One of the keys in psychotherapeutic work with couples is determining their level of self differentiation (according to M. Bowen). Self differentiation is the ability to share your feelings and thoughts, as well as separate your feelings from the feelings of others, maintain emotional independence. The inability to identify one’s feelings, to separate them from facts, to quickly become infected with the emotions of other people, the lack of a clear self-image and the loss of it under the influence of the opinions of others - indicates a low level of differentiation of the self. Therefore, clients with this level of differentiation have a harder time enduring family crises, quickly move on to escalate the conflict. Let's consider the manifestations of a low level of differentiation among the main characters of this film and how it affects their pair interaction. The main characters are an emergency doctor, Oleg, and his wife, a nurse in the hospital emergency department, Katya. Despite their high professionalism , Oleg does not understand his emotions, does not understand what is happening in his relationship with Katya, and does not recognize the influence of his contribution on them. The peculiarities of Oleg’s work activity create all the prerequisites for the development and formation of post-traumatic personality disorder, which, apparently, is the cause of his emotional dulling and alienation, affecting emotional contact with his wife. Oleg saves people's lives every day. Professional activity is carried out under conditions of increased emotional stress (responsibility, the need for a quick response, facing a threat to one’s own life) and a high level of demands from superiors and patients, which is often not related to the quality of medical care, but rather is of a formal nature, which is not simply complicates the work, and often makes it impossible. Oleg tends to relieve the emerging psycho-emotional stress by going out to hang out with friends and abuse alcohol. Let's consider the signs of a low level of differentiation of Katya's self: 1. Insufficiently separated from her parents. In the scene of Katya's father's birthday celebration, it is repeatedly illustrated how her parents speak negatively about her being late for the celebration and how she makes excuses in response. At the festive table, the spouses - Katya and Oleg - are located on opposite sides: Katya sits next to her with his mother, and Oleg, at her mother’s direction, is on the other side of the table: “Please come in and sit there.”2. There are difficulties in expressing her feelings: she tends to suppress and not talk about her experiences, not to bring them to the border of contact (she reports her decision to divorce via SMS, while being in the same space at home with her husband).3. She tends to follow the desires of others rather than her own, agreeing to inconvenience and self-neglect. From the very beginning of the film, we see a breakdown in contact between the spouses: when meeting his wife, Oleg continues to talk on the phone, without particularly reacting to her, and then dives into the phone and laughs on his own at the videos he is watching; Katya is nearby all this time, but they are not talking to each other. From the expression on Katya’s face, one can assume that this situation of her husband’s distance is unpleasant to her, but she prefers not to show her dissatisfaction, sometimes timidly disagrees with her husband, but with little pressure from him, she quickly moves on to fulfilling his requests. I will give a more specific example: – Katya, If you see a store, more or less normal, stop! – Why? – I’ll take a package for myself – Maybe you’ll be patient, come and have a drink? – What are you doing! I haven’t drunk for half an hour already. – There’s a store, is that right? – Yeah4. In situations of increased anxiety, she tends to smoke (this addiction can be considered as a simple way to reduce the intensity of experiences), avoid direct dialogue, and break off relationships. For example, at his celebration, Katya’s father repeatedly indirectly expresses dissatisfaction with his son-in-law due to his abuse of alcohol. This situation, superimposed on the existing emotional!