LECTURE N 1 For the II-nd year students taking the course in medical psychology Topic: "THE SUBJECT, METHODS AND TASKS OF GENERAL AND MEDICAL PSYCHOLOGY: THE FUNDAMENTALS OF PSYCHODYAGNOSTICS AND PSYCHOHYGIENE. THE DEVELOPMENT OF PSYCHOLOGY AND PSYCHOLOGIC SERVICES IN UKRAINE AND IN THE WORLD". GENERAL PSYCHOLOGY, as you've already known, is the science that deals with the behavior and mental processes of living beings - consciousness, sensation, thinking, memory, etc. There are several formal definitions of psychology. For example, it can be called a scientific study of the regularities of the living creatures' mental life, behavior, manifestations and creations (R. Konechny and M. Boukhal, 1983). The authors of this definition speak of the living creatures because one branch of psychology deals with the animals' behavior. Behavior is the means by which organisms adjust to their environment, their actions. By "manifestations" of mental life they mean gestures, facial expression, body posture, etc. that can help to understand mental processes if they are correctly interpreted. Creations are not only individual or collective works of art, books buildings, etc. produced by people, but also nests built by animals. They can tell us a lot about the inner life of their creators. Naturally, in most cases we deal with human psychology. General psychology is divided into theoretical and applied parts. APPLIED psychology aims at the utilization of all knowledge, existing in the field of psychology and sciences related to it (sociology, etc.), in order to achieve optimal effectiveness in any field of activities. Applied psychology is ordinarily subdivided according to the area of its application; e.g. business psychology, ducational psychology, industrial psychology. MEDICAL PSYCHOLOGY is a branch of medicine. applied psychology related to This branch of psychology borders upon psychiatry and other clinical disciplines, because it concerns the changes that occur in the patients' mentality, caused by different diseases. But psychiatry deals with the symptoms and syndromes of mental disorders, reasons of their development, their treatment (mostly using chemical medicines) and prevention, whereas medical psychology compares normal and pathological mental functioning, and speaking of treatment, uses only different kinds of psychotherapy and not medicines. Its PURPOSES and TASKS are as follows: - to investigate psychological factors that influence the course of the diseases, their prevention and treatment; - to explore the impact of different factors on the mentality; - to study the development of the mentality and its disturbances; - to investigate the relationships of the patients with the medical personnel and the hospital environment; - to work out and use psychological testing and other methods of investigation in the clinical practice; and - to develop the principles of psycho- hygiene and psychoprophylaxis; - to create and apply the methods of psychotherapy. The SUBJECT of medical psychology is usually an individual - an infant, a teenager athlete, a student adjusting to life in a dormitory, a man in a mid-life crisis, a grandmother coping with the stress on handling of the baby of her unmarried, adolescent daughter. Different METHODS OF INVESTIGATION are used in psychology. They are: 1. Method of direct observation a) of the individual's own mental life (introspection) and b) direct observation of the behavior, manifestations and creativity in others (extraspection); 2. Methods of controlled observation a) natural experiment - purposeful experimental observation in the natural conditions; b) laboratory experiment - in a laboratory, using special equipment. 3. The controlled conversation (psychological interview); and 4. psychometric methods. The most well known of them are psychometric methods or psychological testing. It is necessary to note, that in the Ukrainian native literature the term "psychological diagnostics" is used more often than "psychometrics" and their meanings are similar. The term "psychometrics" has a wider meaning than "psychological testing". As The field of psychometrics works out how to make the observations best, classify them, and go from the empiric categories themselves to quantitative data. In general psychological measurement, psychometrics, concentrates on the ways of treatment of the observations data, rather than upon instrumentation for the actual gathering of the data. Psychometrics is usually divided into three subfields: scaling, test theory, and factor analysis. There is a great number of different psychological tests. They are used to assess separate mental functions, such as memory, attention, thinking, motivation, etc. More complicated tests are designed to investigate intelligence and personality. Every test consists in some task that a patient is offered to do, for example to memorize a number of words, figures or sentences; to find missing details on pictures; to make up a picture story; or to fill in a questionnaire. There