Theoretical and Experimental Psychology
ISSN 2073-0861
eISSN 2782-5396
En Ru
ISSN 2073-0861
eISSN 2782-5396
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Articles

Rehabilitation Potential and Type of Personality Attachment in the Issue of Drug Rehabilitation

Abstract

Background. In the last decade, new types of psychoactive substances have appeared in illicit trafficking, including synthetic psychostimulants. Due to changes in the drug market, both the formation and course of disorders associated with the use of psychoactive substances are changing. Consequently, there is a need to review existing rehabilitation programs and evaluate their effectiveness for the users of new psychoactive substances. Among the tools that influence the rehabilitation potential of drug addicts, a special attention is paid to the psychotherapeutic direction based on attachment theory, as its positive results have been already shown in foreign studies.

Objectives. The theoretical review had its purpose to synthesize, structure and evaluate the existing works devoted to the rehabilitation potential and application of attachment theory in the practice of psychiatric and drug rehabilitation.

Methods. A theoretical review of domestic and foreign scientific literature on the topic under consideration. PubMed and eLIBRARY resources were used to search for information.

Results. The currently existing concepts of rehabilitation potential are considered. The study provides an analysis of existing works describing the relationship between the success of the rehabilitation process and the type of attachment.

Conclusions. Research has found that attachment disorders in childhood can provoke manifestations of dependent behavior. Foreign authors, based on evidence of the effectiveness of attachment-based therapy, propose it as a tool for drug rehabilitation. The basic provisions and principles of such therapy can be used in domestic practice. However, to develop recommendations and rehabilitation programs, additional research on samples of Russian patients is required.

References

Agibalova, T.V., Nobatova, V.N. (2020). Analysis of the factors influencing the formation of remission in drug addicts. Narkologia = Narcology, 19(12), 89–94. (In Russ.). https://doi.org/10.25557/1682-8313.2020.12.89-94

Allen, J.P., Hauser, S.T., Borman-Spurell, E. (1996). Attachment theory as a framework for understanding sequelae of severe adolescent psychopathology: an 11-year follow-up study. Journal of Consulting and Clinical Psychology, 64(2), 254–263. https://doi.org/10.1037//0022-006x.64.2.254

Anisimova, E.A., Tsygankova, A.V. (2022). Rehabilitation potential of rhythmic exercises in correctional and developmental work with students with mental retardation. In the Current Problems of Education and Upbringing of People with Disabilities. In: A.V. P'yankova, (ed.). 4th All-Russian Correspondence Scientific and Practical Conference (April 22, 2022). (pp. 126–131). Ekaterinburg: USPU Publ. (In Russ.)

Bartsalkina, V.V., Kulagina, I.Yu. (2017). Rehabilitation potential of a chemically-dependent person. Psikhologiya. Istoriko-kriticheskiye obzory i sovremennyye issledovaniya = Psychology. Historical-critical Reviews and Current Researches, 6(1A), 34–44. (In Russ.)

Belov, V.P., Vechkanov, V.A., Efimov, I.N. (1975). Rehabilitation potential of the chronically ill: analysis, content, assessment. Vrachebno-trudovaya ekspertiza. Sotsial'no-trudovaya reabilitatsiya invalidov = Medical and Labor Expertise. Social and Labor Rehabilitation of the Disabled, (2), 26–31. (In Russ.)

Berry, K., Drake, R. (2010). Attachment theory in psychiatric rehabilitation: informing clinical practice. Advances in Psychiatric Treatment, 16(4), 308–315. https://doi.org/10.1192/apt.bp.109.006809

Bokhan, N.A., Usov, G.M., Rakitin, S.A. (2023). Assessment of the level of rehabilitation potential in patients with psychosis associated with the use of modern synthetic psychoactive substances. Sibirskiy vestnik psikhiatrii i narkologii = Siberian Herald of Psychiatry and Addiction Psychiatry, (2), 16–24. (In Russ.). https://doi.org/10.26617/1810-3111-2023-2(119)-16-24

Bolotova, E.G., Shprakh, V.V. (2022). Prognosis of rehabilitation potential in patients with cerebral stroke. Zabaykal'skiy meditsinskiy vestnik = Transbaikalian Medical Bulletin, (1), 20–26. (In Russ.). https://doi.org/10.52485/19986173_2022_1_20

Bowlby, J. (2003). Attachment. Moscow: Gardariki Publ. (In Russ.)

Brady, K.T., McCauley, J.L., Back, S.E. (2021). The comorbidity of post-traumatic stress disorder (PTSD) and substance use disorders. In: N. el-Guebaly, G. Carrà, M. Galanter, A.M. Baldacchino, (eds.). Textbook of addiction treatment (2nd ed.). (pp. 1327–1339). Cham: Springer Publ.

