On the issue of justification of the use of a psychodynamic approach in the complex treatment of alexithymia Vyukov A.S., Davydov A.T., Stepura A.A.* State Budgetary Institution "Psychoneurological Dispensary", Shakhty, Rostov region *St. Petersburg Scientific and Practical Center for Medical and Social Expertise, Prosthetics and Rehabilitation of Disabled People named after. G.A. Albrecht Ministry of Labor of Russia, Russia Introduction. It is known that individuals with alexithymia have impairments in the cognitive and affective spheres, which reduce the ability to verbalize affect and also lead to excessive physiological and psychological responses. Thus, they are characterized by a combination of emotional, cognitive and personal manifestations, and they often show an inability to recognize and accurately describe their own emotional state and the emotional state of other people. With alexithymia, the cognitive sphere is characterized by a lack of imagination, a predominance of visual-effective thinking over abstract-logical thinking, and a weakness in the functions of symbolization and categorization. A lack of reflection, needs and motives for activity limits the ability to control one’s motives and flexibly rearrange them in accordance with the requirements of the situation. They have a poor language and difficulty verbalizing emotions. At the same time, the cathexis of words is insufficient; there is often no boundary between the designation and the signified. The purpose of the study was to substantiate the use of a psychodynamic approach in the complex treatment of alexithymia. Methods and groups of patients. To identify the frequency and main manifestations of alexithymia, two groups of men were examined. 26 men of the main group with alexithymia were diagnosed with “adjustment disorder” according to ICD-10 criteria. The control group consisted of 24 people who had no complaints about their health. The groups were examined simultaneously and the average age was 50.5±0.7 years. We used clinical and follow-up methods, an anamnestic questionnaire, the Spielberger-Khanin scale for assessing reactive and personal anxiety, the Mississippi Scale for assessing post-traumatic reactions and adaptation disorder, SAN (well-being, activity and mood), tests of neuropsychic adaptation (NPA), assessment of the level of subjective control (USC). ) and subjective assessment of the state (SOS). Results of the study and discussion. It was determined that no manifestations of alexithymia were detected in individuals in the control group. In the main group, its severity was 11.5±1.7 points. According to the USC method, all individuals in the main group were divided into two subgroups according to the type of dominant locus of control - external and internal. With an external locus of control (up to 5.5 walls), patients believed that all the events that happened to them were the result of the actions of external forces or circumstances. With an internal locus of control (above 5.5 walls), all subjects interpreted significant manifestations of the disease as the result of their own activities. It turned out that the overall integral assessment of the USC had a positive trend from externality to internality. In addition, in individuals with alexithymia in the compared subgroups, a high level of reactive and personal anxiety was revealed, which amounted to 72.8 and 74.7 conditional points, respectively. Using a multifactorial personality questionnaire, a marginal increase in indicators of psychasthenia and introversion was revealed in individuals with alexithymia. It was determined that the interactive side of communication in persons with alexithymia is not complete and that affective breakdowns often occur, which lead to various forms of deviant behavior and withdrawal into psychosomatic illness. The psychodynamic approach has made it possible to study the process of desomatization within the framework of developmental psychology and to identify the role of resomatization in psychosomatic syndromes. It has not yet been clarified whether alexithymia is caused by hereditary factors “for example, biochemical deficiency” or whether it.