Christ Adolph E
Division of Child and Adolescent Psychiatry.
Am J Orthopsychiatry. 1978 Jul;48(3):505-515. doi: 10.1111/j.1939-0025.1978.tb01339.x.
Psychotherapy of the child with true brain damage presents special problems and requires special approaches. Those who are cognitively primitive--at the sensorimotor or preoperational stage of development--require a crisis approach; those at the concrete or formal operational stage can be treated with a modified insight-oriented approach. Development of a therapeutic alliance, establishment of workable defense mechanisms, identification and clarification of unalterable cognitive defects and issues of termination unique to this special population are discussed.
对患有真性脑损伤的儿童进行心理治疗存在特殊问题，需要特殊方法。那些认知处于原始阶段——处于感觉运动或前运算发展阶段的儿童——需要采用危机干预方法；处于具体运算或形式运算阶段的儿童则可用经过调整的洞察取向方法进行治疗。文中还讨论了治疗联盟的建立、可行防御机制的确立、不可改变的认知缺陷的识别与澄清，以及针对这一特殊群体特有的治疗终止问题。