Brisch, K.H. (2012). Treating attachment disorders: from theory to therapy (2nd ed.). Moscow: Kogito-Tsentr Publ. (In Russ.)

Burkova, A.M., Yagudina, E.S., Barbas, I. (2020). Rehabilitative potential of higher education for students with health limitations. Teoriya i pracktika fizicheskoy kultury, (5), 50–52. (In Russ.)

Dudko, T.N., Kotelnikova, L.A. (2006). Rehabilitation of narcological patients in a hospital setting: methodological recommendations. Moscow: National Scientific Centre on Narcology of Roszdrav Publ. (In Russ.)

Finzi-Dottan, R., Cohen, O., Iwaniec, D., Sapir, Y., Weizman, A. (2003). The drug-user husband and his wife: attachment styles, family cohesion and adaptability. Substance Use and Misuse, 38(2), 271–292. https://doi.org/10.1081/JA-120017249

Fletcher, K., Nutton, J., Brend, D. (2015). Attachment, a matter of substance: the potential of attachment theory in the treatment of addictions. Clinical Social Work Journal, 43, 109–117. https://doi.org/10.1007/s10615-014-0502-5

Gaponov, K.D. (2012). The treatment and rehabilitation system support of patients with alcohol dependence, and its effectiveness. Zhurnal psikhiatrii i meditsinskoy psikhologii = Journal of Psychiatry and Medical Psychology, (1), 70–79.

Glukhov, B.M., Baydarkbekova, A.K. (2021). Outcomes and rehabilitation potential in children with intraventricular hemorrhages in the perinatal period. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova = S.S. Korsakov Journal of Neurology and Psychiatry, 121(4), 19–24. (In Russ.). https://doi.org/10.17116/jnevro202112104119

Hazan, C., Shaver, P.R. (1987). Romantic love conceptualized as an attachment process. Journal of Personality and Social Psychology, 52(3), 511–524. https://doi.org/10.1037/0022-3514.52.3.511

Heard, D., McCluskey, U., Lake, B. (2009). Attachment therapy with adolescents and adults: theory and practice post Bowlby (1st ed.). London: Routledge Publ.

Ignatyeva, O.I., Yarikov, A.V. (2022). Results of the rehabilitation potential of patients with intracerebral hemorrhages. Zdravookhraneniye Yugry: opyt i innovatsii = Ugra Healthcare: Experience and Innovations, (2), 48–55. (In Russ.)

Kadyrov, R.V., Kapustina, T.V., Sadon, E.V. (2018). Drug addiction and children's experience of family relations. Psikhologiya. Istoriko-kriticheskiye obzory i sovremennyye issledovaniya = Psychology. Historical-critical Reviews and Current Researches, 7(5A), 26–33. (In Russ.)

Kalmykova, E.S., Gagarina, M.A., Padun, M.A. (2007). The role of attachment type in the genesis and dynamics of addictive behavior. Part II. Psikhologicheskiy zhurnal = Psikhologicheskii Zhurnal, 28(1), 107–114. (In Russ.)

Karnakova, N.V., Vorontsova, E.G. (2021). Empirical research on individual psychological characteristics of the rehabilitation capacity of people with chemical dependence in the period of youth and adulthood. Baikal Research Journal, 12(3), 22. (In Russ.). https://doi.org/10.17150/2411-6262.2021.12(3).22

Kim, O.A., Mavlyanova, Z.F. (2022). Rehabilitation potential as a constituent of the process of resocialization of young people with ischemic stroke. Zhurnal biomeditsiny i praktiki = Journal of Biomedicine and Practice, 7(2), 175–181. (In Russ.)

Klemesheva, J.N., Voskresenskaya, O.N. (2009). Rehabilitation potential and its evaluation at nervous system diseases. Saratovskiy nauchno-meditsinskiy zhurnal = Saratov Journal of Medical Scientific Research, 5(1), 120–123. (In Russ.)

Korobov, M.V. (1995). Rehabilitation potential: issues of theory and application in the practice of medical and social expertise and rehabilitation of disabled people. Vrachebno-trudovaya ekspertiza. Sotsial'no-trudovaya reabilitatsiya invalidov = Medical and Labor Expertise. Social and Labor Rehabilitation of the Disabled, (17), 35–41. (In Russ.)

