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



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Medical psychology.book

The period of disease:
There is a characteristic evolution of the 
disease, when the etiopatho-genetic complex has the determinant role 
but the reactivity of the body influences the clinical presentation. This 
reactivity is also responsible for some nonspecific clinical presentations, 
seen especially in severe diseases and which can be more important in 
the prognosis of the disease than the diagnostic itself. 

The end of disease.
There are 3 possibilities: 
recovery, chronic 
evolution 
and 
death. 
Recovery
means reestablishing integrally the functional and adapti-
ve balance of the body. In this case there is a mobilization of defense 
mechanisms, etc. There is a positive finalization of all processes taking 
place during the illness, but the reactivity of the body is modified (for 
example: the antibodies produced during a contagious disease). 
Chronic evolution 
implies a partially recovery, when the equili-
brium is very fragile, persisting some sufferance, waving evolution. 
Another possibility is the recovery with some defects, inducing su-
fferance, handicap, but without affecting the adaptive possibilities of the 
body.
Clinical death 
of 5-6 min., induces a hypoxia and some ire-
versible lesions in SNC. Biological death follows the lesions produced 
in clinical death. 
A
 mental disease 
is seen as a disturbance at different level of psy-
chic structure. It can appear in a period of normal body functioning. 
Mental disease induces an adaptive difficulty to personal and social 
level. It obstructs personal development, the ability to self fulfillment 
and creativity.
Most of mental disorders are caused by an enormous amount of 
misery, economic loss and decreased quality of life of individuals, and 
their families and their communities. At least 300 million people suffer 
from mental disorders, and it is probable that one third of all disability is 
caused by them. 
The internationally recognized classifications of mental disorder, 
included as part of the International Classification of Diseases 

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