and their discussion. Tandem laser detoxifi ca on method. The treatment results obtained in 85 pa ents, hospitalized for opioid depen- dence, were studied. Clinical picture of the inves gated pa ents contained marked psychic and physical dependence, abs nence syndrome, typical dynamics of tolerance, psychopathological and somatoneurological cons tuents of intoxica on, with common transforma on into epilep form and chroniosep c condi ons. Therapeu c complexes which included nanotechnological modifi ca ons of intravascular laser hemotherapy (ILH), electric chemical detoxifi ca on (ED), hemosorp on (HS), membrane plasmapheresis (MPP) were used isolated and in adjuvant combina ons, applied in original technical projects. ILH was performed with “Lika-Therapeu st” unit (manufactured by “Photonika”, Cherkasy, Ukraine), 30-40 minutes exposure, 1.5-2 mWa power; ED method was realized with EDO- 4 unit, with infusion of sodium hypochlorite solu on, 300-600 mg/L concentra on; АСВ-01 unit with hemosorp on column was used for HS, perfusion velocity was about 60-120 mL per minute. For MPP we used “Hemophoenix” unit with perfusion rate up to 50 mL/min along extracorporal circuit with preliminary injec on of heparin, up to 10 000 U. Perfusion total volume was about 1000 mL of blood with single removal of 600-1000 mL of plasm. Exfused plasm was recompensed properly in autonomous working mode with sodium chloride 0.9% solu on. Therapeu c algorithm which included daily infusion injec on of sodium hypochlorite, 400 mL, against the background of synchronous IHL, the course of treatment, 4-6 day long, appeared to be the most eff ec ve 65

ISSN 2474-9397 American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) for relieving opioid abs nence syndrome. In severe cases of opioid dependence this therapeu c complex was extended at day 2 with a HC treatment, and at day 4 with a MPP procedure which were combined with laser infl uence on the re-infused blood. Actually, tandem s mula on and op miza on of physiological systems of the body which are responsible for accelerated elimina on of toxins and metabolites in the pa ents with addic on problems, prac ced in such complexes. Complex therapy allowed to achieve signifi cant reduc on of psychopathological and somatoneurological symptoms in 90% pa ents within 2-4 days. Our experience demonstrates that the presented combined techniques o en show suffi cient poten a ng for each other and synchronizing therapeu c eff ects. Intensive detoxifi ca on methods based on laser nanotechnologies are most acceptable to be used in cases of insuffi cient effi ciency of medica on therapy and growing severity of the pa ent’s condi on, aimed at elimina on of soma c and metabolic disorders, side eff ects and intending to overcome therapeu c resistance. Choice of method depends on severity of homeosta c disorders, prevailing psychopathological syndrome and dis nc ve features of soma c condi on of the pa ent. Therapeu c combina ons of the proposed methods may be prac ced in addictology either for emergency or rou ne indica ons. Method of laser forced diuresis. Recently, in view of clinical pathomorphosis of alcohol dependence, modern addictology increased sharply the number of pa ents, due to those of young age, being hospitalized in severe condi on with marked post-intoxica on somatoneurological problems. Clinical course of dipsomaniac and post- dipsomaniac condi ons o en consists of ini al phenomena of pre-delirium symptoms, and relieving measures cons tute the resuscita ng aspect in addic on therapy. We approved and introduced into prac ce laser intensive relieving therapy method, aimed at diuresis ac va on and accelerated elimina on of ethanol biological oxida on toxic products out of body. Taking into considera on the fact that our recommended chain and dosages for injected detoxicants and diure cs which cause increased urina on, diff er from tradi onal pa erns in toxicological prac ce, this modifi ca on was termed as “laser modifi ca on of forced diuresis”. Laser modifi ca on of forced diuresis (FD) has become a universal technique in intensive therapy for ini al manifesta ons of alcohol pre-delirious symptoms, developing against the background of hypoxia with impaired water-electrolyte and vitamin balance, hemodynamic and vegeta ve shi s. Indica on for laser modifi ed FD were the following: episodic hearing and visual hallucina ons, stable disorders of sleep, post-dipsomaniac psychophysical exhaus on, generalized tremor, marked hyperhidrosis, anorexia, motor excita on, speech disinhibi on, which clinically were revealed in the pa ents. Contraindica ons included acute cardiovascular failure, pneumonias, acute renal failure (anuria). Before performing the procedure, laboratory and paraclinical research were carried out; electroencepha- lography allowed to determine the character of changes in brain bioelectric ac vity; electrocardiography method was used to assess toxic impairment of heart, rhythm disorders and myocardial conduc on, changes in S-T ven- tricular complex. Osmodiure c agent “Manitol” was injected intravenously (15% solu on) in amount of 200 mL, once-twice a day; treatment course lasted 2-3 days, on personal grounds, under arterial pressure and diuresis monitoring. Saline solu ons infusion program for targeted detoxifi ca on was corrected dynamically and could be changed appropriate to the parameters of blood circula on, diuresis and general condi on of a pa ent. If appropriate, it was subs tuted with high molecular weight solu ons (rheopolyglucin, polyglucin, rheosorbilact) infusions, which are also signifi cant detoxica ng agents. Therapeu c interven ons were added by symptoma c agents and an depressants, an convulsants, tranquilizers, agents which normalize sleeping formula. Intravascular laser hemotherapy (2 mWa power, 0.63 mcm wavelength, exposure of 30-40 minutes) was prescribed since the fi rst day of hospitaliza on of the pa ent, the treatment course included 6-8 days. “Lika Therapeu st” laser therapy unit was used. Within the fi rst 24 hours, a er the complex relieving therapy was performed, the episodic hallucinatory delirious feelings were reduced discretely, became dimmed, rare or prac cally vanished. Psychomotor disorders were reduced, cri cal a tude to the own condi on appeared, pulse, respira on frequency decreased, arterial pressure normalized, hyperhidrosis and tremor reduced. While laser complex treatment, a no ceable reduc on of cardiotoxic and hepatopathic manifecta ons caused by alcohol intoxica on were registered, accompanied with posi ve dynamics of laboratory parameters. Sanogenesis of laser modifi ed forced diuresis in these observa ons was explained not only by the eff ect achieved due to elimina on of ethanol toxic metabolites out of the body, improvement of homeostasis, but also by therapeu c eff ects of the taken psychotropic and symptoma c pharmaceu cals and remedies. 66

American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) ISSN 2474-9397 Thus, the developed technology of modifi ed forced diuresis at the base of laser technologies, adopted to clinical addictology, allows to provide complex ac ve therapy of pre-delirious states, caused by massive and con nuous alcohol intoxica on. Applica on of this modifi ca on requires constant monitoring of mental and soma c state of the pa ent. Method of infusion laser detoxifi ca on. Our many years’ inves ga ons clearly prove the necessity to renovate permanently the search detoxica ng, an depressant, hepatoprotec ve agents required for addic on emergency problems, which can stabilize and improve psychic and somatoneurological status of addicts, improve life quality of such cohort of pa ents (Napreenko, Vynnyk, Vlokh, et al., 2011; Hren, 2016; Compendium 2014 – medica ons, 2014; Sosin, Chuev, Honcharova, Horban’, Petruk, et al., 2015). Among the remedies used in infusion therapy, “Reamberin” 1.5% solu on is of a special value, which is determined by inclusion of succinic acid (reamberin’s main substrate) in balanced polyionic solu on, that determined its principal proper es of a metabolic and energe c correc ve agent. Entering the energy metabolism, succinic acid directs the processes of oxida on in more economic way, that is successfully applied in medical prac ce at hypervolemic and hypoxic condi ons of various e ology (intoxica on, blood loss, injury, shock). Infusion method of reamberin injec on intensifi es early an -ischemic eff ect of the medica on, infl uences favorably on the course of ini al post-ischemic arrhythmias. Reamberin shows hepatoprotec ve eff ect, comparable with eff ects of the famous hepatoprotector “Carsil”, normalizes bilirubin concentra on in blood serum. Accumulated to the date informa on about biological ac vity of succinic acid allows to refer it to adaptogens. It was determined that reamberin improves microcircula on and rheological proper es of blood, leads to intensifi ca on of metabolism, diuresis s mula on, elimina on of toxins out of the body. A group of 27 pa ents with alcohol abs nence syndrome was observed, medica on “Reamberin” (400 mL intravenously, once a day) was added to tradi onal detoxica ng relieving pa erns (intravascular laser he- motherapy + symptoma c therapy). Injec on of medica on “Reamberin” was provided against the background of synchronous laser hemotherapy. The presented method allows to perform laser and infusion therapy simul- taneously, single-use probe, connected with the laser therapy unit, is inserted into the needle lumen where it is permanently washed with reamberin solu on. Op c irradia on from the end of the probe, is directed along the needle lumen, along the vessel that allows to provide even illumina on of blood. We described this treatment algorithm as a “Method of infusion laser detoxifi ca on”. All the observed pa ents presented extended stages of alcohol dependence (stable abs nence syndrome, dipsomaniac forms of alcoholiza on, compulsive alcohol craving, combined forms of usage of psychoac ve substances, convulsive syndrome). Clinical picture of alcohol dependence in majority of the pa ents was characterized with high alcohol tolerance plateau, spontaneous relapses of the diseased craving to alcohol, a acks of unmo vated depressed mood and depression, anxiety, dysphoria. Besides, obvious signs of personality degrading (by alcohol type) and social maladjustment (family and professional) were registered. Algorithm of complex laser infusion detoxifi ca on consisted of 3-4 days. Clinical study of the range of somatoneurological complaints allowed to conclude that within 2-3 days the performed adjuvant combina on resulted in a signifi cant reduc on of general discomfort phenomena, weakness, iner a, bi er taste in mouth, nausea, emo onal sphere was normalized, sleep and appe te renewed in clinical course of abs nent disorders. Within en re period of the combined therapy, no marked side-eff ects or complica ons were registered in the pa ents. Successful detoxifi ca on therapy was confi rmed either by clinical condi on monitoring data, or by partly normalized biochemical func ons of liver within short-term therapy. Method of tandem laser hepatoprotec ve correc on. Liver is the main target of toxic ac on caused by psycho- ac ve substances in range of soma c comorbidity at alcohol and drug dependence (hepatomegaly, steatosis, acute and chronic hepa s, fi brosis, cirrhosis). Liver takes principal part in physiology mechanisms of natural detoxifi ca on and elimina on of psychoac ve substances. In connec on with it, new hepatoprotec ve medica ons, which can ac vate enzymes, accelerate processes of oxida on and elimina on of toxic metabolites, preven ng occurrence of primary structural degenera on of hepatocytes, decreasing probability of fi brosis and liver cirrhosis development, with adjuvant detoxifi ca on proper es, require clinical confi rma on, that is an important task of scien fi c addictology. Medica ons “Antral” and “Lesfal” (WAT “Pharmak”, Kyiv, Ukraine) were such hepatoprotec ve pharmaceu cals of new genera on which a racted our a en on. According to the available data, combined use of these agents “Antral” and “Lesfal” favors reduced lipid peroxida on and restora on of enzyme systems, improves liver metabolism, leads to normalizing protein metabolism, that ac vates regenera on of the damaged cells. These agents are indicated in acute and chronic hepa s of exogenous e ology, steatohepa s, cirrhosis of liver at ini al stage. 67

ISSN 2474-9397 American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) The objec ve of present research was to study effi ciency of therapeu c combina on consis ng of medica- ons “Antral” and “Lesfal” and intravascular laser hemotherapy while correc ng comorbid liver disorders in addicted pa ents. Twelve pa ents aged 22-28 with 2-4 year history of the disease were observed, all pa ents were diagnosed opioid dependence syndrome with high and stable tolerance, with evidence of psychic and physical dependence. In all observed pa ents, history data and clinical examina on fi ndings demonstrated the following signs of hepa c impairment: abrupt decrease of appe te, nausea, vomi ng, coated tongue, pains and weight feeling in right hypochondrium, icteri ous skin, icteri ous scleras, evidence of biliary pigments in urine, etc. In tradi onal laser detoxica ng complex which is used in treatment of opioid dependence, addi onally were prescribed within tradi onal pa ern treatments of membrane plasmapheresis and up-to-date hepatoprotectors: “Lesfal” – 5.0 mL intravenously, once daily, 5-10 injec ons per course and concurrently with lesfal – oral hepatoprotector “Antral”, 0.2 g tablets intake 20-30 minutes a er meals, 3 mes a day, followed by the medica on “Antral” course up to 3-4 weeks, and, as appropriate, – repeated in 3-4 weeks course of antral (Sosin, Chuev, Honcharova, Horban’, Petruk, et al., 2015). In clinical picture of opioid dependence, along with classical symptoms of abs nence condi on, astheno- vegeta ve, painful and dyspep c disorders were predominant. Objec ve examina on revealed hepatomegaly of various intensity degree. Rheohepatography iden fi ed the signs of chronic diff use liver disease. All the pa ents revealed cytoly c syndrome with evidence of increased transferases levels AlAT to 1.2 ± 0.4 mmol/(L·h), AsAT content grew to 0.8 ± 0.1 mmol/(L·h). Hyperbilirubinemia was found in 9 pa ents, total bilirubin contents reached 32 mcmol/L. Clinical data of the teratment course were noted in a special chart of clinical observa on. Assessment of clinical signs of hepatoprotec ve tandem complex effi ciency considered its power to relief hepatopathic syndrome. In majority of observa ons, already since days 6-8 of “Antral” and “Lesfal” intake, against the background of synchronous intravascular laser hemotherapy (2 mWa power, 30-40 minutes exposure), a considerable reduce of painful disorders in hypochondrium, improved appe te, disappeared phenomena of general discomfort were registered, and by day 8-10, the complex therapy provided allowed to decrease signifi cantly the degree of principal clinical signs of hepatopathy. The men oned changes in the course of hepatopathy manifesta ons in the pa ents were accompanied by posi ve dynamics in levels of biochemical parameters (decreased ac vity of AsAT, AlAT enzymes, reduced bilirubin levels). Thus, our inves ga on demonstrated that medica ons “Antral” and “Lesfal” combined with intravascular laser hemotherapy and membrane plasmapheresis favor restora on of liver func onal ac vity in addicts, ac vate biochemical processes of detoxifi ca on and showed hepatoprotec ve proper es. We consider it reasonable to con nue our research connected with applica on of therapeu c adjuvant combina on (antral and lesfal + laser therapy + membrane plasmapheresis) in clinical addictology. Laser intravascular hemato-pharmacotherapy. Depressive states in the clinical course of opioid addic on are prevalent disorders which most of all begin to dominate at the day 6-8 a er relieving measures or spontaneously stopped opium consump on. Depressive pathology in this period as a rule isn’t isolated, it combines with astheno- neuro c, soma c and neurological consequences of drug use , and it is a relapse-threatening clinical situa on, which o en ini ates resump on of drug use (Narcology. Sosin, Chuev, Artemchuk, et al., 2014; Sosin, Chuev, 2011). Thereupon, we set a crea ve task to improve the method of relieving depressive disorders in the pa ents with opioid addic on. Fast achievement of therapeu c eff ect, reduced terms and cost of treatment, preven on of complica ons was a ained due to a principally new therapeu c combina on of intravascular laser hemotherapy, which allows to poten ate eff ects of pharmaceu cals, and an depressive medica on “Cipralex” in minimal dosages, that shows relieving and normalizing eff ect on the aff ec ve sphere. This method supposes that cases when opioid addict develops depressive disorders (depression, anxiety, dysphoria, enhanced irritability, emo onal instability, disordered sleep, deteriora on of appe te, local or abundant somatoneurological complaints) require comprehensive therapy with intravascular laser hemotherapy (wavelength 0.63 mcm, 2 mWa capacity, 30-40 minutes exposure), which is performed against the background of pharmacological eff ect of “Cipralex” medica on. Medica on ”Cipralex” was prescribed in daily dosage of 10-20 mg orally (as required), once a day. The treatment course was given for 14-21 day (Compendium 2014 – medica ons, 2014; Sosin, Chuev, Honcharova, Horban’, Petruk, et al., 2015). Inclusion in this method the intravascular laser hemotherapy is explained by its detoxification, antidepressant, immune correction, euphorizing (stimulating), analgesic, microcirculatory and metabolic therapeutic effects. 68

American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) ISSN 2474-9397 It determines therapeutic effect of this method that allows to use it in complex therapy of depressive disorders in opioid addiction. During the research we revealed the effect of laser potentiating of “Cipralex” medication therapeutic impact, laser therapy psychotropic activity spectrum was determined: 1) marked thymolep c (in par cular, an depressive) eff ects; 2) anxioly c eff ect; 3) s mula ng eff ect (reduc on of apathy, indiff erence). It allowed to achieve decreased manifesta on of acute depressive symptoms at opioid dependence in medium-term prospects (10-12 days). Inclusion of the medica on “Cipralex” to this treatment combina on was grounded by the well-known fact that cipralex in daily dosages (10-20 mg per 24 hrs, orally) has an depressant proper es. This treatment has ac va ng, energizing eff ect, with seda on, inhibi ng component which is expressed slightly. “Cipralex” has a property to normalize vegeta ve dysfunc ons, stabilizing psychophysical condi on of the pa ents, accelera on of regression not only depressive but neurosis-like disorders. Therapeu c adjuvant combina on consis ng of intravascular laser hemotherapy and medica on “Cipralex” allowed to relieve the progressive developing depressive symptoms in the structure of the opioid abs nence syndrome. Approba on of the results of the research results Prac cal value of usage of laser integra ve nanotechnologies consists of improving the quality of medical restora ve and resuscita on measures for the pa ents with alcohol and opioid dependence, development the block of reliable alterna ve therapeu c approaches which suppose their usage in complex therapy of all range of soma c, neurological and psychopathological manifestations under addic on condi ons. Clinical analysis revealed laser methods ”address targets” for relieving core syndromes and symptoms of emergency addic on diseases, the scale for diff eren ated usage of intensive methods of laser detoxifi ca on in addic on therapy was developed. The results of this research were reported and discussed at the ХIV-ХVII Ukrainian scien fi c prac cal conferences with interna onal par cipa on “Dovzhenko readings” (2013-2016); Interna onal conferences th “Laser applica on in medicine and biology” (2015-2016); 4 Na onal Congress of neurologists, psychiatrists and addictologists of Ukraine (2012). Conclusions Thus, laser integra ve nanothecnological programs are extremely on demand in didac cs of postgraduate medical educa on in the fi eld of addictology, as well as in medical clinical prac ce for relieving emergency states due to intoxica on and of post-intoxica on origin in current addic on therapy prac ce. Medica on-free impact on the principal pathogenic links in drug addic on diseases, on correc on of hemodynamic, metabolic, hypoxic vascular, neuromediatory and microcirculatory disorders is common for all these methods. The accumulated experience of laser applica on in addictology gives evidence of necessity of the further works to improve medical restora ve programs which have to consider the world tendencies of the development of laser technology an up-to-date advances of scien fi c technical progress. Test ques ons for the ar cle (for didac c aims of postgraduate educa on)* 1. Name the condi ons which develop combina on of two or more independent diseases or syndromes: a) asthenic b) psycho c c) comorbid d) neurosis-like 2.Name therapeu c method based on medical applica on of op c spectrum irradia on with a source of: a) gestalt-therapy b) laser therapy c) refl exotherapy d) chemotherapy *Note: The answer labeled with extra bold, is the correct one. 69

