Change of the Patient's Life Style as a Target for Psychological Rehabilitation: Organization of Rehabilitation as an Interpersonal Activity on Personal and Interpersonal Levels

摘要

Development of health behavior in patients is an important task of psychological rehabilitation. The models of behavior change and their application in psychological rehabilitation are analyzed. We discuss applications of the PROCEED-PROCEED model to the evaluation of rehabilitation. The value of the model is in the possibility to operationalize and formalize assessment of the effectiveness of the organization of rehabilitation. Based on interdependence theory the importance of achieving consistency of rehabilitation goals and the gradual transformation of expectations is discussed. The effectiveness of rehabilitation and the possibility of patient's behavior change at early stage are associated with the formation of interpersonal relationships that are consistent with the expectations of the patient and his family. The lifestyle changes and active participation of the patient in rehabilitation can only be provided by the transformation of one's relations with specialists. Subsequently, this interaction has to be reconstructed in the direction of greater participation and responsibility of the patient.