Invented fairy tales in groups with onco-haematological children
G Margherita1, M L Martino, F Recano
1Department of Humanistic Studies, Federico II University, Naples, Italy.
Insights
Invented fairy tales in groups help children with onco-haematological illnesses express their experiences and pain. This method fosters symbolic communication, improving psychosocial well-being and interpersonal connections among young patients.
Area of Science:
- Child Psychology
- Pediatric Oncology
- Creative Arts Therapies
Background:
- Onco-haematological illnesses present significant challenges for children, impacting daily life and emotional expression.
- Children often struggle to communicate their fears and pain due to communication barriers with caregivers.
- A need exists for therapeutic interventions that facilitate emotional expression in pediatric cancer patients.
Purpose of the Study:
- To explore the meanings children ascribe to their illness experiences through co-constructed fairy tales.
- To evaluate the effectiveness of invented fairy tales in groups as a therapeutic tool for pediatric cancer patients.
- To understand the underlying strengths and weaknesses of this creative arts intervention.
Main Methods:
- A research-intervention utilizing invented fairy tales in group settings with 49 children undergoing onco-haematological treatment.
- Quali-quantitative analysis, including thematic analysis and cluster analysis, of the co-constructed fairy tales.
- Fairy tales were treated as a collective narrative corpus to analyze shared meanings.
Main Results:
- Four thematic clusters emerged: fantasy as meaning-seeking (29.71%), the group as a space for illusions (27.90%), illness as a family issue (25.72%), and anchoring reality (16.67%).
- Key themes influencing meaning included the representation of illness, the relational world, and institutional perceptions.
- The intervention facilitated symbolic expression of pain and illness experiences.
Conclusions:
- Invented fairy tale groups provide a valuable medium for pediatric cancer patients to share and process their illness experiences symbolically.
- This therapeutic approach acts as a mediator for psychological processes, offering new coping strategies.
- The intervention enhances interpersonal communication and relationships among participating children.
Background:
The impact of an onco-haematological illness for children is a traumatic event that opens to pain, hospitalizations and interrupts the continuity of daily life. It is difficult for the child to make meaning, to share the pain or ask a question related to the illness because, often, the parents or doctors cannot find a way to communicate in a suitable way for the child who remains in a situation of 'unspoken', where, fear, anxiety and pain cannot find a space to express.
Methods:
The present research-intervention uses the methodology of invented fairy tales in groups with onco-haematological children, in the hospital, in order to explore the organization of the meanings at the base of the tales co-constructed by the participants underlying weaknesses and strengths of the invented fairy tales in groups intervention. The invented fairy tales in groups is used as a tool, such as a play, to express, share and support the experience of the illness of children. Forty-nine children participated to the invented fairy tales in groups in an onco-haematological hospital. Within a quali-quantitative framework we performed a thematic analysis of elementary context, cluster analysis, on the fairy tales considered as a unique narrative corpus of the thought of the group.
Results:
The analysis shows four thematic clusters: fantasy as search for a meaning, 29.71%, the group as a space for illusions, 27.90%, the illness as a family problem, 25.72%, anchoring reality, 16.67%. The results highlighted three main carriers of sense: the representation of illness/the relational world/the representation of the institution.
Conclusions:
The use of invented-fairy-tales groups allowed the onco-haematological children to tell and share the experience of illness through a different way, which let them express symbolically their pain. The invented fairy tale in groups becomes a mediator of psychic processes which offer new solutions while improving interpersonal relationships/communication between the participants in group.
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