are verbal and nonverbal tests. At every class while learning about different mental functions, you will also learn about the tests designed for their investigation. TIES to OTHER DISCIPLINES. Psychology is unique because of its ties with so many different areas of knowledge. It is a social science, a brain science, a cognitive science and also a health science. As one of the social sciences, psychology is connected with economics, political science, sociology, and cultural anthropology. Because it systematically analyzes behaviour along with its causes and consequences, psychology is a behavioral science. Psychologists share many interests with researches in biological sciences, especially with those who study brain processes and the biochemical bases of behavior - anatomy, physiology, etc. As the part of the emergent field of cognitive science, psychologists' questions about how the human mind works are related to research and theory in computer science, artificial intelligence, and applied mathematics. As a health science - related to medicine, education, law and environmental studies - psychology aims to improve the quality of our individual and collective well-being. Psychology also retains ties to philosophy and fields of the humanities and the arts, such as literature, drama, and religion. A PSYCHOLOGIST is a person trained as a professional in the science of psychology. A CLINICAL PSYCHOLOGIST usually holds a doctor's degree as he has passed the course of an accredited training programme. Whether working individually or in a clinical (treatment) team, a clinical psychologist applies psychologic principles to the therapeutic treatment of the mental, emotional, and behavioural disorders and malformation of individual and group development. In addition a clinical psychologist is skilled in psychological testing and other kinds of research and has assumed increasing importance in evaluating the effectiveness of mental health services and in planning of clinical programs. PSYCHOANALYSTS are therapists, either psychiatrists or clinical psychologists, with additional specialized training in the principles of psychoanalysis developed by Sigmund Freud and his followers. Most psychologists in the whole world work at academic institutions (universities, colleges and medical schools). Nearly one-fourth of psychologists work at various public institutions, such as hospitals, clinics, and mental health and counselling centers. PROFESSIONAL ROLES. In the Western countries clinical psychologists tackle not only mental illness, but also juvenile delinquency, drug addiction, criminal behavior, mental retardation and family conflict. Counselling psychologists are tained as clinical psychologists, but they often work on problems of less significant nature, and the treatment they provide is usually shorter in duration. Community psychologists work in community institutions delivering social and psychological services to the poor, minorities, immigrants or homeless people. In Ukraine psychologists are trained at the psychologic faculties of the universities or pedagogical institutes. They get their diplomas in general psychology. As many Western psychological schools were forbidden to be studied in the former Soviet Union, the training in this field was rather limited. Now this profession has became more popular and is in the process of its active development. Psychologists who work in mental hospitals carry out psychological testing and consult the psychiatrists as to the patients' state and the best approach to psychotherapy. They also take part in forensic expert examinations of offenders. Few psychologists trained at universities are skilled in psychotherapy. Psychotherapeutists in country must have medical education and specialization in psychiatry. As it was mentioned before, medical psychology has several purposes and tasks. Thus, it includes a number of BRANCHES. Here are some of our them. MENTAL HYGIENE is the science and practice of maintaining mental health and efficiency - raising two purposes: the first, to develop optimal modes of personal and social conduct in order to produce the happiest utilization of inborn endowments and capacities; and the second to prevent mental disorders. PROPHYLAXIS, as you've already known, is a branch of medical science that has to do with protection against the onset of a disease or disorder. For example, in psychiatry the treatment of a person showing marked schizoidism is an effort, termed prophylaxis, to prevent the development of schizophrenia. PREVENTION of mental disorders can be: PRIMARY - promotion of mental health and prevention of psychosocial disorders; SECONDARY early case-finding; and TERTIARY (rehabilitation) - the return of the identified patient to his peak potential of functioning. PSYCHOTHERAPY is a form of treatment for mental illness, behavioral disorder and/or other that is assumed to be of emotional nature, in which a trained person deliberately establishes a professional relationship