Cahners S S
Shriners Burns Institute, Boston, MA 02114.
J Burn Care Rehabil. 1992 Jan-Feb;13(1):44-7. doi: 10.1097/00004630-199201000-00010.
The patient with facial and hand scars that show clearly is forced to deal with his or her disfigurement, to grieve the loss, and to adapt to the new image. Patients who have body scars that are hidden by clothes and who fear exposure may never deal with the reality of their damaged selves and thus suffer from low self-esteem and accompanying depression and anxiety. Young adolescent women in particular are concerned about a pleasing appearance as they deal with fears about dating and sexual relationships. It is particularly difficult for them to be open and seek counsel on this subject. This article demonstrates a need for the burn unit therapist to be creative in providing psychotherapeutic intervention for the patient with hidden scars, especially the young woman with breast scars. It also shows that group therapy can play an important role in providing this necessary support.
面部和手部疤痕明显的患者不得不面对自己的毁容，为所失感到悲痛，并适应新形象。身上的疤痕被衣服遮盖且害怕暴露的患者可能永远无法面对受损自我的现实，从而自尊心低落，并伴有抑郁和焦虑。尤其是青春期少女，在应对约会和性关系方面的担忧时，她们很在意自己的外表是否讨人喜欢。对她们来说，在这个问题上坦诚相待并寻求建议尤其困难。本文表明，烧伤科治疗师需要有创造性地为有隐蔽疤痕的患者，尤其是有乳房疤痕的年轻女性提供心理治疗干预。文章还表明，团体治疗在提供这种必要支持方面可以发挥重要作用。
