Abstract: The subject of this study is the clinical manifestations and psychological determinants of burnout syndrome in functional diagnostic physicians. The specificity of the professional activities of this group is considered, including work in dimly lit rooms, prolonged static positions, high patient volume, and lack of feedback on diagnostic results. The inadequacy of the classical three-component model by C. Maslach to describe burnout in this category of specialists is analyzed. The article examines profession-specific domains: emotional-sensory exhaustion, musculoskeletal distress, technical dehumanization, reduction of achievements in the form of professional fatalism, and cognitive impairments. Personal, emotional, and cognitive variables are investigated as moderators of the relationship between organizational working conditions and clinical manifestations of exhaustion. Special attention is given to a comparative analysis of the psychological profiles of functional diagnostic physicians and therapeutic specialists to identify profession-related differences in the structure of burnout. An empirical study was conducted on a sample of 228 functional diagnostic physicians and 80 therapeutic doctors. A set of psychodiagnostic methods was used: MBI, TAS-20, the EmIn emotional intelligence questionnaire, Lazarus's coping strategies questionnaire, and an author’s questionnaire on somatic symptoms. Descriptive statistics, correlational, factor, and multiple regression analyses were applied. The scientific novelty of the research lies in the empirical verification of the five-factor structure of burnout syndrome in functional diagnostic physicians, which is not reducible to the classical triad. New constructs – “professional fatalism” and “technical dehumanization”–have been introduced and operationalized. It was established that the combined contribution of psychological variables to the severity of burnout (alexithymia, maladaptive coping strategies, intrapersonal emotional intelligence) is three times greater than the contribution of organizational factors. A clinical-psychological model has been developed that integrates professional-environmental, clinical, and psychological factors, and directions for prevention have been substantiated considering the professional specifics of functional diagnostic physicians. Dose-dependent differences in psychological variables were identified in groups with low, medium, and high levels of burnout, with the most pronounced differences noted in maladaptive coping strategies. The proposed model reveals the dynamic nature of relationships between levels of factors and indicates a vicious cycle, in which clinical symptoms, intensifying, modify the psychological characteristics of the specialist, increasing their vulnerability to professional stressors.

Keywords: burnout syndrome, doctors of functional diagnostics, clinical-psychological model, professional fatalism, technical dehumanization, prevention, alexithymia, coping strategies, emotional intelligence, psychological determinants

Abstract: The subject of this research is the current state, theoretical and methodological foundations, as well as the clinical aspects of body-oriented psychotherapy (BOP). The object of the study is the integrative nature of psychophysical unity in the therapeutic process, where bodily sensations, emotions, and cognitive processes are considered as a unified system. The author examines in detail such aspects of the topic as the evolution of BOP from the classical character analysis of W. Reich to modern neurobiological models, including the polyvagal theory of S. Porges and the concept of interoceptive awareness. The work analyzes five key theoretical approaches: bioenergetic analysis, the Feldenkrais method, sensorimotor psychotherapy, and additional osteopathic methods. Special attention is given to the clinical application of BOP in the treatment of trauma, anxiety disorders, depression, eating disorders, and chronic pain, as well as new developments such as integration with cognitive and positive psychology and cultural adaptation of practices. The methodological foundation of this research is a narrative review and synthesis of the scientific literature, conducted using a structured search in databases eLibrary.ru, PubMed, PsycINFO, and Google Scholar, applying qualitative and quantitative criteria for inclusion and exclusion. The novelty of the study lies in the systematic synthesis of contemporary neurobiological data (interoception, polyvagal theory) with practical body-oriented methods, which justifies the transition from disparate schools of thought to integrative multimodal interventions. This research compares classical approaches (Reich, Lowen) with the latest developments, including osteopractics and mindfulness training, for the first time within a single review, demonstrating the evolution of the discipline from predominantly theoretical to empirically grounded practice. The author's significant contribution lies in identifying cultural and educational barriers that limit the implementation of BOP, and proposing specific ways to overcome them through the adaptation of interventions. The main findings of the study include: confirmation of the high effectiveness of BOP in traumatic and somatoform disorders; evidence that integration with cognitive-behavioral therapy enhances the therapeutic effect; and recognition that further progress requires large-scale randomized studies, the development of protocols adapted to cultural characteristics, and the inclusion of physiotherapy in standard educational programs for psychologists and psychiatrists.

Keywords: Body-oriented psychotherapy, somatic psychology, motor-sensory psychotherapy, interoception, polyvagal theory, traumatotherapy, integrative psychotherapy, bioenergetic analysis, clinical applications, embodied cognition