with a patient for the purpose of removing, modifying or retarding existing symptoms, improving the existing disturbed patterns of behaviour and of promoting positive personality development. There are numerous forms of psychotherapy - ranging from guidance, counselling, persuasion and hypnosis to reeducation and psychoanalytic reconstructive therapy - and many possible application for each form including somatic symptoms, interpersonal conflicts, neuroses and many other mental problems. But in general it may be said that all forms of psychotherapy in all their applications use the relationship between the patient and the therapist to influence the patient and help him to change his old maladaptive response patterns to better ones. PSYCHOLOGY HISTORICAL FOUNDATIONS "Psychology has a long past, yet its real history is short", wrote one of the first psychologists- experimentalists Herman Ebbinghaus (1908). He went on to note that psychology's long past had stretched back for thousands of years, but it was characterized by little progress or systematic development. Although forms of psychology existed in ancient Indian Yogic traditions, the roots of modern psychology lie in ancient Greece. In the fourth and fifth century B.C., the classical philosophers Socrates, Plato, and Aristotle began rational dialogues about how the mind worked, the nature of free will, and the relationship of individual citizens to their community state. While these philosophers and their followers posed fundamental questions about what it meant to be a rational, sensitive, responsible human being, the proof for their answers was limited to the power of logic and persuasion. The formal start of modern psychology can be refered to last century ago. In 1879, in Leipzig, Germany, Wilhelm Wundt, who was probably the first person to refer to himself as a psychologist, founded the first laboratory in experimental psychology. In the late 1880s German physicists, and philosophers began to challenge the notion that the human organism was special in the great chain of being, demonstrating that natural laws determined human actions. Herman von Helmholtz, trained as a physicist, conducted simple but exhibiting experiments on perception and the nervous system. He was the first to measure the speed of nervous impulse. At about the same time another German, Gustav Fechner, began to study how physical stimuli were turned into sensations to be taken for psychologically. Like Wundt, von Helmoltz and Fechner operated on the assumption that psychological processes could be studied objectively by using experimental methods adapted from natural sciences, such as physics and physiology. They believed in determinism, the doctrine that physical, behavioral, and mental events are determined by specific causal factors. Among Wundt's disciples was Edward Titchner, who with his new laboratory at Cornell University, became one of the first American psychologists. William James, a Harvard professor, developed a unique American psychological school. In 1890 he published a two-volume book "The Principles of Psychology". STRUCTURALISM: THE CONTENTS OF THE MIND. When psychology became a laboratory science organized around experiments,its unique contribution to knowledge was recognized and established. In Wundt's laboratory executives made simple responses (saying yes or no, pressing the button) to stimuli they perceived under conditions varied by laboratory instruments. An emphasis on experimental methods, a concern for precise measurement and statistical analysis of data characterized Wundt's psychological tradition. Titchener's approach in psychology is known as STRUCTURALISM, the study of the structure of mind and behaviour. The method of choice at that time was introspection, a systemic examination of one's own thoughts and feelings. Structuralism was based on the presumption that all human mental experience could be understood as the combination of simple events or elements. The goal of this approach was to reveal the underlying structure of the human mind by analyzing all the basic elements of sensations and other experience that formed an individual's mental life. Many psychologists attacked structuralism on three fronts: (a) it was reductionistic because it reduced all complex human experience to simple sensations; (b) it was elemental because it sought to combine parts into a whole rather than study the variety of behaviours directly; and (c) it was mentalistic because it studied only verbal reports of human consciousness, ignoring the study of subjects who could not describe their introspections, including animals, children and the insane people. FUNCTIONALISM: MINDS MAKING A CERTAIN PURPOSE. For William James, one of the greatest American psychologists, the study of consciousness was not reduced to elements, contents and structures. Instead, consciousness was an ongoing stream , a property of mind in continual interaction with environment; thus the acts and functions of mental processes were of