Foster Celeste
East Lancashire Child & Adolescent Mental Health Service, East Lancashire Hospitals NHS Trust, Burnley General Hospital, Lancashire, UK.
J Child Adolesc Psychiatr Nurs. 2009 Feb;22(1):16-22. doi: 10.1111/j.1744-6171.2008.00165.x.
The impact of adolescents in acute mental distress admitted onto inpatient pediatric settings: on the staff group caring for them and the adolescents' consequent experience of the service provided.
To examine the impact that this client group can have on the staff, the environment, and wider professional system from an applied psychodynamic standpoint. The aim of this study is to identify practical strategies for providing effective child and adolescent mental health service consultation liaison for this complex and high-risk group.
This study draws on psychoanalytic theories of adolescent development, trauma, organizational dynamics, and reflections on personal experiences in the field of pediatric liaison. The challenges of providing effective support in this context are illustrated with clinical examples from the author's own practice.
The importance of attending to the very primitive anxieties and subsequent defense mechanisms aroused in staff caring for adolescents in the context described is highlighted. A case is made for the provision of mental health consultation and support that provides emotional containment for the young people and staff, and that incorporates understanding of the organizational issues that can contribute to the complexity of this work.
入住儿科住院部的急性精神困扰青少年：对照顾他们的医护团队以及青少年对所提供服务的后续体验的影响
从应用精神动力学角度审视该客户群体对医护人员、环境及更广泛专业系统可能产生的影响。本研究旨在为这个复杂的高风险群体确定提供有效儿童及青少年心理健康服务咨询联络的实用策略。
本研究借鉴了青少年发展、创伤、组织动力学的精神分析理论以及对儿科联络领域个人经验的反思。作者自身实践中的临床实例说明了在这种情况下提供有效支持所面临的挑战。
强调了关注在所述情境中照顾青少年的医护人员所引发的非常原始的焦虑及后续防御机制的重要性。提出了提供心理健康咨询和支持的理由，这种咨询和支持能为年轻人和医护人员提供情感容纳，并包含对可能导致这项工作复杂性的组织问题的理解。
