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等待腿部截肢儿童的心理咨询(作者译)

[Psychological consulting of children awaiting leg amputation (author's transl)].

作者信息

Steffen H, Brösse-Strauss I, Brands D

出版信息

Monatsschr Kinderheilkd (1902). 1977 Jan;125(1):22-7.

PMID:834190
Abstract

A 2.3 year old boy and a 3.7 year old girl, brother and sister, burnt their feet and calves during a bath tub accident. Both had to undergo amputation of their feet and lower thirds of their calves. For this, both needed psychological help. The body was less anxious and ready for confrontation with reality. The girl had to be guided through her denial and rejection of reality towards acceptance of the situation. Only then was she able to express fear and accept help. This practical playtherapeutical intervention could only take place on the basis of absolute trust. Time, empathy, adaptation to the children's state, age and personality and repetetive, active playing of the situation and the anxiety provoking future were necessary. Thus panic provoking anxiety could be diminished to realistic fear.

摘要

一名2.3岁的男孩和一名3.7岁的女孩,兄妹俩,在一次浴缸事故中烫伤了脚和小腿。两人都不得不接受脚部和小腿下三分之一的截肢手术。为此,两人都需要心理帮助。身体不再那么焦虑,准备好面对现实。女孩必须被引导,从否认和拒绝现实到接受现状。只有到那时,她才能够表达恐惧并接受帮助。这种实际的游戏治疗干预只能在绝对信任的基础上进行。时间、同理心、适应孩子的状态、年龄和个性,以及对情况和引发焦虑的未来进行反复、积极的模拟,都是必要的。这样,引发恐慌的焦虑就可以减轻为现实的恐惧。

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