[Psychological care of the child cancer patient]

The basic problems surrounding the psychological care of children with cancer are outlined and possible solutions are considered. Parent-related problems are suitable guidance to parents about the nature of the disease and understanding for the possible resultant reactions, and the building of a doctor-parent relationship which can help the parents to accept the loss of their child more easily. In regard to the child-related problems, it is important that the child is informed about all new situations, that his problems are taken seriously and that he receives as much warmth and security as possible. The child is then able to adjust to the threatening situation in which he finds himself and his fears will be lessened. Only then, a clarifying dialogue between the doctor and the child is possible, as long as this is thought necessary, and it is possible that it may help the child to an easier death. In conclusion, the reactions of the staff when faced with an incurable sick child that reminds them of their own mortality are discussed. Suggestions are made that may lead to a better contact between the child with cancer and the doctor.