Structural-processual analysis of reflective mechanisms of regulation of medical workers' mental burnout conditionin intraprofessional differentiation

At present, the research interest in studying the internal factors of burnout conditionof representatives of trades of the "helping" type is concentrated on its relations with reflection, features of value and semantic sphere,motivation, styles of self-control. However, the general and specific laws of displays of mechanisms of self-control, is reflectivesemanticand value and motivational mechanisms of regulation (occurrence, transformation) of the condition of mental burnout in thelogic of the structural-processual approach remain beyond consideration. Transformation of mental burnout condition is considered as anatural and irreversible process of interaction of structural elements of this condition at its various phases in the context of the ''helping''activity under the influence of external and internal regulatory factors. During this process the degree of expressivenesses of relationsboth between all its structural elements and between structural elements and the regulatory properties of the person amplifies, whichleads to transformation into the regulatory properties of the person. Inner regulatory factors which act at all phases of the mental burnoutconditions, are considered as internal psychological mechanisms of its transformation, and at certain phases - as inner psychologicalmechanisms of its occurrence. The greatest role in regulation of the condition of mental burnout among doctors of hospitals and doctorssurgeonsbelongs to direct self-control of behaviour in the current professional situation demanding urgent analysis of the event anddecision-making at a minimal time, to correlation of the actions with the situation and their coordination according to the changingcircumstances and one's own condition. The tendency to analyse one's past actions, events, their motives and preconditions, mistakes,estimation of past experiences is a reflective mechanism of regulation of the condition of mental burnout for doctors of clinics,physicians, nurses and medical assistants. An important role belongs to the analysis of future activity, careful planning and seeingprobable outcomes of treatment. Results of the research allowed to draw conclusions that the generality of laws of displays of reflectivemechanisms of regulation (occurrence, transformation) of the mental burnout condition of medical workers with intraprofessionaldistinctions testifies to the typification of the transformation process, and their specificity - to the specification of substantial, structuraland dynamic characteristics of mental burnout by the context of "helping" trades or duration of professional activity.

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