ISSN 2474-9397 American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) 3. Name medical measures aimed at cessa on of the eff ect of toxins and their elimina on out of the body: a) neurolinguis c programming b) extracorporeal detoxifi ca on c) craniocerebral hypothermia d) family psychotherapy 4. Name eff erent method of detoxifi ca on which consists of elimina on of various morbid products via removal of blood plasm: a) electrophoresis b) hemosorp on c) oxygenotherapy d) plasmapheresis 5. Name plasmapheresis technique with removal of blood plasm performed via blood fi ltra on in plasmafi lters: a) membrane b) centrifuge c) rotary 6. Paroxysmal and predelirious preparedness, as regards laser therapy use, is an: a) indica on b) contraindica on c) is not used 7. For the pa ents with addic on disease, all the following clinical manifesta ons are typical, except: a) psychic dependence b) physical dependence c) withdrawal syndrome (abs nence syndrome) d) tolerance dynamics e) au sm 8. Name the plasm which is being removed out of the body by membrane plasmapheresis method: a) ozonized b) encapsulated c) exfused 9. What volume of plasm is removed in addicts at membrane plasmapheresis: a) from 100 to 200 mL b) from 600 to 1000 mL c) from 2000 to 3000 mL d) more than 3000 mL 10. What is the exfused plasm recompensed with: a) 0.9% solu on of sodium chloride b) 5% solu on of glucose c) 10% solu on of low-molecular dextran d) albumine 11. Contraindica on for the laser modifi ed technique of forced diuresis is everything, except: a) acute cardiovascular failure b) pneumonia c) acute kidney failure d) predelirium 12. Intravascular laser hemotherapy is prescribed to the addicts: a) star ng from the treatment day 1-2 b) star ng from the treatment day 3-4 c) star ng from the treatment day 7 d) before the pa ent’s discharge 13. The treatment course of laser hemotherapy is of: a) 1-2 days long b) 3-4 days long c) 6-8 days long d) 10-15 days long 70

American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) ISSN 2474-9397 14. The main target for the toxic eff ect of psychoac ve substances at alcohol and drug dependence is: a) lungs b) spleen c) intes nes d) liver 15. Laser hemotherapy exposure is of: a) 5-10 minutes b) 30-40 minutes c) 2-3 hours d) 12 hours Reference: Chuev, Yu.F. (2010). Kontseptsiia diff erentsirovannogo primeneniya v narkologii lechebnykh eff ektov nizko- intensivnogo lazernogo izlucheniya [Concept of diff eren ated applica on in addictology therapeu c eff ects of low-intensity laser irradia on]. Fotobiologiia i fotomeditsina, 3-4, 26-31. Chuev, Yu.F. (2015). Metodika kupirovaniya bolevoy patologii v klinike opioidnoy zavisimos s primeneniyem innovatsionnykh lazernykh kompleksov [Method of relieving painful disorders in clinical course of opioid addic on with innova on laser complexes]. Ukrayínskyi vísnyk psykhonevrologíí, 23, 3(84), 143-148. Hren, R. (2016). Pharmacoeconomic evalua on of opioid replacement treatment in Slovenia. Heroin Addic on and Related Clinical Problems, 18, 3s1, 17. Kovalenko, V. N. (Ed.). (2014). Kompendium 2014 – lekarstvennyie preparaty [Compendium 2014 – medica ons]. Kyiv : Morion. Napreenko, O.K., Vynnyk, M.I., Vlokh, I.J. et al. (2011). Psykhiatriya i narkolohiya: pidruchnyk [Psychiatry and addictology: manual]. O.K. Napreenko (Ed.). Kyiv: Medytsyna. Sosin, I.K., Chuev, Yu.F. (2011). Lazernaya terapiya v narkologii [Laser therapy in addictology]. Sovremennyie aspekty laser terapii [Modern aspects of laser therapy]. V.D. Popov (Ed.). Cherkasy: Ver cal. Sosin, I.K., Chuev, Yu.F., Artemchuk, A.P. et al. (2014). Narkolohiia: Natsionalnyi pidruchnyk z hryfom MON ta MOZ [Narcology: Na onal Manual under Ministry of Educa on and Science and Ministry of Health approval]. I.K. Sosin, Yu.F. Chuev (Eds.). Kharkiv: Colegium. Sosin, I.K., Chuev, Yu.F., Goncharova, O.Yu. (2016). Integrated approaches to the treatment of pain syndrome in the pa ents with drug addic on. European Psychiatry. The Journal the European psychiatric Associa on, 33. Proceedings from The 24ts European Congress of Psychiatry ‘16. Abstract number: EPA 16-0097, p. 384. Sosin, I.K., Chuev, Yu.F., Honcharova, O. Yu., Misna, O.A., Misnyi, O,M., Deineka, F.M. (2014). Innovatsiyna modyfi katsiya prolonhovanoyi blokuyuchoyi protyretsydyvnoyi terapiyi opioyidnoyi zalezhnos [Innova on modifi ca on of prolonged blocking an -relapse therapy for opioid addic on]. Visnyk psykhiatriyi ta psykhofarmakoterapiyi, 1 (25), 32-39. Sosin, I.K., Chuev, Yu.F., Honcharova, O.Yu., Horban, A.Ye., Petruk, P.T., Shevchenko, N.O. et al. (2015 Efektyvnist zastosuvannya intehrovanoho hepatoprotektornoho tandemu ta membrannoho plazmaferezu v narkolo-hichniy praktytsi [Efficiency of application of integrated hepatoprotective tandem and membrane plasmapheresis in addictology practice]. Proceedings from Dovzhenkivski chytannia: Reduktsiia vzhyvannia alkoholyu: nova narkolohichna paradihma ‘15 [ Dovzhenko Readings: reduction of alcohol drinking: new narcological paradigm ’15: XVI Ukraiinska nauchno-praktychna konferentsiia z mizhnarodnoyu uchastiu (7-8 kvitnia 2015) – ХVI Ukrainian scien fi c-prac cal conference with interna onal par cipa on. (pp.176-180). Kharkiv. 71

ISSN 2474-9397 American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) : 616.89-008.441.33-085:615.017КДУ ХИНАВОРГЕТНІ ХИНРЕЗАЛ ИМГИДАРАП ІНЧИТКАДИД ЇІГОЛОТАПОКРАН ІННАВУКІЛ УМОНСКЕЛПМОК У ЙІГОЛОНХЕТОНАН .Ф.Ю вєуЧ. К.І нісоС тнецод., н.м.к росефорп., н.м.д яімедака анчидем акьсвікраХ, инїаркУ киндіханив йинежулсаЗ ,итівсо їонмолпидялсіп НАУ кімедакА яімедака анчидем акьсвікраХ анїаркУ анїаркУ, итівсо їонмолпидялсіп [email protected] [email protected] .Ю.О аворачноГ. П.Н акамруБ тнецод., н.м.к росефорп., н.хисп.к яімедака анчидем акьсвікраХ- акА їокьсйепорвЄ нелч йинсйіД ,итівсо їонмолпидялсіп куаН хичиндорирП їімед ,яідналтоШ( анїаркУ) яінатирбокилеВ [email protected] [email protected] яннавусотсаз ат їіцатнемелпмі їончиткадид дівсод йинчіротагаб оненьлагазу ат онелватсдерп іттатс У ,оназакоП. їіголотапокран мроф хинсачус іннавукіл умонскелпмок у йіголонхетонан хинаворгетні хинрезал хинсачус -ла уморднис іцінілк в инатс індалкдівен итавуріпук онвиткефе єяловзод їіпарет їонрезал відотем яннавусотсаз ощ хинрезал сипо онедеваН. хировх утнегнитнок огоьц яннавукіл инімрет ититорокс, ітсонжелаз їондїоіпо ат їоньлогок ,йетсовилжом хинйіцакискотед юіцазілаер унавонібмок ьтюачюлкв ікя, маргорп хинвондів-оньлавукіл і хинчитвепарет -ег, яіцакискотед анчіміхорткеле( їіцкерокомег відотем хиньларопрокартске ат, їіпарет їонрезал удотем хивитсалв вітараперп віткефе хиньлавукіл яннавюіцнетоп огонрезал идотем онелтівсиВ). зерефамзалп йиннарбмем, яіцбросом .їід їонвисерпедитна ат їонйіцакискотед їондїоіпо морднис, ітсонжелаз їоньлогокла морднис, яіголотапокран, яіголонхетонан, резал: аволс івочюлК .яннавукіл, яіцакискотед, ітсонжелаз The ar cle presents and summarizes long-term experience of didac c implementa on and usage of up-to-date laser integrated nanotechnologies in complex treatment of the pa ents with addic on diseases. It is shown that applica on of laser ec vely emergency condi ons in alcohol and opioid dependence syndrome clinical course fftherapy techniques allows to relieve e and to reduce dura on of treatment for this cohort. Laser therapy and medical restora on programs which include combined ca on, fica on capacity and hemocorrec ve extracorporeal methods (electrochemical detoxi fiapplica on of laser therapy detoxi ca on and an depressants fiects of detoxi ffhemosorp on, membrane plasmapheresis) are described. Laser poten ated medical e are described. Key words: laser, nanotechnology, addic on diseases, alcohol dependence syndrome, opioid dependence syndrome, detoxification, treatment. -окидем хивон овопицнирп яннеровтс є їіголокран їонсачус мелборп хишіньлауткайан з юєіндО. путсВ ат їіцаніміле, їіцакискотед имзінахем індорирп ьтююіцнетоп і ьтююледом ікя, йіголонхетонан хинчінхет -апа іннелсич а, хинтетироірп зі миндо є їіголокран йінчінілк у комярпан йеЦ. їіцкерок їончілобатеморйен їіголокран ірдефак ан анісоС. К.І аросефорп мовтцинвірек діп інелборзор, идотем інйіцакискотед інтар ,яіпарет антнерефе– лідзор йивон илалкс), ОПАМХ( итівсо їонмолпидялсіп їімедака їончидем їокьсвікраХ .маргорп хинчитвепарет хинйіцавонні хоьтагаб яннеровтс ялд имивозаб є їіпарет їонрезал идотем йікя в відохдіп хинавонібмок яннавусотсаз кя ьтюімузор їіголокран йінсачус в їіголонхетонан інвитаргетнІ -амраф ьтюачюлкв ощ, їіпарет їонвиснетні имадотем юєіголотап юондібромок зі хировхокран іннавукіл у .идотем інвондів-оньлавукіл ат інзотнемакидемен, юіпареток 72

American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) ISSN 2474-9397 -ед їоньларопрокартске итнаірав інтнавю’да інрезал ьтюувотсирокив окориш їіголокран йінчінілк У -амраф і.) ні отагаб ат зерефамзалп йиннарбмем, яіцакискотед анчіміхорткеле, яіцбросомег( їіцакискот -ем енсалв йетсовилжом хинйіцакискотед мзігренис йинавонібмок ьтюачабдереп идотем інаД. їіпареток шьлібйан итавузя’взор імижер-серпске в єяловзод ощ, їіпарет їонрезал ат їіцакискотед їонвиснетні відот .їіцкида имелборп інчитирк ат індалкс -ал івонсо ан віскелпмок хинйіцатілібаер-оньлавукіл хинтнавю’да акборзоР. имелборп аквонатсоП -чіголокран їіпарет їонвиснетні віпате хісв ялд мяннадваз мивилжав онйачивздан є йіголонхетонан хинрез ,їіпарет їонвиснетні їонмеднат идотем ьтюатс имишінвиткепсреп ещ имакор иміннатсО. ьнавюровхаз хин ,їіцбросомег і їіпареторезал віткефе хиньлавукіл хинавойіцнетоп онмєазв іннатсирокив ан ясьтюузаб ікя -ефс юовогречошреп кандО. узерефамзалп огоннарбмем, їіцакискотед їончіміхорткеле ат їіпареторезал іцінілк в инатс індалкдівен итатс ьтюам маргорп хинйіцакискотед хинрезал яннеждаворпв і яннечвив юор їончіголокран їонсачус ьтсінзойрес ьтюачанзив юорім юокилев ікя, ітсонжелаз їондїоіпо ат їоньлогокла [1, 5, 6]. інїарк йішан в їіцаутис -опс їіцакіфидом інзір є відотем хинзотнемакидемен хинвиткепсреп зі миндО. ирутаретіл дялгО -кефе одощ имяннежділсод иминьлатнемаднуф иміннатсо ясьтєуждревтдіп еЦ. увилпв огонрезал вібос итобор інаД[1, 2]. їіголокран їовоналп і їондалкдівен мелборп янназя’взор ялд яннавусотсаз хї ітсонвит юокитамелборп юонад аз іненсйідз илуб і реткарах йинавомярпселіц і йинскелпмок, йинметсис ьтюам їіцакискотед їонрезал відотем їід їоньлавукіл имзінахем онечвиВ. маргорп хинважред хивоьліц хажем в -ран в яннатсирокив ибосопс ат ирефс івилжом, їіголотапокран іцінілк у вінатс хиндалкдівен хакдапив у ат имяіцакіфидом иминтнерефе имишні з відотем хикат яннавунібмок ивиткепсреп, іциткарп йінчіголок -арап, їіголокран в їіпарет їонрезал йіцакіфидом яннавусотсаз ибосопс інелборзор илуБ. юєіпаретокамраф інечвиВ. відохаз хиньлавукіл іскелпмок у метсис хинтарапа увилпв віртсігер имижер, їід їоньлавукіл иртем [3, 4]. їіпаретокамраф і- орезал яннавусотсаз огонавонібмок ивиткепсреп ялд їіцакіфидом інчіголонхетонан інрезал інавонібмок ат інавоьлозі інелборзор илуб онвадощеН -навукіл огонзотнемакидем од інтнетсизер: 1) їіцкида мелборп хиндалкдівен хинтінамонзір яннавукіл іннагро інйіцакискотнітсоп; 2) яннавусакс уморднис имамроф имикжят з ітсонжелаз имроф інсачус ян -ні їонвисам икділсан інчіголорвенохисп; 4) ьтсінвотог анзоіріледдереп ат аньламзискорап; 3) їіцкнуфсид -ив ьтюачюлкв ікя, яннавукіл од идохдіп івон інавотнурґбо удівсод огончіротагаб іватсдіп аН. їіцакискот -кепсреп інечанзив, їіголокамрафохисп ьненгясод хинсачус і їіцакискотед відотем хинтарапа яннатсирок модяр ясалишреваз ончігол їіпарет відотем хинрезал яннеланоксоду ат акборзоР. икмярпан івокуан інвит -кепса інсачус інедалкив іннелмодівоп умонад У. відоханив хикьсротавон і инїаркУ вітнетаП хинтетироірп хинчінілк хинмелборп янназя’взор ялд їіпарет йінскелпмок у йіголонхетонан хинрезал яннавусотсаз ит [1-6]. іциткарп йінчіголокран у йіцаутис -вікраХ їіголокран ирдефак итобор їонділсод-овокуан имет од ондівопдів інанокив яннежділсоД -орп, їіпарет, икитсонгаід од идохдіп інаворгетнІ) «ОПАМХ( итівсо їонмолпидялсіп їімедака їончидем їокьс 0114U000515). їіцартсєер їонважред ремон» (їіголокран йінсачус в їіцатілібаер і икиткаліф -ет в їіцакискотед відотем хинвитаргетні хинрезал ускелпмок акборзор алатс яннежділсод юотеМ .ітсонжелаз їондїоіпо ат їоньлогокла уморднис їіпар -ап85 яннавукіл итатьлузер інечвиВ. їіцакискотед їонрезал їонмеднат дотеМ. анитсач анвонсО алачюлкв хировх хинежділсод анитрак анчінілК. ітсонжелаз їондїоіпо удовирп з илавукіл хикя, вітнєіц -апохисп, ітсонтнарелот укіманид увопит, яннавусакс морднис, ьтсінжелаз унчизіф і унчіхисп унежарив ат інмрофитпеліпе в ясьтюумрофснарт окдірен ікя, їіцакискотні іводалкс інчіголорвенотамос і інчіголот -нидусоьншіртунв їіцакіфидом інчіголонхетонан илачюлкв искелпмок іньлавукіЛ. инатс інчитпесоінорх -залп огоннарбмем), СГ( їіцбросомег), ДЕ( їіцакискотед їончіміхорткеле), ГЛВ( їіпаретомег їонрезал їон -ігиро мяннатсирокив з, хяіцанібмок хинтнавю’да в ат онавоьлозі илавувосотсаз ікя), ФПМ( узерефам »,акінотоФ« имріф овтцинборив» (твепарет-акіЛ« ітарапа ан илидоворп ГЛВ. ьнешір хинчінхет хиньлан -йідз ДЕ модотем вилпв; тВм1,5-2 ютсінжутоп і ниливх30-40 увилпв юєіцизопске з) анїаркУ, исакреЧ. м ;л/гм600 од300 дів їіцартнецнок в утиролхопіг юіртан уничзор юєізуфні з-4, ОДЕ ітарапа ан илавюнс аливонатс їізуфреп ьтсікдивш, мокичпвотс минйіцбросомег з-01 ВСА тарапа илавувотсирокив СГ ялд од їізуфреп ютсікдивш із» скінефомеГ« тарапа илавувотсирокив ФПМ ялД. униливх аз лм120 од60 дів -аЗ. унирапег ДО10 000 од мяннедевв міндерепоп з урутнок умоньларопрокартске оп униливх аз лм50 лм1000 од600 дів мяннеладив минтаркондо з іворк лм1000 окьзилб вивонатс їізуфреп гясбо йиньлаг юіртан моничзор0,9% імижер умонмонотва в ясалавуснепмок онтавкеда амзалп анавозуфскЕ. имзалп .удиролх 73

