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Published on: March 8, 2018
Psychodynamic approaches to medically ill children and their traumatically stressed parents
Ariane Schwab1, Sandra Rusconi-Serpa, Daniel S Schechter
1Pediatric Consult-Liaison Unit, Child and Adolescent Psychiatry Service (SPEA), University of Geneva Hospitals, Geneva, Switzerland.
Insights
Psychodynamic therapy can improve quality of life for medically ill children and their families. Addressing parental trauma and stress is crucial for children
Area of Science:
- Pediatric Psychology
- Child Psychiatry
- Psychosomatic Medicine
Background:
- Integrating psychodynamic approaches into pediatric medical care.
- Addressing the psychological impact of chronic illness in children and families.
Observation:
- A case study of a boy with severe chronic liver disease undergoing a double organ transplant.
- Investigating the link between parental traumatic stress and children's emotional regulation.
Findings:
- Psychodynamic therapies can enhance quality of life and functioning in medically ill children.
- Parental traumatic stress can impair children's meaning-making and adherence to medical regimens.
- Psychodynamic interventions may be life-saving for children with severe medical conditions.
Implications:
- Highlights the importance of mental health support in pediatric chronic illness care.
- Suggests psychodynamic therapy as a valuable tool for improving patient outcomes.
- Emphasizes the need to address parental psychological well-being for pediatric adherence.
Abstract:
This article describes the authors' clinical experience of integrating psychodynamic therapeutic approaches in the care of medically ill children and their families. A case report of a boy with severe, chronic liver disease requiring a double organ transplant is described as an illustration of how such approaches cannot only improve quality of life and functioning but may also be life saving. The authors describe original research investigating how parents' traumatic stress and related interference with children's emotional regulation can compromise their ability to make meaning of their experience, thus posing a risk for adherence to the prescribed medical regimen.
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