Dynamics of a Pathopsychological set of symptoms of a personality when overusing opioids

Keywords: opioids, dynamics, pathopsychological set of symptoms, addiction, personal changes, addict behavior, mental dependence.


In the article, based on the research of patients’ personalities with indications of addiction to opioids, structure and dynamics of a pathopsychological set of symptoms, considering the severity of sickness, were detected.

Systemic disorders in different mental areas were stated. In the way of thinking: forming the system of denial that is directed to displace in the conscience different types of damage related to overuse; «thinking by desire», decreasing the critical problem assessment that is related to overuse, with formally keeping the operational thinking component. In the motivational area: forming motivational dominant, in the center of which there are motives of overuse with displacement of earlier significant motives, deformation of personality’s orientation and motivation of the behavior, lack of motivation to change their life. In the emotional and self-regulation area: «balance of emotions», «compulsory emotional regulation»; self-regulation disorders, absence of planning steps in a complex willed action, impulsiveness of the behavior, defect in the area of moral feelings. In the area of self-esteem and «I concept»: self-esteem and self-identification disorders. The following was typical: absence of planning the future, breaking social connections, narrowing the circle of friends, disorder of interpersonal relationship.

Depth and a variety of pathopsychological set of symptoms of drug addiction cause a necessity of intensive, long-lasting psychocorrection, that have to consider the specifics of personal defect on each step of the treatment.


1. Big encyclopedia of psychological tests, (2006) (Ed. Karelin A.). Moscow: EXMO. (in Russian).
2. Dvoriak, S.V., Prib, H.A., & Shtenhelov, V.V. (2011). Впровадження замісної терапії для лікування опіоїдної наркоманії [Introduction of substitution therapy in the treatment of opium addiction. Mental health. 4 (33) (in Ukraine).
3. Dvoriak, S. V., Vlasenko, L.V., Dumchev, K.V., Karachevsky, A.B. (2012). Підтримувальна терапія опіоїдами [Opiate agonist maintenance therapy]. Methodological guidance. Kyiv: UIDPHZ. (in Ukraine).
4. Zavyalov, V.U. (1988). Психологические аспекты формирования алкогольной зависимости [Mental aspects of the formation of alcohol addiction]. Novosibirsk: Science. (in Russian).
5. Korolenko, Ts.P., & Donskykh T.A. (1990). Семь путей к катастрофе [Seven paths to disaster]. Novosibirsk: Science. (in Russian).
6. Landa, A.N. (1989). Некоторые вопросы изучения личности и познавательной деятельности у больный опийной наркоманией [Some the questions of the study of personality and cognitive activity in a patient with opium]. Come problems of drug addiction and addiction substance. Moskva. (in Russian).
7. Lychko, A.E., & Bytenskyi, V.S. (1991). Подростковая наркология [Teenage drug addiction]. Moscow: Medicina. (in Russian).
8. Milutina, E.L. (1991). Особенности эмоционально-волевой регуляции в условиях внутриличностного конфликта на примере наркозависимости [Features of the emotional-volitional regulation in conditions of intrapersonal conflict on the example of drug addiction] Abstract of the dissertation of the cand. psychol sciences]. 19.00.01. Kiev. (in Russian).
9. Наркологія. Національний підручник для лікарів [Narcology/ National textbook for drug addicts for neurologists]. (Edit. Sosin, Yu.F. Chuieva, I.K). Kharkiv: Kolegium. (in Ukraine).
10. Психиатрия и наркология [Psychiatry and Narcology]. (2020). (Red. prof. Havenko, V.L., & chl.-kor, AMN Ukraine Bitenskyi, B.S.). Kharkov: Medicina. (in Russian).
11. Питання впровадження замісної підтримуючої терапії в Україні: Науково-практична та методична збірка. [Questions of the introduction maintenance therapy in Ukraine] Scientific practical and methodological collection]. Kyiv. (in Ukraine).
12. Pyatnitskaya, Y.N. (1994). Наркомании: Руководство для врачей. [Addiction. Guides for Physicians]. M: Medicina. (in Russian).
13. Sosin, Y.K. (1997). Наркомания: клинико-терапевтический аспект [Drug [Adduction: klynyko-terapevtycheskyi aspekt]. Kharkiv: Medical Journal. 1.(in Russian).
14. Shaidukova, L.K., & Koblova, E.V. (2009). Структура психопатоподобных расстройств у больных наркоманией [Structure of psychopathic disorders in drug addicts]. Journal of Social and clinical psychiatry]. XIX, №2. (in Russian).
15. Castel, S., Scivoletto, S., & Andrade A.G. (1979). Predictors of prognosis for Drug Dependence, 3 Month of Treatment. X World Congress of Psychiatry. Madrid, August 23-28, V.2. (in English).
16. Craig, R.J. (1997). Personality characteristics of heroin addicts: A review of the empirical literature with critique - Part 1. International Journal of the Addiction. Vol. 14. (in English).
17. DAunno, T., Vaughn, T.E. (1992). Variations in methadone treatment practice. JAMA. Vol. 30. (in English).
18. Edvards, G. (1997). Personality and Addiction J. Adnorm. Psychol. Vol.86.
19. Hewett, B.B.& Martin, W.R. (1980). Psychometric comparisons of sociopaths and psychopathologist behaviours alcoholics and drug abusers versus a low drug use control population. Int. J. Addict. Vol. 15. (in English).
20. Leinbaum, R.& Debski, U.J. (1993). Methadone dose and heroin use during maintenance treatment. (in English).
21. O’ Malley, S.S. (1995). Integration of opioid antagonist and psychosocial therapy in the treatment of narcotic and alcohol dependence. J. Clin. Psychiatry. Vol.56. (in English).
22. Narcotic Drugs: Estimated World Requirement for 2020. Statistics 2018 (E/INCB/2019/2) UN Organizatioт. Vena. (in English)
23. Penk., M.E. (1980). An MMPI Comparison of Double Addicts and Heroin Abusers. J. Abnorm. Psychol. Vol.89. (in English).
How to Cite
Lysenko, I. (2021). Dynamics of a Pathopsychological set of symptoms of a personality when overusing opioids. Kyiv Journal of Modern Psychology and Psychotherapy, 2, 30-52. Retrieved from https://mpp-journal.com/index.php/journal/article/view/10