ISSN 2474-9397 American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) -огла йинчитвепарет ясвивяив відїоіпо яннавусакс уморднис яннавуріпук одощ мишінвиткефейаН іноф ан лм400 ітсокьлік в утиролхопіг юіртан уничзор яннедевв енйізуфні еннедощ вачюлкв йикя, мтир мроф хикжят хакдапив у скелпмок йиньлавукіЛ. вінд4-6 оливонатс яннавукіл евосрук, ГЛВ їоннорхнис -идоворп ікя, ФПМ юорудецорп убод ут4- ан і СГ моснаес убод уг2- ан илавюнвопод ітсонжелаз їондїоіпо ясьтєавубдів ончиткаф хаскелпмок хикат У. ворк унавозуфніер ан мовилпв минрезал з їіцанібмок в ясил -іміле унероксирп аз хиньладівопдів, умзінагро метсис хинчіголоізіф яіцазімитпо ат яіцялумитс анмеднат итгясод аляловзод яіпарет анскелпмоК. ітсонжелаз имамелборп зі хировх у вітілобатем і вінискот юіцан .бід2-4 могяторп хировх90% у икитамотпмис їончіголорвенотамос ат їончіголотапохисп їіцкудер їонтотсі -інорхнис і ьтююіцнетоп онмєазв отсач ьтисод идотем інавонібмок інелватсдерп ощ, єузакоп дівсод шаН .иткефе інчитвепарет ьтюуз -варпив шьлібйан є йіголонхетонан хинрезал івонсо ан їіцакискотед їонвиснетні відотем яннавусотсаЗ -ем з, огоровх унатс ітсокжят іннатсоран ат їіпарет їонзотнемакидем ітсонвиткефе їоьнтатсоден ізар у минад .ітсонтнетсизер їончитвепарет янналодоп і йід хинчібоп, ьнешуроп хинчілобатем і хинчитамос янненусу юот ,уморднис огончіголотапохисп огонжавереп, ьнешуроп хинчитатсоемог ітсокжят дів ьтижелаз удотем рібиВ -чіголокран у відотем хинавонопорпаз їіцанібмок інчитвепареТ. атнєіцап унатс огончитамос йетсовилбосо і .имянназакоп имивоналп аз і кат, иминдалкдівен аз кя інатсирокив итуб ьтужом іциткарп йін -чінілк зі укзя’вз у, їіголокран йінсачус в икор іннатсо В. узеруід огонавосроф огонрезал дотеМ -одолом ілсич умот у, вітнєіцап ьтсікьлік ясалишьлібз окзір, ітсонжелаз їоньлогокла мозофромотап мин иминчіголорвенотамос иминйіцакискотнітсоп иминежарив з інатс умокжят у ьтюузілатіпсог хикя, уків ог -еп имащивя имивоктачоп зі гібереп єам окдірен вінатс хинйіпазтсоп і хинйіпаз акінілК. имамелборп -орпа иМ. їіголокран ткепса йинйіцамінаер ьтивонатс їокя яннавуріпук, икитамотпмис їонзоіріледдер ан йинавомярпс, їіпарет їочюуріпук їонвиснетні їонрезал дотем укиткарп в илидаворпв ат илавуб -сико огончіголоіб віткудорп хинчискот дів умзінагро янненьлівив енероксирп ат узеруід юіцавитка вітнакискотед изод інедевв і ьтсінводілсоп иман анаводнемокер ощ, мит з укзя’вз У. улонате яннен -искот мехс хинйіцидарт дів ясьтюянзірдів, яннелідивочес яннещивдіп ьтюяничирпс ікя, вікитеруід і -авосроф яіцакіфидом анрезал« кя анечанзоп ончіголонімрет яіцакіфидом анад, икиткарп їончіголок ».узеруід огон їонвиснетні мобосопс миньласревіну іловод алатс) ДФ( узеруід огонавосроф яіцакіфидом анрезаЛ їіскопіг іноф ан ясьтєавивзор ощ, икитамотпмис їонзоіріледдереп їоньлогокла вівяорп хивоктачоп їіпарет -оП. вівусз хинвитатегев і хинчіманидомег ат усналаб огонніматів, огонтілорткеле-ондов мяннешуроп з ікйітс, їіцаницюлаг івороз ат івохулс інчидозіпе илуб ДФ їіцакіфидом їонрезал яннедеворп ялд мянназак ,зордігрепіг йинежарив, ромерт йинавозіларенег, яннежансив енчизіфохисп енйіпазтсоп, унс яннешуроп -опиторП. ончінілк вітнєіцап в ясилялвяив ікя, яннавумьлагзор евєннелвом, яннеждубз евохур, яіскерона -оден їовокрин їортсог, їіномвенп, ітсонтатсоден їоннидус-овецрес їортсог ьтсінвяан алавугулс мянназак ).яіруна( ітсонтатс -келе дотем, яннежділсод інчінілкарап ат інротаробал илидоворп ирудецорп мяннедеворп дереП -орткеле дотем, укзом ітсонвитка їончирткелеоіб німз реткарах итивонатсу вяловзод їіфарголафецнеорт ітсондіворп і умтир ьнешуроп, яцрес яннежару огончискот яннавюніцо ялд илавувотсирокив їіфаргоідрак ).Т(S- іскелпмок умовокчонулш у німз, адракоім ан изар, 1-2 лм200 ітсокьлік у) ничзор й(15%- лотінам китеруідомсо илидовв онневоьншіртунВ уксит огоньлаіретра мелортнок діп, имянназакоп иминьлаудівидні аз, інд2-3 вавирт яннавукіл срук, ьнед -анид їіцакискотед їонтеграт юотем з віничзор хивоьлос мяннавусотсаз зі умаргорп унйізуфнІ. узеруід ат -ап унатс огоньлагаз ат узеруід, угібооворк віртемарап дів онжелаз итавюнімз илгом її, илавугерок ончім ,нікюлгілоп, нікюлгілопоер( віничзор хинрялукеломокосив їізуфні ан илянімаз її ітсондіхбоен ізар В. атнєіц илавюнвопод їіцневретні інчитвепареТ. ітсовитсалв інйіцакискотед інтотсі ьтюам жокат ікя), ткалібросоер -араперп, имаротазілівкнарт, иматнасьлувнокитна, їід їонвисерпедитна ат їончитамотпмис иматараперп -вод, твм2 ьтсінжутоп( юіпаретомег унрезал уннидусоьншіртунВ. унс улумроф ьтюузіламрон ікя, имат ,огоровх їіцазілатіпсог янд огошреп з илачанзирп) ниливх30-40 увилпв яіцизопске, мкм0,63 іливх аниж .вінд6-8 оливонатс яннавукіл евосрук яннедеворп ялсіп убод ушреп У». твепарет-акіЛ« усалк їіпарет їонрезал тарапа илавувотсирокиВ -илавукудер онтерксид яннавижереп інверам-онротаницюлаг інчидозіпе їіпарет їочюуріпук їонскелпмок ,идалзор інротомохисп ясилавушнемЗ. илакинз ончиткарп оба отсачен ясилялпарт, иминямьт илаватс, яс -етра ясвавузіламрон, яннахид, усьлуп атотсач ясалавужинз, унатс оговс онвосотс ьтсінчитирк ясалялвя’з .ромерт, зордігрепіг ясвавушнемз, ксит йиньлаір 74

American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) ISSN 2474-9397 яннешнемз ентімоп ясолачанздів їіпареторезал мяннавусотсаз зі їіпарет їонскелпмок ісецорп У -олавуждоворпус ощ, юєіцакискотні юоньлогокла хиненичирпс, вівяорп хинчитапотапег і хинчискотоідрак огонавосроф їіцакіфидом їонрезал зенегонаС. вікинзакоп хинротаробал вінвір юокіманид юонвитизоп яс -обатем хинчискот умзінагро з їіцаніміле моткефе икьліт ен ясвавюнсяоп хяннежеретсопс хинад в узеруід хинпортохисп хинавувосотсаз иматкефе иминьлавукіл жокат ела, узатсоемог мяннешпілоп, улонате вітіл .вітараперп ат вібосаз хикьсракіл хинчитамотпмис і -хет хинрезал ізаб ан узеруід огонавосроф огонавокіфидом яіголонхет анелборзор, монич микаТ -дереп юіпарет унвитка унскелпмок итидоворп єяловзод, їіголокран їончінілк ялд анавотпада, йіголон їонад яннавусотсаЗ. юєіцакискотні юоньлогокла юолавирт і юонвисам хиненичирпс, вінатс хинзоірілед .атнєіцап унатс огончитамос і огончіхисп угниротіном огонйітсоп єагамив їіцакіфидом орп ьтачдівс овилнокереп яннежділсод інчіротагаб ішаН. їіцакискотед їонрезал їонйізуфні дотеМ хикьсракіл арткепс яннелвондів огонйітсоп мелборпокран хиндалкдівен янназя’взор сач діп ьтсіндіхбоен -оп і итавузілібатс інтадз ікя, уналп огонроткеторпотапег, огонвисерпедитна, огонйіцакискотед вітараперп -іцап їірогетак їєіц яттиж ьтсікя итищивдіп, хировхокран сутатс йинчіголорвенотамос і йинчіхисп итишпіл [7, 8, 9]. вітнє енелвомубо, ецсім евилбосо єадісоп» униребмаеР« ничзор1,5% їіпарет їонйізуфні вібосаз дереС огонноіілоп огонавосналабз од») униребмаеР« тартсбус йинвонсо( итолсик їовонитшруб мяннечюлкв -апутсВ. ароткерок огончитегрене ат огончілобатем кя ітсовитсалв інвонсо огой оличанзив ощ, уничзор мишінчімонокейан янненсико исецорп єувомярпс атолсик авонитшруб, унімбо огончитегрене од ичю їонзір вінатс хинчископіг і хинчімеловопіг одощ іциткарп йінчидем у ьтюувосотсаз оншіпсу йикя, мохялш ).кош, амварт, атартвоворк, яіцакискотні( їіголоіте -ирпс, утараперп ткефе йинчімешіиторп йіннар єюлисдіп униребмаер яннедевв бісопс йінйізуфнІ аннянвіроп униребмаер яід ансихазотапеГ. йімтира хинчімешітсоп хивоктачоп гібереп ан єавилпв овилтя .іворк іцтаворис в унібуріліб їіцартнецнок єузіламрон», улисраК« ароткеторпотапег огомодів иматкефе з ьтюяловзод итолсик їовонитшруб ьтсінвитка унчіголоіб орп ітсомодів усач огоьншірепет од інечипокаН -оер ат юіцялукрицоркім єушпілоп» ниребмаеР« тараперп ощ, онелвонатсВ. вінеготпада од її итсендів з вінискот юннедевив, узеруід їіцялумитс, нивочер унімбо юннелисоп єяирпс, іворк ітсовитсалв інчігол .умзінагро -ед хинйіцидарт од; юлогокла яннавусакс моморднис зі) вітнєіцап(27 хировх апург анежетсбо алуБ вуб) яіпарет анчитамотпмис+ яіпаретомег анрезал аннидусоьншіртунв( яннавуріпук мехс хинйіцакискот илидоворп» ниребмеР« утараперп яннедевВ). яндощ зар1 в/в лм» (400 ниребмаеР« тараперп йинечюлкв -ні ат унрезал онсачондо итидоворп єяловзод акидотем анаД. їіпаретомег їонрезал їоннорхнис іноф ан ед, иклог тівсорп у ьтюялватсв, їіпарет їонрезал атарапа од йинечюлкдіп, дноз йивозар; юіпарет унйізуф ясьтєувомярпс адноз яцрот з янненіморпив енчитпО. униребмаер моничзор ясьтєавимбо онйітсоп анов -огла йинаД. іворк яннавучівсо енрімонвір итичепзебаз єяловзод ощ, инидус удох жводзв иклог ітівсорп в ».їіцакискотед їонрезал їонйізуфні дотеМ« кя иман йинасипо яннавукіл мтир -акс морднис йикйітс( ітсонжелаз їоньлогокла имяідатс имитунрогзор з илуб іровх інежетсбо ісУ яннавижв имроф інандєоп, юлогокла од гятоп йинвисьлупмок, їіцазілогокла имроф інйіпаз, яннавус їонжавереп в ітсонжелаз їоньлогокла анитрак анчінілК). морднис йинмодус, нивочер хинвиткаохисп -олотап имавидицер иминнатнопс, юлогокла од ітсонтнарелот оталп микосив ясалавузиреткарах хировх ,мяннєокопеназ, їісерпед і юортсан огонежинз огонавовитомвен имадапан, юлогокла од угятоп огончіг їоньлаіцос і) мопит миньлогокла аз( ітсотсибосо їіцадаргед иканзо інвя ецсім илам, огот мірК. юєірофсид вивонатс їіцакискотед їонйізуфні їонрезал їонскелпмок мтироглА). їонйісефорп і їонйеміс( їіцатпадазед -ьлузер в ощ, ковонсив итиборз олиловзод гракс хинчіголорвенотамос арткепс яннечвив енчінілК. інд3-4 -авубдів вінд2-3 могяторп, відалзор хинтненитсба іцінілк в їіцанібмок їонтнавю’да їонад яннавусотсаз ітат -узіламрон, итодун, ітор в итокріг, ітсовялм, ітсобалс, утрофмоксид огоньлагаз щивя яіцкудер антотсі ясал їонавонібмок удоіреп огоьсу могяторП. утитепа ат унс яннелвондів ясолачанздів, арефс анйіцоме ясалав -ревтдіП. яннендалксу ат уткефе огончібоп огонежарив огондож онавортсєераз олуб ен хировх у їіпарет й ела, унатс огончінілк угниротіном інад икьліт ен илавугулс їіпарет їонйіцакискотед їоншіпсу мяннежд .їіпарет їовокортсокторок хажем в икнічеп йіцкнуф хинчіміхоіб яіцазіламрон авоктсач -исп їід їончискот юннешім юонвонсО. їіцкерок їонроткеторпотапег їонрезал їонмеднат дотеМ -нічеп є ітсонжелаз йінчитокран і йіньлогокла ирп умзібромок огончитамос ірткепс у нивочер хинвиткаох -оізіф у ьлор ундіворп єам акнічеП). зориц, зорбіф, титапег йинчінорх і йиртсог, зотаетс, яілагемотапег( ак мивилжав, миц з укзя’вз У. нивочер хинвиткаохисп їіцаніміле ат їіцакискотед їондорирп вімзінахем їігол 75

ISSN 2474-9397 American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) -тнавю’да з їід їонроткеторпотапег вітараперп хивон яіцаборпа анчінілк є їіголокран їовокуан мяннадваз -ненсико исецорп итавюроксирп, итнемреф итавувитка хинтадз, имятсовитсалв иминйіцакискотед имин їіцаренегед їонруткуртс їоннивреп юнненкинив итаждокшереп, вітілобатем хинчискот їіцаніміле ат ян -роткеторпотапег хикат зі миндО. икнічеп узориц ат узорбіф уктивзор ьтсінрівомй итавужинз, вітицотапег -раФ« ТАВ» (ьлафсеЛ« і» ьлартнА« итараперп илатс, сан иливакіцаз ікя, яннілокоп оговон вітараперп хин »ьлафсеЛ« і» ьлартнА« вітараперп яннавусотсаз енандєоп, иминад минвяан аЗ). анїаркУ, вїиК. м», кам ,икнічеп мзілобатем єушпілоп, метсис хинтнемреф юннелвондів і відіпіл їіцадискореп юннешнемз єяирпс мянназакоП. нитілк хинеждокшу юіцаренегер єувитка ощ, унімбо оговокліб їіцазіламрон од ьтидовирп зориц, титапеготаетс, їіголоіте їоннегозке титапег йинчінорх і йиртсог є вітараперп хинад яннечанзирп ялд .їідатс йівоктачоп в икнічеп -нА« вітараперп їіцанібмок їоньлавукіл ітсонвиткефе яннечвив олатс яннежділсод огонад юотеМ икнічеп ьнежару хиндібромок їіцкерок ирп їіпаретомег їонрезал їоннидусоьншіртунв і» ьлафсеЛ« і» ьларт .хинжелазокран у яннавюровхаз ютсілавирт зі) вікор22-28 моків( хировх12 илавубереп мяннежеретсопс мишан діП -от юоньлібатс і юокосив з, ітсонжелаз їондїоіпо морднис йинавотсонгаід вуб вітнєіцап хісв у; вікор4 од2 дів ,яннежділсод огончінілк і узенмана иминад аЗ. ютсінжелаз юончизіф ат юончіхисп юонежарив, ютсінтнарел -навюлб, атодун, утитепа яннежинз екзір: икнічеп яннежару иканзо ікат ясилялвяив хинежетсбо хісв у ьтсінчиреткі, ирікш вівиркоп ьтсінчиреткі, ї’ребердіп умоварп игав яттучдів ат ілоб, кизя йинедалкбо, ян огонйіцакискотед огонрезал огонйіцидарт од овоктадоД. ощот вітнемгіп хинчвож ічес у ьтсінвяан, релкс -амзалп огоннарбмем иснаес илачанзирп, ітсонжелаз їондїоіпо іннавукіл ирп огонавувосотсаз, ускелпмок ан, убод ан зар нидо яндощ, онневоьншіртунв лм5,0 оп» – ьлафсеЛ: «ироткеторпотапег інсачус і узереф г0,2 оп хактелбат в оньларореп» ьлартнА« роткеторпотапег– мелафсел з онсачондо і, йіцкє’ні5-10 срук вінжит3-4 од юлартна усрук мяннежводорп зі, убод ан ічирт, іжї ялсіп ниливх20-30 зереч мойирп нидо ан [10]. умот оп інжит» 3-4 ьлартнА« мотараперп яннавукіл усрук яннеротвоп, ітсондіхбоен ізар у, і -од, яннавусакс унатс юокитамотпмис юончисалк зі дяроп, ітсонжелаз їондїоіпо інитрак йінчінілк У -отапег олялвяив яннежетсбо енвиткє’бО. идалзор інчитпепсид ат івоьлоб, інвитатегевонетса илавунім огончінорх иканзо ясилавюлвонатсв їіфарготапегоер юогомопод аЗ. ітсонзарив янепутс огонзір юілагем .икнічеп яннавюровхаз огонзуфид -снартоніма янвір мяннещивдіп ясвялвяорп ощ, морднис йинчитілотиц онелвяив олуб хировх хісв У )ТАсА( изарефснартонімататрапса тсімв), дог·л/(ьломм1,2 ± 0,4 од) ТАлА( изарефснартоніманінала: зареф -іліб огоньлагаз тсімв, хировх9 в яіменібурілібрепіг анелвонатсВ). дог·л/(ьломм0,8 ± 0,1 од ясвавущивдіп .л/ьломкм32 вагясод унібур -іцО. яннежеретсопс огончінілк итрак їоньлаіцепс од илисонв яннавукіл гібереп орп інад інчінілК -тадз огой илавувохарв, ускелпмок огонмеднат огонроткеторпотапег ітсонвиткефе иканзо інчінілк ичююн .морднис йинчитапотапег итавуріпук ьтсін -нис іноф ан» ьлафсеЛ« і» ьлартнА« вітараперп умойирп янд ог6-8- з ежу ьнежеретсопс ітсошьліб У -ачанздів), ниливх30-40 яіцизопске, твм2 ьтсінжутоп( їіпаретомег їонрезал їоннидусоьншіртунв їоннорх ащивя илакинз, титепа ясвавушпілоп, я’ребердіп іцнялід в відалзор хивоьлоб яннешнемз ентімоп ясол -нежинз евєттус ясолачанздів їіпарет їонскелпмок яннедеворп ьнед й8-10- ан а, утрофмоксид огоньлагаз вівяорп хинчитапотапег угібереп в инімз інечанзаЗ. їітапотапег канзо хинчінілк хинвонсо ітсонзарив ян ітсонвитка яннежинз( вікинзакоп хинчіміхоіб вінвір юокіманид юонвитизоп ясилавуждоворпус хировх у ).унібуріліб вікинзакоп вінвір яннежинз ТАлА, ТАсА вітнемреф »ьлафсеЛ« і» ьлартнА« иматараперп яннавукіл ощ, олазакоп яннежділсод енедеворп, монич микаТ -вондів єяирпс мозерефамзалп миннарбмем і юєіпаретомег юонрезал юоннидусоьншіртунв зі їіцанібмок у єам і їіцакискотед исецорп інчіміхоіб єувитка, хировхокран у икнічеп ітсонвитка їоньланоіцкнуф юннел -реп яннавусотсаз одощ яннежділсод итижводорп миньліцод омєажавВ. ітсовитсалв інроткеторпотапег -амзалп йиннарбмем+ яіпареторезал+ ьлафсел і ьлартна( їіцанібмок їонтнавю’да їоньлавукіл їонвиткепс .їіголокран йінчінілк у) зереф -ран їондїоіпо іцінілк в инатс інвисерпеД. яіпаретокамраф-отамег аннидусоьншіртунв анрезаЛ -іпук ялсіп убод ут6-8- ан итавунімод ьтюаничоп ешітсачйан ікя, відалзор хиндіворп зі иминдо є їінамок ен, оливарп кя, доіреп йец в яіголотап анвисерпеД. юіпо яннавижв янненипирп огоннатнопс оба яннавур -ділсан иминчіголорвен ат иминчитамос, иминчиторвенонетса з ясьтєундєоп анов, онавоьлозі єапутсив яннелвондів єюіціні окдірен ощ, юіцаутис унчінілк унчепзебеновидицер ьтивонатс і, їіцазитокран имак [1, 2]. їіцазитокран 76