significance, not the contents of the mind. FUNCTIONALISM gave primary importance to learned habits that enabled organisms to adapt to their environment and to function effectively. For functionalists the key question to be answered by research was "What is the function or purpose of any behavioural act?" The founder of the school of functionalism was American philosopher John Dewey. It emphasized adaptation to the environment and the practical utility of action through study of an intact, functioning organism, interacting with its environment. Functionalists rejected the structuralist notion that the mind should be analyzed in terms of its contents; they thought instead to discover its functions, utilities and purposes. Although James believed in the importance of careful observation, he put little value on the rigorous methods of Wundt. In James' psychology there was a place for emotions, self, values, and even religious and mystical experience. His "warmblooded" psychology recognized a uniqueness in each individual that could not be reduced to formulae or numbers from test results. For James, explanation rather than experimental control was the goal of psychology. EVOLUTIONISM: NATURAL SELECTION OF SPECIES. Evolutionism perceives all species as ever changing branching lineages. Darwin's theory pushed humans out of the centre spotlight of existence by giving them a common ancestry with other animals. Many psychologists have attempted to distinguish the contributions to human behavior and traits of NATURE, or hereditary influences, from the contributions of NURTURE, or environmental influences. From an evolutionary viewpoint, this distinction seems odd. Nature and nuture are intertwined - our evolved, inherited nature determines how and why environmental influences will effect us throughout our lifetime. With this insight, evolutionary theory recently has started to influence our understanding of human cognition and motivation through the field of EVOLUTIONARY PSYCHOLOGY. Evolutionary theory continues to play a fundamental role in comparative psychology, the study of behavior across different animal species. CURRENT PSYCHOLOGICAL PERSPECTIVES. Each perspective - biological, psychological, behavioristic, cognitive, humanistic, and evolutionary - defines a different area that is important in the study of psychology. The level of analysis may range from micro to macro. The level of analysis also varies in its temporal focus, concentrating on either the past, present or future. Some psychologists look to the past experiences to explain present behavior, and some focus on the present, for example, studying the emotions. Still others study the future events, investigating the goal setting will influence the educational performance of underachieving students. The six conceptual approaches can also be understood as wide conceptual models - simplified ways of thinking about the basic components and relationships among phenomena in a field of knowledge. A MODEL represents a pattern of relationships found in data or in nature and attempts to duplicate or imitate that pattern in some way. The BIOLOGICAL APPROACH guides psychologists who search for the causes of behavior in the functioning of genes, the brain, the nervous system, and the endocrine system (controlling hormones). According to this biologically based model, an organism's functioning is explained in terms of underlying physical structures and biochemical processes. The four assumptions of this approach are that (a) psychological and social phenomena can be understood in terms of biochemical processes; (b) complex phenomena can be understood by analysis, or reduction into even smaller, more specific units; (c) all behavior or behavior potential - is determined by physical structures and largely hereditary processes; and (d) experience can modify behavior by altering these underlying biological structures and processes. The task of researchers is to understand behavior at the most precise micro and molecular levels of analysis. In the past this approach was called physiological psychology, and now with greater focus on unlocking the secrets of brain functioning these researchers refer to themselves as neuroscientists. According to the PSYCHODYNAMIC APPROACH, behavior is driven, or motivated, by powerful inner forces. In this view, human actions stem from inherited instincts, biological drives, and attempts to resolve conflicts between personal needs and society's demands to act appropriately - action is the product of inner tension, but the main purpose of our actions is to reduce tension. Motivation is the key concept of the psychodynamic model. Deprivation states, physiological arousal, conflicts and frustrations provide the power for behavior just as coal fuels the steam locomotive. In this model the organism stops reacting when its needs are satisfied and its drives reduced. Psychodynamic principles were most fully developed by Sigmund Freud, who was one of the most well-known psychologists of the late