Oppenheim Daniel
Département de pédiatrie et unité de psycho-oncologie, institut Gustave-Roussy, 94805 Villejuif Cedex.
Rev Prat. 2007 May 31;57(10):1098-103.
Experiencing cancer is an ordeal for a child and his/her family, even if the majority of these children are cured. In order to alleviate destabilization or possible psychological sequels, the medical staff must be competent and also provide supportive care and information, so that mutual knowledge and confidence can be established. The child's and adolescent's specific landmarks must be protected (school, friends, play, fantasy, creativity, body image, sense of beauty and of identity, self confidence and trust in their parents, relation with their siblings, plans...). Parents also need assistance for possible practical, social, financial difficulties and, most of all, to maintain confidence in their parental competence. Siblings need help to understand the situation and to cope with it. Accompanying the child when the treatment is over will allow him/her to resume a normal life or to cope with possible sequels. If the child dies, accompanying the parents and the siblings through the grieving process is helpful. The psycholo-oncologist helps the child and his/her family to understand their emotions and their conscious and unconscious thoughts, and to live through this ordeal.
对一个孩子及其家庭来说,患癌症是一场磨难,即便这些孩子中的大多数都能治愈。为了缓解不稳定状况或可能出现的心理后遗症,医护人员必须具备专业能力,还要提供支持性护理和信息,以便建立相互了解与信任。儿童和青少年的特定标志必须得到保护(学校、朋友、玩耍、幻想、创造力、身体形象、美感和身份认同感、自信心以及对父母的信任、与兄弟姐妹的关系、计划……)。父母在面对可能的实际、社会和经济困难时也需要帮助,最重要的是,要保持对自身育儿能力的信心。兄弟姐妹需要帮助来理解并应对这种情况。在治疗结束后陪伴孩子将使他/她能够恢复正常生活或应对可能出现的后遗症。如果孩子去世,陪伴父母和兄弟姐妹度过悲伤过程会有所帮助。心理肿瘤学家帮助孩子及其家人理解他们的情绪以及有意识和无意识的想法,并熬过这场磨难。