American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) ISSN 2474-9397 -зор хинвисерпед яннавуріпук бісопс итиланоксодв яннадваз ечровт иливатсоп им, ец ан удялго З ітсотрав і вінімрет яннечорокс, уткефе огончитвепарет огокдивШ. юінамокран ундїоіпо ан хировх у відал ,їіцанібмок їоньлавукіл їовон овопицнирп конухар аз отунгясод олуб ьнендалксу яннеждерепоп, яннавукіл хикьсракіл иткефе итавюіцнетоп єяловзод ощ, їіпаретомег йінрезал йіннидусоьншіртунв у єагялоп акя учюузіламрон ат уньлавуріпук єам йикя», скеларпиЦ« арткепс огонвисерпедитна утараперп і вітараперп .хяннавузод хиньламінім у, урефс унвиткефа ан юід -ирп( ьнешуроп хинвисерпед юінамокран ундїоіпо ан огоровх у івяоп ирп єачабдереп бісопс йинаД -оп, унс яннешуроп, ьтсікйітсен анйіцоме, ьтсівилвітард анещивдіп, яірофсид, аговирт, йіртсан йинечінг їіпарет їонскелпмок яннечанзирп) игракс інчіголорвенотамос інтінамонзір оба іньлакол, утитепа яннешріг 2 ьтсінжутоп, мкм0,63 іливх анижвод( їіпаретомег їонрезал їоннидусоьншіртунв удотем мяннатсирокив з ».скеларпиЦ« утараперп їід їончіголокамраф іноф ан илидоворп укя), ниливх30-40 увилпв яіцизопске, твм нидо), имянназакоп аз( оньларореп гм10-20 іннавузод умовобод у» скеларпиЦ« тараперп илачанзирП [9, 10]. янд14-21 жводорпв илидоворп яннавукіл евосруК. ьнед ан зар огой ясьтєюнсяоп їіпаретомег їонрезал їоннидусоьншіртунв удотем убосопс огоьц од яннечюлкВ -егьлана), имичююлумитс( имичюузирофйе, имичюугероконумі, иминвисерпедитна, иминйіцакискотед .иматкефе иминьлавукіл иминчілобатем ат иминротялукрицоркім, имичюуз -ет йінскелпмок в огой итавувотсирокив єяловзод ощ, удотем огонад юід унчитвепарет єачанзив еЦ ткефе йинелвяив вуб яннежділсод жводорпУ. їінамокран йіндїоіпо йівитсалв, їіголотап їонвисерпед їіпар -ка їонпортохисп рткепс онелвонатсу», скеларпиЦ« утараперп їід їоньлавукіл яннавюіцнетоп огонрезал :їіпарет їонрезал ітсонвит ;иткефе) інвисерпедитна, амеркоз( інчитпеломит інежарив1) ;яід) анжовиртитна( анчитілоіскна2) ).ітсонжудйаб, їітапа яіцкудер( яід ачююлумитс3) -зарив итортсог яннежинз итгясод) ьнед й(10-12- івиткепсреп йівокортсоьндерес в оляловзод еЦ .ітсонжелаз їондїоіпо икитамотпмис їонвисерпед ітсон иминад имимодів ьсичюурек, їіцанібмок їоньлавукіл їонад од иличюлкв» скеларпиЦ« тараперП -увитка, йинвисерпедитна єам) оньларореп, убод ан гм(10-20 хяннавузод хивобод у скеларпиц ощ, ет орп итавузіламрон ьтсінтадз єам жокат скеларпиЦ. ончанзен анежарив яіцадес а, ткефе йичюаждяраз, йичю ,хинвисерпед икьліт ен сергер єюроксирп, хировх натс йинчизіфохисп єузілібатс, їіцкнуфсид інвитатегев .ьнешуроп хінбідопозорвен ела -ег унрезал уннидусоьншіртунв єачюлкв акя, їіцанібмок їонтнавю’да їончитвепарет яннатсирокиВ акя, укитамотпмис унвисерпед онтнєідергорп итавуріпук оляловзод» скеларпиЦ« тараперп і юіпаретом .відїоіпо яннавусакс уморднис іруткуртс у, ясьтєавивзор .яннежділсод вітатьлузер яіцаборпА іннещивдіп в єагялоп йіголонхетонан хинвитаргетні хинрезал яннавусотсаз ьтсіщучанз анчиткарП -овтс, ьтсінжелаз ундїоіпо ат уньлогокла ан хировх у відохаз хинйіцатілібаер і хинвондів-оньлавукіл ітсокя -пмок в яннатсирокив ьтюачабдереп ікя, відохдіп хинчитвепарет хинвитанретьла хинйідан уколб іннер .вінатс хинйіцкида вівяорп хинчіголотапохисп і хинчіголорвен, хинчитамос арткепс огоьсв їіпарет йінскел хивенжиртс яннавуріпук ялд відотем хинрезал» інешім інсерда« інелвяив узілана огончінілк івонсо аН яннавусотсаз огонавойіцнерефид алакш анелборзор, їіголотапокран їондалкдівен вімотпмис і віморднис .їіголокран в їіцакискотед їонрезал відотем хинвиснетні -карп-овокуан хикьснїаркУVII ХIV-Х ан інеровогбо ат інелмодівоп яннежділсод огонад итатьлузеР -нок хиндоранжіМ.); рр» (2013-2016 яннатич ікьсвікнежвоД« ютсачу юондоранжім з хяіцнерефнок хинчит ісергнок умоньланоіцаН ум.); 4-рр» (2015-2016 їіголоіб ат іницидем у вірезал яннавусотсаЗ« хяіцнереф .).р(2012 инїаркУ віголокран і віртаіхисп, віголорвен .иквонсиВ -сіп іциткадид в иминдіхбоен онйачивздан є имаргорп інчіголонхетонан інвитаргетні інрезал, ежтО хиндалкдівен яннавуріпук іциткарп йінчінілк у жокат а, їіголоткида ирефс віракіл янначван огонмолпидял .іциткарп йінчіголокран йінсачус в яннеждохоп огонйіцакискотнітсоп ат огонйіцакискотні вінатс -окран икнал інчитенеготап інвонсо ан вилпв йинзотнемакидемен є відотем хиц хісв ялд миньліпС хинротаідеморйен, хиннидус, хинчископіг, хинчілобатем, хинчіманидомег юіцкерок ан, їіголотап їончігол -ат ьтичдівс їіголокран у вірезал яннавусотсаз дівсод иман йинечипокаН. ьнешуроп хинротялукрицоркім і итавувохарв іннивоп ікя, маргорп хинвондів-оньлавукіл яннеланоксоду огошьладоп ьтсіндіхбоен орп жок .усергорп огончінхет-овокуан янненгясод інсачус і йіголонхет хинрезал уктивзор їіцнеднет івотівс 77

ISSN 2474-9397 American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) іттатс од яннатип івотсеТ )*янначван огонмолпидялсіп икиткадид ялд( ьнавюровхаз хинйітсомас хокьлікед оба ховд яіцанібмок ясьтєавубдів хикя аз, инатс ясьтюавизан кЯ1. :віморднис оба інчінетсаa) інчитохиспb) індібромокc) інбідопозорвенd) огончитпо янненіморпив яннавусотсаз еньлавукіл онедалкоп огокя увонсо в, їіпарет дотем ьтівзаН2. :є огокя молережд, унозапаід яіпарет-тьлатшегa) яіпареторезалb) яіпаретоскелферc) яіпаретоіміхd) :умзінагро з яіцаніміле хї і вінискот їід янненипирп є хикя юотем юовецнік, идохаз іньлавукіл ясьтюавизан кЯ3. яннавумаргорп енчитсівгнілорйенa) яіцакискотед аньларопрокартскеb) яімретопіг аньларберецоінаркc) яіпаретохисп анйемісd) хинчіголотап хинзір умзінагро з іннедевив у єагялоп йикя, їіцакискотед дотем йинтнерефе ьтівзаН4. :іворк имзалп яннеладив мохялш віткудорп зерофорткелеa) яіцбросомегb) яіпаретонегискоc) зерефамзалпd) ясьтєавубдів иворк имзалп яннеладив илок, узерефамзалп яннедеворп дотем ясьтєавизан кЯ5. :хартьліфомзалп в іворк їіцартьліф мохялш йиннарбмемa) йинжуфиртнецb) йинроторc) :їіпареторезал яннавусотсаз ялд є ьтсінвотог анзоіріледдереп ат аньламзискораП6. мянназакопa) мянназакопиторпb) ясьтєувосотсаз енc) :мірк ісв, ивяорп інчінілк інреткарах юєіголотап юончіголокран зі вітнєіцап ялД7. ьтсінжелаз анчіхиспa) ьтсінжелаз анчизіфb) )морднис йинтненитсба( яннавусакс морднисc) ітсонтнарелот акіманидd) мзитуаe) :узерефамзалп огоннарбмем модотем умзінагро з ьтюяладив укя, амзалп ясьтєавизан кЯ8. анавонозоa) анавозитемрегb) анавозуфскеc) :узерефамзалп огоннарбмем іннедеворп ирп хировх хинчіголокран у иляладив имзалп гясбо йикЯ9. лм200 од100 дівa) лм1000 од600 дівb) лм3000 од2000 дівc) лм3000 данопd) :узерефамзалп огоннарбмем іннедеворп ирп амзалп анавозуфске ясьтєуснепмок миЧ10. удиролх юіртан моничзор мa) 0,9%- изокюлг моничзор мb) 5%- .миньливарп є, мотфирш минриж йинечанзоп, ідівопдів тнаіраВ: актімирП* 78

American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) ISSN 2474-9397 унартскед огонрялукеломокьзин моничзор мc) 10%- монімубьлаd) :мірк, есв є узеруід огонавосроф їіцакіфидом їонрезал яннавусотсаз од мянназакопиторП11. ьтсінтатсоден аннидус-овецрес артсогa) яіномвенпb) ьтсінтатсоден авокрин артсогc) йіріледдерепd) :матнєіцап минчіголокран ьтюачанзирп юіпаретомег унрезал уннидусоьншіртунВ12. яннавукіл янд ог1-2- сa) яннавукіл янд ог3-4- сb) яннавукіл янд ог7- сc) атнєіцап юоксипив дерепd) :ьтивонатс їіпаретомег їонрезал ялд яннавукіл евосруК13. індa) 1-2 індb) 3-4 віндc) 6-8 віндd) 10-15 :є ітсонжелаз йінчитокран і йіньлогокла ирп нивочер хинвиткаохисп їід їончискот юннешім юонвонсО14. інегелa) акнізелесb) кинчешикc) акнічепd) :ьтивонатс їіпаретомег їонрезал увилпв яіцизопскЕ15. ниливхa) 5-10 ниливхb) 30-40 инидогc) 2-3 нидогd) 12 :лережд хинатсирокив косипС -рА. П.А, вєуЧ. Ф.Ю, нісоС. К.І] / тскеТ[ инїаркУ ЗОМ ат НОМ мофирг з кинчурдіп йиньланоіцаН: яіголокраН .с», 2014. — 1500 муігелоК« ов-диВ.: Х. — авєуЧ. Ф.Ю, анісоС. К.І. дер аз.]; ні ат[ кучмет доП/ иипарет йонрезал ыткепса еыннемервоС// ииголокран в яипарет яанрезаЛ. Ф.Ю веуЧ., К.И нисоС . 472-526.С, 2011. – чыднаК. Г.С ьлетадзи, ьлакитреВ: ыссакреЧ. – авопоП. Д.В. дер -орп яіцакіфидом анйіцавоннІ. М.Ф акенйеД., М.О йинсіМ., А.О ансіМ., Ю.О аворачноГ., Ф.Ю вєуЧ., К.І нісоС -амрафохисп ат їіртаіхисп кинсіВ// ітсонжелаз їондїоіпо їіпарет їонвидицериторп їочюуколб їонавогнол . 32-39.С. – 2014. – № 1 (25). – їіпареток Sosin I.K., Chuev Yu.F., Goncharova O.Yu. Integrated approaches to the treatment of pain syndrome in the patients with drug addiction // European Psychiatry. The Journal the European psychiatric Association. March, 2016/ Vol. 33. Abstracts of the 24ts European Congress of Psychiatry. – Abstract number: EPA 16-0097. p 384. -авонни меиненемирп с итсомисиваз йондиоипо екинилк в ииголотап йовелоб яинаворипук акидотеМ. Ф.Ю веуЧ . 143-148.С, 2015. – котадод. 3(84), пив. 23, Т. – їіголорвенохисп кинсів йикьснїаркУ. воскелпмок хынрезал хынноиц -нетниокзин воткеффэ хынбечел ииголокран в яиненемирп огоннаворицнереффид яицпецноК. Ф.Ю веуЧ . 26-31.С. – 2010. – № 3-4. – аницидемотоф ат яіголоіботоФ// яинечулзи огонрезал огонвис .с., 2011. – 527 К.]. – ні ат[ холВ. Й.І, кинниВ. І.М, окнєєрпаН. К.О/ кинчурдіп: яіголокран і яіртаіхисП Hren R. Pharmacoeconomic evaluation of opioid replacement treatment in Slovenia. Heroin Addiction and Related . 17.РClinical Problems. – Vol. 18 № 3s1, June 2016 – ,окнелавоК. Н.В: адар. дер.-куан; окнелавоК. Н.В. дер доП/ ытараперп еынневтсракел2014 – муиднепмоК .с, 2014. – 2448 ноироМ. : К. – рд и ценапуЗ. А.И, руС. В.С -окС., В.О вєсоіК., П.О йикьсверкаЗ., О.Н окнечвеШ., Т.П кюртеП., Є.А ьнаброГ., Ю.О аворачноГ., Ф.Ю вєуЧ., К.І нісоС узерефамзалп огоннарбмем ат умеднат огонроткеторпотапег огонаворгетні яннавусотсаз ьтсінвиткефЕ. О.В вєлеб -нежвоД: «ютсачу юондоранжім з їіцнерефнок їончиткарп-овокуан йокьснїаркУVI Х ил-М. іциткарп йінчіголокран в -неждоран янд з іцинчір й. 97-всирп», амгидарап анчіголокран авон: юлогокла яннавижв яіцкудеР: яннатич ікьсвік .176-180.С, 2015. – вікраХ. – р2015 янтівк, 7-8 окнежвоД. Р.О РСРС яракіл огондораН, инїаркУ яракіл огонежулсаЗ ян 79

ISSN 2474-9397 American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) UDC 378 (374.1) METACOGNITIVE PROCESSES AS A PSYCHOLOGICAL AND PEDAGOGICAL BASIS FOR THE PROFESSIONAL TRAINING OF THE PROSPECTIVE SPECIALISTS FOR PROFESSIONAL SELF-EDUCATION Sydorchuk N. Dr. Sc. in Pedagogy, Professor Zhytomyr Ivan Franko State University, Ukraine [email protected] The ar cle actualizes the problem of improving the professional training of the prospec ve specialists for professional self-educa on in the condi ons of lifelong learning, taking into account cogni ve-stylis c features of the students’ cogni ve acti- ciency of self-mastery of professional knowledge is ffivi es. The key psychological and pedagogical mechanism of improving the e determined by metacogni ve processes. The general descrip on of metacogni ve processes is presented. The control func on of metacogni on is singled out. Metacogni ve strategies and metacogni ve skills are considered as the basic components of meta- cogni ve control. The methodical ways of ac va ng the ac on of metacogni ve processes in the course of professional self-educa on are generalized and the general mechanisms of their applica on in the prac cal plane are revealed. It is proved that metacogni ve processes are the forms of intellectual ac vity of higher order in comparison with the tradi onally determined features of the cog- ni ve processes. Key words: metacogni ve processes, metacogni ve strategies, metacogni ve skills, professional self-educa on. в итівсоомас їонйісефорп од віцвіхаф хінтубйам иквотогдіп яннеланоксоду умелборп онавозілаутка іттатс У -очюлК. ітсоньляід їоньлаванзіп йетсовилбосо хивоьлитс-онвитінгок мяннавухару з янначван оговєттижоліц хавому имяннанз иминйісефорп яннідолово огонйітсомас ітсонвиткефе яннещивдіп момзінахем минчігогадеп-оголохисп мив юєіцкеорп хї з вісецорп хинвитінгокатем укитсиреткарах уньлагаз онелватсдерП. исецорп інвитінгокатем онечанзив -ьлагаз її онадоп, йіцінгокатем юіцкнуф учююлортнок онелмеркоиВ. ітсоньляід їоьнтівсоомас їонйісефорп юіцазілаер ан іводалкс івозаб кя отунялгзор икчиван ат янніму інвитінгокатем ат їігетартс інвитінгокатеМ. укитсиреткарах ун .юлортнок огонвитінгокатем -зор ат итівсоомас їонйісефорп ідох у вісецорп хинвитінгокатем їід їіцазівитка ихялш інчидотем оненьлагазУ -келетні имамроф є исецорп інвитінгокатем ощ, онедевоД. інищолп йінчиткарп у яннатсирокив хї имзінахем отирк ощ, вісецорп хиньлаванзіп имятсовилбосо иминечанзив онйіцидарт з іннянвіроп в укдяроп огощив ітсонвитка їоньлаут .итівсоомас їонйісефорп ітсонвиткефе яннещивдіп уроткаф кя хї яннелмеркоив ялд мятнурґдіп олатс й ,икчиван ат янніму інвитінгокатем, їігетартс інвитінгокатем, исецорп інвитінгокатем: аволс івочюлК .атівсоомас анйісефорп In a situa on of high compe on in the labor market, an intensive increase in the amount of informa on that is necessary, including for the successful pursuit of professional ac vity, individuals are required to choose a strategy for lifelong learning. Under such condi ons, the key criterion for achieving the result is determined by the high level of produc vity of self-educa on ac vity of graduates of higher educa onal ins tu ons and their readiness for self-educa on in a professional environment. Thus, new requirements are created for the prepa- ec veness depends to a large extent on the cognitive- ffra on of students in an educa onal ins tu on, whose e style features of the educa onal process. In a generalized context, studies of foreign and domes c scholars (P. Galperin, G. Gleitman, M. Cole, S. Miller, J. Parge, R. Solso, L. Vygotsky, V. Druzhinin, S. Renke, D. Ushakov and others), the cogni ve style (cogni- ects various aspects of the func oning of the cogni ve sphere, and therefore it should be regarded as a flon) re 80

American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) ISSN 2474-9397 stable individual characteris c of ways of interac on of man with the informa on space, as a stable procedural peculiari es of cogni ve ac vity, characterizing the originality of methods of receiving and processing informa- on, using subjects of cogni ve strategies, as well as ways of reproducing informa on and methods of control. As a rule, cogni on is characterized not only because of the emergence in the cogni ve fi eld of human psychological neoplasm’s, but also the mandatory improvement, which, as is known, is carried out within self- educa on ac vi es. More a en on in contemporary psychological research is given to the problem of metacogni ve pro- cesses as an important condi on for increasing the success of cogni ve ac vity (D. Flelev, A. Brown, M. Reid etc.) by ncluding students in processes with the fi rst pronoun part of the “self” used for the designa on of diff erent types of personality self-ac vity, indicates: 1) the direc ng of ac ons on the very subject of ac vity, 2) the im- plementa on of their person independently, without external infl uence and any help, 3) their internal deter- minism, automata the reality of implementa on, actua on under the infl uence of internal mechanisms (Bilodid, Eds., 1978). Accordingly, the focus of our research is focused on metacogni on – the special mental states that provide correc on of their own ac ons and inten ons (Dotsevich, 2013). Under such condi ons, they are certain regu- lators of professional self-educa on. Let’s give a more detailed descrip on of the mechanisms of ac on of meta- cogni ve processes within the framework of professional self-educa on. Considering the ontology of the category of metacogni on, A.V. Karpov and І.М. Skitayeva (Karpov, Skita- yeva, 2005) emphasizes her connec on with refl exive processes aimed at understanding the personality of their own mental states. In phenomenological terms, the author considers metacogni on as the status of the subject as a whole and as the regulatory actual state of the subject of ac vity that controls several levels of regula on of ac vity, in par cular, the regula on of execu ve ac vity, strategies for its implementa on and its own mental states. That is, metacogni on, as processes of refl ec on, is a special state that provides correc on of own ac- ons and inten ons (Karpov, Skityaeva, 2005). Under such condi ons, the metacogni ve processes perform a control func on and are considered as metacogni ve control, which, according to the authors, ensures the achievement of the highest level of professionalism in any fi eld of knowledge and acts by scanning metacogni- ve strategies and the forma on of metacogni ve skills. The concept of “learning strategies” in the context of self-study (self-educa on) was ac vely studied by a number of foreign (P. Bimmel, A. Wenden, I. Lompsher, J. O’Mellie, R. Oxford, J. Rubin, A. Shamot, et al.) and domestic (O. Lyubashenko, I. Semenyshyn, E. Solovov, V. Yankov and others) scholars. Thus, the training strate- gies see how: a certain set of ac ons, steps, plans, which students use to obtain, store, access and use informa- on; plan (mental) ac on to achieve the goal, taking into account the key point of the cogni ve theory that a person has an inquisi ve mind that consciously constructs ideas, plans, and so on (Lubashenko, 2008). When it comes to metacogni ve strategies, the issue of the alloca on of certain control mechanisms within the educa onal process is being updated: planning, observa on, prepara on and tes ng of the educa- onal process. As proved Y.S. Izhko (Izhko, 2017), metacogni ve strategies can become the basis for the qualita- ve performance of almost any task and rely on the mechanisms of refl ec on of the thinking process. This may be the organiza on of educa onal material, monitoring own errors, self-evalua on (Sydorchuk, 2013). In fact, the metacogni ve strategies correspond to the student’s ac vity when performing any task: what to do fi rst or before the start? (Organiza on / Planning); what to do during the task? (Management); How to determine the faithfulness of the task? (Controlling); what to do a er comple ng the task? (Evalua on). Pedagogical interpreta on of metacogni ve control in the course of self-mastery of knowledge by future specialists is not only the ability to distribute eff orts, but also the mastery of metacogni ve skills, which involves the use of mechanisms for assimila ng informa on on the basis of a variety of methods of self-educa on. These include: • technique of repe on – a technique of keeping informa on in the short-term memory, which involves a mechanical, so-called behavioral, its repe on (the result is the deten on of informa on for a short me); • coding technology, which consists in the fact that each new message is associated with data already accumulated in the brain (the result is long-term memoriza on of informa on); • deep analysis techniques (informa on transforma on) – a detailed analysis of the material that binds new messages to those contained in the memory gives them deep meaning (the result is a long reten on in memory); • techniques of “background educa on” – a constant repe on of the material a er the fi rst error-free reproduc on of informa on, and provided you are sure that you know it well (the result is a long memory); 81

