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[Interaction between psychological disorders and juvenile diabetes]
1Anna Freud Center, Hampstead, London.
La Psychiatrie De L'Enfant
|January 1, 1987
Summary
Childhood diabetes and its treatment significantly impact personality development. Psychological issues and defense mechanisms can distort a child's perception of their illness and body image.
Area of Science:
- Child Psychology
- Pediatric Endocrinology
- Psychosomatic Medicine
Background:
- Diabetes mellitus in children presents unique challenges impacting psychological well-being.
- Treatment regimens can impose restrictions and suffering, influencing a child's developing personality.
- Understanding the interplay between chronic illness management and child development is crucial.
Observation:
- Psychological problems related to diabetes treatment can distort developmental stages, internalized conflicts, and ego structures.
- Treatment-related restrictions and suffering may acquire symbolic meaning and be subject to fantasy elaboration.
- Ineffective treatment management can serve as a defense mechanism, masking psychic conflicts or the disease's dangers.
Findings:
- Defense mechanisms against drives can impede awareness of the actual risks associated with diabetes.
- Distorted body image and fantasies in children are indicators of these defense mechanisms and interfere with illness comprehension.
- The psychological impact of diabetes treatment necessitates a holistic approach to pediatric care.
Implications:
- Early identification of psychological distress in children with diabetes is vital for effective management.
- Interventions should address both the physical and psychological aspects of living with diabetes.
- Further research into the long-term psychological effects of childhood diabetes is warranted.