Kritskaya, L.A., Pomnikov, V.G., Sen'kina, A.G. (2021). Aspects of the formation of an individual rehabilitation program in multiple sclerosis. Rossiyskiy meditsinskiy zhurnal = Russian Medicine, 27(3), 265–271. (In Russ.). https://doi.org/10.17816/0869-2106-2021-27-3-265-271

Kulagina, I.Y., Senkevich, L.V. (2015). Rehabilitation potential of personality in various chronic conditions. Kul'turno-istoricheskaya psikhologiya = Cultural-Historical Psychology, 11(1), 50–60. (In Russ.). https://doi.org/10.17759/chp.2015110107

Lende, D.H., Smith, E.O. (2002). Evolution meets biopsychosociality: an analysis of addictive behavior. Addiction, 97(4), 447–458. https://doi.org/10.1046/j.1360-0443.2002.00022.x

Levin, A., Heller, R. (2022). Attached: the new science of adult attachment and how it can help you find — and keep — love. Moscow: Mann, Ivanov i Ferber Publ. (In Russ.)

Leza, L., Siria, S., López-Goñi, J.J., Fernández-Montalvo, J. (2021). Adverse childhood experiences (ACEs) and substance use disorder (SUD): a scoping review. Drug and Alcohol Dependence, 221, 108563. https://doi.org/10.1016/j.drugalcdep.2021.108563

Lobza, O.V. (2018). Individual psychological predictors of dependent behavior. In the Cultural and Historical Approach in Modern Developmental Psychology: Achievements, Problems, Prospects. In: I.V. Shapovalenko, L.I. El'koninova, Yu.A. Kochetova, (eds.). 6th All-Russian Scientific and Practical Conference on Developmental Psychology, Dedicated to the 80th Anniversary of the Birth of Professor L.F. Obukhova (December 13–14, 2018). (pp. 544–549). Moscow: MSUPE Publ. (In Russ.)

Malyshev, A.I. (2021). Study of the rehabilitation potential of the personality of disabled people after lower limb amputation. In the Pedagogy and Psychology in Medicine: Problems, Innovations, Achievements. In: N.P. Vanchakova, (ed.). 1st International Scientific Congress (June 3–4, 2021). (pp. 175–178). Moscow: Pero Publ. (In Russ.)

Melnick, S., Finger, B., Hans, S., Patrick, M., Lyons-Ruth, K. (2008). Hostile-helpless states of mind in the Adult Attachment Interview: a proposed additional AAI category with implications for identifying disorganized infant attachment in high-risk samples. In: H. Steele, M. Steele, (eds.). Clinical applications of the adult attachment interview. (pp. 399–423). New York: Guilford Press.

Morozova, E.V., Zhukova, E.V. (2022). Methodological approaches to the assessment of personal rehabilitation potential in the context of the rehabilitation commitment of the individual. Mediko-sotsial'nyye problemy invalidnosti = Medical and Social Problems of Disability, (1), 67–80. (In Russ.)

Neverova, G.Y. (2012). Personal resources in the rehabilitation of heroin addicts. Diss. Cand. Sci. (Psychol.). Barnaul. (In Russ.)

Okhotnikova, E.V. (2023). Methodological specificity and rehabilitation potential of foreign language lessons with students with specific mental disorders. In the Role and Status of Language in the Civilizational Space. In: A.P. Badetskii, Zh.N. Maslova, O.V. Samylov, I.Yu. Khitarova, (eds.). International Scientific and Practical Conference (November 14–15, 2022). (pp. 24–26). Saint Petersburg: Emperor Alexander I St. Petersburg State Transport University Publ. (In Russ.)

Permyakov, D.B. (2014). Rehabilitation potential of craft lessons in the educational process in classes for children with moderate mental retardation. In the Current Issues in Scientific Work and Educational Activities. In: International Scientific and Practical Conference конференции (April 30, 2014). (pp. 134–135). Tambov: LLC "Konsaltingovaya kompaniya Yukom" Publ. (In Russ.)

Porokhina, Z.V. (2004). Psychological rehabilitation potential of a disabled person (on the example of patients with coronary heart disease). Diss. Cand. Sci. (Psychol.). Moscow. (In Russ.)

Razumov, A.N., Rassulova, M.A., Turova, E.A., Grishina, M.I., Koryshev, V.I. (2016). Criteria for transferring patients to stages of medical rehabilitation. Voprosy kurortologii, fizioterapii i lechebnoy fizicheskoy kul'tury = Problems of Balneology, Physiotherapy and Exercise Therapy, 93(2), 131–132. (In Russ.)

