Rogers J, MacBride A, Whylie B, Freeman S J
Int J Psychiatry Med. 1977;8(3):243-55. doi: 10.2190/bx4c-aqxc-gvkp-dn6d.
There is a complex interplay between physical and emotional factors in the rahabilitative process after amputation of a limb. Although this is recognized by those working in the field of rehabilitation medicine, an overview of the literature indicates that there is comparatively little psychosocial research, education, and innovative programming. The authors have initiated such a program and have incorporated it into the routine of an inpatient amputee unit. The approach involves the utilization of basic techniques of supportive group therapy in the discussion of recurrent themes which have emerged as major concerns among amputees. Experiences amputees help new patients to anticipate potentially stressful situations, thus encouraging increased reliance. Having professionals present allows for the clarifying of medical and/or technical issues and the group setting provides a relaxes atmosphere conducive to educative discussion of physical and psychosocial concerns.
在肢体截肢后的康复过程中,身体因素和情感因素之间存在着复杂的相互作用。尽管康复医学领域的工作人员已经认识到这一点,但文献综述表明,心理社会方面的研究、教育和创新性项目相对较少。作者启动了这样一个项目,并将其纳入了住院截肢患者单元的日常工作中。该方法包括在讨论截肢者普遍关注的反复出现的主题时,运用支持性团体治疗的基本技巧。有过截肢经历的患者帮助新患者预测可能出现压力的情况,从而鼓励他们增强信心。专业人员的在场有助于澄清医疗和/或技术问题,而团体环境则提供了一个轻松的氛围,有利于对身体和心理社会问题进行有教育意义的讨论。