ISSN 2474-9397 American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) • mnemonic recep ons – specially created methods of emo onal ac on to ac vate the le hemisphere, the essence of which is the combina on of a new term, a new material with well-known concepts, ac ons, objects, living beings or their features (image, color, smell, the scan of such associa ons in the plot etc; • associa ve jokes; • presenta on of material in a poe c form (rumored texts are remembered more easily and quickly); • singing material on famous tunes; • use dance moves to understand the scan of certain processes, etc .; • presenta on of the material in the form of charts, graphs, drawings, etc. (Sydorchuk, 2013). To summarize, it should be emphasized that the choice in favor of metacogni ve processes for the im- provement of professional self-educa on is determined by the fact that they are forms of higher-level intellec- tual ac vity in comparison with tradi onally determined features and characteris cs of cogni ve processes. Such innova on allows expanding the possibili es of pedagogical support of future specialists in higher educa- onal ins tu ons in order to acquire the appropriate tools of self-educa on and to determine the direc ons of further prac cal-oriented research in order to improve the process of professional self-knowledge. References: Bilodid, I.K. (Eds.). (1978). Slovnyk ukrayinskoyi movy [The dic onary of the Ukrainian language]. Kyiv: Naukova dumka. Dotsevich, T.I. (2013). Refl eksyvnist yak komponent metapiznannya osobystos [Refl ec on as the component of metacogni on of the personality]. Visnyk Kharkivskoho natsionalnoho universytetu, 1046, 64-68. Izhko, Ye.S. (2017). Stratehiyi avtonomnoho navchannya yak metodychna osnova vyvchennya inozemnykh mov [The strategies of autonomous studying as methodical founda on of learning of foreign languages]. Re- trieved from h p://eadnurt.diit.edu.ua:8080/jspui/bitstream/123456789/3208/3/Izhko.pdf. Karpov, A.V. & Skityaeva, I. M. (2005). Psihologiya metakogni vnyh protsessov lichnos [The psychology of mata- cogni ve processes of the personality]. Moscow: Izd-vo IP RAN. Lubashenko, O.V. (2008). Linhvodydaktychni stratehiyi navchannya ukrayinskoyi movy studen v nespetsialnykh fakulte v vyshchykh navchalnykh zakladiv [Linguodidac c strategies of learning the Ukrainian language to the students of non-special facul es of the higher educa onal ins tutes]. Extended abstract of Doctor’s the- sis. Kyiv. Sydorchuk, N.G. (2013). Instruktyvno-metodychni materialy do kursu pedahohika. Zahalni osnovy (spetsialnist – praktychna psykholohiya) [Instruc on and methodical materials for the course of pedagogy. The General fundamentals (specialty – prac cal psychology)]. Zhytomyr: Vyd-vo ZhDU im. I. Franka. 82

American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) ISSN 2474-9397 378 (374.1) КДУ ИСЕЦОРП ІНВИТІНГОКАТЕМ ИКВОТОГДІП ЯТНУРҐДІП ЕНЧІГОГАДЕП-ОГОЛОХИСП КЯ ИТІВСООМАС ЇОНЙІСЕФОРП ОД ВІЦВІХАФ ХІНТУБЙАМ .Н кучродиС тнецод, куан хинчігогадеп роткод анїаркУ, акнарФ анавІ інемі тетисревіну йинважред йикьсримотиЖ [email protected] в итівсоомас їонйісефорп од віцвіхаф хінтубйам иквотогдіп яннеланоксоду умелборп онавозілаутка іттатс У -очюлК. ітсоньляід їоньлаванзіп йетсовилбосо хивоьлитс-онвитінгок мяннавухару з янначван оговєттижоліц хавому имяннанз иминйісефорп яннідолово огонйітсомас ітсонвиткефе яннещивдіп момзінахем минчігогадеп-оголохисп мив юєіцкеорп хї з вісецорп хинвитінгокатем укитсиреткарах уньлагаз онелватсдерП. исецорп інвитінгокатем онечанзив -ьлагаз її онадоп, йіцінгокатем юіцкнуф учююлортнок онелмеркоиВ. ітсоньляід їоьнтівсоомас їонйісефорп юіцазілаер ан іводалкс івозаб кя отунялгзор икчиван ат янніму інвитінгокатем ат їігетартс інвитінгокатеМ. укитсиреткарах ун .юлортнок огонвитінгокатем -зор ат итівсоомас їонйісефорп ідох у вісецорп хинвитінгокатем їід їіцазівитка ихялш інчидотем оненьлагазУ -келетні имамроф є исецорп інвитінгокатем ощ, онедевоД. інищолп йінчиткарп у яннатсирокив хї имзінахем отирк ощ, вісецорп хиньлаванзіп имятсовилбосо иминечанзив онйіцидарт з іннянвіроп в укдяроп огощив ітсонвитка їоньлаут .итівсоомас їонйісефорп ітсонвиткефе яннещивдіп уроткаф кя хї яннелмеркоив ялд мятнурґдіп олатс й ,икчиван ат янніму інвитінгокатем, їігетартс інвитінгокатем, исецорп інвитінгокатем: аволс івочюлК .атівсоомас анйісефорп The ar cle actualizes the problem of improving the professional training of the prospec ve specialists for professional self-educa on in the condi ons of lifelong learning, taking into account cogni ve-stylis c features of the students’ cogni ve acti- ciency of self-mastery of professional knowledge is ffivi es. The key psychological and pedagogical mechanism of improving the e determined by metacogni ve processes. The general descrip on of metacogni ve processes is presented. The control func on of metacogni on is singled out. Metacogni ve strategies and metacogni ve skills are considered as the basic components of meta- cogni ve control. The methodical ways of ac va ng the ac on of metacogni ve processes in the course of professional self-educa on are generalized and the general mechanisms of their applica on in the prac cal plane are revealed. It is proved that metacogni ve processes are the forms of intellectual ac vity of higher order in comparison with the tradi onally determined features of the cog- ni ve processes. Key words: metacogni ve processes, metacogni ve strategies, metacogni ve skills, professional self-educa on. -діхбоен, їіцамрофні угясбо яннешьлібз огонвиснетні, іцарп укнир ан їіцнерукнок їокосив хавому В -артс уробив ьтюагамив ітсотсибосо дів, ітсоньляід їонйісефорп їоншіпсу янненсйідз ялд й ілсич умот в їон -атьлузер янненгясод мєіретирк мивочюлк вому хикат аЗ. яттиж огоьсу могяторп итівсо їонвререпен їігет хиньлачван хищив вікинксупив ітсоньляід їоьнтівсоомас ітсонвиткудорп ьневір йикосив ясьтєачанзив ут од игомив івон ясьтюумроф, катдіВ. іщиводерес умонйісефорп у итівсоомас од ьтсінвотог хї ат відалказ -онвитінгок дів ьтижелаз юорім юончанз їокя ьтсінвиткефе, ідалказ умоньлачван у вітнедутс иквотогдіп .усецорп огоньлачван їіцазілаер йетсовилбосо хивоьлитс -тйелГ. Г, нірепьлаГ. П( віцвокуан хинянзичтів ат хинжібураз ьнежділсод ітскетнок умоненьлагазу В -інгок.), ні ат вокашУ. Д, екнеР. С, нінижурД. В йикьстогиВ. Л, ослоС. Р, ежаП. Ж, релліМ. С, луоК. М, нам огой умот а, ирефс їоньлаванзіп яннавуноіцкнуф иткепса інтінамонзір єажарбодів) їіцінгок( ьлитс йинвит минйіцамрофні з инидюл їідомєазв вібосопс укитсиреткарах уньлаудівидні уньлібатс кя итадялгзор ділс ьтсіндірєовс ьтюузиреткарах ощ, ітсоньляід їоньлаванзіп ітсовилбосо іньлаусецорп ікйітс кя, моротсорп 83

ISSN 2474-9397 American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) жокат а, йігетартс хиньлаванзіп иматкє’бус яннатсирокив, їіцамрофні икборереп і яннамирто вібосопс .юлортнок вібосопс ат їіцамрофні яннеровтдів вібосопс -исп инидюл ірефс йіньлаванзіп в янненкинив зереч икьліт ен ьтюузиреткарах їіцінгок, оливарп кЯ хажем у ясьтєюнсйідз й, омодів кя, екя, мяннеланоксоду хї мивокзя’вобо й ела, ьнеровтуовон хинчіголох .ітсоньляід їоьнтівсоомас хинвитінгокатем імелборп ясьтєялідирп хяннежділсод хинчіголохисп хинсачус в игаву ешьліб есВ дйеР. М, нуарБ. А, левелФ. Д( ітсоньляід їоньлаванзіп ітсоншіпсу яннещивдіп івому йівилжав кя вісецорп -окив акя», омас« юонитсач юовокиннемйаз юошреп зі исецорп у вітнедутс яннечюлкв мохялш.) ні ат ан йід ьтсінаворекс: 1) ан єузакв, ітсотсибосо ітсонвиткаомас відив хинзір яннечанзоп ялд ясьтєувотсир їокя-ьдуб ат увилпв огоьнноротс зеб, онйітсомас юонидюл хї янненсйідз, 2) ітсоньляід аткє’бус огомас мовилпв діп юід в яннедевирп, їіцазілаер ьтсінчитамотва, ьтсінавонімретед юншіртунв хї, 3) игомопод . 29].с[6, вімзінахем хіншіртунв -атс хинчіхисп хивилбосо– хяіцінгокатем ан анеждересоз яннежділсод огошан агаву, ондівопдіВ -угер иминвеп є инов вому хикат аЗ. 65]. с[1, віріман ат вікничв хинсалв юіцкерок ьтюучепзебаз ощ, хан хинвитінгокатем їід вімзінахем укитсиреткарах уньлатед шьліб омаД. итівсоомас їонйісефорп имаротял .итівсоомас їонйісефорп хажем у вісецорп -ікС. М.І, вопраК. В.А( авєятікС. М.І і вопраК. В.А, їіцінгокатем їірогетак юіголотно ичюадялгзоР -ітсибосо яннімузор ан інавомярпс ощ, масецорп иминвискелфер зі козя’вз її ьтююлсеркдіп, 2005) авєят аткє’бус инатс кя їіцінгокатем єадялгзор ротва іналп умончіголонемонеф У. вінатс хинчіхисп хинсалв ютс їіцялугер вінвір акьлікед ьтююлортнок ікя, ітсоньляід аткє’бус инатс іньлаутка інвитялугер кя ат умоліц в -атс хинчіхисп хинсалв ат янненсйідз її йігетартс, ітсоньляід їочванокив юіцялугер амеркоз, ітсоньляід хинсалв юіцкерок ьтюучепзебаз ощ, иманатс имивилбосо є їіскелфер исецорп кя їіцінгокатем отбоТ. він ат юлортнок юіцкнуф ьтюунокив исецорп інвитінгокатем вому хикат аЗ. 23-47]. с[3, віріман ат вікничв огощивйан янненгясод, віротва укмуд ан, єучепзебаз і йикя, ьлортнок йинвитінгокатем кя ьтюадялгзор ат йігетартс хинвитінгокатем иктрогзор мохялш єід ат ьнанз ізулаг йікя-ьдуб в їіцазіланоісефорп янвір .кочиван хинвитінгокатем яннавумроф -іц ясолачвив онвитка) итівсоомас( янначван огонйітсомас ітскетнок у» їігетартс іньлачван« яттяноП томаШ. А, нібуР. жД, дрофскО. Р, іллеМ. O’жД, решпмоЛ. І, неднеВ. А, ьлемміБ. П( хинжібураз модяр мил іньлачван, каТ. віцвокуан.) ні ат авокнЯ. В авоволоС. Е, нишинемеС. І, окнешабюЛ. О( хинянзичтів і.) ні ат ,яннажредо ялд итнедутс ьтюувосотсаз ікя, віналп, вікорк, йід рібан йинвеп: кя ьтюадялгзор їігетартс мяннавухару з итем янненгясод ялд їід) їончіхисп( налп; їіцамрофні яннатсирокив ат упутсод, яннагіребз єюуртснок омодівс йикя, музор йивилтипод єам анидюл ощ, ет орп їіроет їонвитінгок уткнуп оговочюлк . [4].ні ат иналп, їеді -ахем хинвеп яннелідив яннатип ясьтєузілаутка от, їігетартс інвитінгокатем орп ясьтедй ощкЯ -ер укрівереп і уквотогдіп, яннежеретсопс, яннавуналп: усецорп огоньлачван хажем у юлортнок вімзін мятнурґдіп итатс ьтужом їігетартс інвитінгокатем, окжІ. С.Є алевод кЯ. усецорп огоньлачван ітсонвитатьлуз усецорп яннежарбодів имзінахем ан ясьтюарипс ат ьнадваз хикя-ьдуб ончиткарп яннанокив огонсікя ялд -юніцоомас, колимоп хинсалв гниротіном, улаіретам огоньлачван яіцазінагро итуб ежом еЦ. яннелсим [2]. яннав огокя-ьдуб мин іннанокив ирп атнедутс ітсоньляід ьтюадівопдів їігетартс інвитінгокатем ончиткаФ -нанокив ідох у итибор ощ); яннавуналП/яіцазінагрО? (моктачоп дереп оба уктачопс итибор ощ: яннадваз ялсіп итибор ощ); яннавюлортноК? (яннадваз яннанокив ьтсінрів итичанзив кя); яннілварпУ? (яннадваз ян ).яннавюніцО? (яннадваз дан итобор яннешреваз -яннанз яннідолово огонйітсомас ідох у юлортнок огонвитінгокатем юєіцатерпретні юончігогадеП иминвитінгокатем яннідолово й ела, яллисуз итялідопзор янніму икьліт ен є имяцвіхаф имінтубйам им оголіц івонсо ан їіцамрофні яннєовсаз вімзінахем яннатсирокив єачабдереп ощ, имакчиван ат имянніму :кя, ікат итавзан отрав хин дереС. ітсоньляід їоьнтівсоомас відотем удяр -дереп ощ, ітя’мап йівокортсокторок у їіцамрофні яннавумирту акінхет– яннавюротвоп икінхет• );сач йикторок ан їіцамрофні яннамиртаз– татьлузер( яннеротвоп її, евокнідевоп енавз кат, енчінахем єачаб ікя, иминад з ясьтєузя’воп яннелмодівоп евон енжок ощ, умот у єагялоп ощ, яннавудок икінхет• );їіцамрофні яннавувотя’мапаз евокортсогвод– татьлузер( укзом в онечипокан ежв -я’воп ощ, улаіретам зілана йиндалкод) – їіцамрофні яннеровтереп( узілана огокобилг икінхет• у яннавумирту егвод– татьлузер( утсімз огокобилг мї єадан, ітя’мап у є ікя, имит з яннелмодівоп івон єуз );ітя’мап 84

American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) ISSN 2474-9397 -дів оговоклимопзеб огошреп ялсіп й улаіретам яннеротвоп енйітсоп» – янначвандан« икінхет• );яннавувотя’мапаз елавирт– татьлузер( її етєанз ербод ощ, ітсоненвепв ивому аз й, їіцамрофні яннеровт ,ілуквіп їовіл їіцазівитка ялд їід їонйіцоме имойирп інеровтс оньлаіцепс– имойирп інчіноменм• ,имяід, имяттяноп имимойанз ербод з улаіретам оговон, унімрет оговон іннандєоп у єагялоп хикя ьтус -оса хикат актрогзор; мохапаз, мороьлок, мяннежарбоз( имаканзо хї оба иматотсі имивиж, иматемдерп ;ощот ітежюс у йіцаіц ;итраж інвитаіцоса• );ешдивш й ешгел ясьтюувотя’мапаз итскет інавомир( імроф йінавошрів у улаіретам яннелватсдерп• ;їідолем імодів ан улаіретам яннавувіпсорп• ;ощот вісецорп хишні оба хит иктрогзор яннімузор ялд віхур хиньлавюцнат яннатсирокив• . 21-22].с[5, ощот вікнюлам, вікіфарг, мехс ідялгив у улаіретам яннелватсдерп• яннеланоксоду ялд вісецорп хинвитінгокатем ьтсирок ан рібив ощ, итисологан отрав, ичююньлагазУ -дяроп огощив ітсонвитка їоньлауткелетні имамроф є инов ощ, мит ясьтєачанзив итівсоомас їонйісефорп .вісецорп хиньлаванзіп имакитсиреткарах ат имятсовилбосо иминечанзив онйіцидарт з іннянвіроп в ук умощив у віцвіхаф хінтубйам удоворпус огончігогадеп ітсовилжом итиришзор єяловзод акитавонні акаТ имярпан итичанзив ат итівсоомас мєіратнемуртсні миндівопдів яннідолово одощ ідалказ умоньлачван .яннанзіпомас огонйісефорп усецорп яннеланоксоду одощ ьнежділсод хинавотнєіро окиткарп хишьладоп :лережд хинатсирокив косипС -вікраХ кинсіВ. // І.Т чивецоД/ ітсотсибосо яннанзіпатем тненопмок кя ьтсінвискелфеР. І.Т чивецоД1. . 64-68.С– 2013. – №1046 – утетисревіну огоньланоіцан огокьс окжІ. С.Є/ вом хинмезоні яннечвив авонсо анчидотем кя янначван огонмонотва їігетартС. С.Є окжІ2. : http://eadnurt.diit.edu.ua:8080/jspui/упутсод мижеР. Eadnurt.diit.edu.ua. – С] / срусер йиннорткелЕ[ .унарке з. логаЗ. – рbitstream/123456789/3208/3/Izhko.pdf – 15. 08. 2017 -икС. М.И, вопраК. В.А] / яіфаргоном: [итсончил воссецорп хынвитингокатем яиголохисП. В.А вопраК3. .л. п, 2005. – 24 НАР ПИ ов-дзИ. : М– авеят хиньлаіцепсен вітнедутс ивом їокьснїарку янначван їігетартс інчиткадидовгніЛ. В.О окнешабюЛ4. т-ну. деп. цаН: 13.00.02 / куан. деп ар-д... сид. феротва: відалказ хиньлачван хищив вітетьлукаф .с., 2008. – 44 К. – авонамогарД.П.М. мі -ьлаіцепс( І. Ч. ивонсо іньлагаЗ. акігогадеп усрук од илаіретам інчидотем-онвиткуртснІ. Г.Н кучродиС5. -иЖ. – Г.Н кучродиС) / ененвопод ат енелборереп., див.] (4 бісоп. дотем): [яіголохисп анчиткарп– ьтсін .с, 2013. – 144 акнарФ. І. мі УДЖ ов-диВ: римот .с. 9. – 920 Т, 1978. – акмуд авокуаН. : К]. – адідоліБ. К. І. дер аз/ [ ивом їокьснїарку кинволС6. 85

