The authors of this review demonstrate the correlation between the cultural features, social factors and the patients’ expectations from the psychotherapy. Russian psychologists have been paying very little attention to client expectations. It is very often that convergence between the patient´s expectations from psychotherapy and that the psychotherapist offers the patient - often depends on the success of the therapy. The results of many studies confirm that clients´ expectations are an important factor with regards to the efficiency of psy-chotherapy as well as to the rate of drop-outs. Reliable methods of assessment of clients´ expectations allow to create and to implement strategies of pre-therapy interventions. The theoretical structure of patients´ expectations is complex, as is the set of their determinants. Patients´ choices reflect their mentality, the social stratum and cultural tradition they belong to, their personal traits and value systems, inner dynamic factors including the type of attachment and particularities of the psychopathology, and so on. The paper covers multiple aspects of determination of the construct «patient´s expectations». Particular focus is on the cultural determinants of Russian patients´ expectations. In the analysis of cultural determinants of therapy expectations the authors used approaches of Ruth Benedict and Geert Hofstede. According to Benedict´s classification Russian culture might be considered more as so-called Dionysian culture. According to authors’ analysis more pertinent patients´ expectations formed by Russian culture might be such psychotherapies as psychodrama, NLP, Gestalt-therapy Holotropic Breathwork; and in a less degree – psychoanalysis.

The research included 26 women with acne vulgaris. The purpose of this work was the study of the impact of non-drug methods of correction of vulgaris acne caused by stress disorders. The mental state of patients was determined by traditional clinical method using standard psychometric tests. The assessment was made before treatment, on day 14, 21 and 35 day of therapy. Dermatological control of patients was conducted at the beginning and at the end of treatment. The non-drug methods were psychotherapy, phytotherapy and reflexotherapy (acupuncture). The positive effect was confirmed by the dynamic parameters used in study of standard scales and test with severity decrease in scores (р>0,05). The study proved high efficiency of complex application of combinations of non-drug methods in the treatment of disorders related to stress and impaired adaptation with concomitant acne. The use of combined treatment gave the opportunity to focus on one method, including in the combination, depending on the individual characteristics of patient. The good tolerability, absence out-side effects and availability allow to recommend this medical complex both hospital and outpatient settings.

In the research, 31 women and 8 men with skin diseases (eczema, psoriasis, atopic dermatitis, acne vulgaris, skin itching, hives) were selected, as a result of the survey and examination, the presence of their stress history has been found. All patients had mild or moderate severity of disease, sub-acute or chronic, the adult phase. Treatment was a combination of psychotherapy, phytotherapy and reflexotherapy (acupuncture).The positive effect was confirmed by the dynamic parameters used in study of standard scales and test with severity decrease in scores. (р>0,05). Using the combined treatment made possible to focus on the one of the methods included in the combination, depending on the individual characteristics of the individual patient. The good tole-rability, no side effects and availability allow to recommend the use of this medical complex in hospital and outpatient settings.