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Использование онтогенетических закономерностей развития высших психических функций в восстановлении сознания после повреждений головного мозга
Objective: To evaluate the potential application of rehabilitation strategies based on the principles of ontogenetic development of higher mental functions in the medical rehabilitation of patients with chronic disorders of consciousness. Clinical Case: The dynamics of consciousness recovery were monitored in patient V., who had suffered a subarachnoid hemorrhage resulting from rupture of an anterior cerebral artery – anterior communicating artery aneurysm. The study was conducted over the course of two consecutive medical rehabilitation programs, with a one-year interval between them. The rehabilitation strategies of clinical and psychological intervention were based on theoretical concepts of the ontogenetic development of higher mental functions introduced into Russian psychology by L.S. Vygotsky. Conclusions: The results of the study suggest that understanding of the patterns of ontogenetic development of higher mental functions, as described in L.S. Vygotsky’s cultural-historical theory, can assist specialists of a multidisciplinary rehabilitation team in setting rational goals and planning effective medical rehabilitation strategies for patients with chronic disorders of consciousness.