ISSN 2474-9397 American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) UDC 371.2 (09) A NEW PARADIGM OF PSYCHOTHERAPY CORRECTION (REHABILITATION) OF THE CHILDREN WITH SPECIAL NEEDS Voznyuk A. Dr. Sc. in Pedagogy, Professor Chair of the Department of Preschool Education and Pedagogical Innovations Zhytomyr Ivan Franko State University Ukraine [email protected] The system of psychological correc on of children with Down syndrome and au s c children is represented on the basis of an interdisciplinary approach and the concept of func onal asymmetry of the cerebral hemispheres. It is shown that the correc on ca on of the le hemisphere beginning of psychic ac vity, and au s c children are fiof the “children of the sun” requires the intensi corrected due to ac va on of the right hemisphere ac vity with all training and therapeu cally implica ons that emerge. Keywords: schizophrenia, manic-depressive psychosis, psychopathology axis, cons tu onal axis. ясьтєудуб укзом огонволог ьлуквіп їіртемиса їоньланоіцкнуф їіцпецнок ат удохдіп огонранілпицсиджім івонсо аН єачабдереп» яцнос йетід« яіцкерок ощ, оназакоП. вітситуа-йетід ат ануаД моморднис з йетід їіцкерокохисп аметсис із алачан оговоьлуквіповарп хин у уктивзор икядваз ясьтюугерок итситуа-итід а, алачан оговоьлуквіповіл юіцазівитка .ьтюавилпив огоьц з ощ, имакділсан имивогнінерт-ончитвепарет амісв .ьсів аньланоіцутитснок, ьсів анчіголотапохисп, зохисп йинвисерпед-оньлакаінам, яінерфозиш: аволс івочюлК The urgency of the problem. The analysis of the data of the Ministry of Health of Ukraine shows that at erent systems of the ffpresent more than 50% of schoolchildren reveal func onal devia ons in the ac vity of di organism. The data of the Ins tute of Pediatrics, Obstetrics and Gynecology of Ukraine reveals the situa on that only 7-10% of the infants are born healthy. The Ministry of Educa on and Science of Ukraine indicate that 36% of Ukrainian secondary school students have a low level of physical health, 34% – lower than average, 23% – average and only 7% – higher than average, and 1% – high level of physical health. Analysis of recent research and publica ons. So, the importance of rehabilita on and developmental erent categories of abnormal children grows with every passing year. The theore cal aspects of ffwork with di the men oned problem are presented in the studies of Ukrainian defectologists (V.I. Bondar, N.M. Goncharuk, B.B. Zasenko, I.G. Eremenko, O.V. Romanenko, V.M. Sinyov, T.V. Sak, T.V. Skrypnyk, E.F. Sobotovich, V.V. Tarasun, V.V. Tishchenko, M.K. Sheremet, L.O. Khanseruk M.D. Yarmachenko etc.). Actual is the experimental work of domes c and foreign defectologists, which contains data on the peculiari es of correc onal learning of the children (G.I. Zharenkova, N.M. Kompanets, N.I. Korolka, N.O. Menchinskaya, N.A. Nikashina L.I. Prokhorenko, N.O. Pipina, T.D. Puskaeva, C.G. Shevchenko etc.) (Degtyarenko, Vavina, 2008; Moiseyenko, Pedan, Berezhnyy, 2005; Social rehabilita on, 2000). In this connec on (Skrypnyk, 2012), the a empts are being made to construct a system of correc onal pedagogy, which, in its integral form, would unite a plurality of psycho-correc on techniques. The purpose of the ar cle. The conceptualiza on of the psycho-correc on system for children with Down syndrome and au s c children appears on the agenda, being the aim of the ar cle expressing an a empt to formulate a new paradigm of rehabilita on of the children with special needs. The methods of research. A new paradigm of psychotherapy correc on (rehabilita on) of the problems of the children with special needs is based on the concept of func onal asymmetry of the hemispheres of man’s cerebrum. c results and their discussion. The main aspects of the concept of func onal asymmetry of fiThe scien the hemispheres of man’s cerebrum can be presented in some basic provisions (Sperry, 1968; Springer, Deutsch, 1997). 86

American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) ISSN 2474-9397 On the level of higher psychic func ons, that is, on the level of the hemispheres of man’s cerebrum, we can observe the realiza on of the principle of holomity, since both hemispheres refl ect and master the world in the opposite ways: - right hemisphere refl ects con nuous-fi eld aspect of the world, forming an ambiguous polyseman c, ar s c context of world view, building sacral-religious, metaphoric reality; - le hemisphere, on the contrary, refl ects discrete-substance, plural aspect of the Universe, forming strictly one-seman c, unambiguous, abstract, discursive-theore cal world understanding, construc ng ra onal- technocra c reality. Func onal unity of the hemispheric informa on processing strategies, which is found, as EEG studies indicate, in medita on state (Murphy, Donovan, 1985) [3], enables to actualize “the moment of truth”, illumina- on, authen c, intui ve-medita ve percep on of the Being, being here both single, and plural, both complex, and simple... when actually-real, on the one hand and poten ally-possible, on the other, are not diff eren ated (which, by the way, is observed on the fundamental quantum level of the ma er). So, we have every reason to state that such a regulator is actualized on the basis of the func ons of hemi- spheres of man’s cerebral cortex, about whish B.G. Anan’jev (Ananev, 1963) wrote as far back as six es, and what is diffi cult to dispute nowadays. As appropriate experiments show, the hemispheres may be possibly considered a psycho-physiological focus of human organism, since with their func ons such sides of human en ty are related, as the mechanisms of aim crea on and searching for the ways of achieving the aims (Simonov, 1987), energe c and informa onal regula on of people’s behavior (Ananev, 1963), empathy and refl ec on, extroversion and in- troversion, automa c and spontaneous psychic ac vity, fi rst and second signaling systems, power and weakness of nervous processes, their lability and inertness, excita on and inhibi on, I and non-I, ergotrophic and tropho- trophic func ons, voli onal and non-voli onal psychic spheres, sympathe c and parasympathe c branches of vegeta ve nervous system etc. (Golubeva, 1980). Any automa c (subconscious) ac on of a man is included in right hemispheric psychic ac vity, and non- automa c (conscious) – in le hemispheric aspects of psychic ac vity. It should be noted that right hemispheric strategy of percep on, thinking and mastering the world represents the emo onal, concrete, expressive, holis c world view which forms ambiguous poly-seman c linguis c and mo va onal context of refl ec ng reality, cor- responding with the energy-fi eld aspect of the Universe which can be characterized as con nual type of matter. On the contrary, le hemispheric percep on strategy represents abstract-logical, sign-symbolic, discursive, con- ceptual, discrete, plural world outlook which forms accurate linguis c and mo va onal context of refl ec ng the surrounding world. Such a cogni ve strategy corresponds with the substance-informa onal aspect of the Universe which can be characterized as discrete type of ma er. We may add that the right hemisphere “creates” religious-mythological, ar s c reality, awaking to life such forms of social consciousness, as religion and art. The le hemisphere “creates” scien fi c-technocra c reality, revealing science and poli cs. It should be emphasized that in onto- and phylogenies of a living being one observes the process of gradual increasing the hemispheric asymmetry (in a baby the state of func onal symmetry of cerebral cortex takes place when the hemispheres work according to the func onal pa ern of the right hemisphere), the greatest expression of which is reached at a mature age. A erwards, the hemispheric asymmetry is gradually leveled. The condi on for func onal synthesis of hemispheres is revealed when elderly person, enriched in life experience, factually trans- forms himself into a child with its plas c psyche, spontaneity, frankness and openness of percep on of the world. Here we have a generally known philosophical idea about development (thesis – an thesis – synthesis) when the third stage of the development dialec cally reiterates the fi rst one, but on the higher level of develop- ment. If we take into considera on the fact, that right hemispheric func ons focus on the present me with turning to the past, and the le one – on the present me with turning to the future, then it is possible to say that a person’s development moves quite naturally from past to future, and from the la er – to their integra on, when spacio-temporal dichotomy of the Being is eliminated and a person liberates himself from “the curse of Chronos”. On the whole, we have three major forms of comprehension of the Being according to Y. A. Urmantsev (Urmantsev, 1993) – ra onal (le -hemispheric), sensa onal (right-hemispheric) and medita ve, which incorpo- rates the fi rst and the second forms. In the state of func onal synthesis, the synchroniza on process of brain’s hemispheres – the medita on (illumina on) state displays itself (Murphy, Donovan, 1985). We can arrive at a conclusion that a person’s development proceeds from sensa onal to ra onal and from the la er to medita ve form of understanding and mastering the world. 87

ISSN 2474-9397 American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) So, the goals of educa on and the ways of reaching them become quite understandable. First of all it is evident that the state of hemispheric harmony presupposes a suffi cient developmental level of the two hemispheres. For the me being a tradi onal school rests mostly on the development of analy c le -hemispheric thinking, though the fact of certain underes ma on of the importance of emo onal and imagina ve (right-hemispheric) mechanisms of psychic ac vity in the process of educa ng is acknowledged, and the experiments convince us that right-hemispheric func on ac va on ensures a respec vely signifi cant s mulus for the development of le -hemispheric form of psychic ac vity (Russel, 1979). So, we must admit that it is urgent to work out a new paradigm of educa on which could provide the structural and dynamic unity of sensa onal-empirical and abstract-theore cal spheres, trends of personality’s actualization. Special a en on is to be paid to the evolu onal unfolding of the right-hemispheric aspect of a person. The principle of con nuity of psychic ac vity presupposes the unity of hemispheric strategies of infor- ma on processing both in the sphere of synchronic and diachronic analysis of man’s evolu on. That is why, the “basic” right-hemispheric aspect of a man, the development of imagina ve and visual thinking, the ability in empirical generaliza on in a child play a very important role in an adult’s life. They don’t represent “the tem- porary stage which is to be quickly passed by and changed by a verbal-logical thinking” (Tihomirov, 1984). The ma er lies in the fact that the le hemispheric – verbal and logical – way of thinking and fathoming the world arises from the poly-seman c, metaphorical comprehension of reality. The new educa onal paradigm based on the concept of func onal asymmetry of human brain (as well as on the spacio-temporal asymmetry of man and Universe) declares that the purpose of man’s evolu on lies on the ways of integra on of right and le aspects of psychic ac vity, in the state of harmony, illumina on, authen c comprehension of reality, in the framework of which the world appears to be a paradoxical ambivalent (and hence – dialec cal) en ty, since this state fuses into one integral synerge c wholeness all numerical dichotomies, correla ng with psycho-soma c specializa on of the hemispheres, such as sensa onal and ra onal, single and plural, sublime and profane, and many other dichotomy rows, being of mutually opposite natures, which A. Maslow defi ned as “vectorial nature of facts and the holis c nature of values” (Maslow, 1976). The process of this fusion is realized due to the use of synerge c paradigm in pedagogical science, embodied in pedagogical synerge cs. We must add that this state of integrity due to the philosophical principle of the world’s unity can be extrapolated on the whole Universe being organic oneness on its fundamental quantum level. Quantum physics shows that on the fundamental quantum level of ma er there is no diff eren a on between cause and eff ect, simple and complex, linear (classical) and cyclic (holis c) types of causa on, actual and poten al, past and future. As V.N. Pushkin (Dubrov, Pushkin, 1990) puts it, “the founda on of the ma er appears to be at the same me the founda on of life and the founda on of psychics”. On the whole, refl ec ve hemispheric strategies result, due to the world’s unity, from general ma er dichotomy of the Universe. The ma er conceptually diff eren ates into two polar types – substance and fi eld. The substance, having rest mass and certain structure, being a discrete-plural forma on, correlates with infor- ma on as plural en ty in principle, refl ected by the le hemisphere. The fi eld, having no rest mass and being, as it is, mo on in a pure form, is a holis c-con nuous en ty, correla ng with energy as a measure of mo on, and refl ected by the right hemisphere. So, the right hemisphere can be quite jus fi ably named a substratum of energe c, and the le – informa on regula on of a man taken in all wholeness of his psycho-physiological cons tuents. The analysis we have made enables to draw a scheme of polar en es of the Being based on the analysis of hemispheric strategies of world’s cogni on. Table 1 The basic scheme of polar en es of the Being RIGHT ROW OF REALITy LEFT ROW OF REALITY energy-fi eld aspect of the Universe, substance-informa onal aspect of the Universe, con nual type of ma er discrete type of ma er energy informa on subconscious consciousness mechanisms of aim crea on mechanisms of searching for the ways of achieving aim energe c regula on of people’s behaviour informa onal regula on of people’s behaviour empathy refl ec on extraversion introversion automa c and spontaneous psychic ac vity non-automa c, inten onal psychic ac vity 88

American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) ISSN 2474-9397 rst signalling systems second signalling systems fi power of nervous processes weakness of nervous processes lability of nervous processes inertness of nervous processes irrita on of nervous processes suppression of nervous processes “non-I”, passive posi on “I”, ac ve posi on ergotrophic func ons trophotrophic func ons non-voli onal psychic sphere voli onal psychic spheres sympathe c branch of vegeta ve nervous system parasympathe c branch of vegeta ve nervous system c-theore cal, technocra c reality fireligious-mythological, ar s c reality scien religion and art as forms of social consciousness spiritual- science and poli cs as forms of social consciousness mythological, sublime, mys cal secular-technological, profane, analy cal spontaneity, frankness and openness of percep on rigid psyche, closed, beforehand percep on orienta on to past orienta on to future concrete-emo onal, visual thinking verbal-logical thinking singular plural holis c nature of values vectorial nature of facts simple, holis c-con nuous complex, atomic-discrete cyclic (holis c) type of causa on, actual linear (classical) type of causa on, poten al sensa onal-empirical trend of personality’s actualisa on abstract-theore cal trend of personality’s actualisa on feminine, sensa onal and emo onal masculine, ra onal and analy cal uncertain, polyseman c linguis c and mo va on context accurate, monoseman c linguis c and mo va on context hot colour spectrum, tune cold colour spectrum, rhythm ec on of the world flec on of the world pragma c re flaxiological re exibility, intui on hardness, analysis fl light darkness shness fishness sel fiunsel need an -need (will) ec on flcontempla on re EASTERN civiliza on WESTERN civiliza on misro+macro micro versus macro internal+external internal versus external soma c psychic esh flesh to spirit development from spirit to fldevelopment from ins nct inten on The concept of func onal asymmetry of the hemispheres of man’s cerebrum enables to realize the pro- cess of personality harmoniza on, which reveals a new paradigm of psychological correc on (rehabilita on) – one of the types of psychological help (among them – psychological counseling, psychological training, psychotherapy) being the ac vity directed at the correc on of peculiari es of the psychological development of the children with special needs not corresponding with the op mal model. This is achieved with the help of special means of uence directed on forma on in the person necessary psychological quali es for increasing his flpsychological in socializa on and adapta on to changing the condi ons of his life. uence on certain structures of person’s flIn general, the psychocorrec on is directed at psychological in psyche in order to ensure the full development and func oning of the personality. Psychocorrec on can be realized in a variety of approaches: - due to the psychoanaly c approach the psychocorrec onal work is aimed at the allevia ng of the symptoms ic ng interac on between the “I” and “It” through overcoming inadequate psychological defenses; flof internal con - due to the humanis c approach the psychocorrec on is understood as the crea on of the condi ons for posi ve personal changes: personal growth, self-actualiza on; - the ac vi es approach enables to link the psychocorrec on with the forma on of a system of ac ons and a clear structuring of man’s ac vi es. The problem of the soma c and mental health of the children is the most urgent problem of our me. In this connec on, system studies aimed at developing the methodological basis of correc onal pedagogy (one of the direc ons of Ukrainian pedagogy) are important. In this respect the informa on concept of health (Voznyuk, 2012-2016), the concept of psychocorrec on of the children with au sm spectrum disorders deserve a en on (Skrypnyk, 2012). 89

ISSN 2474-9397 American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) The new paradigm of psychocorrec on, in which new promising and eff ec ve methods of psychocorrec- onal work with children with Down’s syndrome, as well as with au s c children are based on the concept of func onal asymmetry of the human cerebral hemispheres (Bragina, Dobrohotova, 1988). In this regard, we can also talk about three types of people (in their cons tu onal and psychopatho- logical dimensions), the aff ec ve-cogni ve peculiari es of whose correlate with men oned three hemispheric strategies of cogni on and development of the world. In psychology the hemispheric dualism is refl ected in a phenomenon called the “cons tu onal axis”, whose poles are E. Krechmer opposing types – cyclo mic and schizophrenic types (asthenic and hypersthenic). It is interes ng that in the no on “cyclo mic” the rela on of this type of a person to the sphere of cyclic deter- minism is given (compare with cyclic psychoses), while the no on of “schizophrenic”, that is, “being split” gives us a hint of the rela on of this type of people to the sphere of classical linear (discrete) causality (Gannushkin, 1964). These correla ons in psychiatry are embodied in the no on of “psychopathological axis”, which coor- dinates the rela onship between two polar types of mental pathologies – schizophrenia and cyclic psychoses related to the func ons of the hemispheres of human brain (Springer, Deutsch, 1997; Flor-Henry, 1978). As L.S. Vygotsky put it, the schizophrenia is characterized by “emo onal stupidity and coldness of aff ec- ve life ... a schizophrenic form of thinking is o en called symbolic, meaning that its peculiarity that it perceives nothing literally but in the allegorical way” (Vygotsky, 1984). In this regard, we can talk about the au sm of the schizoids, which stems from the lack in them the “aff ec ve resonance” to other people’s emo ons. It can be said that the schizophrenic is characterized by a plural, split le -hemispheric abstract-logical worldview in its extreme pathological expression, which manifests itself in the striving of a person who is under the power of this pathology, to classify everything, to schema ze, to atomize the world. The second type of pathology is characterized by extreme expression of an integral imaginary, sensually expressive right hemispheric worldview, which manifests itself in a tendency to “totalize” everything, crystalliz- ing the world in the form of a super-value total representa on. This understanding allows us to talk about 1) a split discrete-plural (“substance”, linearly causal) le -hemisphere and 2) an integral con nual-synthe c (“fi eld”, cyclic-causa ve, i.e. holis c) right-hemispheric types of refl ec- on of the world in their extreme, pathological expression. In this case, as L.S. Vygotsky wrote (Vygotsky, 1984), “the spli ng is regarded as a func on equally in- herent to the pathological and normal consciousness, therefore as a func on is psychological one in nature, a func on that is equally necessary in abstrac on, with inten onal a en on, in the forma on of the concepts, as well as in the emergence of a clinical picture of the schizophrenic process”. Similarly, the right hemispheric, holis c, con nual, empathic refl ec on of the world has diff erent psycho- logical “levels” (the norm, accentua on, pathology) that in their essence have a common psycho-physiological basis. Thus, P.B. Gannushkin (Gannushkin, 1964) while describing the features of the cons tu onal-depressive persons, writes that behind their “sullen shell there is usually high kindness, responsiveness and the ability to understand the spiritual movements of other people; cons tu onal-depressive persons in close circle of loved ones and surrounded by an atmosphere of sympathy and love, become light and cheerful, talka ve, even jokers and humorists, in order, however, on leaving a merry society, they take up painful digging in their spiritual wounds”. Thus, we can talk about the dichotomous structures of psychological and social phenomena, one of the most important of which illustrates the informa on theory of emo ons P.V. Simonov, which states that emo on (as a right hemisphere phenomenon) is the result of a person’s reac on to a lack of relevant informa on (le hemisphere phenomenon). V.M. Dilman (Dilman, 1987) speaks of the three main homeostasis of the organism (energy, adapta on and regulatory), which, according to this author, are the cause of three “normal” diseases (hyperadaptosis, obesity, menopause) revealing the connec on with three interrelated proper es of the organism: the ability to reproduce (procrea on), to regulate the energy fl ow (metabolism) and adapta on. This triad scheme can be compared with the triadic aesthe c diff eren a on: symbolism, roman cism, classicism. The above dichotomies can be illustrated in Fig. 1, where they reveal a fractal similarity. The concept of func onal asymmetry of the hemispheres, the psychopathological and cons tu onal axes are considered here are an important methodological basis for understanding the rela onship between au s c disorders (le hemisphere phenomenon) and Down’s disease (right hemisphere phenomenon), as well 90

