Donders J
Mary Free Bed Hospital, Grand Rapids, MI 49503.
Death Stud. 1993 Nov-Dec;17(6):517-27. doi: 10.1080/07481189308252636.
Developmental changes in children's acquisition of death concepts and in their emotional reactions are reviewed. Moderating variables that may affect the nature of grieving processes after parental or sibling death are discussed, including circumstances of the loss, prior experience with death, and the child's cognitive functioning. Pragmatic issues (such as when and how to inform children of parental or sibling death) regarding bereavement and mourning in children with acquired brain injuries are reviewed and illustrated by means of case studies. Special challenges to rehabilitation professionals who must deal with these issues (including the concurrent treatment of secondary losses, cognitive deficits, and organic personality changes) are discussed.
本文回顾了儿童死亡概念习得及情绪反应的发展变化。讨论了可能影响父母或兄弟姐妹死亡后悲伤过程性质的调节变量，包括丧失的情形、先前的死亡经历以及儿童的认知功能。通过案例研究回顾并举例说明了后天脑损伤儿童丧亲及哀悼方面的实际问题（如何时以及如何告知儿童父母或兄弟姐妹的死亡）。讨论了康复专业人员在处理这些问题时面临的特殊挑战（包括对继发性丧失、认知缺陷和器质性人格改变的同时治疗）。
