Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland 21224, USA.
Int Rev Psychiatry. 2009 Dec;21(6):539-48. doi: 10.3109/09540260903343901.
This paper reviews four major topics related to the long-term psychosocial rehabilitation for burn survivors; (1) Body image adjustment process; (2) Social functioning challenges; (3) Interventions designed to address psychosocial rehabilitation challenges; and (4) Current policy developments in the USA and the UK that focus on raising the rehabilitation standards for psychosocial care for burn survivors. While acknowledging the close relationship between body image distress and social functioning, these two areas are reviewed separately with the goal of addressing two specific questions. First, what does current empirical research and clinical experience teach us about each of these areas, and second, what are the most important gaps in current knowledge about body image and social functioning, respectively? The final section of the paper specifically addresses the question of what can be done, from a practical and a health policy perspective, to ensure that existing body image and social difficulties are appropriately addressed.
本文回顾了与烧伤幸存者长期心理社会康复相关的四个主要主题;(1) 身体意象调整过程;(2) 社会功能挑战;(3) 旨在解决心理社会康复挑战的干预措施;以及(4) 美国和英国目前关注提高烧伤幸存者心理社会护理康复标准的政策发展。虽然承认身体意象困扰和社会功能之间的密切关系,但这两个领域是分开审查的,目的是解决两个具体问题。首先,当前的实证研究和临床经验在这两个领域分别教会了我们什么,其次,关于身体意象和社会功能,目前知识的最重要空白分别是什么?本文的最后一部分专门探讨了从实际和健康政策的角度可以采取哪些措施来确保适当解决现有的身体意象和社会困难。