Rossi G, Bonfiglio S, Veggiotti P, Lanzi G
Child Neuropsychiatry Division, Foundation Istituto Neurologico C. Mondino IRCCS, University of Pavia, Italy.
Seizure. 1997 Aug;6(4):289-95. doi: 10.1016/s1059-1311(97)80076-3.
We report a 2-year study of 'psychological support' of a group of seven adolescents (five female and two male) with both non-symptomatic generalized and partial epilepsy with onset before puberty. Two child neuropsychiatrists, supervised by a Freudian psychoanalyst specializing in group therapy, conducted the sessions. Sessions were aimed at improving comprehension and acceptance of the condition and its consequences through comparison of thoughts, fantasies, and preoccupations regarding epilepsy, including significance of epileptic seizures and their possible effects on sexuality, pregnancy, mental state, patient resistance to drug therapy, speaking openly about illness, and social and job-related problems. Group dynamics were also examined to improve subject interaction and self-identification. This method varies from the 'self-help' type of intervention which uses an interpretative and reflective approach to interaction of group members.
我们报告了一项针对七名青少年（五名女性和两名男性）的为期两年的“心理支持”研究，这些青少年患有青春期前发病的无症状全身性和部分性癫痫。由一位专门从事团体治疗的弗洛伊德精神分析学家监督，两名儿童神经精神科医生主持了这些治疗课程。课程旨在通过比较关于癫痫的想法、幻想和关注点，包括癫痫发作的意义及其对性、怀孕、精神状态、患者对药物治疗的抵抗、公开谈论疾病以及社会和工作相关问题的可能影响，来提高对病情及其后果的理解和接受度。还对团体动力学进行了研究，以改善受试者之间的互动和自我认同。这种方法不同于“自助”型干预，后者采用解释性和反思性的方法来处理团体成员之间的互动。