nineteenth - early twentieth centuries. We shall speak more about his theory at one of the following lectures. Those who follow the BEHAVIORISTIC APPROACH are interested in overt behaviors that can be objectively recorded. They are not concerned with biochemical processes or inner motivations that are inferred "psychic" phenomena. Behaviorally oriented psychologists look to specific, measurable responses - blinking an eye, pressing a lever, saying yes following an definite stimulus (a bell or a light) for their data. BEHAVIORISM - this term was coined by John B. Watson in 1913 to indicate that all habits might be explained in terms of conditioned endocrine and motor reaction. Watson was influenced by the work of Russian physiologist I.P. Pavlov, who's primary interest was in the physiology of the learned relationship, known as conditioned. Behaviorism as a psychological school holds that the subject matter of human psychology is the behavior or the activities of the human being. Classical behaviorism stated that all behaviour was to be understood in term of the stimulus- response formula; the organism, thus, was essentially passive and could only react to stimulation. Modern behaviorism, for example Skinner's operant behaviorism, avoids a mechanistic view of human nature, but from Skinner's point of view psychology could be described as scientific only if it restricted itself to the study of behavior in the environment and its changes according to the results of its influence. The centerpiece of COGNITIVE APPROACH is human thought and all the processes of knowing - attending, thinking, remembering, expecting, solving problems, fantasy and consciousness. From the cognitive psychology point of view people act because they think, and people think because they are living beings uniquely adapted to do so due to nature's design of our brain. In the seventeenth century, the French philosopher Rene Descartes declared, "I think, therefore I am." Personal thoughts give meaning to all experiences and shape perceptions and responses to the world. According to cognitive psychologists, the process of information receiving about a stimulus is at least as important in determining behavior as is the stimulus input itself. These psychologists also assert that humans are not simply reactive creatures in this process but are also active in choosing and creating individual stimuli environment. An individual responds to reality not as it is in the objective world of matter, but as it is in the subjective reality of the individual's inner world of thoughts and imagination. In the cognitive model, behavior is only partly determined by preceding stimuli events and past behavioural consequences, as behaviorists believe. Some of the most significant behaviour forms emerge as a result of new ways of thinking, and not as a result of predictable ways used in the past. Cognitive psychologists study thought process on both molecular and macro levels. Psychologist Herbert Simon won a Nobel Prize for his research how people make decisions under the conditions of uncertainty, that is without all the relevant information. Albert Bandura incorporates cognitive events in his explanations of social learning, cognitively based psychotherapy and even in the analysis of terrorism. HUMANISTIC PSYCHOLOGY appeared i the 1950s. It is an orientation that rejects both the quantitative reductionism of behaviorism and the psychoanalytic emphasis on unconscious forces in favour of a view of man as uniquely created and controlled by his own values and choices. Through experimental means, each person can develop his greatest potential, or self-actualization. Humanistic psychology is related to human potential movement and its encounter groups, growth centers, sensitivity training, etc. According to the followers of the humanistic approach people are active creatures who are innately good and capable of choice. The main task of human beings is to strive for growth and development of their potential. The humanistic psychologist studies behavior, but not by reducing it to components, elements and variables in laboratory experiments. Instead, psychologists look for patterns in life histories of people. In contrast with behaviorists they focus on the subjective world experienced by the individual. Humanistic psychologists deal with the whole person, practicing the holistic approach to psychology. Three important contributors to this approach were Carl Rogers, Rollo May, and Abraham Maslow. Carl Rogers emphasized the individual's natural tendency towards psychological growth and health and the importance of a positive self-concept in this process. Rollo May was one of the first psychologists to explore phenomena such as anxiety from the perspective of the individual. May also integrated aspects of existential philosophy into this new psychological approach. Abraham Maslow postulated the need for selfactualization and studied the characteristics of people he judged to be self- actualized. The concept of