American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) ISSN 2474-9397 as the ways of their compensatory correc on (rehabilita ons) and even therapy, since modern studies indicate that in ontogeny the development of various func ons of the organism is realized not only from the bo om up, but also from the top down, when the development of higher func ons s mulates the re-building (and harmo- niza on) of the basal ones. Fig. 1. The correspondence of the axes refl ec ng diff erent aspects of the human being Accordingly, the Down’s disease, which can be considered a right hemispheric phenomenon, is corrected and cured (specialists know the rare cases of such cure) due to the development of the child’s opposite le hemispheric forms of mental ac vity. In this regard, let us note that in 1866 an English scien st D.L. Daun described the disease, which, among other things, manifests itself in a specifi c human appearance, according to which the scien st called this disease “Mongoloid idiocy”, no ng its “oriental” character: as the research of V.V.Arshavsky has shown, the representa- ves of the peoples living in the North-East regions of Eurasia are characterised by the rela vely increased right hemispheric ac vi es (Rotenberg, Bondarenko, 1984). That is among the na ons that have ac vated the right- brain func ons of the higher nervous ac vity, their cogni ve func on including the iconic character of their wri ng are determined by the right hemispheric dominance. Conclusions. Under such condi ons, the psycho-correc on of the “children of the sun” presupposes the ac va on of the le hemispheric beginning of their psychic ac vity (in the form of sensory ac vity characterized by the le hemisphere – rhythm, cold colors, etc.), including the development of their personality beginning due to crea ng such socio-educa onal as well as training and therapeu c environment that allows the sun-child to aware itself through the development of refl ec on and goal forma on mechanisms (the focusing on the future, that can be compared with the method of “tomorrow’s joy” worked out by A.S. Makarenko), with the help of widening the social-role repertoire). Children with au s c forms of life are characterized by the state of excessive roo ng in le hemispheric ac vity. Accordingly, this problem is corrected through increasing in the “rain children” the right-hemispheric ac vity with all therapeu c and psychological consequences that stem from this. References: Ananev, B.G. (1963). Bilateralnoe regulirovanie kak mehanizm povedeniya [Bilateral regula on as the mecha- nism of behavior]. Voprosy psihologii, 5, 84-96. Bragina, N.N. & Dobrohotova, T.A. (1988). Funktsionalnyie asimmetrii cheloveka [Func onal asymmetries of the man]. Moscow: Meditsina. Dehtyarenko, T.M. & Vavina, L.S. (2008). Korektsiyno-reabilitatsiyna robota v spetsialnykh doshkilnykh zakladakh dlya ditey z osoblyvymy potrebamy [Correc on and rehabilita on work in special pre-school establishments for children with special needs]. Sumy: Universytetska knyha. 91

ISSN 2474-9397 American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) Dilman, V.M. (1987). Chetyrie modeli meditsiny [Four models of the medicine]. Moscow: Meditsina. Dubrov, A.P. & Pushkin, V. N. (1990). Parapsihologiya i sovremennoe estestvoznanie [Parapsychology and modern natural sciences]. Moscow : Sovamino. Flor-Henry, P. (1978). Cerebral aspects of the organic response normal and devia onal. Proceedings from The Third Interna onal Congress of Medical Psychology. (pp. 456-470). Rome. Gannushkin, P.B. (1964). Klinika psihopatologiy, ih sta ka, dinamika, sistema ka [The clinic of psychopatholo- gies, their dynamics and systema c]. Moscow: Meditsina. Golubeva, E.A. (1980). Individualnyie osobennos pamya cheloveka [Individual peculiari es of man’s memory]. Moscow: Pedagogika. Maslow, A. (1976). The Farther Reaches of Human Nature. NY: Penguin Books. Moiseyenko, R.O., Pedan, V.B. & Berezhnyy, V.V. (2005). Orhanizatsiyno-metodychni osnovy medyko-sotsialnoyi reabilitatsiyi ditey z obmezhenymy mozhlyvostyamy zdorovya [Organiza onal and methodical founda ons of medical and social rehabilita on of the children with limited health capaci es]. Sotsialna pediatriya, 3, 24-29. Murphy, M. & Dobovan, S. (1985). Contemporary medita on research. San Francisco: Esalen Ins tute Press. Rotenberg, V.S. & Bondarenko, S.M. (1989). Mozg. Obuchenie. Zdorovie [Brain. Learning, Health]. Moscow: Prosveshchenie. Russel, P. (1979). The Brain Book. NY: Penguin Books. Simonov, P.V. (1987). Emotsionalnyi mozg [Emo onal brain]. Moscow: Nauka. Skrypnyk, T.V. (2012). Systemna psykhokorektsiia ditey z rozladamy autychnoho spektra [System of psychocor- rec on of the children with au sm specter]. Proceedings from Pedahohichna i psykholohichna nauka – Psy- chology, age physiology and defectology. (pp. 388-398). Kyiv: Pedahohichna dumka. Sperry, R.W. (1968). Hemisphere Deconnec on and Unity in Conscious Awareness. American Psychologist, 23, 723. Springer, S.P. & Deutsch, G. (1997). Le Brain, Right Brain: Perspec ves from Cogni ve Neuroscience. NY: Free- man. Tihomirov, O.K (1984). Psihologiya myshleniia [Psychology of thinking]. Moscow: Izd. MGU. Urmantsev, Yu.A. (1993). O formah pos zheniia byi ia [On the forms of the Being fathoming]. Voprosy fi losofi i, 4, 89-105. Vygotskiy, L.S. (1984). K probleme psihologii shizofrenii [To the problem of schizophrenia]. Hrestoma ya po pa- topsihologii – The collec ons of works on psychopathologies, (60–65), Moscow: Izd. MGU. 92

American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) ISSN 2474-9397 “IMPLICIT ORDER“ AS A FORM OF MANIFESTATION THE CONTRADICTORY NATURE OF THE PSYCHIC INTEGRITY Yatsenko T.S. Dr. Sc. in Psychology, Professor Academician of the NAPS of Ukraine, Head of the deep correction and psycho-social rehabilitation department Bohdan Khmelnytsky National University of Cherkasy [email protected] The ar cle is devoted to the essen al issue in understanding the wholeness of the psyche in its phenomenological nature. The ar cle highlights the binomial nature of the psyche’s organisa on system within its phenomenological nature. It con- cance of fisiders the fundamental character of the conscious and the unconscious spheres’ inherence principle, as well as the signi disclosure of the nature of informa onal-distant interrela ons of the conscious and the unconscious at their tangent point within the Ac ve Social Psychological Cogni on (ASPC) diagnos c-correc onal process. The ar cle asserts that none of the spheres can ed psyche system. fiexist outside the uni The ar cle emphasises the statement that the “implicit order” represents the interests of both the conscious and the un- elds of both spheres. This proves the existence of the implicit order over-determina on. ficonscious, consequently integra ng power ca on and comple on of the structural “Model of the fiThe introduc on of the category of the psyche’s ac vity order facilitates clari psyche’s internal dynamics“ with the substructural elements of “invisible horizon“ and “implicit order“ (marked with a line of dots between the conscious and the unconscious). Key words: diagnos c-correc onal process, implicitus, consciousness, the model, self-preserva on. .ітсонтус її йінчіголонемонеф у икіхисп ітсонсіліц яннімузор імелборп йіньлаутка онечявсирп юттатС ;ітсонтус йінчіголонемонеф огой в огончіхисп їіцазінагро иметсис ьтсінмоніб: ясьтююлсеркдіп іттатс У уреткарах яттиркзор ьтсіньлаутка; огомодівсен і огомодівс рефс ітсонмє’дівен упицнирп ьтсіньлатнемаднуф умонйіцкерок-окитсонгаід в ітсончитод хї іжем ан огомодівсен і огомодівс вікзя’взомєазв хинйіцнатсид-онйіцамрофні .огончіхисп иметсис їонидє имажем азоп рефс із їондож яннавунсі ьтсівилжомен; ППСА ісецорп єургетні отбот, огомодівсен і кат, огомодівс кя исеретні єажарив” кодяроп йинтицілпмі“ ощ, ясьтєуждревтС ітсонвитка їірогетак їєіц яннедевВ. укдяроп огонтицілпмі ьтсінечанзивдан ьтидовод еЦ. рефс хобо ялоп іволис иминруткуртсдіп” икіхисп икіманид їоьншіртунв іледоМ“ їонруткуртс юннешревод ат юнненчоту єяирпс огончіхисп ).мимодівсен і мимодівс жім имакпарк онечанзоп” (кодяроп йинтицілпмІ“ і” тнозирог йимидивеН: “иматнемеле .яннежеребзомас, ьледом, ьтсімодівс, йинтицілпмі, сецорп йинйіцкерок-ончитсонгаід: аволс івочюлК Statement of the Problem. The ar cle presents the research results aimed at gaining cogni on of the adults’s psyche in its wholeness. The psychodynamic approach, men oned in the ar cle, was founded in 1978 (Yatsenko, 2015). The study was designed to develop a method of depth cogni on of the psyche in its whole- c-prac cal achievements within various psychological approaches, oriented not only finess, synthesising scien c studies, but, above all, towards the provision of real help for people. fitowards pure scien The issue of an adequate understanding of the psyche of socially adapted people, requiring help in the individualised psychocorrec on, which aims at catalysis of the personal growth and self-actualisa on, has been rst group of researchers, however, since file open for an extended period. Ini ally, educators represented the 1990, psychologists who need personal correc on because of their professional orienta on to providing help to other people, added up to the group. Development of the method of Ac ve Social-Psychological Cogni on (ASPC) presupposed focussing on the disclosure of the whole psyche func oning pa erns. Over the years, depth studies of the psyche have been conducted in a spiral shape: from a theory into prac ce – from generalisa on of the prac cal results – back to the cant for more than thirty years of research, the focus fitheory etc. Consequently, in resolving the issues remaining signi has been placed on methodological principles, which contributed to the individualisa on of diagnos c-instrumental 93

ISSN 2474-9397 American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) aspects of the ASPC correc onal process rather than on “techniques of working with people”. Recogni on of the wholeness of the psyche in its self-organising abili es, as the fundamental issue of the psychodynamic metho- dology, has exacerbated the problem of the “implicit order” category disclosure. In La n, the word implicitus, later form of implicātus meant hidden, implied but not plainly expressed; one that is clearly not opened; that do not fi nd by a cursory observa on (The Concise Oxford Dic onary of English Etymology, 2003). The aim of the ar cle is an a empt to reveal the central sequence of systemic organisa on of the whole psyche with its preconscious forma ons. The la ers have been preset by the eff ects of displacement and are fi xed in the corresponding power centres, which integrate and create precondi ons for the emergence of the “implicit order”, where the interconnec on of two spheres of “the conscious / the unconscious” is rooted. Methods The fi ndings, presented in the ar cle, are based on the analysis of the verba m material of the psyche’s depth studies during the process of Ac ve Social-Psychological Cogni on. The main presenta on The conscious and the unconscious arise and func on through a binomial system of rela ons. The duality of the human psyche’s structure “the conscious/the unconscious” has remained an insuffi ciently studied issue. The causes concerning the fact that none of the psyche’s spheres cannot fuc onally subs tute for each other, as well as be studied without considering the other part of the structure, are s ll unresolved. The conscious and the unconscious psyche structures exclude one another reciprocally on a func onal level and concurrently maintain their interrela onship within the unifi ed system of the psyche’s wholeness, without which they completely cease to exist as the psyche. The conscious psyche, as well as the unconscious one, gives meaning to a subject’s involuntary ac on, not because of (or through) the removal of contradic ons, but due to the ac vity within their controversial nature. A. Sheroziya demonstrates that “the binomial system of rela ons can serve a fundamental principle of the conscious and the unconscious inerrela on” (Sherozyia, 1978). We associate this interrela on in psychody- namic paradigm with the concept of the implicit order, rela ng to the boundary (horizon) of reciprocal infl uences of the conscious and the unconscious. We are convinced of this phenomenon being generated by the “forma on” beyond the experience, with the former being catalysed by the basal defence mechanisms, and manifested in the psyche’s discrepant inclina ons “towards the strength” and “towards the weakness” (Yatsenko, 2015). Features of the internal implicit order are prearranged by the ability of the specifi c individual’s psyche to follow something that is determined internally and acquires the opportunity of the experimantal clarifi ca on only under condi ons of the subject’s involuntary behaviour and its psychoanalysis in the dialogic communica on within the system “psychologist – respondent” (“P.↔R.”). “The model of the psyche’s internal dynamics” (Fig. 1) shows the implicit order marked with dots that draw the “line” of the invisible horizon. Each dot indicates the intersec on of “the ver cal” and “the horizontal” in the act of an involuntary ac vity of the subject. Regarding the data above, the implicit order is not subject to scholas c requirements of the logic, and therefore it only sets the dynamics of “following the…”. It lies beyond the criteria of ra onality and irra onality in the subject’s behaviour. Fig. 1. The model of the psyche’s internal dynamics 94

American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) ISSN 2474-9397 Thus, the implicit order causes the inner drive (latent mo ve) for a subject’s ac vity regardless of the ra onal or irra onal nature of behaviours. The psychodynamic paradigm, which forms the basis of the research, affi rms that the internal basal confl ict of “life – death” stands at the back of the implicit order. The consciousness has not been aware of the confl ict, as it is familiarised itself only with the ins nct for self-preserva on. The spe- cifi ed confl ict camoufl ages itself from the consciousness with the system of psychological defence mechanisms, which transforms the confl ict into certain personal contradic ons, linked to the inclina ons “to the psychologi- cal death” and to the psyche’s impotence. No wonder, G. Hegel wrote, that “every consciousness is a rela onship of dual nature; consciousness as a single rela onship in general is a contradic on” (as cited in (Sherozyia, 1978)). Regarding a person’s knowledge of their inner world, S. Leclaire men ons that it looks as if split and illogical; it disguises himself occasionally or presents itself in the mist of its imagina on (Leclaire, 1978). Therefore, the human archetypal predisposi on to symbolisa on of their psychological fundamental nature in its wholeness is evident. The image is capable of holis c representa on of the psyche’s split and dual nature. There is a world of repressed feelings, linked by S. Freud to the symbolisa on of the unconscious activity “on the other side of the consciousness”. This fact coordinates with S. Leclair’s view of the unconscious to be the “conscious- werewolf” (Leclaire, 1978). In par cular, he affi rms that if this feature of the unconscious psyche does not manifest as symbolic images of the consciousness (alienated by itself long ago), we would know nothing about it (Leclaire, 1978). Consciousness produces its own a tude to such forma ons of the psyche through the person’s a tude to themselves and to everything around. Therefore, the psychodynamic paradigm of the dialogic interac on in the scheme “P.↔R.” is built just based on these principles. The consciousness may be interpreted as using the defence system to mask the controversial nature of the psyche. Because of the image symbols such as reveries, art, religion, dreams, lucid dreams etc., the conscious ackowledges exoginous mani- festa on of the mysterious desires under condi ons of masking (hiding) their contents, which are protected by resistance not allowing any access to the latent contents of the psyche. For example, while under hypnosis, a person does something unconsciously, although able to ra onalise grounds of that behaviour later on, even if the fact of ra onalisa on is concealed from their consciousness. We concur with A. Sheroziya that “... it is necessary to treat the unconscious psyche as to what may be per- ceived as a kind of the “an consciousness” (Sherozyia, 1978). According to the scien st, the repressed conscious is similar to the actors, who have le the scene, though later they need to get back, but obviously wearing diff erent ou its and playing another role, thus unrecognisable by the consciousness. The conscious is not aware either of their disappearance, or their return. The consciousness most probably does not correlate those who “get back” with those who have gone before, because such informa on has not been available to it under any circumstances and in any form. Otherwise, the “actors” could neither leave the stage of the conscious, nor return to it. The consciousness would create barriers by its interven on. We can agree with A. Sheroziya’s assump on that the “stage performance”, which forms the contents of the conscious, is inlikely to take place without these “actors’ movements”. The interdependence of the two spheres of the psyche can be fi gura vely refl ected when they compen- sate for each other, when they mutually exclude one another, and when they cer fy inaliable character of each other. Consequently, we can present the wholeness of the psyche we seek to learn focussing on the invisible horizon of the informa onal tangent point. In the psychodynamic paradigm we have been developing for many years (Sherozyia, 1978; Yatsenko, 2006; Yatsenko, 2015; Yatsenko, 2016), due to the necessity for the psyche’s wholeness cogni on, the principle of complimentarity has been introduced as an underlying ini al point of the psyche’s wholeness disclosure. N. Bohr (1927) formulated the principle of complimentarity within the fi eld of quantum mechanics. In psycho- dynamic paradigm, it was adapted to the specifi c subjec vity of the object of cogni on and divided into two principles: the principle of inseparable character of the spheres of the conscious and the unconscious, and the principle of “from the other”. The la er was outlined using a number of requirements a psychologist should follow in the process of diagnos c-correc ve interac on with a respondent (Yatsenko, 2015). The fundamental aspect of this principle is the necessity to provide a respondent with an opportunity to manifest spontaneous ac- vity, which naturally objec fi es the effi ciency’s depth causes. As A. Sheroziya men oned, that “in spontaneity of behaviour, the unconscious acts as the stability of the other logic, which renews itself persistently, which is the solely energe cally powerful logic, however never unifi ed” (Sherozyia, 1978). Consequently, it is clear, that there is no fi ght for priori es of the conscious or the unconscious logic because of their existence in diff erent func onal systems, which do not allow them to be reciprocally sterilised, s ll being detected through their own integra on into the subject’s spontaneous behaviour. It would be incor- rect to reduce ar fi cially the logics men oned above to the “common denominator” during a psycho-correc on 95

ISSN 2474-9397 American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) process, which is a priori impossible. Their unity is no ceable only in the psyche’s implicit order that becomes extended, visible and observed in a subject’s behaviour. A language of the conscious, invisible for itself produces latent dialec cs of rela onships set by the “other logic”, where the categories of me, space, sex and causality func on in a diff erent way than in the conscious. Here, mnemonic imprints, ie centres of the repressed feelings, play a signifi cant role in their synthesis with the psyche’s archetypal nature that encloses the wisdom of previous genera ons and has the ability to manifest in the subject’s individual experience. The psyche’s archetypal nature is manifested in the visualised and objec- fi ed representa on of the subject using an arsenal of images characteris c to its individualised world of the living and inanimate nature, and which can convey the informa on equivalents, ie the “contents” of psyche within the “other body”. S. Leclaire marks that “it would be naive to a ribute localisa on of these archetypal imprints of human history only to the brain, as they are imprinted into the world everywhere” (Leclaire, 1978). It is impossible to categorise them, because the archetypes become relevant (“alive”) only in associa on with the unconscious mnemonic imprints. These associa ons provide each individual with the psyche’s characteris c uniqueness in its archetypal, ie objec fi ed ma festa on. In solving the problem of the psyche’s depth cogni on, a dialogue as a psychologist’s tool in the ASPC diagnostic and correc on plays a crucial role. (Yatsenko, 2006; Yatsenko, 2015; Yatsenko, 2016). However, without any diagnos cally adequate word correla on with direc on of the unconscious energy poten al, the dialogue would involve merely lifeless le ers sta cally fi xing the process of cogni on, which is beyond the procedural extension. Even though, the logic of the unconscious is dis nguished by the paradoxical nature, the cogni on of which becomes possible only with the par cipa on of the language of the conscious. Each of the systems of the “con- scious / unconscious” logic makes contact with one another and par cipates in the other system; yet, the out- comes do not reduce to any of them alone! Contact of the psyche’s areas is even harder to perceive, than to catch the waves in the sound space. Here, we can reveal the signifi cance of the problem of a dual unifying chain of the conscious and the unconscious interac on, which seems to be magically invisible, but obvious in the impera ve of the infl uence on the behaviour of the subject of the psyche’s implicit order. It is objec fi ed especially clearly when a subject works with some classic pain ngs replicas. During such a spontaneous ac vity, a respondent can arrange in a hierarchy, rank selected pain ngs replicas in order of personal importance quickly and easily. A diagnos c- correctional dialogue follows the implicit order and simultaneously contributes to its revealing. The category of “implicit order” is barely represented in the scien fi c psychological and philosophical literature. However, the ASPC prac ce proves the category to be Ariadne’s thread leading to the key of solving problems of the subject’s psyche’s depth cogni on in the most advantageous, and hence, the least emo onally devasta ng and most internally mo va ng way. In fact, we can consider an issue of harmonisa on of the psychologist’s eff orts with the immanent willing- ness and capability of psyche to support the process by the ability to organise and arrange the material, which is condi oned by its internal incen vised ini a ve. The explana on is as follows: the psyche’s dysfunc ons are caused by the energe c impera ve of the imprints of the experienced hardships such as life dramas, “incomp- lete childhood dilemmas” that are synthesised in the implicit order. If psychologists follow the implicit order, they choose the most energy saving thus most advantageous way in the depth cogni on. In the dialogic interac- on with a respondent, we rely on the fact that the psyche is aware of everything (only the conscious is not), although, the psyche is not reduced to the conscious. This universal truth can be confi rmed by the process of the suffi cient transforma on of the ideal (mental) reality into the visualised representa ons, including pictures, objects or words, as well as self-presenta on with the personally selected of classical pain ngs replicas. We can affi rm that the informa onal equivalents link an ideal and an objec fi ed reality together by a seman c load of representa ons that is impossible beyond the implicit order. The psyche is familiar with its peculiar seman c baggage that jus fi es the psychologist’s inten ons to “follow the respondent”. Implicit order – is a “following the...” concept. It is invisible and uncontrolled from the outside organisa- on of spontaneous manifesta ons of the the respondent’s ac vity. It involves the latent determinism of ac - vity’s depth impulses, and which is important for a psychologist not only in order to understand and forecast based on all probabil es, but also to take into account when asking the respondents the ques ons, which should trigger an impulse for ac vity, which based on the unconscious mo va on. The strict sequence of the implicit order manifesta on and methodological importance of its consi- deration within the diagnos c-correc ve prac ce is explained by the fact that the order is formed involuntarily (beyond the control of consciousness) and has an ability to express generally the individual uniqueness of the 96

