[Examination of personality and emotional-volitional disorders in the homeless with tuberculosis]

In persons with impaired social regulation, the balance of value-need regulation is shifted towards the predominance of needs. Directions in their life are absent or their set is very limited. Their behavior is frequently situation-dependent. Social and psychological dysadaptation results from that the individual inadequately appraises the life situation and hence inadequately responds to the latter. The socially unacceptable behavior becomes normal up to criminogenic (theft, violence). In the homeless with tuberculosis, a change occurs in the structural hierarchy of vital activity motives by the motive-for-objective type. In this connection, there is a paradoxical attitude towards the disease for the purpose of acquiring a social benefit. In the homeless, the factors that are frustrating and inducing stress in ordinarily persons cause no emotional responses. This was a result of the mental defense worked out under constant stress.