The article analyzes adaptive strategies of patients with pulmonary tuberculosis in terms of the author’s «disease situation» concept. The identified strategies are considered as aspects of the «disease situation» subjective element. The author examines the model of coping strategies, which is specific for patients with pulmonary tuberculosis, as a system of coping strategies contradictory in its functions, connected with the semantic refocusing of a person and the rejection of a new social identity of the disabled person.