behavioural and mental adaptation is the basis of the EVOLUTIONARY APPROACH. Evolutionary psychology differs from other perspectives most fundamentally in its temporal focus on the extremely long process of evolution as a central explanatory principle. Evolved psychological adaptions cannot really be characterized as good or evil - they are only designs that happened to have been selected in particular environments. Table 1. COMPARISON OF SIX APPROACHES TO MODERN PSYCHOLOGY -----------T-------------T------------T------------T-----------------¿ ³Approach ³View of Human³Determinants³Focus of ³Primary ³ ³ ³Nature ³of Behavior ³study ³Research ³ ³ ³ ³ ³ ³Approach ³ ³ ³ ³ ³ ³studies ³ +----------+-------------+------------+------------+-----------------+ ³Biological³Passive ³Heredity ³Brain and ³Biochemical ³ ³ ³Mechanistic ³Biochemical ³nervous ³basis of behavior³ ³ ³ ³ processes ³system ³and mental ³ ³ ³ ³ ³processes ³processes ³ +----------+-------------+------------+------------+-----------------+ ³Psycho³Instinct³Heredity ³Unconscious ³Behavior as overt³ ³ dynamic ³ driven ³Early ³ drives ³expression of un-³ ³ ³ ³ experiences³Conflicts ³conscious motives³ +----------+-------------+------------+------------+-----------------+ ³Behavio- ³Reactive to ³Environment ³Specific ³Behavior and its ³ ³ ristic ³ stimulation ³Stimulus ³overt ³stimulus causes ³ ³ ³Modifiable ³ conditions ³responces ³and consequences ³ +----------+-------------+------------+------------+-----------------+ ³Cognitive ³Creatively ³Stimulus ³Mental ³Inferred mental ³ ³ ³ active ³ conditions ³ processes ³processes through³ ³ ³Stimulus ³Mental ³Language ³behavioral ³ ³ ³ reactive ³ processes ³ ³indicators ³ +----------+-------------+------------+------------+-----------------+ ³Humanistic³Active ³Potentially ³Human exspe-³Life pattern ³ ³ ³Unlimited in ³ self³ rience and ³Values ³ ³ ³ potential ³ directed ³ potentials ³Goals ³ +----------+-------------+------------+------------+-----------------+ ³Evolu³Adapted to ³Adaptations ³Evolved ³Mental mechanisms³ ³tionary ³solving prob-³and environ-³psychologi- ³in terms of ³ ³ ³lems of the ³mental cues ³cal adap³evolved adaptive ³ ³ ³Pleistocene ³for survival³tations ³functions ³ ³ ³era ³ ³ ³ ³ L----------+-------------+------------+------------+-----------------THE DEVELOPMENT OF PSYCHOLOGY IN UKRAINE. An important cultural, scientific and educational centre in Ukraine was the Kiev Mogilyanskaya Academy (1589 - 1812). Several well-known historical figures had graduated from it, for instance G. Skovoroda, the worldwide known philosopher, psychologist and writer, F. Prokopovitch, the ideologist of the state reforms, carried out by Peter the I, and many others. One of the tasks of this educational institution was to prepare students for the Medical Surgical Academy in St. Petersburg. In the psychological scientific works prepared by the teachers of the Kiev Mogilyanskaya Academy (most of these works remained as manuscripts) the authors synthesized the antique (especially Aristotle's) ideas with ideas of patristics and enlightenment. They developed concepts concerning the essence of the soul (psyche) in general, the role of growth and reproduction, as well as the body sensitivity in the forming of mental qualities, studied the essence of intellect and freedom of will. Focus was made on the issue of motivation of human behaviour and actions. As it was mentioned, psychology became an independent science in the middle of the XIX century. In 1862 in the Kiev Spiritual Academy the department of psychology was opened and in some years M. Troitsky founded a psychological laboratory (you remember, that officially the beginning of scientific psychology is attributed to 1879, when the German psychologist Wundt opened his experimental psychological laboratory in Leipzig). Later Troitsky was invited to work in St. Petersburg. His colleague P. Yurkevitch, who's main work was "The Heart and Its Role in the Human Spiritual Life", and who was one of the outstanding theorists of the pedagogical thought in the XIX century in Russia, also left Kiev to work in Moscow. It should be noted that most psychologists after their first scientific successes left their native cities and worked in big Russian centers - Moscow and St. Petersberg. This can be easily understood because in the biggest cities the laboratories were better equipped, there were better libraries and more contacts with outstanding scientists. Therefore a specialist who had good references in his home city went to the center. This was also promoted by the governmental policy of centralization of all the cultural and scientific life. The next stage of development of psychology was represented by professors I. Sikorsky and G. Chelpanov. Sikorsky is the author of a unique work "Illustrated General Psychology with Physiognomics". This monograph was the summary of the scientist's activities. At the beginning of his career he carried out experimental investigations of mental processes. The results of his studies