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[为父母被诊断患有癌症且子女未满五岁的家庭提供支持——一种咨询概念的阐述]

[Support for families with a parent diagnosed with cancer and children under the age of five--delineation of a counselling concept].

作者信息

Dörr Peggy, Führer Daniel, Wiefel Andreas, Bierbaum Anna-Lena, Koch Gabriele, von Klitzing Kai, Romer Georg, Lehmkuhl Ulrike, Weschenfelder-Stachwitz Heike

机构信息

Klinik für Psychiatrie, Psychosomatik und Psychotherapie des Kindes- und Jugendalters, Charité - Universitätsmedizin Berlin.

出版信息

Prax Kinderpsychol Kinderpsychiatr. 2012;61(6):396-413. doi: 10.13109/prkk.2012.61.6.396.

Abstract

Parents of infants and young children, who have been diagnosed with cancer wish to protect their child from the emotional strains of their illness. They wonder, what the child can understand about the illness and how it is able to process or assimilate the experience of the illness. In fact, infants and young children are particularly sensitive to the degree of emotional burden and the mental state of their parents and will experience varying degrees of insecurity due to even small changes in their relationship with their parents. On the basis of psychological development parameters specific to this age group as well as scientific findings on risk and protection factors an integrated interaction based counseling approach was developed. Within this approach, support for the communication between parent and child in view of the specific strains of their illness, both non-verbal and in the child's early stages of verbal communication, is central. In the present article the counselling concept is described and illustrated by case studies. Application and limits are discussed.

摘要

已被诊断出患有癌症的婴幼儿的父母希望保护孩子免受疾病带来的情感压力。他们想知道,孩子对疾病能理解多少,以及孩子如何处理或吸收患病经历。事实上,婴幼儿对父母的情感负担程度和心理状态特别敏感,甚至与父母关系的微小变化都会让他们体验到不同程度的不安全感。基于该年龄组特定的心理发展参数以及关于风险和保护因素的科学研究结果,开发了一种基于综合互动的咨询方法。在这种方法中,鉴于疾病带来的特定压力,在孩子非语言交流阶段和早期语言交流阶段,支持亲子之间的沟通是核心。在本文中,将通过案例研究来描述和说明咨询概念,并讨论其应用和局限性。

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