American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) ISSN 2474-9397 psyche’s func oning. Implicit order cannot be either wiped, or modifi ed, or distorted, because it has not been wri en in advance and do not belong to any animate substratum; it is determined by the intersec on, the interference of power grids, which are maintained by certain integrated Meta-meanings, applicable both to the conscious and the unconscious. That is why, the implicit order is manifested in the energy potency of a subject’s spontaneous ac vity, which declares its loca on beyond “scholas c” requirements of any logic, whether of the conscious or of the unconscious (the ”other logic”). The prac ce of the psyche’s wholeness depth cogni on proves that the implicit order is inherent to it immanently. It is obviously confi rmed by the established a subject’s ability to arrange selected pain ngs replicas in a hierarchy according to their importance. This procedure enhances and accelerates the psychoanaly c pro- cess of cogni on. Procedural-diagnos c prognoses can be determined and carried out considerably intensely and speedily, easily and accurately. Moreover, they can be confi rmed under condi ons of understanding and actualising a respondent’s capabili es to establish the sequence in using visualised, objec fi ed material in the analy cal diagnos c-correc onal process. Psychodynamic paradigm proves the psyche to possess the archetypal latent meanings that are objec fi ed in a dialogue verbally and facilitate the subject’s awareness of them through the personal involvement in the presenta on procedure. In other words, the long-term prac ce convinces that the objec fi ed material may be arranged in an indestruc ble sequence set by the implicit order and in accordance to the the respondent’s priority ini a ve based on the signifi cance of seman c loads. A respondent cannot explain inten onally what have caused the hierarchy arrangements of the visualised material, various pictures in par cular, to be done exactly that way. Therefore, the respondent’s psyche has a seman c signifi cance according to pictures presented. It is supported by psychoanalysis, which reveals the perfect arrangement of the material, depending on the seman- c parameters that a priori (before analysis) were not known either to a respondent, or to a psychologist. And the procedure of their psychoanaly c cogni on took place through a dialogic interac on (gradually and through various levels) and the analy cal interac on “P. ↔R.”. We suppose that the language of the psyche in its wholeness is manifested in the meanings, where both spheres (the conscious / the unconscious) are integrated func onally rather than in the images, symbols (lan- guage of the unconscious). It becomes a representa on within the invisible, but almost concrete, implicit order, which is independent from the means of a subject’s self-presenta on, ie it is posi oned over the experience and over the set sense. The la er provides a psychologist with the broad opportuni es to use certain means of depth cogni on, which will dri to the clearway of the implicit order. This contributes to clarifi ca on of the psychoanaly c fi ndings’ reliability. A psychologist, who ini ates a respondent’s spontaneous ac vity, may not be afraid of breaking the cogni ve basis of any specifi c-diagnos c conclusions. In the process of the respon- dent’s pictures analysis, a psychologist can ini ate a psychodrama fragment, stones modelling, or non-verbal exercises – the same implicit order of a par cular person psyche will be obvious in every ac vity. The prac ce provides evidence that the pain ngs replicas contribute to the precise manifesta on of the implicit order, appa- rently, because of the authorial pictures’ psychologising. A er all, any ar s c pain ng comprises an emo onal signifi cance for the person behind. The number of such replicas enables a psychologist to iden fy priori es of the psyche’s direc on according to the parameters of the basic confl ict “life-death”. A psychocorrec on proce- dure in the ASPC groups catalyses psychocorrec onal refocus towards “life”. Our experience of more than thirty-fi ve years of the psyche’s depth cogni on demonstrates that due to the objec ve laws of its internal organisa on, ac vity is set by the factors of seman c signifi cance, and the un- awareness of them is not an obstacle to the depth cogni on. These factors are manifested independently in the invariant, intera ve characteris cs of the respondent spontaneous behaviour, which is holis cally interpretable. The conscious usually resists the revealing of the uncounscious seman c parameters. It proves the existence of the logics contradic on comprising the logic of the conscious and the logic of the unconscious (the “other logic”). The paradoxical fact here is that the implicit order does not solve the problem of ensuring the psyche’s whole- ness, though, it expresses it holis cally through the coherence and con nuity of the energy impulses driving to the “following the…”state in the empirical space. In addi on, it sets the respondent’s intrinsic mo va on to the process of depth cogni on. The implicit order cannot be objec fi ed in a “pure form”, as a given no on, auto- nomously from empirical procedural interac on within the system “P. ↔ R.”. The la er becomes complicated because that “following the...” does not involve objec fying the nature of the subject’s spontaneous internal arrangements. The unconscious can be objec fi ed depending on the context and under condi ons of involun- tary behaviour. As the implicit order is predetermined by the unconscious; it [the order] always has an energy force that determines the sequen al effi ciency of the mo va onal cause for the dialogic-analy cal interac on. 97

ISSN 2474-9397 American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) To conclude every aspect men oned, we should state that in the “P.↔ R.” dialogic interac on, the implicit order aff ects to sequence of a subject’s behaviour dynamics. All data discussed allow us to diff eren ate between the process of depth cogni on and the experimental- scholas c study, where the researcher determines the order of experimental procedure in advance. The leader of the depth cogni on (a psychologist) is a “slave” following the con nuum of a subject’s extensive ac vity. Under such circumstances, psychologists fulfi l themselves competently through the professional-informa onal suitability of the ques ons to the respondent. The ques ons are set on a probabilis c prognosis. Therefore, a psycho- correctional dialogue diff ers from a dialogue in its typical meaning of the informa on coveyance and exchange. In the ASPC, the informa on needs to be acquired based on the combina on of diagnosis and correc on, their measured use on various levels. A psychologist involved in the procedure specifi es only the backgrounds of objec fying and fi nding informa on of the depth cogni on in accordance to the dynamics of a dialogic interac- on within an immanent sequence of a respondent’s spontaneous ac vity. This enables the longitudinal inter- preta on of the respondent’s overall behavioural material. The psychologist’s interac on with the respondent actualises the detec on sequence of seman c parameters in spontaneity of the ac vity. The ques ons’ diagnos- c capacity of the given format is manifested in arousal of the mo va onal impulse of energy in accordance to meanings of seman c loads causing the impulses to act. A psychologist’s diagnos c accuracy is successful when their ini a ves meet the requirements of the implicit order including and considering all the previous behavioural material of the respondent from the begin- ning of the session. This determines the predic ve founda on for the psychologist’s next step and the catalysing power of the ques ons in triggering the respondent to ac vity. The implicit order exists in concordance with the energy potency of the respondent’s mo va on to the “P.↔R.” interac on. The respondent’s ac vity de- pends not only on the mo va onal forces of the latent characteris cs and their impact on behaviour, but also on the ini a ves’s arousal caused by certain visualised tools that act as the depth cogni on mediator. As I. Prigogine pointed out “...there is a need for a dialogue with the nature for its cogni on” (Prigogine, Stengers, 1986). This means that a psychologist not only can but also should infl uence the depth cogni on through a suffi cient diag- nosis, where the major assistant is probabilis c prognosis of the psyche’s implicit order. At the same me, the psychologist either can have or do have no professional rights to set and to infl uence the content of spontaneity, as well as to place accents independently beyond the predetermined order of the respondent’s involuntary ac- vity. The psychodynamic dialogue, on one hand, takes into considera on the subject’s energy potency mani- fested in the implicit order, and on the other hand, it is conducted under condi ons of the ini al opacity and obscurity of the individually predetermined respondent’s behaviour, especially under condi ons of the indepen- dent selec on of ar s c pain ngs replicas from an off ered range. In order to ensure the probabilis c prognosis and to predict the respondent’s behaviour risks, a psychologist should acquire skills in diagnos c-correc onal prac ces oriented to the respondent’s behaviour, which has been catalysed by the implicit order as the adept of the tangent nature of both areas of the psyche. This will provide the psychologist with the opportunity to get closer to the cogni on of the seman cs of the impera ve of certain “depth” psyche features that defi ne the transit of the life diffi cul es experienced by the subject, and exist beyond the effi ciency period of the “imprint eff ects” (fi xa ons). The priority of the dialogue (the way and sequence of the ques ons asked) over any other methodological techniques can be explained by the ability to reveal the depth psyche features in involuntary behaviours and ac vi es. The dialogue also prevents the psychologist from imposing the false “truths” upon the respondent. The transi onal and fi nal chains of the psychologist’s interpreta ve generalisa ons of the respon- dent’s spontaneous-behavioural material can assist in this procedure. Thus, in the depth cogni on, the psychologist acts as a trigger of the intrinsic-mo va onal impulses of the subject’s ac vity focussed on the representa ve self-visualising and objec fying their self-percep on. The ASPC organisa onal se ngs are crucial from the point of view of introducing a number of principles, namely absence of cri cism, judgements in black and white categories, imposed instruc ons, pieces of advice etc. The research demonstrates that the subject’s energy ac vity is infl uenced by the imprints of a perina- tal, pre-lingual period of a person’s development, which represents an addi onal argument for using non-verbal methods able to objec fy engrams, not represented verbally, fi xa ons of a pre-lingual period in depth knowledge. The interpreta on of the behavioural material obtained in spontaneous dialogic interac on makes it possible to reveal the contradic on between the logic of the conscious (declara on of a person’s desires and aspira ons) and the logic of behaviour. Analy cal interpreta ons of results encompass both verbal statements and nonverbal representants (pain ngs, moldings, stone cra s), which acquire the interpre ve equality in the 98

American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) ISSN 2474-9397 process of generalisa ons of the total behavioral material. The la er is understandable if the research focusses on the horizon of the tangent point of both areas of the psyche and considers their func onal incompa bility. If psychologists do not s ck to such methodological requirements in some types of ac vity, for example art- therapy, they are reduced only to visualisa on without further psychoanalysis. It nullifi es the possibili es to use the psyche’s willingess to “cooperate” in the process of its depth cogni on. The professionalism of a psychologist is in the ability to catalyse the process of dialogic achievements, to accumulate diagnos cally credible behavioural material that requires cu ng off “noise” behavioural material that is not essen al for depth cogni on of the psyche, for example philosophical or academical musings. It is im- portant to understand that under certain condi ons, a visualised representant (drawings, moldings etc.) may be shi ed to the category of “mediator” of depth cogni on. That fact is linked to subjec fying emo onal contents of a visualised representant with the individualised meaning. The presence of the impera ve energy of the “striving to the surface” unconscious manifesta on con- di ons is combined with the uncertainty of the subject’s behaviour forms. Consequently, it is signifi cant to understand the possibility of actualisa on the resistance mechanisms blocking the manifesta ons of the psy- che’s seman c aspects that are dangerous for the Ego’s self-esteem. The duty of a psychologist is to neutralise the resistance mechanisms, to move them apart, to alleviate and to weaken them. Abili es of the psychologist to make predic ons are meaningless without a sensible a tude to the psyche’s internal implicit order. The pro- per a tude contributes to the effi ciency of asking diagnos cally correct ques ons and making sugges ons to a respondent concerning the experience visualisa on based on the involuntary ac vity. Spontaneous objec fi ca on of the psyche’s unconscious meanings meets the requirements of the laws of the psyche’s posi ve disintegra on and its secondary integra on at the upper level of the subject’s psyche development. In the process of psychoanalysis, it is essen al to consider the unconscious as “striving to the surface”, on one hand, and as behaviourally camoufl aging its meanings, on the other hand. Consequently, a psy- chologist should be skilled not only in catalysing the unconscious manifesta on, but also in decoding its meaning (sense). This requires ability to make an extended analysis of the dialogue. The psychology’s coopera on with a respondent contributes to the amassing of the behavioural material, which is seman cally potent in the process of objec fying the psyche’s latent-seman c parameters requiring interpreta on. Under such condi ons, the dialogue becomes a catalyst of the psyche’s “energe c willingness” to reveal the behaviour predetermined character caused by unconscious factors. The implicit order, as men oned already, correlates with the boundary, with the so-called invisible hori- zon, the contact point of the conscious and the unconscious. With regard to the func onal incompa bility of both areas of the psyche, this order integrates the power fi elds “from both sides” (the conscious/ the unconscious). Therefore, expansion of the individually unique ini a ve may be associated with the presence illogicality and irra onality of tendencies, which are infl uenced by visualisa on in the subject’s spontaneous self-presenta on. In other words, the sequen al expansion of the respondent’s behaviour does not follow a logical order. This indicates the assimila on of seman c aspects of the psyche’s both areas, which are func onally incompa ble (asymmetric) by the implicit order. The implicit order objec fi es the psyche in the subject’s spontaneous be- haviour in a holis c and invisible way to the Ego. The appropriateness of the psychologist’s ques ons is sub- stan ated not only by their comprehensibility for the respondent, but also by their ability to actualise the en- erge c impulse of behaviour by “the other” area (the unconscious). Manifesta on of the implicit order can be fi gura vely comparable to the calendar, with the pages strictly arranged and that, however, can be full with the individualised and diametrically opposite contents. The psyche’s seman c parameters are unique and invisible for each respondent, as well as the sequence of their manifesta on outwards is. S. Leclaire wrote, “... the presence of “the other logic”, logic of the unconscious has been revealed only in the fi eld of the psychoanaly c experience. Moreover, it is absolutely necessary for those, who claim to conduct a thorough scien fi c study of the human psyche’s nature, to reckon with this “other logic” (Leclaire, 1978). The psychologist cannot observe and consider this exact “other logic”, as well as the implicit order in isola on. The “other logic” can be objec fi ed in the “P.↔R.” professional-dialogic interac on based on naturalness of the respondent behaviour as well as its professional catalysa on by the psychologist’s diagnos cally appropriate ques ons. Concerning the orienta on of the psychodynamic paradigm onto the “invisible horizon” of the contact of both areas, the psychologist’s understanding of the important character of the dynamics of the dialogic catalysing of the psyche’s implicit order in a par cular person is a prerequisite for a successful diagnos c-correc onal process. We can defi nitely point to an infl uen al energe c power of the unconscious in its infl uence on the nature of the 99

ISSN 2474-9397 American Journal of Fundamental, Applied & Experimental Research, 2017 / 3 (6) person’s spontaneous behavior. Expanding of the subject’s consciousness is due to the extension of recogni on of the psyche’s internal personal contradic ons that opens the prospects of fi nding a solu on. The psychocorrec onal eff ect is manifested in the psyche’s harmonising, enhancing its sensi vity and adaptability to a society. Thus, we can substan ate our a en on to the implicit order, which latently assimilates and integrates dominant “worries” of both areas, as well as coordinates dynamics of the subject’s spontaneous ac vity. The psychodynamic paradigm takes into account a programmed character of the unconscious determined by the in- exhaus ble “over defi niteness”, which indicates the need for the psychologist orienta on to the fact, that “the psyche is aware of everything”, including that the subject’s conscious Self is not. Summing up, we would like to emphasise that any act of spontaneous behaviour occurs with the assis- tance of the system of psychological defence mechanisms that camoufl age the nature of the psyche’s order. In regards to the types of the defence mechanisms iden fi ed by us, basal (“the horizontal”), and peripheral (“the ver cal”), the psyche’s single act always manifests at the junc on of “the ver cal” and “the horizontal”. In its explica on, the unconscious solves two problems: to manifest outwards and camoufl age its interests (the seman c parameters). Rebu al of this fact requires the psychologist’s skills in dialogical accomplishments of diagnos cally eff ec ve behavioural material with its consequent longitudinal interpreta on. In the process of interpreta on, verbal and nonverbal aspects of self-presenta on acquire an equival status, which corresponds to the fact of integra on of the conscious (verbal) and the unconscious (fi gura ve-symbolic) contents in the inner implicit order. The implicit order’s nature concealed from the Self ensures the order’s purity by means of infl uence of “socialisa on”, which actually gives birth to the Self. We are convinced that the energy centres of mnemonic imprints, which do not exist isolated from each other, play a foremost role in shaping the logic of the unconscious, ie the “other logic”. Such synthesis of im- prints eff ects, compared to the logic of the conscious, is caused by the process of irradia on of repressed energy, with integra on consequences to refl ects generally the category of “meta experienced” (“beyond experien al”) (Yatsenko, 2015). Because of the latent character of these processes, we cannot cognise this or that mnemonic imprint of repression as an autonomous factor in the subject’s behaviour. The process of synthesis is abstracted from the thema cally situa onal aspects of behaviour: it sets the vector of the subject’s internal willingness to act. Moreover, we can detect the poten al of unrealised (displaced) energy, which is manifested in the subject’s ac vity impulses mo va onally linked to the implicit order right behind that vector. Therefore, the specifi cs of the repressed not available for cogni on, refers to the over experien al synthesis of the tangent point of both systems of the psyche: the conscious / the unconscious. Methodological strictness of depth cogni on is manifested in the adherence to the established psyche’s aspects that open up in the unique dynamics for each subject. As a result, the individualised psychocorrec on eff ect is achieved through the objec fi ca on of informa on, which has been beyond percep on, and which opens the prospects of resolving internal stabilised contradic ons set by the subject and s mulates personal harmonisa on (homeostasis) of the psyche at all levels including structural, energe cal and func onal ones. In lieu of conclusions: Let us appreciate the subject’s psyche for “being aware of everything” and for allowing a professional to rely on it in the process of giving the subject diagnos c-correc onal help through expanding social-perceptual knowledge, as well as developing refl ec ve intelligence. Special recogni on goes to the implicit order for its objec vity and ability to catalyse the process of depth cogni on and self-knowledge of a respondent energe cally. This mo vates and op mises the “P.↔R.” dialogical interac on and off ers the prospects of the psyche’s scien fi c cogni on. Addi onal gra tude goes to the Self for its social progressive character and aspira ons to expand of knowledge about itself; for mo va on for self-cogni ve interest; for the ability to create the psyche’s represen- ta ve visualisa on in its objec fi ed forms, which are informa onal equivalents. The subject’s consciousness deserves apprecia on for the following: • non-interference in the displacement processes of the preconsciousness (the unconscious) forma on specifying the objec ve nature of the psyche’s depth parameters; • the community (an nomy) of rela onships of the psyche’s substructures (not just the antagonism of the Super-Ego and the Id); • the psyche’s opportuni es to preserve of informa onal equivalents in the process of transforma on of the ideal [the psyche’s one] reality into the objec ve (available for the researcher in order to perceive and inter- pret) determined by the ac vity of the language of the fi gura ve-symbolic representa ons archetypes; • reciprocal func onal involvement of the areas the conscious and the unconscious with the invisible boundaries (horison) of a contact point of the psyche’s areas, maintaining their autonomy and func onal 100