Health ministry of republic of moldova the university of medicine and pharmacy nicolae testemiţanu

Partial or total denial of disease. 
–
Depression. 
–
Anxiety. 
–
Resignation. 
–
Emotional and behavioral regression (egocentrism, social de-
pendence, affects, aggression, depression, etc 
–
Evasion and responsibility escape. 
–
Informational contagious because of decreasing critical sense 
and anxiety. 
4. The patient’s attitude toward sickness 
The acceptance of the disease
implies acknowledging the disease 
and accepting the illness role. It can be: 
–
realistic,
rational balanced,
with a satisfactory cultural level), 
lead to medical consulting and treatment adherence. 
–
unbalanced 
(in neurotic persons, personality disorders, etc.) 
divided by: 

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43 
–
the ignorance of the disease
(in mentally retarded persons, psy-
chiatric, neurological patients, low cultural level, or focalized on other 
problems). 
–
the denial of disease
which implies delay of medical consulting 
by hoping that it will pass by.
 
A basis of good resistibility of illness, in N.I. Rejnvalda's (1978) 
opinion, properties of an organism, nervous system, and their concrete 
diffraction in requirements inherent in the given person, aspirations and 
in activity induced by them are not in themselves. The active vital 
position and, accordingly, intensive counteraction of illness, as a rule, 
are based on the account of interests of a society. Patients, for whom ap-
preciable social interests are characteristic, actively cooperate with the 
doctor during treatment.
The major precondition of successful treatment
is development of 
conscious motivation on active overcoming of illness. 
Many researchers surveyed various aspects of a problem "the per-
son and illness ", putting forward the concepts connected to emotional – 
personal reaction of the patient on disease: "experience of illness". The 
problem "patient - illness", knowledge represents patients of the illness 
the big interest, however thus it is necessary to take into account influen-
ce of psychogenic factors, an emotional condition of the patient, a con-
stant mutual induction of the patients discussing each sign and illnesses 
each other, possible complications, character of treatment, the forecast, 
etc.
Formation of an estimation of illness is influenced with contact to 
seriously ill patients, the data gathered from conversations with relations 
and familiar, with the personnel and other persons.
At the analysis of an 
autoplastic picture of illness
 
of R. Konechnyj 
and M. Bouhal (1974) result the following typology of the attitude to 
illness:
1.
Normal,
that is corresponding to a condition of the patient or that 
reported to it about disease.
2.
Scornful (disrespectful),
when the patient underestimates gravity 
of disease, it is not treated, concerning the forecast shows unreasonable 
optimism. 
3.
Denying,
at which the patient " does not pay attention " to illness, 
drives away from itself ideas about it, does not address to the doctor. 

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44 
4.
Nosophobic, when the patient disproportionately is afraid of the 
illness, it is repeatedly surveyed, changes doctors, his fears are 
exaggerated, but cannot struggle with them. 
5.
Hypochondriac, at which the patient is convinced that suffers 
serious disease.
6.
Nosophilic, connected with "the certain calm and pleasant fee-
lings at illness.
The strongest positive takes of psychotherapy are reached, wrote V. 
I. Mjasishchev (1970) if it is possible not only to change the attitude of 
the patient to immediate psycho traumatic circumstances, but also his 
vital positions as a whole.