were summed up in his monograph "On the Phenomena of Fatigue in Mental Work in School Children". Sikorsky stressed the importance of psychological culture in the mental health service. He promoted the dissemination of the idea that psychiatrists should have a deep knowledge of psychology. He developed the issues of pathologic psychology too, and therefore is considered one of the founders of pathologic psychology in our country. I. Sikorsky was well known abroad. His book "On the Phenomena of Fatigue ..." was translated and published in Belgium and France the same year it was published in Russia, and the following year it was issued in England. His other books, "A Child's Mind", "On Stuttering" and some others were published abroad too. They were used as textbooks in Germany. I. Sikorsky also left Kiev and worked for some time in St. Petersburg, but later he came back. Before the October Socialist Revolution in Ukraine psychology developed as an integral part of the world psychology. By the beginning of the XX century in Ukraine well known scientific schools had developed: in Kiev (G. Chelpanov, I. Sikorsky, S. Ananyin), in Odessa (I. Sechenov, I. Mechnikov, M. Lange, S. Rubinshtein). As early as that time psychology developed not only as an academical science that studied the soul, but also as a practical part of social life: psychologists solved problems on how to create best conditions for optimal development of the human personality. In 1920-s - 1930-s one of the largest centers of experimental psychology was situated in Kharkov, the city that for some time was the capital of the Soviet Ukraine. The well-known psychologist L. Vigotsky started his career there. By 1930s a group of talented scientists in the field of experimental psychology has been formed and worked in Ukraine (O. Leontyev, O. Zaporozhets, O. Luria, I. Sokolyansky, V. Protopopov, L. Zaluzhny, P. Zinchenko, L. Bozhovitch, P. Galperin and others). Most of them worked in Kharkov and planned to make the Kharkov University their intellectual centre. The conditions for research work at that period in Ukraine were optimal, but later owing to the tendency to the centralization of authority the material base of science and successful scientists were concentrated in Moscow. This was a kind of artificial "brain drain" from the periphery into the centre. Thus, the Ukrainian psychology has made a substantial contribution to the world psychological science. But beginning with 1930s certain political processes happening in the Soviet Union hampered the further development of psychology. The resolutions issued by the Soviet government in 1933 and 1936 stopped the research work in some branches of psychology and resulted in staff losses among research workers. The leading approach in psychology was I. Pavlov's reflexology (biological and behavioristic approaches according to the modern classification) and all the other approaches (for instance, psychoanalysis) were practically prohibited. This situation lasted for several decades until Ukraine became independent and the result was that psychology in the former Soviet Union (including Ukraine) was limited and one-sided. In psychotherapy, for example, suggestive methods (hypnosis, suggestion, self-suggestion), rational psychotherapy and few other techniques prevailed, whereas Freud's psychoanalysis together with other psychodynamic methods, and later the humanistic therapy were not known and not used at all. The situation was even worse in theoretical psychology. During the years that have passed after the former Soviet Union had collapsed psychological science and services in Ukraine have developed very quickly. Several books by the well-known foreign psychologists were translated and published in Ukraine, as well as many native monographs. Specialists try to make up for the lost time. The training programs at the universities were reformed. New psychological and therapeutic services were opened. At present several psychological services work in Ukrainian cities. Some of them are governmental and some private. There are psychological laboratories and consulting rooms in the structure of mental health institutions. Clinical psychologists work at general hospitals too. Several private therapeutic and counselling services work already and are opened every day. Psychology and therapy became popular in Ukraine, but there is still much work to be done to improve the quality of psychological services and the training of specialists. LITERATURE 1. Psychology in Medicine. R. Konechny, M. Boukhal. Praha, 1983 (translated to Russ.) 2. Medical Psychology. B.D.Karvasarsky. Moscow, "Medicina", 1982 (Russ) 3. Dictionary-Reference book on Psychological Diagnosing. L.F. Burlachuk, S.M. Morozov. 4. Modern Synopsis of Psychiatry. A.M. Freedman, H.I. Kaplan, B.J. Sadock, USA 1982. 5. Psychiatric Dictionary. Fifth edition. R.J. Campbell. 1981 6. Zimbardo Ph. G. Psychology and Life. 1991. USA. 7. Walter Mischel. Introduction to Personality (fourth eddition). 1986. USA.