Rosenstein, D.S., Horowitz, H.A. (1996). Adolescent attachment and psychopathology. Journal of Consulting and Clinical Psychology, 64(2), 244–253. https://doi.org/10.1037/0022-006X.64.2.244

Rybakova, L.N. (2013). "New drugs" and old problems (based on foreign materials). Sotsiologiya = Sociology, (2), 164–172. (In Russ.)

Schimmenti, A., Billieux, J., Santoro, G., Casale, S., Starcevic, V. (2022). A trauma model of substance use: elaboration and preliminary validation. Addictive Behaviors, 134, 107431. https://doi.org/10.1016/j.addbeh.2022.107431

Schindler, A., Thomasius, R., Petersen, K., Sack, P.-M. (2009). Heroin as an attachment substitute? Differences in attachment representations between opioid, ecstasy and cannabis abusers. Attachment and Human Development, 11(3), 307–330. https://doi.org/10.1080/14616730902815009

Severtsev, V.V. (2024). Psychotic disorders associated with the use of synthetic cathinones: clinical features, treatment approaches, prognosis. Summ. Diss. Cand. Sci. (Medicine). Moscow. (In Russ.)

Skorik, E.D. (2018). The influence of early experience of attachment relationships with the mother on personality formation and the characteristics of building social relationships in an adult. Molodoy uchenyy = Young Scientist, (47), 317–320. (In Russ.)

Tersinskikh, S.V. (2021). Some problematic issues of organizing work aimed at preventing drug addiction among youth. In the Socio-Legal Aspects of Countering the Spread of Drug Addiction among Young People. In: G.A. Shklyaeva, A.A. Telitsyna, (eds.). International Scientific and Practical Conference (November 24, 2021). (pp. 453–463). Izhevsk: Izhevsk Institute (Branch) of the All-Russian State University of Justice (RLA of the Ministry of Justice of Russia) Publ. (In Russ.)

Timoshina, E.A., Shevtsova, V.I., Zuykova, A.A. (2020). Assessment of individual indicators of quality of life in geriatric practice. In the VOLGAMEDSCIENCE. In: 6th All-Russian Conference of Young Scientists and Students with International Participation (March 16–17, 2020). (pp. 109–111). Nizhniy Novgorod: PRMU Publ. (In Russ.)

Tolmacheva, V.A., Kiseleva, M.G. (2021). Features of rehabilitation potential in patients with schizophrenia combined with addiction. In the Psychology of the 21st Century. Psychological Research: from Theory to Practice. In: A.V. Shaboltas, (ed.). International Scientific Conference of Young Scientists (April 21–23, 2021). (pp. 41–42). Saint Petersburg: Skifiya-print Publ. (In Russ.)

Tuzov, I.N. (2014). Rehabilitation potential of blind sports and methodological issues of training in various target groups. In the Current Problems of Theory, History and Practice of Social Work. In: L.I. Starovoytova, (ed.). Scientific Articles by Students and Teachers of the Department of Theory and Methodology of Social Work. (pp. 118–120). Moscow: Perspektiva Publ. (In Russ.)

Vinnikova, M.A., Ablova, V.V., Bulatova, R.A. (comp.). (2025). Diagnosis and treatment of psychotic disorders associated with the use of synthetic cathinones: methodological recommendations. Moscow: Moscow Scientific and Practical Centre for Narcology of the Moscow Department of Healthcare Publ. (In Russ.)

Voitenko, R.M. (2007). Fundamentals of rehabilitology and social medicine: concept and methodology. Saint Petersburg: MEDEYA Publ. (In Russ.)

Weiss, N.H., Kiefer, R., Goncharenko, S., Raudales, A.M., Forkus, S.R., Schick, M.R., Contractor, A.A. (2022). Emotion regulation and substance use: a meta-analysis. Drug and Alcohol Dependence, 230, 109131. https://doi.org/10.1016/j.drugalcdep.2021.109131

Zaginaiko, T.G., Burmatov, N.A., Koshkina, V.A., Batrshin, I.T. (2021). Study of rehabilitation potential in children with spinal pathology and diseases. Zdravookhraneniye Yugry: opyt i innovatsii = Ugra Healthcare: Experience and Innovations, (1), 62–65. (In Russ.)

Zentsova, N.I. (2013). Features of psychosocial adaptation of persons dependent on psychoactive substances. Moscow: Nauka Publ. (In Russ.)

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Received: 12/02/2025

Revised: 02/15/2026

Accepted: 04/06/2026

Keywords: rehabilitation; drug addicts; rehabilitation potential; attachment theory; synthetic psychostimulants; drug rehabilitation

DOI: https://doi.org/10.11621/TEP-26-05

Available in the on-line version with: 06.04.2026

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